Container
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Title
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2003/059
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Part 9 (2003/059): Additions, 1981-2000 11.0 cubic feet (9 records center cartons and 5 archives boxes) : Additional HIRSP administrative records and records of various cost containment efforts for Medical Assistance clients, 1994-2000. Files document administrative services such as contracting with Blue Cross/Blue Shield of Wisconsin and EDS; reporting; and oversight of quality, rates, and costs. Documented medical assistance programs of BHCF include certification and quality assurance records for private HMO service providers, experiments with Preferred Provider Program networks, and managed care programs for emotionally disturbed youth in Milwaukee and Madison. There are also extensive records on iCare, a Milwaukee provider, even including samples of marketing literature approved by the bureau. Also documented is work on the creation of BadgerCare, a program to provide affordable health care to low-income working families.
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Box
1
Folder
1A
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Background information
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Health Insurance Risk Sharing Pool (HIRSP)
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Box
1
Folder
1-2
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Actuarial reports, 1994-1998
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Box
1
Folder
3
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Actuarial services request for proposals (RFP), 1996
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Box
1
Folder
4
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Actuarial Subcommittee (BOG), 1992-1997
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Box
1
Folder
5-6
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Administrative Review Committee (BOG), 1994-1997
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Box
1
Folder
7-15
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Administrative services contracts, 1981-1996
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Box
1
Folder
16
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Administrative services RFP
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Box
1
Folder
17
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Administrator's monthly report, 1997 April
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Box
1
Folder
18-20
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Annual reports, 1981-1987
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Box
1
Folder
21
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Assessment forms
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Box
1
Folder
22
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Assessment problems, 1991-1996
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Box
1
Folder
23-26
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Assessments, 1993-1997
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Box
1
Folder
27
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Auditing services, 1987-1997
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Box
1
Folder
28-31
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BOG meetings, 1996-1997
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Box
1
Folder
32
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Behavioral health report
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Box
1
Folder
33
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Biennial budget request, 1983
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Box
1
Folder
34
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Billing cycle
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Box
1
Folder
35-36
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Blue Cross/Blue Shield
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Box
1
Folder
37-38
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CNR Health Inc. (County community support\program network), 1996-1997
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Box
1
Folder
39
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Communicating for Agriculture
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Box
2
Folder
1
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Consumer Affairs Committee, 1996-1997
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Box
2
Folder
2-3
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Contracts (BC/BS)
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Box
2
Folder
4
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Contract lists and data
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Correspondence
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Box
2
Folder
5
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BC/BS, 1994
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Box
2
Folder
6
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Board of Governors, 1994
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Box
2
Folder
7
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Complaints
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Box
2
Folder
8-9
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Legislative, 1994
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Box
2
Folder
10
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General, 1994
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Box
2
Folder
11
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Cost containment services RFP, 1991-1995
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Box
2
Folder
12
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Meridian, 1995
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Box
2
Folder
13
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Coverage after age 65
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Box
2
Folder
14
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DHFS recommendation report, 1997
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Box
2
Folder
15
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Dental coverage (BC/BS), 1995
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Box
2
Folder
16
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Drug cards
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Box
2
Folder
16A
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Escheat procedures
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Box
2
Folder
17
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Financial statements, 1994-1995
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Box
2
Folder
18
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Hospital bill auditing RFP
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Box
2
Folder
19
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Meridian, 1994
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Box
2
Folder
20
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Kresge, Paul, case
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Box
2
Folder
21
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Legislative Committee, 1986-1997
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Box
2
Folder
22
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Legislative hearing, 1996
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Box
2
Folder
23-24
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Literature, 1996-1998
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Box
2
Folder
25
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Managed care accessibility reports, 1997
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Box
2
Folder
26
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Medicaid coordination of benefits (sample)
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Box
2
Folder
27
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Network contracting, 1997
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Box
2
Folder
28
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Operating budget, 1995-1996
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Box
2
Folder
29
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Policy changes, 1993-1994
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Box
2
Folder
30
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Porter v. HIRSP, 1993-1994
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Box
2
Folder
31
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Premium reduction application (sample)
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Box
2
Folder
32
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Prevention coverage survey, 1993-1994
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Box
2
Folder
33
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Provider lists and data
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Box
2
Folder
34
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Quarterly reports, 1993-1995
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Box
2
Folder
35-37
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RFP for combined services, 1996
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Box
3
Folder
1-3
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Rates, 1995-1996
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Box
3
Folder
4
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Rejection notices
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Reports
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Box
3
Folder
5
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Procedures evaluation, 1991-1992
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Box
3
Folder
6
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Special reports, 1992-1994
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Box
3
Folder
7
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North Carolina study of risk sharing pools, 1994-1995
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Box
3
Folder
8-9
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Utilization reports, 1993-1995
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Box
3
Folder
10
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SAFECO v. Musser assessment case, 1991-1997
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Box
3
Folder
11
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Small employer health insurance
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Box
3
Folder
12
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Statistics, 1990-1992
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Box
3
Folder
13-14
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Subsidy billing
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Box
3
Folder
15
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Subrogations
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Box
3
Folder
16
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Surveys
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Box
3
Folder
17
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WPS v. Mutual of Omaha, 1992
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BadgerCare
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Box
3
Folder
18
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Budget
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Box
3
Folder
19-20
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Cost neutrality regarding FPL, 1997
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Box
3
Folder
21
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Enrollment data
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Box
3
Folder
22
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Enrollment forecasts, 2000
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Box
3
Folder
23
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Pay-for-Performance waiver, 1995
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Box
3
Folder
24
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Operational protocol, 1999
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Box
3
Folder
25
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Statistics
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Box
3
Folder
26
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Waiver concept paper, 1997
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Box
3
Folder
27-28
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Waiver drafts, 1998-2000
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Box
3
Folder
29-30
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Waiver reports, 2000
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Box
4
Folder
1
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Waiver reports, 2000 (continued)
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Box
4
Folder
2-3
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Waiver work papers, 2000
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Children Come First (CCF)
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Box
4
Folder
4
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General
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Box
4
Folder
5
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Audit miscellany
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Box
4
Folder
20
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Agency/provider resource guides, 1995-1997
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Missing Folder
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Annual report, 1996
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Box
4
Folder
6
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Correspondence, 1995
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Box
4
Folder
7
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Crisis services, 1997
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Box
5
Folder
19
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CCM
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Box
4
Folder
10
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Dane County
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Box
4
Folder
13
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1993-1995
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Box
4
Folder
14-15
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ARTT subcontract
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Box
4
Folder
16
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Actuarial
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Box
4
Folder
17
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CCM contract
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Box
4
Folder
18
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CCM data, 1994
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Box
4
Folder
19
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CCM Handbook, 1995
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Box
4
Folder
20
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Committee, 1994-1995
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Box
4
Folder
20A-24
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Contract
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Box
5
Folder
1
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Contract, 1995
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Box
5
Folder
2-4
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Contract monitoring, 1993-1995
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Box
5
Folder
5
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Contract prep, 1995
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Box
5
Folder
9
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[folder number skipped]
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Box
5
Folder
10
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Evaluation
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Box
5
Folder
14
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Newsletter, 1995
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Box
5
Folder
16
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Reports, 1994-1995
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Box
5
Folder
17
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Settlement, 1994
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Box
5
Folder
18
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Settlement and utilization, 1994
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Box
5
Folder
8
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EDS
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Box
4
Folder
8
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Enrollment and disenrollment
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Box
5
Folder
11
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Grievances, 1997
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Box
5
Folder
12
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Implementation
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Box
5
Folder
13
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Milwaukee County grant
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Box
4
Folder
9, 11
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Policy binder
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Box
5
Folder
15
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Provider appeals, 1997
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Box
5
Folder
19A
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Provider guide
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Box
4
Folder
12
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Rates, 1997
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Box
5
Folder
6
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State/county meetings, 1995
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Box
5
Folder
7
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Task Force on Managed Care for Children with Severe Emotional Disturbance (Dane County), 1995
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Box
5
Folder
20-42
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Enrollment specialist for Managed Care reports, 1997-2000
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Independent Care Inc. (iCare)
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Box
6
Folder
1
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ASHI outreach, 1999
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Box
6
Folder
2
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ASHI reports
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Box
6
Folder
3
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ASH reports
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Box
6
Folder
4-5
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Actuary-Millman and Robertson, 1994-1995
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Box
6
Folder
6
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Administration
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Box
6
Folder
7
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Billing notice
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Box
6
Folder
8
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Certification
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Box
6
Folder
9-11
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Correspondence, 1998-2000
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Box
6
Folder
12
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Disenrollment audit
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Box
6
Folder
13-16
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EDS, 1997-2000
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Box
6
Folder
17-20
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Enrollment issues
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Box
6
Folder
21
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FQHC
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Box
6
Folder
22
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Fact sheets
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Box
6
Folder
23
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Financial statements, 1994-1995
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Box
6
Folder
24
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General, 1997-2000
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Box
5
Folder
25-26
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Grievance reports and correspondence, 1995-1998
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Box
5
Folder
27-32
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Grievance cases (Psychiatric care and Viagra coverage), 1998
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Box
5
Folder
33-35
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Human Services Research Institute reports
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Box
7
Folder
1-7
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Human Services Research Institute reports (continued)
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Box
7
Folder
8
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Information requests
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Box
7
Folder
9-18
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Literature approvals
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Box
7
Folder
19
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Media plan
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Box
7
Folder
20
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Models that work
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Box
7
Folder
21
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Olmstead v. L.C. case, 2001
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Box
7
Folder
22
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Pharmacy
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Box
7
Folder
23
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Phase out plan
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Box
7
Folder
24-25
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Presentation binder
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Box
7
Folder
26-27
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Provider agreement
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Box
8
Folder
1
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Provider appeals, 1998-1999
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Box
8
Folder
2
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Provider network
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Box
8
Folder
3-6
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Provider subcontracts (Health Care for the Homeless, Children's Hospital, Sinai Samaritan)
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Box
8
Folder
7
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Rate review, 1996
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Box
8
Folder
8
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Risk sharing
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Box
8
Folder
9
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Upper limit
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Medicaid HMOs
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Box
8
Folder
10
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ADD
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Box
8
Folder
11
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Aid to Families with Dependent Children (AFDC)/Healthy Start
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Box
8
Folder
12-13
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Fee for service report
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Box
8
Folder
14
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AFDC/Healthy start
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Box
8
Folder
15
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AODA Medicaid managed care
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Box
8
Folder
16
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CBRFs in Wisconsin
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Box
8
Folder
17
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Client lists by type and county
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Box
8
Folder
17A
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Fox Health policy consultant's paper
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HMOs
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Box
8
Folder
18-31
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Atrium-Network
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Box
13
Folder
10
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Physicians Plus
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Box
9
Folder
1-4
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Primecare-Unity Health Plan
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Box
9
Folder
5
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VHP precertification
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Box
9
Folder
6
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Consumer protection workgroup
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Box
9
Folder
7
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Medicaid contract, 1998-1999
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Box
9
Folder
8
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Medicaid HMO data
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Box
9
Folder
9
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Medicaid emergency HMO data
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Box
9
Folder
10
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Grievance summary, 1996
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Box
9
Folder
11
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Local public health officers
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Box
9
Folder
12-13
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Managed care forums
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Box
9
Folder
14
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Managed care overview
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Box
9
Folder
15
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Managed care RFP, 1995
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Box
9
Folder
16
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Managed care, Statewide Advisory Committee, 1999
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Box
9
Folder
17
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Mental health/AODA quality assurance/quality improvement meetings
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Box
9
Folder
18
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Mental health, general
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Box
9
Folder
19
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Mental health, satisfaction survey, 1997
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Box
9
Folder
20-21
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Mental health, substance abuse training, 1996
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Box
9
Folder
22
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Medicare, miscellaneous counties
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Box
9
Folder
23
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NASMHPD, 1996
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Box
9
Folder
24
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Pace Partnership rate setting, 1999
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Box
9
Folder
25
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Quality program
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Quality assurance/quality improvement program
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Box
9
Folder
26-31
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Compcare to Group Health of Eau Claire
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Box
9
Folder
32
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Humana
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Box
10
Folder
1-9
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Humana (continued) - Valley Health Plan
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Box
10
Folder
9A
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Rate-setting meetings, 1999
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Box
10
Folder
10
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SSI (supplemental security income) rate setting, 1999
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Box
10
Folder
11
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User satisfaction survey for Medicaid HMO
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Box
11
Folder
1
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Wisconsin Partnership program
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Preferred Provider Program (PPP)
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Box
11
Folder
2
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Contract, Social Development Commission, 1994-1996
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Box
11
Folder
3-5
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EDS issues, updates, specifications
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Box
11
Folder
6
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Emergency Room
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Box
11
Folder
7-9
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Evaluations
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Box
11
Folder
10
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Fox River Valley
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Box
11
Folder
11
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Marketing literature
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Box
11
Folder
12
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Medicaid updates
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Box
12
Folder
1
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Miscellaneous
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Box
12
Folder
2
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Monthly reports, 1995-1999
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Box
12
Folder
3
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Hospitals
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Box
12
Folder
4-5
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Nurseline
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Box
13
Folder
1
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Policy papers
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Box
13
Folder
2
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RFP
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Box
13
Folder
3
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Reports
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Box
13
Folder
4
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Training overheads
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Box
13
Folder
5-6
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Waiver and notes
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Box
13
Folder
7
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Work group
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Box
13
Folder
8
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Work plan
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Wraparound Milwaukee (WAM), 1997
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Box
13
Folder
9
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Contract
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Box
14
Folder
1
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Contract development
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Box
14
Folder
2
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Correspondence
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Box
14
Folder
3
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EDS
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Box
14
Folder
4
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Grievances and appeals
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Box
14
Folder
5
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Handbook
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Box
14
Folder
6
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Just-cause disenrollment
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Box
14
Folder
7-8
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Policy and procedure materials, 1981-1999
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Box
14
Folder
9
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Quality assurance/quality improvement
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