MedicaidAdministrativeHigh impact
Commonly asked questions about BadgerCare, Medicaid restricts billing recipients, Y2K-ready electronic billing software is available, what's new on the Medicaid web site, BadgerCare program summary
Wisconsin Medicaid (ForwardHealth)·WI·Billing
Effective date
Jul 1, 1999
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid and BadgerCare policy update clarifies that providers are prohibited from billing recipients for covered services under federal and state law, with penalties including termination, fines up to $25,000, and imprisonment. The policy also introduces BadgerCare program coverage starting July 1999 and updates Y2K-ready electronic billing software requirements.
Action Required
Immediately: Billing team must ensure no Wisconsin Medicaid or BadgerCare recipients are billed for covered services, even if claims are denied due to authorization issues or reimbursement differences. Update billing system to prevent charging covered services to these patients. For fee-for-service recipients, continue collecting required copayments but never deny services for non-payment. Install new Y2K-ready PACE/EZ-Link electronic billing software as soon as possible. Violation can result in Medicaid certification termination, $25,000 fines, and imprisonment.