Documents you need to serve Medicaid recipients

• The All-Provider Handbook: This handbook gives general information on the Medicaid program, provider certification, eligibility, coordination of benefits, claim submissions, and more.

• Service-Specific Handbooks: These handbooks give detailed information on what services are covered for a provider type, what services require prior authorization (PA), and how to bill for services.

• Wisconsin Administrative Code: Chapters HFS 101-108 are the rules regarding Medicaid administration. Wisconsin Statutes sections 49.43-49.497 provides the legal framework for the Medicaid program.

• Wisconsin Medicaid Update: This monthly publication gives you the latest policy changes for all providers and for your specific provider type.

• Managed Care Provider Handbook: You will need this handbook if you provide services to any Medicaid managed care enrollees.

Tips for using your new handbook

• Ordering additional copies of handbook/sections if needed.

• Keep your handbook sections together when not in use.

• Personalize your handbook by highlighting and tabbing information that is pertinent to your practice. Also feel free to write notes in the margins.

• Refer to the handbook sections' table of contents and/or index to find answers to your questions.

Ordering a binder or additional handbook copies

Use the order form found inside your handbook sections to order a Medicaid handbook binder or additional copies of your handbook/sections. You may also download handbook copies at no charge from the Medicaid web site at dhs.wisconsin.gov/medicaid.