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WI · guidance

Wis. ForwardHealth Online Handbook, Hospice, Topic #213

Sanctions for Collecting Payment From Members

activein force · 2026-10-01 – presentcompiled-edition

Under state and federal laws, if a provider inappropriately collects payment from an enrolled member, or authorized person acting

on behalf of the member, that provider may be subject to program sanctions including termination of Medicaid enrollment. In

addition, the provider may also be fined not more than $25,000, or imprisoned not more than five years, or both, pursuant to 42

USC § 1320a-7b(d) or Wis. Stat. § 49.49(3m).

There may be narrow exceptions on when providers may collect payment from members.

Provenance

Source
www.forwardhealth.wi.gov
Retrieved
2026-10-02
Edition
forwardhealth-hospice-2026-10-01
Content hash
bae8137da3faa58ce539008e58f0e753c35e5f3a4bf342e87932ae48b4c88ee7
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