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Welcome  » April 30, 2024 12:51 AM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Pharmacy
04/30/2024  

Covered and Noncovered Services : Medication Therapy Management

Topic #15198

Medication Therapy Management Services Member Eligibility

The MTM benefit is covered for members enrolled in the following programs:

  • BadgerCare Plus
  • SeniorCare
  • Wisconsin Medicaid

Note: MTM services are reimbursed fee-for-service for all eligible members, including those enrolled in state-contracted managed care organizations. Pharmacy providers should submit fee-for-service claims directly to ForwardHealth for reimbursement.

 
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