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MedicaidCoverageHigh impact

HealthCheck "Other Services" Under BadgerCare Plus

Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Feb 1, 2008
We identified it
Jun 20, 2026
Days to comply

Summary

BadgerCare Plus launches February 1, 2008, merging Wisconsin Medicaid programs into two plans: Standard Plan (covers HealthCheck Other Services like uncovered medications) and Benchmark Plan (does not cover these services). Providers can bill Benchmark Plan members directly for non-covered services with written payment agreements.

Action Required

Action needed
By February 1, 2008: Billing team must update systems to distinguish between BadgerCare Plus Standard Plan (bill normally for HealthCheck Other Services) and Benchmark Plan (collect payment directly from members). Create written payment responsibility forms for Benchmark Plan members requesting non-covered services. Update billing workflows to identify member plan type before providing services.