MedicaidAdministrativeMedium impact
How providers can update a recipient's Medicare and other commercial health insurance coverage information, Wisconsin Medicaid/BadgerCare HMO service areas, Who to call with questions, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jun 1, 2001
We identified it
Jun 20, 2026
Summary
Wisconsin providers can now update Medicaid recipient Medicare and commercial insurance coverage information using the Other Coverage Discrepancy Report form (HCF 1159). The policy provides contact information for HMO service areas and clarifies how to obtain and submit coverage discrepancy forms to prevent claim denials.
Action Required
Wisconsin providers should obtain copies of the Other Coverage Discrepancy Report form (HCF 1159) and establish workflow to complete and submit the form when EVS coverage information contradicts actual patient coverage. Fax completed forms to COB Unit at (608) 221-4567 or mail to Wisconsin Medicaid COB Unit, 6406 Bridge Road, Madison, WI 53784-6220. Allow up to two weeks for processing before resubmitting claims.