|
|
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/ |
PE for Wisconsin Well Woman Medicaid is available for women if the provider performing the health screening is a certified MA provider. The provider doing the medical screening enters the PE dates in the “Comments” section on the HCF 10075. The dates should cover the time period from the date of diagnosis through the last day of the following calendar month.
The client may receive services by presenting both of the following completed forms to any MA provider:
WWWP Enrollment Form ( DPH 4818 ).
Wisconsin Well Woman Medicaid Determination Form ( HCF 10075 ).
To continue receiving Wisconsin Well Woman Medicaid, the client must apply at the local IM Agency. If the client does not apply, the client’s MA benefits will terminate at the end of the month following the month of diagnosis.
The Local WWWP Coordinator faxes the completed HCF 10075 to EDS. EDS will record the dates of the PE in MMIS and issue the client a Forward card. IM workers cannot deny or close the PE segment before the end date established by the WWWP healthcare provider.
There is no limitation to the number of PE segments that the client can have for Wisconsin Well Woman Medicaid.
This page last updated in Release Number: 02-03
Release Date: 07/01/02
Effective Date: 07/01/02