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Physician Services Medicine and Sur
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T Table of Contents Preface .......
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Telemedicine ......................
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Health Professional Shortage Areas
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Legal Framework The following laws
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General Information Treatment (EPSD
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General Information Category III Co
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General Information collecting the
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- Page 26 and 27: Medicine Services System [HCPCS] co
- Page 28 and 29: Medicine Services In cases where mo
- Page 30 and 31: Medicine Services documentation in
- Page 32 and 33: Medicine Services Providers of ment
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- Page 36 and 37: Surgery Services Appendix 10 of thi
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- Page 40 and 41: Surgery Services and the insertion
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- Page 46 and 47: Surgery Services live with her sinc
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- Page 50 and 51: Prescription Requirements Prescribe
- Page 52 and 53: Prescription Requirements Approval
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- Page 58 and 59: Claims Submission adjustment reques
- Page 60 and 61: Claims Submission 58 Wisconsin Medi
- Page 62 and 63: Reimbursement • Confirming or rev
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- Page 66 and 67: Reimbursement 64 Wisconsin Medicaid
- Page 70 and 71: Appendix Surgery Services Appendix
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- Page 74 and 75: Appendix Other Services Appendix 1
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Appendix Category Musculoskeletal S
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Appendix Category Female Genital Sy
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Appendix SECTION II — RECIPIENT I
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Appendix 122 Wisconsin Medicaid and
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Appendix 124 Wisconsin Medicaid and
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Appendix (This page was intentional
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Appendix 128 Wisconsin Medicaid and
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Appendix PRIOR AUTHORIZATION / PHYS
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Appendix (This page was intentional
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PRIOR AUTHORIZATION / PHYSICIAN ATT
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Appendix (This page was intentional
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PRIOR AUTHORIZATION / “J” CODE
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Appendix (This page was intentional
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PRIOR AUTHORIZATION / “J” CODE
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Appendix (This page was intentional
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PRIOR AUTHORIZATION / PHYSICIAN OTO
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DEPARTMENT OF HEALTH AND FAMILY SER
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Appendix Health Professional Shorta
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Appendix HPSA Name County ZIP Codes
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Appendix 154 Wisconsin Medicaid and
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Appendix Appendix 26 (Continued) ma
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Appendix The following table lists
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Appendix 160 Wisconsin Medicaid and
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Appendix (This page was intentional
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DEPARTMENT OF HEALTH AND FAMILY SER
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DEPARTMENT OF HEALTH AND FAMILY SER
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Appendix (This page was intentional
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DECLARATION OF SUPERVISION FOR NONB
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DEPARTMENT OF HEALTH AND FAMILY SER
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Appendix HCPCS Code* Drug Name Diag
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Index Organ Transplants, 44 Provide