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WI · guidance

Wis. ForwardHealth Online Handbook, Hospice, Topic #4899

Member Identification Card Does Not Guarantee

activein force · 2026-10-01 – presentcompiled-edition

Enrollment

Most members receive a member identification card, but possession of a program identification card does not guarantee

enrollment. Periodically, members may become ineligible for enrollment, only to re-enroll at a later date. Members are told to

keep their cards even though they may have gaps in enrollment periods. It is possible that a member will present a card when they

are not enrolled; therefore, it is essential that providers verify enrollment before providing services. To reduce claim denials, it is

important that providers verify the following information prior to each DOS (date of service) that services are provided:

• If a member is enrolled in any ForwardHealth program, including benefit plan limitations.

• If a member is enrolled in a managed care organization.

• If a member is in primary provider lock-in status.

• If a member has Medicare or other insurance coverage.

Provenance

Source
www.forwardhealth.wi.gov
Retrieved
2026-10-02
Edition
forwardhealth-hospice-2026-10-01
Content hash
be99f50ef4a4181a0115e1759ebba5e6a074396f50326cb3dd4bdd471532a453
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