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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
WWWP Local Coordinating Agencies perform most of the basic non-financial and financial data gathering, review, and verification before referring the woman to a provider for a health screening. The WWWP screener and/or providers will:
Complete and sign DPH 4818 with the assistance of the client prior to the health screening.
Perform a health screening, and complete HCF 10075 with a diagnosis and an indication of whether or not treatment is required.
Identify in the HCF 10075 “Comment” section the beginning and end dates of the presumptive eligibility (PE) for Wisconsin Well Woman Medicaid (5.17.5)
Explain that the duration of the client’s PE for Wisconsin Well Woman Medicaid will conclude at the end of the following calendar month.
Provide the client with a copy of the signed HCF 10075 and DPH 4818 forms. Forward a copy of the HCF 10075 to the WWWP Local Coordinating Agency.
The Local WWWP Coordinator should then fax a copy of the completed HCF 10075 to EDS at (608) 221-8815 within five days of the diagnosis date. EDS will enter the PE data in MMIS (with a medical status code of CB ) and send the client a Forward card with the PE dates activated on the card.
This page last updated in Release Number: 02-03
Release Date: 07/01/02
Effective Date: 07/01/02