Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Behavioral Treatment Benefit | 02/16/2025 | Covered and Noncovered Services : Covered Services and RequirementsTopic #18998 Documentation Requirements
Behavioral treatment providers are required to maintain documentation in accordance with Wis. Admin. Code ch. DHS 106 and other applicable laws and rules. According to Wis. Admin. Code § DHS 106.02(9)(f), covered services are not reimbursable under Wisconsin Medicaid unless the documentation and medical record keeping requirements are met. Providers are required to be able to produce documentation upon request from the Wisconsin DHS or federal auditors. Documentation is evaluated by DHS during the audit process. |