MedicaidAdministrativeMedium impact
Identifying recipients covered under special benefits categories, What's new on the Medicaid Web site, Submitting inquiries to the Written Correspondence Unit
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Sep 1, 2001
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid requires providers to verify recipient eligibility through the Eligibility Verification System (EVS) before providing services, as some recipients have limited coverage under special benefits categories. Providers must notify recipients of non-covered services and obtain written liability statements before providing such services.
Action Required
Immediately: All staff must verify recipient eligibility through Wisconsin Medicaid's EVS before providing services. Check medical status codes against Attachment 1 to identify recipients with limited benefits. For non-covered services, notify recipients prior to service delivery and obtain written statements verifying patient accepts liability for payment. Update front desk procedures to include EVS verification for all Wisconsin Medicaid patients.