Medicaid/MedicalAssistance Wisconsin’s ForwardHealth Medicaid provides health care for elderly, blind, or disabled. To learn more about Wisconsin Medicaid, visit their website at http://dhs.wisconsin.gov/Medicaid/index.htm How to apply: Online: https://access.wisconsin.gov/access/ By Phone: 888-445-1621 Application Form: https://www.dhs.wisconsin.gov/library/F-10101.htm Mail a completed application to: Centralized Document processing Unit - CDPU P.O. Box 5234 Janesville, WI 53547-5234 Or fax a completed form to 855-293-1822 In Person Marathon County Portage County Oneida County Langlade County Civil Rights For Health Care-Related Programs The Wisconsin Department of Health Services complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Department of Health Services does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. The Department of Health Services: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, contact Marathon County Social Services civil rights coordinator Julia Wicke-Business Manager. If you believe that the Department of Health Services has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Department of Health Services, Attn: Civil Rights Coordinator, 400 East Thomas Street, Wausau, WI 54403, 715-261-7500, TTY: 711, Fax: 715-261-7510, julia.wicke@co.marathon.wi.us. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Department of Health Service civil rights coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C., 20201 800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html