WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #664
Acceptance of Assignment
In Medicare, assignment is a process through which a provider agrees to accept the Medicare-allowed amount as payment in
full. A provider who agrees to this amount is said to accept assignment.
A Medicare-enrolled provider performing a Medicare-covered service for a dual eligible or QMB-Only (Qualified Medicare
Beneficiary-Only) member is required to accept assignment of the member's Medicare Part A benefits. Therefore, Wisconsin
Medicaid's total reimbursement for a Medicare Part A-covered inpatient hospital service (for example, any amount paid by other
health insurance sources, any copay or deductible amounts paid by the member, and any amount paid by Wisconsin Medicaid or
BadgerCare Plus) may not exceed the Medicare-allowed amount.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
0120416f7369f69b7bbe358ffdcc50853adb63a3c06f01a502d563de8bdef423
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