WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #392
Disenrollment and Exemptions
In some situations, a member may be exempt from enrolling in a BadgerCare Plus HMO or Medicaid SSI HMO. Exempted
members receive health care under fee-for-service. Exemptions allow members to complete a course of treatment with a provider
who is not contracted with BadgerCare Plus HMO or SSI HMOs. For example, in certain circumstances, members seeing a
specialist when they are enrolled in an HMO may qualify for an exemption if their specialty provider is not in the HMO networks.
The contracts between Wisconsin DHS (Department of Health Services) and the HMOs provide more detail on the exemption
and disenrollment requirements.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
f2ac80eea363577ffc8ecc48913f23f7a244be48a0000157a3618f6a1528ec1c
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