MedicaidCoverageMedium impact
Wisconsin Medicaid Will Reimburse Hospitals for State Prison Inmate Inpatient Hospital Stays
Wisconsin Medicaid (ForwardHealth)·WI·Billing
Effective date
Apr 1, 2014
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid will now reimburse hospitals for state prison inmate inpatient stays effective April 1, 2014. Hospitals can bill Wisconsin Medicaid/BadgerCare Plus for inpatient services only - outpatient services remain reimbursed by the Department of Corrections.
Action Required
For Wisconsin hospitals only: Update billing procedures to verify Wisconsin Medicaid/BadgerCare Plus eligibility for state prison inmates during inpatient stays. Coordinate with Department of Corrections at (608) 240-5139 for enrollment applications and prior authorization requests. Continue billing DOC for all outpatient services including observation stays.