All Insurance Policy Changes (Page 428)

Continuing from page 427. Showing older policy changes tracked across all payers. Use the filters in the related-hubs section below to narrow by provider, state, or specialty.

Medium impact
Introducing Family Care, Wisconsin's flexible, innovative long term care benefit; Change in claims submission deadlines for last week of 1999; Wisconsin Medicaid/BadgerCare Year 2000 Contingency Plan; Automated Voice Response system enhancements; What's new on the Medicaid web site
Wisconsin Medicaid (ForwardHealth)·Effective Feb 1, 2000
Wisconsin is introducing Family Care, a new managed care program for long-term care services starting February 2000 in select counties. Claims submission deadlines are changed for the last week of December 1999, with all claims due by noon December 29 instead of December 31.
High impact
Family Care begins in February of 2000, Pregnant women benefit from Presumptive Eligibility, Automated Voice Response system helpful hints, What's new on the Medicaid web site
Wisconsin Medicaid (ForwardHealth)·Effective Feb 1, 2000
Wisconsin launches Family Care managed care program on February 1, 2000, requiring providers to contract with Care Management Organizations (CMOs) for long-term care services reimbursement. Additionally, Wisconsin expands Presumptive Eligibility for pregnant women to provide immediate pregnancy-related coverage while Medicaid applications are processed.
Medium impact
What every provider needs to know about Medicaid transportation, Electronic claim submission times, Forward card training sessions, What's new on the Medicaid Web site, Telephone numbers for county and tribal transportation, SMV Transportation Physician Certification form
Wisconsin Medicaid (ForwardHealth)·Effective Feb 1, 2000
Wisconsin Medicaid updated transportation policies covering three types of medical transportation (common carrier, specialized medical vehicles, and ambulances) with specific authorization requirements and copayment structures. The policy includes new electronic claim submission deadlines and introduces the SMV Transportation Physician Certification form for specialized medical vehicle authorization.
Medium impact
Introducing the Medicaid Purchase Plan, Family Care to begin in Portage and La Crosse counties, Long term care services covered under Family Care, What's new on the Medicaid Web site, Special advisory bulletin describes exclusion from federal health care programs
Wisconsin Medicaid (ForwardHealth)·Effective Mar 15, 2000
Wisconsin introduces the Medicaid Purchase Plan allowing disabled adults with income below 250% FPL to purchase Medicaid coverage while working, and expands Family Care managed long-term care programs to Portage and La Crosse counties. Family Care covers only long-term care services with primary/acute care remaining fee-for-service.
High impact
Providers are to bill Wisconsin Medicaid their usual and customary charges, Phone number correction, Reporting suspected recipient misuse or abuse of Wisconsin Medicaid benefits, List of agencies and the special managed care program(s) they support, What's new on the Medicaid Web site, Wisconsin Medicaid and BadgerCare Update sent to recipients
Wisconsin Medicaid (ForwardHealth)·Effective Apr 1, 2000
Wisconsin Medicaid providers must bill their usual and customary charges (the same rates charged to non-Medicaid patients) rather than discounted rates. Wisconsin Medicaid will reimburse the lesser of their maximum allowable fee or the provider's usual and customary charge.
Medium impact
Special Medicaid eligibility programs for Medicare recipients, What�s new on the Medicaid Web site, Family Care available to people not on Medicaid, Commonly asked Family Care questions
Wisconsin Medicaid (ForwardHealth)·Effective Jul 1, 2000
Wisconsin is expanding eligibility for five special Medicaid programs for Medicare recipients (QMB Only, SLMB, QI-1, QDWI, QI-2) and extending Family Care long-term care services to non-Medicaid eligible individuals starting July 1, 2000. Providers must verify eligibility at every visit using the AVR system and obtain CMO authorization before providing Family Care services.
Medium impact
Hot off the presses � your new All-Provider Handbook, Family Care implementation date changed for Milwaukee County, Additional category of Family Care eligibility, What�s new on the Medicaid Web site, HIPAA Up-to-date
Wisconsin Medicaid (ForwardHealth)·Effective Jul 5, 2000
Wisconsin Medicaid released a new All-Provider Handbook replacing the previous version and all provider updates through December 1999. Family Care implementation in Milwaukee County was delayed to July 5, 2000, and a new grandfathered eligibility category was added with managed care code 57.
Low impact
View electronic version of All-Provider Handbook on Medicaid Web site, How Family Care's Care Management Organizations work with primary care providers, What's new on the Medicaid Web site, Web address error in June Update, HIPAA Up-to-date
Wisconsin Medicaid (ForwardHealth)·Effective Aug 1, 2000
Wisconsin Medicaid has made the All-Provider Handbook available electronically on their website in three formats (interactive, PDF, and text-only) and updated guidance on how Family Care's Care Management Organizations coordinate with primary care providers for member care.
Medium impact
Accommodations and accessibility: Enhancing health outcomes, Commonly asked Family Care questions, Correction to Update 2000-20 for dentists, What�s new on the Medicaid Web site, HIPAA Up-to-date
Wisconsin Medicaid (ForwardHealth)·Effective Sep 1, 2000
This Wisconsin Medicaid policy update provides guidance on ADA compliance requirements for healthcare providers, emphasizing accommodations for patients with disabilities to enhance health outcomes and ensure effective communication.
Medium impact
Information for Wisconsin Medicaid Provider Services calls, What's new on the Medicaid Web site, Common Explanation of Benefit codes for denied claims, and HIPAA Up-to-date
Wisconsin Medicaid (ForwardHealth)·Effective Oct 1, 2000
Wisconsin Medicaid updated provider guidance on contact procedures, common claim denial codes, and HIPAA compliance information. The policy provides reference information for efficiently contacting Provider Services and avoiding common billing errors that lead to denied claims.
Low impact
New Milwaukee County Professional Relations representative
Wisconsin Medicaid (ForwardHealth)·Identified Jun 20, 2026
The policy content appears to be corrupted or encoded, making it impossible to extract meaningful information about the stated Milwaukee County Professional Relations representative change. The document contains mostly garbled text with occasional fragments like partial codes and timestamps.
Low impact
Medicaid's role in HIV-related health care, Resources in the Division of Public Health Wisconsin AIDS/HIV Program, List of AIDS Service Organization (ASO) regions in Wisconsin, List of local and national AIDS/HIV resources, and What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·Identified Jun 20, 2026
The policy document appears to be corrupted or encoded improperly, making it impossible to extract meaningful information about Medicaid's role in HIV-related health care or any specific policy changes that would affect medical billing operations.
Medium impact
Prior authorization requests may now be faxed
Wisconsin Medicaid (ForwardHealth)·Effective Nov 1, 2000
Wisconsin Medicaid now allows prior authorization requests to be submitted by fax to (608) 221-8616, potentially reducing processing time by 1-3 days compared to mail. Providers must include a confidentiality statement cover sheet and their fax number to receive decisions by fax.
High impact
Send provider-based billing claims to Medicare for Part B services, BadgerCare eligibility not affected by employment status, Commercial health insurance cost-sharing, and What's new on the Medicaid's Web site
Wisconsin Medicaid (ForwardHealth)·Effective Jan 1, 2001
Starting January 2001, Wisconsin Medicaid will extend provider-based billing to include Medicare Part B services, requiring providers to submit completed claim forms with documentation to Medicare for services already reimbursed by Medicaid. Providers must respond within 120 days with proof of billing and payment status, or face payment withholding.
Low impact
Family Care began January 1 in Richland County, What you can find on the Medicaid Web site, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·Effective Jan 1, 2001
Wisconsin launched the Family Care pilot program in Richland County on January 1, 2001, providing comprehensive long-term care services through Care Management Organizations (CMOs). This voluntary program covers elderly (65+), physically disabled (18-64), and developmentally disabled (18-64) individuals, but excludes acute and primary care services.
Low impact
2001 Medicaid/BadgerCare managed care forums offered, The importance of distributing Updates, What's new on the Medicaid Web site, Identifying Family Care members
Wisconsin Medicaid (ForwardHealth)·Identified Jun 20, 2026
Wisconsin Medicaid announces 2001 managed care forums for providers, emphasizes distributing policy updates to all staff, and provides guidance on identifying Family Care members who require Care Management Organization authorization for certain services.
Medium impact
HIPAA information-sharing sessions scheduled, Identifying misuse and abuse of Medicaid ID cards, Commonly asked Family Care questions, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·Effective Oct 1, 2002
Wisconsin Division of Health Care Financing is hosting HIPAA information-sharing sessions in May and June 2001 to prepare providers for mandatory compliance with electronic transaction standards by October 2002. The policy also provides guidance on identifying Medicaid ID card misuse and requires providers to report suspected fraud.
Medium impact
Notifying Wisconsin Medicaid when changing addresses, Always check a pregnant woman's Medicaid eligibility for HMO enrollment, Medicare managed care services not reimbursable by Wisconsin Medicaid, Reminder: HIPAA information-sharing sessions scheduled for May and June, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·Effective Apr 1, 2001
Wisconsin Medicaid requires providers to immediately notify them of any address changes using the official Provider Change of Address form, and emphasizes checking pregnant women's Medicaid HMO enrollment status at every appointment. Additionally, Wisconsin Medicaid will not provide additional reimbursement for services already paid by Medicare managed care programs.
Medium impact
Clarification of prior authorization fax procedures, Reminder: HIPAA information-sharing sessions scheduled for May and June, HIPAA inSight, Electronic claims submission deadlines and Medicaid holiday schedule for 2001, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·Effective May 1, 2001
Wisconsin Medicaid has clarified prior authorization fax procedures, requiring PA requests be faxed by 1:00 PM to be processed same day, submitted to (608) 221-8616 only, and providers must not mail original forms after faxing to avoid duplicates. The policy also introduces HIPAA inSight publication and discontinues HIPAA Up-to-date articles.
Medium impact
How providers can update a recipient's Medicare and other commercial health insurance coverage information, Wisconsin Medicaid/BadgerCare HMO service areas, Who to call with questions, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·Effective Jun 1, 2001
Wisconsin providers can now update Medicaid recipient Medicare and commercial insurance coverage information using the Other Coverage Discrepancy Report form (HCF 1159). The policy provides contact information for HMO service areas and clarifies how to obtain and submit coverage discrepancy forms to prevent claim denials.
Medium impact
New Wisconsin Medicaid provider certification packets, New Medicaid Web capabilities: Search engines, What's new on the Medicaid Web site, New Medicaid Web capabilities: Fee schedules available in Portable Document Format and text file formats
Wisconsin Medicaid (ForwardHealth)·Effective Sep 1, 2001
Wisconsin Medicaid has redesigned all provider certification packets and will only accept new packet formats beginning September 1, 2001. The policy also introduces new web-based search capabilities and fee schedule download formats.
Medium impact
Medicaid Basic Training offered, Prior authorization for recipients retroactively disenrolled from Medicaid HMOs, special managed care programs, or Family Care care management organizations, The Health Care Financing Administration has a new name, What's new on the Medicaid Web site, Correction to July 2001 HIPAA inSight
Wisconsin Medicaid (ForwardHealth)·Effective Aug 1, 2001
Wisconsin Medicaid providers can now submit prior authorization requests for services provided to recipients who were retroactively disenrolled from HMOs and moved to fee-for-service status. Providers must indicate 'retroactive fee-for-service' in the PA request description along with actual service dates.
Medium impact
Procedures to follow when a recipient appeal is successful
Wisconsin Medicaid (ForwardHealth)·Effective Aug 1, 2001
This Wisconsin Medicaid policy outlines procedures for providers when recipient appeals for prior authorization denials or eligibility determinations are successful. Providers must resubmit claims with appeal decisions attached to a specific address and follow new PA request procedures when appeals are won.
Low impact
New Milwaukee County Professional Relations representative
Wisconsin Medicaid (ForwardHealth)·Identified Jun 20, 2026
Wisconsin Medicaid has assigned Maria Schwartz as the new Professional Relations representative for Milwaukee County providers. She can be reached at (262) 695-1915 for billing questions, claims processing issues, and Medicaid policy education.
Medium impact
Identifying recipients covered under special benefits categories, What's new on the Medicaid Web site, Submitting inquiries to the Written Correspondence Unit
Wisconsin Medicaid (ForwardHealth)·Effective Sep 1, 2001
Wisconsin Medicaid requires providers to verify recipient eligibility through the Eligibility Verification System (EVS) before providing services, as some recipients have limited coverage under special benefits categories. Providers must notify recipients of non-covered services and obtain written liability statements before providing such services.

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2023 2024 2025 2026

Introducing Family Care, Wisconsin's flexible, innovative long term care benefit; Change in claims submission deadlines for last week of 1999; Wisconsin Medicaid/BadgerCare Year 2000 Contingency Plan; Automated Voice Response system enhancements; What's new on the Medicaid web site

Family Care begins in February of 2000, Pregnant women benefit from Presumptive Eligibility, Automated Voice Response system helpful hints, What's new on the Medicaid web site

What every provider needs to know about Medicaid transportation, Electronic claim submission times, Forward card training sessions, What's new on the Medicaid Web site, Telephone numbers for county and tribal transportation, SMV Transportation Physician Certification form

Introducing the Medicaid Purchase Plan, Family Care to begin in Portage and La Crosse counties, Long term care services covered under Family Care, What's new on the Medicaid Web site, Special advisory bulletin describes exclusion from federal health care programs

Special Medicaid eligibility programs for Medicare recipients, What�s new on the Medicaid Web site, Family Care available to people not on Medicaid, Commonly asked Family Care questions

Hot off the presses � your new All-Provider Handbook, Family Care implementation date changed for Milwaukee County, Additional category of Family Care eligibility, What�s new on the Medicaid Web site, HIPAA Up-to-date

View electronic version of All-Provider Handbook on Medicaid Web site, How Family Care's Care Management Organizations work with primary care providers, What's new on the Medicaid Web site, Web address error in June Update, HIPAA Up-to-date

Accommodations and accessibility: Enhancing health outcomes, Commonly asked Family Care questions, Correction to Update 2000-20 for dentists, What�s new on the Medicaid Web site, HIPAA Up-to-date

Information for Wisconsin Medicaid Provider Services calls, What's new on the Medicaid Web site, Common Explanation of Benefit codes for denied claims, and HIPAA Up-to-date

New Milwaukee County Professional Relations representative

Medicaid's role in HIV-related health care, Resources in the Division of Public Health Wisconsin AIDS/HIV Program, List of AIDS Service Organization (ASO) regions in Wisconsin, List of local and national AIDS/HIV resources, and What's new on the Medicaid Web site

Prior authorization requests may now be faxed

Send provider-based billing claims to Medicare for Part B services, BadgerCare eligibility not affected by employment status, Commercial health insurance cost-sharing, and What's new on the Medicaid's Web site

Family Care began January 1 in Richland County, What you can find on the Medicaid Web site, What's new on the Medicaid Web site

2001 Medicaid/BadgerCare managed care forums offered, The importance of distributing Updates, What's new on the Medicaid Web site, Identifying Family Care members

HIPAA information-sharing sessions scheduled, Identifying misuse and abuse of Medicaid ID cards, Commonly asked Family Care questions, What's new on the Medicaid Web site

Clarification of prior authorization fax procedures, Reminder: HIPAA information-sharing sessions scheduled for May and June, HIPAA inSight, Electronic claims submission deadlines and Medicaid holiday schedule for 2001, What's new on the Medicaid Web site

How providers can update a recipient's Medicare and other commercial health insurance coverage information, Wisconsin Medicaid/BadgerCare HMO service areas, Who to call with questions, What's new on the Medicaid Web site

New Wisconsin Medicaid provider certification packets, New Medicaid Web capabilities: Search engines, What's new on the Medicaid Web site, New Medicaid Web capabilities: Fee schedules available in Portable Document Format and text file formats

Procedures to follow when a recipient appeal is successful

New Milwaukee County Professional Relations representative

Identifying recipients covered under special benefits categories, What's new on the Medicaid Web site, Submitting inquiries to the Written Correspondence Unit