Wisconsin Medicaid and BadgerCare
Department of Health and Family Services
November 2001
PDF of entire handbook (1.2 MB)

Family Care Guide Text-Only Version Site Map Clicking the links on this site map will take you to a text-only version of the Family Care Guide. Use your arrow-back key to return to the frames version of the handbook. Preface General Information What is Family Care? The Role of Aging and Disability Resource Centers The Role of Care Management Organizations The Role of County Economic Support Units The Role of the State Family Care Pilots Member Information Eligibility for Family Care Functional Eligibility Criteria Financial Eligibility Criteria How Are Individuals Enrolled in Care Management Organizations? Identification and Verification of Members Who Are Eligible for Medicaid Identification Verification Through the Automated Voice Response System Verification Through Eligibility Verification Vendors Members Who Are Not Eligible for Medicaid Identification Verification Through the Automated Voice Response System Verification Through Eligibility Verification Vendors Estate Recovery Members and Estate Recovery Providers and Estate Recovery Member Complaints and Grievances Provider Assistance for Member Complaints and Grievances Service Information Provider Networks Member Requests for Providers Not Affiliated With a Care Management Organization Covered Services Medicaid Services Included in the Family Care Benefit Package Home and Community-Based Waiver Services Included in the Family Care Benefit Package Services Not Included in the Family Care Benefit Package Provision of Noncovered Services Emergency and Urgent Care Services Emergency Care Urgent Care 24-Hour Access to the Care Management Organization Out-of-Area Care Prior Authorization Existing Medicaid Fee-for-Service Prior Authorization Care Management Organization Authorization Billing for Medicaid-Eligible Members Billing for Services Included in the Family Care Benefit Package Medicare Crossover Claims Billing for Medicaid Services Not Included in the Family Care Benefit Package Split Billing  Member Payment for Services Copayment Member Cost-Share Medicaid Nursing Home Resident Liability Provider Appeals Billing for Non-Medicaid-Eligible Members Billing for Services Included in the Family Care Benefit Package Medicare Crossover Claims Billing for Services Not Included in the Family Care Benefit Package Member Payment for Services No Copayment Member Cost-Share Provider Appeals Appendix Care Management Organization Contact Numbers Aging and Disability Resource Centers Complaints, Grievances, and Appeals Contacts Medicaid Services Included and Not Included in the Family Care Benefit Package Eligibility and Covered Services Illustrations Glossary of Common Terms  Important Telephone Numbers

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Family Care Guide
November 2001