MedicaidAdministrativeMedium impact
Supplemental Security Income Managed Care Program Expansion
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jul 1, 2007
We identified it
Jun 20, 2026
Summary
Wisconsin is expanding SSI managed care to four new counties (Brown, Calumet, Outagamie, Waupaca) in fall 2007 and discontinuing it in Dane County as of July 1, 2007. Providers must verify SSI HMO enrollment and obtain referrals from HMOs for non-contracted services after the initial 60-day continuity period.
Action Required
By July 1, 2007: Billing team must verify SSI HMO enrollment for all Medicaid recipients in affected Wisconsin counties before providing services. Update eligibility verification procedures to check if chiropractic and dental services are covered by the patient's SSI HMO. For non-contracted providers, contact the HMO for service authorization after the patient's initial 60-day enrollment period to ensure reimbursement.