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Program Name: BadgerCare Plus and Medicaid Handbook Area: Behavioral Treatment Benefit

Covered and Noncovered Services : Covered Services and Requirements

Topic #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.

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