MedicaidAdministrativeMedium impact
Wisconsin Birth to 3 program, Special managed care programs list
Wisconsin Medicaid (ForwardHealth)·WI · Pediatrics, Family Medicine, General Practice +3 more·Medical Policy
Effective date
Oct 1, 1998
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid providers must identify, refer within 2 working days, and coordinate care for children ages birth to 3 with developmental delays or disabilities to county Birth to 3 agencies. Providers must bill insurance first, then Medicaid, then the county agency for Birth to 3 services included in a child's IFSP.
Action Required
Wisconsin providers: Establish workflow to screen children birth to 3 for developmental delays using tools like Denver Developmental Screening Test. Create referral process to county Birth to 3 agencies within 2 working days of identification. Update billing system to bill insurance first, then Medicaid, then county agency for Birth to 3 services. Train staff on IFSP coordination requirements and natural environment service delivery.