WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #279
Members Traveling Out of State
When a member travels out of state but is within the United States (including its territories), Canada, or Mexico, BadgerCare Plus
and Wisconsin Medicaid cover medical services in any of the following circumstances:
• An emergency illness or accident
• When the member's health would be endangered if treatment were postponed
• When the member's health would be endangered if travel to Wisconsin were undertaken
• When PA (prior authorization) has been granted to the provider for provision of a nonemergency service
• When there are coinsurance, copay, or deductible amounts remaining after Medicare payment or approval for dual eligibles
Travel expenses such as lodging or food are not reimbursable by Wisconsin Medicaid.
Note: Some providers located in a state that borders Wisconsin may be Wisconsin Medicaid enrolled as a border-status provider
if the provider notifies ForwardHealth in writing that it is common practice for members in a particular area of Wisconsin to seek
their medical services. Border-status providers follow the same policies as Wisconsin providers.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
51f7719f0930cdf19592b0026f0756698351752fe312c8ff261e3e51e515ef11
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