Site Map - Wisconsin Medicaid Child Care Coordination Services Handbook

Site Map - Wisconsin Medicaid and BadgerCare Child Care Coordination Services Handbook

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Handbook User's Guide

Child Care Coordination Services Handbook Sections

Preface
General Information
Covered Services and Related Limitations
Billing Information
Appendices
Glossary of Common Terms
Important Telephone Numbers
Handbook Ordering Form

General Information | PDF Version (89kb)

Definition of the Child Care Coordination Benefit.
- Child Care Coordination Goal.
Scope of Service.
Provider Information.
- Provider Eligibility and Certification.
- Subcontracting for Child Care Coordination Services
Recipient Information.
- Recipient Eligibility.
- Medicaid Managed Care Coverage.
- Copayment.
- Freedom of Choice.

Covered Services and Related Limitations | PDF Version (109kb)

Initial Assessment.
Care Plan Development.
Ongoing Care Coordination and Monitoring.
- Activities for Ongoing Care Coordination and Monitoring.
- Provision of Services in Urgent Situations.
- Frequency of Ongoing Monitoring.
Recipient Records.
- Safeguarding Recipient Information.
Duplication of Services.
- Child Care Coordinators.
- Other Care Coordinators.
- Coordinating Prenatal Care Coordination Services and Child Care Coordination Services.
- Child Care Coordination and Child Welfare.
  - Referrals From the Child Welfare System.
Reduction or Termination of Ongoing Care Coordination Services.
Other Limitations.
Noncovered Services.

Billing Information | PDF Version (100kb)

Claim Submission.
- Electronic Billing.
- Paper Claim Submission.
- Where to Send Your Claims.
Claim Submission Deadline.
Recipient Identification.
Billed Amounts.
Reimbursement.
Procedure Codes.
Time Units.
Modifiers.
Follow-Up to Claim Submission.

Appendices (some appendices are available in PDF only)

Please see the download list to obtain other appendices in PDF.
Learn about PDFs.

Appendix 1: HCFA 1500 Claim Form Completion Instructions for Child Care Coordination Services.
Appendix 2: Completed Sample HCFA 1500 Claim Form - PDF (130kb).
Appendix 3: Completed Sample HCFA 1500 Claim Form - Risk Assessment Only - PDF (131kb).
Appendix 4: Medicaid-Allowable Procedure Codes and Modifiers for Child Care Coordination Services.
Appendix 5: Medicaid-Allowable Place of Service Codes and Type of Service Code for Child Care Coordination Services.
Appendix 6: Rounding Guidelines for Child Care Coordination Services.
Appendix 7: Medicaid Guidelines and Performance Measurements for Child Care Coordination.
Appendix 8: Family Questionnaire (Child Risk Assessment) - PDF (727kb).
Appendix 9: Referral Form (Sample Format).
Appendix 10: Informed Consent to Release/Obtain Health Care Information Form (Sample Format).
Appendix 11: Care Plan Form (Sample Format) - PDF (86kb).
Appendix 12: Child Care Coordination Monthly Time Log for Ongoing Care Coordination and Monitoring (Completed Sample Format) - PDF (66kb).
Appendix 13: HealthCheck General Information.
Appendix 14: HealthCheck Visit Schedule - PDF (86kb).
Appendix 15: Child Care Coordination Resource Guide.
Appendix 16: Medicaid Maximum Fee Schedule for Child Care Coordination Services.

List of Medicaid Handbooks
Interactive Version of the Child Care Coordination Services Handbook
Service-Specific Updates for Prenatal Care Coordination Services

Back to Wisconsin Medicaid's Web Site