|
State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
Renewals are required every 12 months. A renewal for Wisconsin Well Woman Medicaid (WWWMA) consists of submitting an updated Wisconsin Well Woman Medicaid Application and Renewal (F-10075). There is no financial test.
Reports identifying the WWWMA members needing renewals are sent to the EM CAPO monthly. The member is notified approximately 45 days before their renewal is due and is informed what steps they need to take to renew their WWWMA. A blank F-10075 is included with the renewal notice. In most cases the member will only need to supply an updated F-10075.
| Note |
In order to eliminate unnecessary reviews, a best practice is to check interChange to be sure that the member has not become certified for BadgerCare Plus or another type of full benefit Medicaid (for example, SSI MA), turned 65 years of age (or will turn 65 in the next twelve months), or become eligible for Medicare Part(s) A, B or both, prior to notifying the member that a review is due. |
The member or their representative must send the F-10075 to the EM CAPO via one of the following:
At renewal, the member must provide a newly completed F-10075 indicating they are still in need of treatment for breast or cervical cancer, as attested by a Wisconsin licensed health care provider, including a doctor of medicine (MD), doctor of osteopathic medicine (DO), nurse practitioner (NP), physician assistant (PA), clinical nurse specialist (CNS), or clinical nurse practitioner (CNP).
Members formerly enrolled in WWWP do not need to provide a new F-44818 (formerly DPH 4818) at recertification.
The EM CAPO sends a manual positive notice if all requirements are met.
The EM CAPO will send a manual negative notice at least 10 days prior to the case closing if the member does not provide an updated F-10075 or if the member reports one of the changes listed in Section 36.5 Changes.
This page last updated in Release Number: 23-04
Release Date: 12/18/2023
Effective Date: 12/18/2023
The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.
Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.
Publication Number: P-10030