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Form F-00916 Provider File Update Request - Wisconsin AIDS Drug Assistance Program / Wisconsin Chronic Disease Program / Wisconsin Well Woman Program - Wisconsin
What Is Form F-00916?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form F-00916?
A: Form F-00916 is a Provider File Update Request form.
Q: What is the purpose of Form F-00916?
A: The purpose of Form F-00916 is to update provider information for the Wisconsin AIDS Drug Assistance Program, Wisconsin Chronic Disease Program, and Wisconsin Well Woman Program.
Q: Which programs are covered by Form F-00916?
A: Form F-00916 covers the Wisconsin AIDS Drug Assistance Program, Wisconsin Chronic Disease Program, and Wisconsin Well Woman Program.
Q: Who needs to fill out Form F-00916?
A: Providers who need to update their information for the above mentioned programs need to fill out Form F-00916.
Q: Is Form F-00916 specific to Wisconsin?
A: Yes, Form F-00916 is specific to the programs in Wisconsin.
Q: What information can be updated using Form F-00916?
A: Form F-00916 can be used to update provider's demographic and contact information, tax identification numbers, program participation, and additional services offered.
Q: Is there a deadline for submitting Form F-00916?
A: There is no specific deadline mentioned for submitting Form F-00916. However, providers are encouraged to update their information as soon as possible.
Q: Are there any fees associated with Form F-00916?
A: There are no fees associated with submitting Form F-00916.
Q: How long does it take to process Form F-00916?
A: The processing time for Form F-00916 is not mentioned. Providers are advised to contact the respective programs for any updates on the processing time.
Form Details:
- Released on December 1, 2013;
- The latest edition provided by the Wisconsin Department of Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form F-00916 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
Download Form F-00916 Provider File Update Request - Wisconsin AIDS Drug Assistance Program / Wisconsin Chronic Disease Program / Wisconsin Well Woman Program - Wisconsin
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