WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #411
Referrals
Non-network providers may at times provide services to BadgerCare Plus HMO and Medicaid SSI HMO enrollees on a referral
basis. Non-network providers are always required to contact the enrollee's HMO or SSI HMO. Before services are provided,
the non-network provider and the HMO or SSI HMO should discuss and agree upon billing procedures and fees for all referrals.
Non-network providers and HMOs or SSI HMOs should document the details of any referral in writing before services are
provided.
Billing procedures for out-of-plan referrals may vary depending on the HMO or SSI HMO. For specific billing instructions, non-network providers should always contact the enrollee's HMO or SSI HMO.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
14afda8ba1429692da19c0d2bfa33c8250dbf90dfe8390ac86ee43f02ad03b06
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