WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #1148
Services Provided Outside the Hospice Benefit
The following table presents guidelines for claims submitted for services other than hospice services and allowed attending
physician services. Wisconsin Medicaid will only reimburse services unrelated to the terminal illness that are otherwise medically
necessary, Medicaid-covered benefits. The information in this table applies only to members electing hospice who are 21 years of
age and older.
Provider Category
Separately
Reimbursable for
Hospice Members
Not Separately Reimbursable
for Hospice Members Consultant Reviewed
Ambulatory surgical center X
Audiology X
Case management X
Chiropractic X
Community support program X
Certified registered nurse
anesthetist services
X
Dental X
End-stage renal disease X
Family planning X
HealthCheck X
Hearing instruments X
Home health X
Intermediate Care Facility for
Individuals with Intellectual
Disabilities
X
Institutions for mental disease X
Inpatient hospital X
Laboratory X
Medical vendor X
Medical day treatment X
Nursing facility X
Optical care (optometrist, optician)X
Outpatient hospital X
Outpatient mental health/substance
abuse
X
Personal care X
Pharmacy X Therapeutic class listed
Physician services
Attending physician services (other
than allowed attending physician
services)
X
Other physician services If primary attending physician is
not indicated as the referring
physician.
If primary attending physician
is indicated as the referring
physician.
Podiatry X
Portable X-ray X
Prenatal care coordination X
Rehabilitation agency/therapies X
School-Based Services X
Transportation X
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
0215170a20bc9f68367d70252bfb8a1e600ac443c0def69173f2026eae2f7e63
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