MedicaidPrior AuthHigh impact
Family Care begins in February of 2000, Pregnant women benefit from Presumptive Eligibility, Automated Voice Response system helpful hints, What's new on the Medicaid web site
Wisconsin Medicaid (ForwardHealth)·WI · OB-GYN, Family Medicine, General Practice +1 more·Medical Policy
Effective date
Feb 1, 2000
We identified it
Jun 20, 2026
Summary
Wisconsin launches Family Care managed care program on February 1, 2000, requiring providers to contract with Care Management Organizations (CMOs) for long-term care services reimbursement. Additionally, Wisconsin expands Presumptive Eligibility for pregnant women to provide immediate pregnancy-related coverage while Medicaid applications are processed.
Action Required
By February 1, 2000: Providers must contract with designated CMOs to continue receiving reimbursement for Family Care recipients' long-term care services. Obtain CMO prior authorization before providing any Family Care benefit services - existing Medicaid prior authorizations become invalid. For Presumptive Eligibility: Submit completed DOH 1043 applications within 5 days, use appropriate pregnancy diagnosis codes (V22.0-V72.4) when billing, and photocopy temporary beige ID cards with claims. Contact CMOs directly for authorization processes and billing procedures.