Medical board of wi
[DOC File]Correspondence of National Board Certification with ...
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Correspondence of National Board Certification with Wisconsin Educator Licenses. National Board Certification Wisconsin License. Which may be renewed at the Master Educator Stage. Early Childhood – Generalist (Ages 3-8) 080 Prekindergarten. 083 Prekindergarten-Grade 3. 086 Prekindergarten-Grade 6. 088 Prekindergarten-Grade 8. 090 ...
[DOC File]ICPC Wisconsin Financial / Medical Plan, CFS-2196
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ICPC Wisconsin Financial / Medical Plan Page 2 of 2. CFS-2196 (Rev. 08/2007) ICPC Wisconsin Financial / Medical Plan. DCF-F-CFS2196 (R. 01/2011) This field is pre-filled. This field is not editable on the template. The data can be corrected as follows: update …
[DOCX File]Medical and Remedial Expenses Checklist
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ME. WISCONSIN DEPARTMENT OF HEALTH SERVICES. Division of Medicaid Services. F-00295 (01/2018) MEDICAL AND REMEDIAL EXPENSES CHECKLIST FOR MEDICAID LONG-TERM CARE WAIVER PROGRAMS. Name – Member/Participant PURPOSE: This form is used to determine any medical and remedial expenses that can be used to reduce a cost share. A cost share is the monthly …
[DOCX File]PACE and Partnership Programs - Enrollment, F-00533
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F-00046 Page 9. F-00533 Page 3. F-00533 Page 2. Distribution: Original – ADRC/TADRS; Copy–- Applicant, Copy – IM; Copy – MCO. H2034_H5207_H5212_H5206_H5209_H7475_H2237_MULTIPLAN_Wienroll_CMS Approved 12142011. Space reserved for future bar code use
[DOC File]GN-3130: Examining Physician's or Psychologist's Report
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A mental illness that is severe in degree and persistent in duration, that causes a substantially diminished level of functioning in the primary aspects of daily living and an inability to cope with the ordinary demands of life, that may lead to an inability to maintain stable adjustment and independent functioning without long-term treatment and support that may be of lifelong duration.
[DOCX File]Ordering Information - Inquiry Packets, DCF-F-CFS2022
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Author: Kathleen M. Kramer Created Date: 04/29/2020 09:44:00 Title: Ordering Information - Inquiry Packets, DCF-F-CFS2022 Description: 2/13/08--Prior info in "comments" wiped out when form revised by Kat._x000d_ 2/13/08---Form finalized--2177 from Kat--rev. date left as 12/07 per Kat---form sent to NH for loading---HFS-1 sent to FC---file back on shelf/cj_x000d_ 12/4/2008---Rvsd - EMd to Kat ...
[DOC File]Self-Funded Health Benefits
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Fund Balance Account 936110. That portion of fund balance that is restricted for self insurance purposes. This fund balance is not available for board designation or general operating purposes. Districts should build a reasonable fund balance to ensure that the plan is able to provide benefits to covered employees during a high claim year.
[DOC File]Wisconsin
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The rules in this chapter are adopted by the medical examining board pursuant to the authority delegated by ss. 15.08 (5) (b), 227.11 (2) and 448.13, Stats., and govern the biennial training requirements for physicians as provided under s. 448.13, Stats. Med 13.02 Continuing medical education required; waiver.
[DOC File]Wisconsin
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Madison, WI 53708-8366 Kenneth Simons. Chairperson. Timothy Westlake. Vice Chairperson. Mary Jo Capodice. Secretary Wisconsin Medical Examining Board. 1400 E Washington Ave. PO Box 8366. Madison WI 53708-8366. Email: dsps@wisconsin.gov. Voice: 608-266-2112. FAX: 608-251-3032
[DOCX File]Medical Examination Review
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MEDICAL EXAMINATION REPORT. MV3644 (1) 10/2018 Ch. 343 Wis. Stats. & Trans. 112 Admin. Code. T583. Once completed, this form can be faxed, emailed or …
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