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DATE:	January 9, 2006
TO:	Wisconsin Medicaid Home Health Agencies, HMOs, and other Managed Care Organizations
FROM:	Mark B. Moody, Administrator Division of Health Care Financing
SUBJECT:	Introducing the Wisconsin Medicaid Home Health Services Handbook

The Division of Health Care Financing (DHCF) is pleased to provide you with a copy of the Home Health Services Handbook. This handbook is a guide to Wisconsin Medicaid for all Medicaid-certified home health agencies. Providers should maintain and refer to this handbook in conjunction with the All-Provider Handbook.

This handbook incorporates current Wisconsin Medicaid policies related to home health agencies into a single reference source. The handbook replaces the following service-specific Wisconsin Medicaid and BadgerCare Updates:

• August 2005 Update (2005-57), Wisconsin Medicaid Issues Prior Authorization Home Care Attachment for Home Health and Private Duty Nursing Services.
• June 2004 Update (2004-48), Wisconsin Medicaid Covers Pneumococcal Vaccinations by Home Health Agencies in Addition to Influenza Vaccine.
• February 2004 Update (2004-08), Submitting claims with start-of-shift modifiers for home care services.
• August 2003 Update (2003-83), Changes to local codes, paper claims, and prior authorization for home health services, including private duty nursing and respiratory care services, as a result of HIPAA.
• June 2003 Update (2003-33), Discontinued home health procedure codes for private duty nursing.
• September 2000 Update (2000-33), Home care coverage determination software for Windows.
• April 1999 Update (99-13), Wisconsin Medicaid revises private duty nursing prior authorization guideline.
• May 1998 Update (98-15), Prior Authorization Request Charges for Home Health and Personal Care Agencies.
• July 1996 Update (96-27), Home Health Services: Reimbursement and Recipient Information Confidentiality.
• June 1996 Update (96-20), Flu Vaccinations.
• November 1995 Update (95-49), Home Health Reimbursement Limits and Other Changes.
• October 1995 Update (95-36), Home Health Changes for Medication Management.
• June 1995 Update (95-20), PRN Visits - Changes in Prior Authorization Procedures and Guidelines.

This handbook does not replace all-provider publications, the Wisconsin Administrative Code or Wisconsin Statutes. Subsequent changes to policies affecting home health agencies will be published first in Updates and later in Home Health Services Handbook revisions.

Additional Copies of Publications
The Wisconsin Medicaid Web site, dhfs.wisconsin.gov/medicaid/, contains additional information for home health agencies, all Updates and electronic versions of the Home Health Services Handbook and the All-Provider Handbook.

Providers who have questions about the information in this handbook may call Provider Services at (800) 947-9627 or (608) 221-9883.

The DHFS would like to thank representatives from the Home Care Advisory Committee for reviewing this handbook.

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Home Health Services Handbook
PHC 1367, April 2006