WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #667
Claims for Services Denied by Medicare
If Medicare denies or recoups payment for services provided to dual eligibles that are covered by BadgerCare Plus or Wisconsin
Medicaid, the provider may submit a claim for those services directly to ForwardHealth. To allow payment by ForwardHealth in
this situation, providers are encouraged to follow BadgerCare Plus and Medicaid requirements (for example, request PA (prior
authorization) before providing the service for covered services that require PA). If the requirements are followed, ForwardHealth
may reimburse for the service up to the allowed amount (less any payments made by other health insurance sources).
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
43c01b5b902482f1b9df946146d724e12fcc4a06c9064e1c2fbbb66227994982
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