Provider Data Sheet(PDF, 17 KB).
This form is for providers who want to become certified with WCDP.
To be eligible for the state funded Chronic Renal Disease Program
(CRD), participants must be Wisconsin residents
diagnosed as having end-stage renal disease. In addition,
participants that are eligible for Medicare must pay Medicare Part B premiums in order to receive
Wisconsin Chronic Disease Program (WCDP) renal disease benefits. If the participant
is eligible for Medicare but chose to delay Medicare participation,
the participant is not eligible to receive WCDP renal disease benefits until the
participant begins paying Medicare Part B premiums.
If a CRD participant is a Medicare participant at the time of application, the eligibility date is determined by the date of the initial treatment. However, if the
participant is Medicare-eligible but has chosen
not
to pay for premiums, the WCDP eligibility date is designated as the date that Medicare benefits are initiated.
Chronic Renal Disease participants are eligible to receive the following WCDP covered services:
Inpatient and outpatient dialysis and transplant treatments.
One pre-transplant dental examination, and X-rays.
Kidney donor transplant-related medical services.
Certain prescription medications.
Certain home supplies.
Certain laboratory and X-ray services.
Please reference the drug formulary regularly to determine drug coverage and appropriate copay amounts.
The state seeks repayment of CRD benefits provided to participants under the Estate Recovery Program.
diagnosed as having end-stage renal disease. In addition,
participants that are eligible for Medicare must pay Medicare Part B premiums in order to receive
Wisconsin Chronic Disease Program (WCDP) renal disease benefits. If the participant
is eligible for Medicare but chose to delay Medicare participation,
the participant is not eligible to receive WCDP renal disease benefits until the
participant begins paying Medicare Part B premiums.