WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #402
Managed Care Contracts
The contract between the Wisconsin DHS (Department of Health Services) and the BadgerCare Plus/Medicaid SSI HMO or
Children's Specialty Managed Care PIHP (Prepaid Inpatient Health Plan) takes precedence over other ForwardHealth provider
publications. Information contained in ForwardHealth publications is used by DHS to resolve disputes regarding covered benefits
that cannot be handled internally by HMOs or PIHPs. If there is a conflict, the HMO or PIHP contract prevails. If the contract
does not specifically address a situation, Wisconsin Administrative Code ultimately prevails. HMO and PIHP contracts are
available on the Acute and Primary Managed Care page (click the HMO Providers link, then the Resources and Help tab) for
HMOs and on the Children's Specialty Programs page of the ForwardHealth Portal (click the Children's Specialty Managed Care
Plans link, then the Policy tab) for PIHPs.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
2ecd706f467eefdf52fbd804d08a7244b4136965acd81e8e61564941071e5d43
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