Wisconsin Medicaid implemented temporary claim submission procedures for claims received on and after July 2, 2007, for Medicare Part D dual eligibles. The procedures were outlined in the June 2007 Wisconsin Medicaid and BadgerCare Update (2007-44), titled “Modification of Temporary Claim Submission Procedures for Medicare Part D Dual Eligibles.” Claim submission procedures, which were effective through December 31, 2007, will now be ending for claims received on and after February 4, 2008.
Providers should continue to work with the recipient’s Medicare Part D Prescription Drug Plan (PDP) to correctly process pharmacy claims. For questions regarding a member’s specific PDP or drug coverage, contact the PDP directly. Pharmacy providers may also contact Medicare by calling 1-800-MEDICARE or visiting the Web site at www.medicare.gov/.

