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MedicaidAdministrativeMedium impact

Reminders for Providers Rendering Services in Rock County for Family Care or IRIS

Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Days to comply

Summary

This policy provides reminders for providers in Rock County, Wisconsin serving Family Care and IRIS members. Key requirements include being part of an MCO network for Family Care services, obtaining prior authorization before rendering services, and verifying enrollment status before providing care.

Action Required

Action needed
Immediately for Rock County providers: 1) Ensure enrollment in MCO networks (Community Care Connections at 877-622-6700 or My Choice Family Care at 877-489-3814) for Family Care services, 2) Obtain MCO authorization before rendering any Family Care services, 3) Verify member enrollment using WiCall (800-947-3544), enrollment verification vendor, or ForwardHealth Portal before each service, 4) Note Community Care Connections becomes Community Link, Inc. effective January 1, 2017.