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Welcome  » May 26, 2024 4:29 AM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Pharmacy

Reimbursement : Copayment

Topic #239


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.

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