Coordinators

This section of the website is intended to help WISEWOMAN Program Coordinators efficiently and effectively administer their programs. Just click on the links below to access the resources.

Go directly to:

• Program Information

• Financial Resources

• Reports

• Correspondence from MDCH

• Forms

Program Information

• Program Description

• Eligibility

• Program Policies and Procedures

• Annual Report

• Contact Information

Financial Resources

• Rate Schedule

• ICD-9 Codes

• Hold Codes

• Revenue Codes

• Place of Service Codes

• Procedure Code Reference Chart

• Billing and Reimbursement Policy

• Budget Instructions

• Health Advantage Contact Information

Reports

• Financial

• Quality Improvement

• Other

Correspondence from MDCH

• Memos and Letters

• WISEWOMAN Update

Forms

• Client Status Change

• Goal Progress Chart

• Group Contact

• Health History

• Health Risk Questions

• Healthy Lifestyle Goals

• Informed Consent

• Lifestyle Counseling Contact

• Medical Care Case Management

• My Health Information

• Referral for Diagnostic Exam

• Screening Form

• Worksheets

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