WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #242
Instances When Medicaid is Not Payer of Last Resort
Wisconsin Medicaid or BadgerCare Plus are not the payer of last resort for members who receive coverage from certain
governmental programs, such as:
• Birth to 3
• Crime Victim Compensation Fund
• GA (General Assistance)
• HCBS (Home and Community-Based Services) waiver programs:
» CLTS (Children's Long-Term Support Program)
» Family Care
» Family Care Partnership
» IRIS (Include, Respect, I Self-Direct)
• IDEA (Individuals with Disabilities Education Act)
• Indian Health Service
• Maternal and Child Health Services
• WCDP (Wisconsin Chronic Disease Program):
» Adult Cystic Fibrosis
» Chronic Renal Disease
» Hemophilia Home Care
Providers should ask members if they have coverage from these other governmental programs.
If the member becomes retroactively enrolled in Wisconsin Medicaid or BadgerCare Plus, providers who have already been
reimbursed by one of these government programs may be required to submit the claims to ForwardHealth and refund the payment
from the government program.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
431bcaa83faeaaaf636179ccac1007f334fe81f419aa0b106863b3996fc2d938
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