№ lp_1_26780
The document is a form for requesting one-time expenses for participants in the IRIS Medicaid program in Wisconsin, requiring detailed personal and service-related information.
Year: 2017
Region / City: Wisconsin
Topic: Medicaid Services
Document Type: Form
Organization / Institution: Department of Health Services, Division of Medicaid Services
Author: Department of Health Services
Target Audience: Medicaid service consultants and participants
Period of Validity: Not specified
Approval Date: Not specified
Date of Changes: Not specified
Price: 8 / 10 USD
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