MedicaidAdministrativeMedium impact
Copayment Policy Clarification for Members in Foster Care, Subsidized Adoption, and the Katie Beckett Program
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid clarified that members in foster care, subsidized adoption, and the Katie Beckett program are exempt from all copayment requirements regardless of age. Providers must verify exemption status before collecting copayments and refund any copayments collected in error from these members.
Action Required
Immediately: Billing team must verify member enrollment status using Wisconsin's Enrollment Verification System, WiCall, or ForwardHealth Portal before collecting copayments. Look for 'No copay' indicator for foster care, subsidized adoption, and Katie Beckett members. Stop collecting copayments from these exempt members and establish process to refund any copayments collected in error when requested.