№ lp_2_2_04208
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File size: 27 KB
Official provider agreement establishing legal obligations, compliance requirements, payment conditions, confidentiality standards, and disclosure duties for participation in the Wisconsin Medicaid Community Recovery Services benefit program.
Country:
United States
State:
Wisconsin
Issuing Authority:
Department of Health Services, Division of Care and Treatment Services
Legal Basis:
42 CFR 431.107; 42 CFR Part 455 Subpart B; 42 CFR § 447.10(e); DHS 106.02 Wis. Administrative Code
Program:
Wisconsin Medicaid Community Recovery Services (CRS) Benefit
Form Number:
F-00312A
Date of Form:
08/2016
Type of Document:
Provider Agreement
Subject:
Terms of participation, confidentiality, fraud prevention, disclosure requirements, payment reassignment
Applicable To:
Individual or Non-Specified Community Recovery Services Providers
Record Retention Requirement:
Seven (7) years
Signatories:
Provider; Local CRS Benefit Agency Representative (Witness)
Price: 8 / 10 USD
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The file will be delivered to the email address provided at checkout within 12 hours.
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Issuing Authority:
Department of Health Services, State of Wisconsin, Division of Care and Treatment Services
Form Number:
F-00390
Revision Date:
08/2016
Program:
Community Recovery Services (CRS) Medicaid Benefit
Related Document:
F-00390I Instructions
Jurisdiction:
State of Wisconsin
Applicable Population:
Children and adults receiving Community Recovery Services Medicaid benefit
Submission Method:
Mail or Fax to designated CRS Contact
Reporting Timeline:
Within 24 hours for Critical Incidents; three business days for agency notification to state contact
Type of Document:
Official incident reporting form
Administering Agency:
Wisconsin Department of Health Services
Associated Agencies:
CRS County/Tribe Agency; State Medicaid Agency (SMA)
Regulatory Context:
CMS-approved CRS Benefit requirements and conditions
Year:
2025
Region / city:
San Jose, CA
Topic:
Wireless Networking
Document Type:
Technical Specification
Organization / Institution:
IEEE
Author:
You-Wei Chen, Insik Jung, Arik Klein
Target Audience:
Researchers and engineers working in wireless communication standards
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2025
Region / City:
United Arab Emirates
Topic:
Common Reporting Standard, Financial Information Exchange
Document Type:
FAQ
Authority / Organization:
Ministry of Finance, United Arab Emirates
Author:
Not specified
Target Audience:
Financial Institutions, Tax Authorities
Period of Validity:
Indefinite
Approval Date:
June 2025
Amendment Date:
Not specified
Year:
2026
Region / City:
Colorado
Subject:
Abduction prevention measures
Document Type:
Legal Petition/Motion
Authority/Organization:
District Court
Author:
N/A
Target Audience:
Legal professionals, courts, parties involved in child custody cases
Period of validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2020
Region / City:
European Union
Subject:
Railway signaling system compatibility and safety
Document Type:
Technical report
Organization / Institution:
European Union Agency for Railways (ERA)
Author:
AH/OG/WM
Target Audience:
Railway operators, technical experts, regulators
Scope:
Analysis of compatibility between trackside and on-board subsystems under ERTMS baselines B3R2, B3MR1, and B2
Reference:
Commission Regulation (EU) 2016/919 and Commission Regulation (EU) 2019/776
Modification History:
See detailed version log in the document
Period Covered:
Up to 04/05/2020
Methodology:
Individual Change Request (CR) assessment according to SUBSET-104 and ERA CCM procedure PRO_CCM_002ERA_ERTMS_0001
Tender Notice No:
TN. No:2 / TTD-Dr YSRHU/CRS-TPT 2022-23
Date of Commencement of DOWNLOADING OF THE BID DOCUMENT:
29.07.2022 AT 4.00 PM
Last date for receipt of bids:
06.08.2022 AT 2.00 PM
Time and date of opening of Technical and Price bid:
06.08.2022 AT 2.30 PM
Address for Communication:
THE PRINCIPAL SCIENTIST (HORT.) & HEAD, CITRUS RESEARCH STATION, TIRUPATI – 517 502, TIRUPATI DISTRICT, ANDHRA PRADESH
Year:
2022-23
Region / City:
Tirupati, Andhra Pradesh
Theme:
Supply and framing of printed images
Document Type:
Tender
Organization / Institution:
Dr. Y. S. R. Horticultural University, Citrus Research Station
Author:
Dr. Y. S. R. Horticultural University
Target Audience:
Bidders, manufacturers, and authorized representatives
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2025
Region / City:
San Jose, CA
Topic:
Wireless communication protocols, IEEE 802.11
Document Type:
Technical submission
Organization / Institution:
IEEE
Author:
You-Wei Chen, Insik Jung, Jiayi Zhang
Target Audience:
Technical experts, IEEE members, wireless technology professionals
Period of Validity:
Not specified
Approval Date:
2025-12-xx
Amendment Date:
Not specified
Year:
2023
Region / City:
Colorado
Topic:
Jury Service, Medical Disqualification, Postponement
Document Type:
Request Form
Organization:
Colorado Court System
Author:
Jury Commissioner
Target Audience:
Prospective Jurors, Licensed Medical Professionals
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2013-2018
Region / City:
Global
Theme:
Procurement
Document Type:
Manual
Author:
Catholic Relief Services
Target Audience:
CRS staff involved in procurement
Effective Period:
FY13-18
Approval Date:
Not specified
Date of Last Revision:
Not specified
Year:
2017
Region / City:
Hazlet, NJ, San Diego, CA
Subject:
Wireless LAN Standards
Document Type:
IEEE Draft Resolution
Organization:
IEEE
Author:
Sungeun Lee, Saishankar Nandagopalan
Target Audience:
IEEE Working Group Members
Period of Validity:
September 10, 2017
Approval Date:
2017-09-10
Date of Last Changes:
None
Year:
2016
Region / City:
-
Subject:
Air & Sediment Separator, Coalescing Removal Separator
Document Type:
Technical Specification
Organization / Institution:
Xylem Inc.
Author:
-
Target Audience:
Engineers, HVAC professionals
Period of Validity:
-
Approval Date:
August 2016
Revision Date:
-
Year:
2020
Region / City:
Colorado
Subject:
Mental health diversion programs for individuals with low-level criminal offenses
Document Type:
Funding Request
Organization / Institution:
Colorado Judicial Branch
Author:
Kara Martin
Target Audience:
State and local agencies, funding bodies, judicial and mental health professionals
Effective Period:
FY21
Approval Date:
April 28, 2020
Date of Changes:
None
Year:
2025-26
Region / City:
Andhra Pradesh
Topic:
Tender Notice
Document Type:
Tender Document
Organ / Institution:
Dr. Y. S. R. Horticultural University
Author:
Not specified
Target Audience:
National and international manufacturers and their authorized representatives
Validity Period:
From 02.09.2025 to 16.09.2025
Approval Date:
Not specified
Date of Modifications:
Not specified
Description:
This is a tender document inviting bids for the supply, installation, and commissioning of a community radio station and video production equipment at Dr. YSRHU College of Horticulture, including details on specifications, payment terms, and eligibility criteria.
Note:
Year
Region / City:
Colorado
Subject:
Child Custody
Document Type:
Legal Petition
Organization:
District Court
Context:
A legal petition to register an out-of-state child custody determination in a Colorado court.
Year:
2021
Region / city:
Unknown
Topic:
NR-U User Plane
Document type:
Report
Organization / institution:
Ericsson
Author:
Unknown
Target audience:
Companies involved in NR-U development
Period of validity:
Unknown
Approval date:
Unknown
Change date:
Unknown
Note:
Year
Contextual Description:
A guide providing answers to frequently asked questions for vendors regarding various training, billing, and reporting procedures under the ACCES-VR CRS program.
Year:
2019
Region / city:
N/A
Topic:
Telecommunications, IMT-2020
Document Type:
Technical Report
Organization:
ITU
Author:
Working Party 5D
Target Audience:
ITU members, telecommunications professionals
Period of validity:
N/A
Approval Date:
16 December 2019
Modification Date:
N/A
Note:
Year
Subject:
Sports injuries, Concussions
Document Type:
Acknowledgement Form
Target Audience:
Athletes, parents, sports organizations
Year:
2023
Region / City:
Ontario
Topic:
Secured lending agreements
Document Type:
Agreement
Organization / Institution:
Independent Electricity System Operator (IESO)
Author:
Not specified
Target Audience:
Secured lenders, suppliers, and the sponsor
Effective Period:
From the Effective Time onward
Approval Date:
Not specified
Amendment Date:
Not specified
Note:
Year
Topic:
Health care, medication administration
Document type:
Agreement