MedicaidCoverageHigh impact
Billing Members for Covered and Noncovered Services Under the BadgerCare Plus Core Plan for Childless Adults
Wisconsin Medicaid (ForwardHealth)·WI · Physical Therapy, Occupational Therapy, Speech Therapy·Billing
Effective date
Jan 1, 2009
We identified it
Jun 20, 2026
Summary
Wisconsin's BadgerCare Plus Core Plan for Childless Adults launches January 1, 2009, with new billing procedures for covered and noncovered services. Providers can collect copayments ($0.50-$3.00), bill members for noncovered services at usual charges, and must verify enrollment before providing services.
Action Required
By January 1, 2009: Billing team must update enrollment verification procedures to identify BadgerCare Plus Core Plan members before providing services. Update billing system to apply new copayment structure ($0.50-$3.00 based on service cost). Train staff on balance billing procedures for services exceeding dollar limits and visit limitations. Implement written consent process for noncovered services billing.