WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #258
Acceptance of Payment
The amounts allowed as payment for covered services must be accepted as payment in full. Therefore, total payment for the
service (for example, any amount paid by other health insurance sources, any BadgerCare Plus or Medicaid copay or spenddown
amounts paid by the member, and any amount paid by BadgerCare Plus, Medicaid, or HDAP (Wisconsin HIV Drug Assistance
Program)) may not exceed the allowed amount. As a result, providers may not collect payment from a member or authorized
person acting on behalf of the member, for the difference between their usual and customary charge and the allowed amount for a
service (for example, balance billing).
Other health insurance payments may exceed the allowed amount if no additional payment is received from the member or
BadgerCare Plus, Medicaid, or HDAP.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
6a6965005ed69f7d84b6037510c0933e4c1a470a6c23a8616fe128d1f23c5d1f
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