Medicaid Provider Handbook listing

Medicaid provider handbooks and guides give detailed information on what services are covered for a provider type, what services require prior authorization (PA), and how to bill for services. In addition to offering these handbooks on-line, you can view Wisconsin Medicaid and BadgerCare Updates by year or by service-specific provider type. Additional service-specific handbooks and guides will be available upon revision. Below lists Important Resources for Medicaid providers.

Provider Handbook or Guide	Interactive Version	Text-Only Version	PDF Downloads	Links to Appendix	Date Released
Adult Mental Health Day Treatment	Interactive		PDF list		04/06
All-Provider Handbook	Interactive				Rev. 11/05
Ambulance — Part Q, Div. I			PDF list	Appendix	3/93
Case Management Handbook	Interactive		PDF list		3/03
Child Care Coordination Services	Interactive	Text-Only	PDF list	Appendix	3/01
Chiropractic Services	Interactive		PDF (529 KB)		Rev. 10/04
Dental Services — Part B			PDF list	Appendix	12/98
Disposable Medical Supplies (DMS)	Interactive		PDF list	Appendix	1/03
Family Care Guide	Interactive		PDF	Appendix	11/01
Family Planning	Interactive		PDF (190 KB)	Appendix	3/03
HealthCheck Services — Part D, Div. I			PDF list	Appendix	Last revised 2/95
HealthCheck Services — Part D, Div. II			PDF list	Appendix	Last revised 2/95
Hearing Services	Interactive		PDF (762 KB)	Appendix	8/03
Home Health Services Handbook	Interactive		PDF (940 KB)		Rev. 4/06
Hospice Services Handbook	Interactive		PDF (634 KB)		Rev. 3/06
Hospital Services	Interactive		PDF list		9/03
Independent Laboratory Services	Interactive		PDF list	Appendix	10/02
Mental Health and Substance Abuse Providers: Clinics and Psychiatrists and Psychologists in Private Practice — Part H, Div. I			PDF list	Appendix	2/92 Rev. 8/94
Mental Health and Substance Abuse Providers: County Owned-and-Operated Clinics — Part H, Div. II			PDF list	Appendix	8/91 Rev. 8/94
Mental Health and Substance Abuse Services	Interactive		PDF list		4/06
Nurse Anesthetist and Anesthesiologist Assistant	Interactive	Text-Only	PDF list	Appendix	3/01
Nurse Midwife Services	Interactive		PDF	Appendix	9/03
Nurse Practitioner Services	Interactive		PDF		9/03
Nurses in Independent Practice	Interactive		PDF		3/06
Nursing Home — Part Y			PDF list	Appendix	1/96
Oral Health Provider Training — "Healthy Teeth for Mom & Me"	Interactive				2/26/04
Personal Care	Interactive		PDF list		1/00
Pharmacy	Interactive		PDF list		7/04
Physical Therapy, Occupational Therapy, and Speech and Language Pathology Services	Interactive		PDF (2875 KB)		Rev. 1/06
Physician Services	Interactive		PDF list		Rev. 12/05
Podiatry Services	Interactive		PDF (528 KB)	Appendix	Rev. 5/03
Prenatal Care Coordination Services	Interactive	Text-Only	PDF list	Appendix	3/01
Presumptive Eligibility — Guide to Determining Presumptive Eligibility for Pregnant Women	Interactive		PDF (345 KB)		Rev. 12/05
Rural Health Clinic Services	Interactive		PDF (733 KB)	Appendix	8/03
School-Based Services	Interactive		PDF (1538 KB)		Rev. 4/05
Specialized Medical Vehicle Services	Interactive		PDF (727 KB)	Appendix	9/03
Substance Abuse Day Treatment	Interactive		PDF list		04/06
Tuberculosis — Guide to the Tuberculosis-Related Services-Only Benefit	Interactive		PDF (201 KB)		Rev. 12/05
Vision Care Services — Part R			PDF list	Appendix	10/91 Last revised 3/95

View service-specific Medicaid and BadgerCare Updates.
View All-Provider Medicaid and BadgerCare Updates.

Important Resources

Provider Services (Policy/eligibility/billing correspondents)	(800) 947-9627 (608) 221-9883
Policy/eligibility/billing hours:	8:30-4:30 (M, W-F), 9:30-4:30 (T)
Pharmacy hours:	8:30-6:00 (M, W-F), 9:30-6:00 (T)

Automated Voice Response (Recorded eligibility, other information)	(800) 947-3544 (608) 221-4247
AVR hours:	24 hours/7 days a week

Wisconsin Medicaid Web Site	dhfs.wisconsin.gov/medicaid

Handbooks and Guides

List of Wisconsin Medicaid Provider-Specific Handbooks and Guides