Welcome

The Division of Health Care Financing (DHCF) is pleased to provide you with a copy of the new Wisconsin Medicaid Nurse Midwife Services Handbook.

The Nurse Midwife Services Handbook is a guide for all Medicaid-certified nurse midwives. Providers should maintain and refer to this handbook in conjunction with the Physician Services Handbook, Medicaid All-Provider Handbook, the Wisconsin Medicaid Managed Care Guide, and monthly Wisconsin Medicaid and BadgerCare Updates.

Previous Medicaid Publications

This handbook in conjunction with the Physician Services Handbook, completely replaces the following Updates:

Update Number	Update Title
092-003-NM	New HCFA 1500 claim form; 1992 CPT procedure codes
092-004-NM	Prenatal care coordination; New "OI" codes and claim form instructions
093-005-NM	Reimbursement for antepartum care
093-006-NM	State of Wisconsin 1993-95 Biennial Budget; Health Personnel Shortage Area (HPSA) Incentive Payments
95-08	New health professional shortage areas (HPSAs)
95-14	Contraceptive products
95-16	Transportation policy changes affect referring providers
95-47	IUDs: Reimbursement policy and rate changes
96-03	New tuberculosis (TB) benefit
96-33	CLIA waived tests
98-29	SMV transportation physician certification form revised
2001-42	Expansion of covered services for certified nurse midwives
2002-01	Medicaid reimbursement for required newborn screening
2002-19	Procedure codes eligible to receive the Health Personnel Shortage Area-enhanced reimbursement rate
2002-31	1.095% reimbursement rate increase for non-institutional providers
2002-40	Maximum allowable fee changes for physician services
2002-53	Wisconsin Medicaid covers procedure code for Lunelle^™
2002-58	Wisconsin Medicaid provides options for providers submitting claims for obstetric services
2002-69	Screenings and diagnostic procedures coverage
2003-01	Wisconsin Medicaid revises Prior Authorization Physician Attachment (PA/PA)
2003-10	Wisconsin Medicaid revises Newborn Report form (PDF, 25 KB)

Please retain all other service-specific Updates not listed in the table above.

HIPAA and the Information in This Handbook

Wisconsin Medicaid will issue revised instructions for completing paper claims, including samples of properly completed forms, effective dates, and information for ordering new forms. These revised instructions will ensure that Wisconsin Medicaid is consistent with the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Providers should pay special attention to Wisconsin Medicaid and BadgerCare Updates released in July and August 2003 to keep informed of these important changes. Providers must use the information in these Updates, along with this handbook, to ensure proper claims submission.

The Department of Health and Family Services Web site, dhs.wisconsin.gov/medicaid/, contains additional information for Medicaid providers and an electronic version of the Nurse Midwife Services Handbook.

We would like to thank everyone who spent time to review the handbook and send comments, including the Wisconsin Nurses Association and the Wisconsin Medical Society.

To:	Nurse Midwives, Clinics, Managed Care Organizations, Rural Health Clinics, Federally Qualified Health Centers
From:	Peggy B. Handrich, Associate Administrator Division of Health Care Financing
Subject:	New Nurse Midwife Services Handbook

Wisconsin Medicaid Nurse Midwife Services Handbook

Previous Medicaid Publications

HIPAA and the Information in This Handbook

Additional Copies of Publications