WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #260
Maximum Allowable Fees
Maximum allowable fees are established for most covered services. Maximum allowable fees are based on various factors,
including a review of usual and customary charges submitted, the Wisconsin State Legislature's Medicaid budgetary constraints,
and other relevant economic limitations. Maximum allowable fees may be adjusted to reflect reimbursement limits or limits on the
availability of federal funding as specified in federal law.
Providers are reimbursed at the lesser of their billed amount and the maximum allowable fee for the procedure.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
1ae2e5839e49052b06b5c4a52e0a39f33d7c40269be4c07c42a9bda7e3491a15
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