General Information | PDF Version (116kb)

• What are Medicaid-Covered Nurse Anesthetist and Anesthesiologist Assistant Services?
• Provider Eligibility and Certification
  • Certified Registered Nurse Anesthetist
  • Anesthesiologist Assistant
• Provider Numbers
  • Billing/Performing Provider Number (Issued to Nurse Anesthetists and Anesthesiologist Assistants)
  • Group Billing Number (Issued to Clinics and Groups)
• Recipient Eligibility
• Medicaid Managed Care Coverage
• Coordination of Benefits
  • Health Insurance Coverage
  • Medicare Coverage
  • Qualified Medicare Beneficiary Only
• Medicaid Abortion Policy
  • Coverage Policy
  • Covered Services
  • Noncovered Abortions
  • Services Performed by Providers of a Noncovered Abortion
• Documentation Requirement for Abortion, Hysterectomy, and Sterilization Claims
• Prior Authorization for Major Organ Transplants

Anesthesia Services | PDF Version (114kb)

• Anesthesia
  • Supervision Requirements
    • Medically Directed Anesthesia Services
    • Medically Supervised Anesthesia Services
    • Medical Directed vs. Medically Supervised Anesthesia Services
    • Billing Medically Directed or Medically Supervised Anesthesia Services
  • Procedure Codes
  • Modifiers
  • Time Units
    • Rounding Guidelines
• Additional Nurse Anesthetist or Anesthesiologist Assistant
• Standby Nurse Anesthetist or Anesthesiologist Assistant
• Emergency Intubation
• Epidural Anesthesia
  • Obstetrical
  • Postoperative and Intractable Pain Management
• Invasive Monitoring
  • Procedure Codes
  • Units
• Vascular Procedures
  • Procedure Codes
  • Units

Billing Basics | PDF Version (108kb)

• Claim Submission
  • Electronic Billing
  • Paper Claim Submission
  • Where to Send Your Claims
• Claim Submission Deadline
• Billed Amounts
• Reimbursement
  • Differences from Medicare
  • Maximum Allowable Fee Schedule
• 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: Wisconsin Medicaid-Allowable Procedure Codes, Modifiers, TOS Codes, POS Codes, and Rounding Guidelines for CRNA and AA Services
• Appendix 2: HCFA 1500 Claim Form Completion Instructions
• Appendix 3: Completed Sample HCFA 1500 Claim Form - Medically Directed Anesthesia Services (Performed by CRNAs or AAs) - PDF (106kb).
• Appendix 4: Completed Sample HCFA 1500 Claim Form - Medically Supervised Anesthesia Services (Performed by CRNAs Only) - PDF (106kb)
• Appendix 5: Adjustment Request Form Completion Instructions (Revised) - PDF (20kb)
• Appendix 6: Completed Sample Wisconsin Medicaid Adjustment Request Form (Revised) - PDF (671kb)
• Appendix 7: Wisconsin Medicaid Adjustment Request Form (for photocopying) (Revised) - PDF (671kb)
• Appendix 8: Services Not Covered by Wisconsin Medicaid

List of Medicaid Handbooks

Interactive Version of the Nurse Anesthetist and Anesthesiologist Assistant Services Handbook 
Service-Specific Updates for CRNAs and AAs

Back to Wisconsin Medicaid's Web Site