| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Pharmacy | | 03/16/2025 | Reimbursement : CopaymentTopic #239 Requirements
Federal law permits states to charge members a copay for certain covered services. Providers are required to request copays from members. Providers may not deny services to a Wisconsin Medicaid or BadgerCare Plus member who fails to make a copay.
Wis. Stat. § 49.45(18) requires providers to make a reasonable attempt to collect copay from the member unless the provider determines that the cost of collecting the copay exceeds the amount to be collected. |