MedicaidAdministrativeLow impact
Health Coach Service Pilot Addresses Frequent Emergency Room Use
Wisconsin Medicaid (ForwardHealth)·WI · Emergency Medicine, Family Medicine, General Practice +1 more·Medical Policy
Effective date
Nov 1, 2006
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid launched a Health Coach Service Pilot in Milwaukee County targeting fee-for-service Medicaid and BadgerCare recipients with 6+ emergency room visits in 12 months. Health coaches are authorized to contact providers for recipient information under HIPAA health care operations, though provider participation is voluntary with no enhanced reimbursement.
Action Required
Milwaukee County providers: Cooperate with health coaches contacting your practice about enrolled Medicaid/BadgerCare recipients if you choose to participate. No billing changes required as no enhanced reimbursement is provided for health coach interactions. Review any official correspondence from DHCF regarding specific enrolled patients.