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Physician Groups (Clinics)
BadgerCare Plus Updates
2008
- Reimbursement Rate Increase for Psychiatrists, 8/1/08
2008-161 or
PDF (71 KB)
- 1 Percent Reimbursement Rate Increase for Non-Institutional Services,
8/1/08 2008-159 or
PDF (112 KB)
- Correction to Guidelines for Reimbursement for On-Site Blood
Lead Testing, August 1, 2008
2008-140 or
PDF (99 KB)
-
Reminder: Physician Orders Required for Nursing Acts Delegated to
Personal Care Workers, July 1, 2008
2008-101 or
PDF (72 KB)
-
Brand Medically Necessary Prior Authorization
Requirements, 6/1/08
2008-40 or PDF
(285 KB)
-
Clarification of Coverage and Copayments for Hearing Services and
Hearing Instruments, Including Cochlear Implants and Bone-Anchored
Hearing Devices, Under the BadgerCare Plus Benchmark Plan, May 1, 2008
2008-34 or
PDF (163 KB)
- Information on Plans of Care and the Coverage of Evaluations for Physical
Therapy, Occupational Therapy, and Speech and Language Pathology Services,
4/1/2008 — 2008-31 or
PDF (133 KB)
- Drug Coverage for Members Enrolled in the BadgerCare Plus Benchmark Plan,
4/1/08 2008-29 or
PDF
- Guidelines for Reimbursement for On-Site Blood Lead Testing, 4/1/08
— 2008-27 or
PDF
(145 KB)
- Continuity of Care Transition Period for Pharmacy Services Ending for
Managed Care Members, 3/1/08 2008-26
or PDF (234 KB)
- Spring 2008 Preferred Drug List Review, 3/1/08
2008-25 or
PDF (462 KB)
- Reminder: Tamper-Resistant Prescription Pad Requirement Effective April 1,
2008, 3/1/08 2008-22 or
PDF (107 KB)
- Change of Criteria for Coverage of Bariatric Surgery,
3/1/08 2008-21 or
PDF (123 KB)
- Limited Supply of Free Tamper-Resistant Prescription Pads Now Available,
2/1/08 — 2008-18 or
PDF (106 KB)
- Claims Submission Documentation Requirements for Contact Lenses for Members
with a Diagnosis of Aphakia or Keratoconus, 2/1/08
2008-14 or
PDF (62 KB)
- Procedure Code Changes for Physicians and Related Providers, 2/1/08
2008-11 or
PDF (113 KB)
- Pharmacy Consolidation for Wisconsin Medicaid and
BadgerCare Plus Managed Care Members, 1/1/08
2008-07 or
PDF (252
KB)
- Mental Health and Substance Abuse Services Under BadgerCare
Plus, 1/1/08 2008-05 or
PDF (422 KB)
- Clozapine and Clozapine Management Services Under BadgerCare Plus,
1/1/08 2008-03 or
PDF (146 KB)
2007
- Covered Services and Drugs for the Renewed Family
Planning Waiver, 12/1/07
2007-112 or PDF
(256 KB)
- Vision Services Under BadgerCare Plus, 12/1/07
2007-104 or
PDF (154 KB)
- Coverage of Certain Medical Services Under BadgerCare Plus,
12/1/07 2007-99 or
PDF (135 KB)
- Family Planning Services Under BadgerCare Plus, 11/1/07
2007-83 or
PDF (107 KB)
- Specialized Medical Vehicle Services Under BadgerCare Plus,
11/1/07 2007-82 or
PDF (118 KB)
- Winter 2007 Preferred Drug List Review, 11/1/07
2007-77 or
PDF (299 KB)
- New Place of Service Code, 11/1/07
2007-74 or
PDF (28 KB)
- Clarification of Policy Regarding Consultations, 11/1/07
2007-73 or
PDF (30 KB)
- Tamper-Resistant Prescription Pad Requirement
Delayed, 10/1/07 2007-67
or PDF (78 KB)
- Fall 2007 Preferred Drug List, 9/1/07
2007-66 or
PDF (104 KB)
- Tamper-Resistant Prescription Pad Requirement, 9/1/07
2007-65 or
PDF (238 KB)
- Diagnosis Code Restrictions and Quantity Limits for Altabax,
Bactrobanฎ, and Mupirocin, 9/1/07
2007-64 or
PDF (71 KB)
- Prior Authorization Requirements and Procedure Code Changes for Cochlear
Implants and Bone-Anchored Hearing Devices, 9/1/07
2007-61 or
PDF (57 KB)
- Revised Prior Authorization / Preferred Drug List for Hypoglycemics for
Adjunct Therapy Form, 6/1/07
2007-43 or PDF (75
KB)
- Guidelines for Certain Reproductive Health Services, 6/1/07
2007-41 or
PDF (143 KB)
- Blood Lead Testing Requirements, 5/1/07
2007-36 or
PDF (348 KB)
- Wisconsin Medicaid Expands 100-Day Supply Drug List, 3/1/07
2007-31 or
PDF (64
KB)
- New Medicaid State Purchase Eyeglass Contract Awarded, 3/1/07
2007-29 or
PDF (68 KB)
- Spring 2007 Preferred Drug List Review, 3/1/07
2007-28 or
PDF (132
KB)
- Changes to Immunization CPT Procedure Codes for the Vaccines for Children
Program, 2/1/07 2007-24 or
PDF (54 KB)
- Emergency Medication Dispensing, 2/1/07
2007-14 or
PDF (99 KB)
- Outpatient Mental Health Benefit, 1/1/07
2007-09 or
PDF (1315
KB)
- Outpatient Substance Abuse Treatment Services, 1/1/07
2007-08 or
PDF (509
KB)
- Covered Services and Drugs for the Family Planning Waiver, 1/1/07
2007-01 or
PDF (124 KB)
2006
- Revised Criteria and Forms for the Prior Authorization / Preferred
Drug List, 12/1/06 2006-100
or PDF (144 KB)
- New 1500 Health Insurance Claim Form and Supplemental Instructions,
12/1/06 2006-95 or
PDF (201 KB)
- Changes Effective January 1, 2007, for Specialized Medical Vehicle Services
Providers and Prescribers, 11/1/06
2006-92 or PDF
(97 KB)
- Correction to Health Professional Shortage Areas and ZIP Codes,
11/1/06 2006-89 or
PDF (54 KB)
- Fall 2006 Preferred Drug List Revision, 10/1/06
2006-86 or
PDF (27 KB)
- 100-Day Supply Drug Policy and Drug Utilization Review Alert, 10/1/06
2006-85 or
PDF (40 KB)
- Temporomandibular Joint Evaluation Requirement Discontinued,
10/1/06 2006-80 or
PDF (32 KB)
- Fall 2006 Preferred Drug List Review, 9/1/06
2006-76 or
PDF (279
KB)
- Wisconsin Medicaid Allows Dose Consolidation and Tablet Splitting,
8/1/06 2006-72 or
PDF (55 KB)
- Wisconsin Medicaid Adopting Documentation Guidelines for
Evaluation and Management Visits, 8/1/06
2006-70 or
PDF (28 KB)
- Primary Care Treatment and Follow-up Care for Mental Health and
Substance Abuse, 8/1/06
2006-69 or PDF
(30 KB)
- Facility Reimbursement for Sterilizations Provided to Family
Planning Waiver Program Recipients, 8/1/06
2006-68 or
PDF (30
KB)
- Health Professional Shortage Area Zip Code Changes, 6/1/06
2006-59 or
PDF (53 KB)
- Wisconsin Medicaid Reimburses Selected Services Provided Through
Telemedicine, 6/1/06 2006-58
or PDF (45 KB)
- Quantity Limits Apply to Triptans and Pharmaceutical Care Code
Expansion, 6/1/06 2006-53 or
PDF (120 KB)
- Atypical Antipsychotic Drug Class Added to Preferred Drug List and Prior
Authorization/Preferred Drug List Forms Revised, 6/1/06
2006-50 or
PDF (123 KB)
- Changes in Blood Count Testing Impacts Clozapine Management Services,
4/1/06
2006-37 or
PDF (121 KB)
- A Guide to Obtaining Augmentative Communication Devices and Accessories Through Wisconsin Medicaid Revised,
4/1/06 2006-35 or
PDF (110 KB)
- Sections of the Mental Health and Substance Abuse Services Handbook
Available, 4/1/06 2006-23 or
PDF (112 KB)
- Separate Reimbursement Allowed for Emergency Evaluation and
Management Services Performed with Surgery Services or
Consultations, 3/1/06 2006-21
or PDF (27
KB)
- Modifier CR Accepted for Catastrophe/Disaster-Related
Crossover Claims 3/1/06
2006-19 or
PDF (107 KB)
2005
- Bariatric Surgery Clarification and Reminders, 12/1/05
2005-75 or
PDF (45
KB)
2004
- New Medicaid State Purchase
Eyeglass Contract awarded,
3/1/04 2004-18
or
PDF (451 KB)
2003
- Changes to local codes, paper claims, and prior authorization for
vision services as a result of
HIPAA,
8/1/03 2003-85 or
PDF
(276 KB)
2002
- Prior authorization examples for vision providers, 5/1/02 2002-21 or PDF
(176 KB)
- Submitting claims for mental health and substance abuse
outpatient services provided to dual entitlees, 5/1/02 2002-18 or PDF
(172 KB)
1999
- Clarification of refraction billing policy, 8/6/99 99-39 PDF
(619 KB)
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