Archived Information for Providers

Generic Substitution from Clozaril^® to Clozapine

Prescriber and CSP/Case Management letters, recipient brochure, and Wisconsin Medicaid and BadgerCare Updates.

SSRI Letter — Prescribing Provider (PDF, 147 KB)

Important Information Regarding Prior Authorization for Brand-Name SSRIs — Effective March 15, 2004 (Note: Prescribing Providers — See page two for PA clinical documentation requirements)

SSRI Letter — Pharmacy Provider (PDF, 146 KB)

Important Information Regarding Prior Authorization for Brand-Name SSRIs — Effective March 15, 2004

Wisconsin SeniorCare Income Corrections Letter (PDF, 15 KB)
Summary:
On September 1st, 2002, Wisconsin SeniorCare began processing claims for eligible individuals age 65 and older. We have identified instances in which an applicant may have incorrectly completed the initial application, causing benefits to be determined at a higher level.

Publications about SeniorCare for Wisconsin Medicaid providers

Wisconsin Medicaid Extends Temporary Claims Submission Procedures for Medicare Part D Dual Eligibles
Wisconsin Medicaid and BadgerCare Update, February 2006 (2006-18)
Summary:
Due to continuing problems with Medicare Part D, Wisconsin Medicaid is extending the temporary procedures for reimbursement described in the January 2006 Wisconsin Medicaid and BadgerCare Update (2006-03), titled "Temporary Procedures for Submitting Claims for Dual Eligibles."

Expanded Preferred Drug List Information for Prescribers (PDF, 325 KB)
Wisconsin Medicaid and BadgerCare Update, June 2005 (2005-32)
Summary:
The Preferred Drug List will be expanded for Wisconsin Medicaid and BadgerCare fee-for-service and Wisconsin SeniorCare on July 1, 2005.

New Preferred Drug List Information for Prescribers (PDF, 811 KB)
Wisconsin Medicaid and BadgerCare Update, March 2005 (2005-18)
Summary:
The Preferred Drug List will be expanded for Wisconsin Medicaid and BadgerCare fee-for-service and Wisconsin SeniorCare on April 1, 2005.

Preferred Drug List Information for Prescribers (PDF, 566 KB)
Wisconsin Medicaid and BadgerCare Update, December 2004 (2004-92)
Summary:
The Preferred Drug List will be expanded for Wisconsin Medicaid and BadgerCare fee-for service and Wisconsin SeniorCare on January 1, 2005.

Prescriber Information on Prior Authorization Requirements for Brand Medically Necessary Drugs (PDF, 279 KB)
Wisconsin Medicaid and BadgerCare Update, August 2004 (2004-63)
Summary:
Effective for dates of service (DOS) on and after September 1, 2004, Wisconsin Medicaid, BadgerCare, and SeniorCare require prior authorization (PA) for brand name drugs listed in Attachment 1 of this Wisconsin Medicaid and BadgerCare Update.

Prior authorization required for brand name selective serotonin reuptake inhibitor drugs (PDF, 263 KB)
Wisconsin Medicaid and BadgerCare Update, March 2004 (2004-17)
Summary:
Effective for dates of service (DOS) on and after March 15, 2004, Wisconsin Medicaid requires prior authorization (PA) for brand name selective serotonin reuptake inhibitor (SSRI) drugs.

Prior authorization required for brand name selective serotonin reuptake inhibitor drugs (PDF, 263 KB)
Wisconsin Medicaid and BadgerCare Update, March 2004 (2004-16)
Summary:
Effective for dates of service (DOS) on and after March 15, 2004, Wisconsin Medicaid requires prior authorization (PA) for brand name selective serotonin reuptake inhibitor (SSRI) drugs.

Pharmacy real-time claims processing changes and billing reminders (PDF, 109 KB)
Wisconsin Medicaid and BadgerCare Update, March 2004 (2004-15)
Summary:
Wisconsin Medicaid is making changes to the pharmacy real-time claims processing responses to be implemented in the pharmacy point-of-sale (POS) system on April 24, 2004.

SeniorCare chapter of Wisconsin Administrative Code available (PDF, 91 KB)
Wisconsin Medicaid and BadgerCare Update, November 2003 (2003-157)
Summary:
The SeniorCare chapter of the Wisconsin Administrative Code (HFS 109) is now available to providers from Wisconsin Medicaid. Regulations associated with the Wisconsin Medicaid SeniorCare program are covered in HFS 109, Wis. Admin. Code.

Drug coverage limitations for SeniorCare participants (PDF, 791 KB)
Wisconsin Medicaid and BadgerCare Update, August 2003 (2003-138, PHC 1130)
Summary:
Effective for dates of service (DOS) on and after September 1, 2003, prescription drug products of drug manufacturers that have not signed a separate SeniorCare rebate agreement with the Wisconsin Department of Health and Family Services (DHFS) will no longer be covered for SeniorCare participants with incomes greater than 200% of the Federal Poverty Level (FPL).

Wisconsin SeniorCare participants eligible only for prescription drug benefits (PDF, 149 KB)
Wisconsin Medicaid and BadgerCare Update, August 2002 (2002-50, PHC 1900).
Summary:
Wisconsin SeniorCare participants are not eligible for any Wisconsin Medicaid or BadgerCare services except for prescription drug benefits and over-the-counter insulin.

SeniorCare program begins in September (PDF, 109 KB)
Wisconsin Medicaid and BadgerCare Update, July 2002 (2002-38, PHC 1886)
Summary:
Coverage of prescription drug costs for eligible participants enrolled in the new SeniorCare program will begin September 1, 2002.

Reminder that annual SeniorCare renewal process has started (PDF, 116 KB)
Wisconsin Medicaid and BadgerCare Update, August 2003 (2003-137, PHC 1129)
Summary:
SeniorCare benefits are approved for a 12-month period. Participants will need to complete an annual SeniorCare renewal application to renew their eligibility.

SeniorCare information for pharmacies (PDF, 101 KB)
Wisconsin Medicaid and BadgerCare Update, August 2002 (2002-45, PHC 1893)
Summary:
SeniorCare is a new prescription drug assistance program for Wisconsin residents who are 65 years of age or older who meet the eligibility criteria.

Date Last Revised: September 19, 2008