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Wisconsin Department of Health and Family Services Medicaid Eligibility Handbook |
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Wisconsin Department of Health and Family Services Medicaid Eligibility Handbook |
Reviews/recertifications (2.2.2.1) are required every 12 months after the initial eligibility determination at the client’s Wisconsin Well Woman Medicaid enrollment date. A review for Wisconsin Well Woman Medicaid only consists of receiving an updated HCF 10075 Wisconsin Well Woman Medicaid Determination (Refer to Example in 5.17.6 )
Each local agency must develop a manual method for scheduling and tracking reviews. Notify the client 45 days before a review is due, and indicate what materials or information to send or bring with her.
Like other MA subprograms, the client has the option of responding to the review process by mail, phone, or in person. At review, the client must provide ES, by mail, fax, or in person with a newly completed HCF 10075 that indicates that the client is still in need of treatment for breast or cervical cancer, as certified by her health care provider.
ES should ultimately get a copy of the HFC 10075 designated “ES” at the bottom. Send a manual positive notice if all requirements are met.
Send a manual negative notice at least ten days prior to the case closing if the woman does not provide HCF 10075 or reports one of the changes listed in 5.17.7.
This page last updated in Release Number : 04-01
Release Date: 02/27/04
Effective Date: 02/27/04