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MedicaidCoverageMedium impact

SeniorCare program begins in September

Wisconsin Medicaid (ForwardHealth)·WI · Pharmacy·Medical Policy
Effective date
Sep 1, 2002
We identified it
Jun 20, 2026
Days to comply

Summary

Wisconsin's new SeniorCare prescription drug program launches September 1, 2002, providing prescription coverage for Wisconsin residents 65+ with income-based benefits. Providers must be Medicaid certified and bill commercial insurance before billing SeniorCare.

Action Required

Action needed
By September 1, 2002: Billing team must ensure Medicaid certification is current for SeniorCare participation. Update billing workflows to bill commercial insurance first before submitting SeniorCare claims. Train staff on income-based copay structure ($15 brand/$5 generic after deductibles/spenddowns are met). Contact Provider Services at (800) 947-9627 for enrollment assistance.