WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #16197
Care4Kids Program Benefit Package
Covered Services
Members enrolled in the Care4Kids program are eligible to receive all medically necessary services covered under Wisconsin
Medicaid; however, Care4Kids will have the flexibility to provide services in a manner that best meets the unique needs of
children in out-of-home care, including streamlining PA (prior authorization) requirements and offering select services in home
settings. Members will also be allowed to go to any Medicaid-enrolled provider for emergency medical services or family planning
services.
Noncovered Services
The following services are not provided as covered benefits through the Care4Kids program, but can be reimbursed for eligible
Medicaid members on a fee-for-service basis:
• Behavioral treatment
• Chiropractic services
• CRS (Community Recovery Services)
• CSP (Community Support Programs)
• CCS (Comprehensive Community Services)
• Crisis intervention services
• Directly observed therapy for individuals with tuberculosis
• MTM (Medication therapy management)
• NEMT (Non-emergency medical transportation) services
• Prescription and over-the-counter drugs and diabetic supplies dispensed by the pharmacy
• Physician-administered drugs and their administration
• SBS (School-based services)
• Targeted case management
Children's Hospital of Wisconsin will establish working relationships, defined in writing through a memorandum of understanding,
with providers of the following services:
• CSP
• CCS
• Crisis intervention services
• SBS
• Targeted case management services
Providers of these services must coordinate with Care4Kids to help assure continuity of care, eliminate duplication, and reduce
fragmentation of services.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
5952dec1c8b046f5e4e9a3903b5aedbf67e7d68d10ada7607ecbccd907915ae7
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