Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Pharmacy | 07/27/2024 | Reimbursement : CopaymentTopic #239 Requirements
Federal law permits states to charge members a copayment for certain covered services. Providers are required to request copayments from members. Providers may not deny services to a Wisconsin Medicaid or BadgerCare Plus member who fails to make a copayment.
Wis. Stat. § 49.45(18) requires providers to make a reasonable attempt to collect copayment from the member unless the provider determines that the cost of collecting the copayment exceeds the amount to be collected. |