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Informative Documents and Publications Library

Informative documents and publications produced by the Wisconsin Department of Health Services are available electronically and/or for paper order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions.

When you are searching for a document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks (" ") around search terms. For example, if you search for "FoodShare benefits" your search results will only include titles that contain FoodShare and benefits.

Assigned Number Title Division Language Release Date File Type Available to Order
N/A Sample FoodShare Supplement Letter DMS English 07/2020 PDF No
N/A Sample FSET Disenrollment Letter DMS English 07/2017 PDF No
N/A Sample FSET Employment Plan Summary DMS English 07/2017 PDF No
N/A Sample HCBW Denial Notice of Decision DMS English 07/2017 PDF No
N/A Sample I-A Report DCTS English 07/2015 PDF No
N/A Sample Institutional Medicaid Approval Notice of Decision DMS English 07/2017 PDF No
N/A Sample Letter Indicating Temporary Enrollment Has Been Extended DMS English 08/2016 PDF No
N/A Sample Letter Indicating Temporary Enrollment Has Ended DMS English 08/2016 PDF No
N/A Sample Level 1-A Report DCTS English 11/2019 Word No
N/A Sample Level of Care Termination Letter DMS English 09/2016 Word No
N/A Sample Medicaid Purchase Plan Premiums Letter for COVID-19 DMS English 04/2020 PDF No
P-01787 Sample Medical Guideline - Law Enforcement Guidelines: Intranasal Narcan (Naloxone) Administration DPH English 04/2017 PDF No
N/A Sample Medical Guidelines for Wisconsin Emergency Medical Services DPH English 08/2015 Word No
P-01909 Sample Medications DQA English 04/2022 PDF No
N/A Sample News Article (less than 250 words) - CLPP Week 2017 DPH English 09/2017 Word No
N/A Sample News Article (more than than 250 words) - CLPP Week 2017 DPH English 09/2017 Word No
N/A Sample Notice of Decision for FoodShare, Health Care, and Caretaker Supplement DMS English 02/2018 PDF No
N/A Sample Notice of Decision for Wisconsin Shares and Wisconsin Works DMS English 02/2018 PDF No
N/A Sample notices of pending DMS English 07/2020 PDF No
N/A Sample One-Time Letter DMS English 07/2016 PDF No
P-03039 Sample Patient Assessment Script: Cough DPH English 06/2021 PDF No
P-03046 Sample Patient Assessment Script: Dysuria DPH English 06/2021 PDF No
P-03047 Sample Patient Assessment Script: Sinus DPH English 06/2021 PDF No
N/A Sample Program Manager Level I-B Decision - PDF DCTS English 06/2016 PDF No
N/A Sample Program Manager Level I-B Decision - Word DCTS English 06/2016 Word No
N/A Sample Sanction Letter DMS English 09/2016 PDF No
N/A Sample SEIRF Notice DMS English 01/2023 PDF No
N/A Sample Six-Month Report Form DMS English 10/2020 PDF No
N/A Sample Six-Month Report form instructions DMS English 01/2017 PDF No
N/A Sample SLMB+ Approval Notice DMS English 07/2017 PDF No
N/A Sample Statement About Immigration Status Form DMS English 01/2023 PDF No
N/A Sample Three Time-Limited Benefits Warning Letter DMS English 07/2017 PDF No
N/A Sample Undue Hardship Letter DMS English 07/2017 PDF No
N/A Sample Verification Checklist DMS English 07/2017 PDF No
N/A Sample XML Layout for FC DMS English 05/2015 PDF No
N/A Sample XML Layout for FCP DMS English 05/2015 PDF No
N/A Sample XML Layout for SSI DMS English 05/2015 PDF No
P-01162E SAMS Agency Call Report DPH English 11/2015 PDF No
P-01162C SAMS Call Profiler Report DPH English 11/2015 PDF No
P-01162A SAMS Call Topic Report DPH English 11/2015 PDF No
P-01162D SAMS Consumer Activity Referral Report DPH English 11/2015 PDF No
N/A Sandata Alternate EVV Town Hall Presentation DMS English 10/2023 PDF No
P-03063 Sandata Electronic Visit Verification (EVV) Portal: Modify Client Data DMS English 07/2021 PDF No
P-03063H Sandata Electronic Visit Verification (EVV) Portal: Modify Client Data, Hmong DMS Hmong 07/2021 PDF No
P-03063S Sandata Electronic Visit Verification (EVV) Portal: Modify Client Data, Spanish DMS Spanish 07/2021 PDF No
N/A Sandata Mobile Connect Guide - Albanian DMS Albanian 04/2023 PDF No
N/A Sandata Mobile Connect Guide - Serbian DMS Serbian (Serbo-Croatian) 04/2023 PDF No
N/A Sandata Mobile Connect Guide - Swahili DMS Swahili 04/2023 PDF No
N/A Santi's Story DMS English 04/2018 PDF No
N/A Sauk County Assisted Living Profiles DQA English 03/2023 PDF No

Glossary

 
Last revised July 18, 2023