MedicaidAdministrativeHigh impact
Southeast Wisconsin HMO Changes for Members Enrolled in the BadgerCare Plus Standard Plan and the BadgerCare Plus Benchmark Plan
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jul 1, 2010
We identified it
Jun 20, 2026
Summary
BadgerCare Plus Standard Plan and Benchmark Plan members in Southeast Wisconsin counties must choose from four approved HMOs starting July 2010. Providers must verify member enrollment before services and obtain new prior authorizations when members change HMOs.
Action Required
Immediately: Verify all BadgerCare Plus member enrollment status before providing services using Wisconsin's Enrollment Verification System. When members change HMOs, obtain new prior authorizations from the new HMO if required. Update patient records to reflect new HMO assignments for members in Milwaukee, Racine, Kenosha, Waukesha, Washington, and Ozaukee counties.