Coverage Policy Changes, Contracting With HMOs, and Claims Process Updates for Child Care Coordination Providers

Beginning July 1, 2025, Wisconsin Medicaid HMOs will reimburse claims for child care coordination services delivered to BadgerCare Plus and Medicaid members in their health plans.

Refer to ForwardHealth Update 2025-19, “Coverage Policy Changes, Contracting With HMOs, and Claims Process Updates for Child Care Coordination Providers,” for:

• Details about the transition to HMOs reimbursing contracted CCC providers for covered services.
• Revisions to the Child Care Coordination service area of the ForwardHealth Online Handbook.
• Policies and processes that have changed.

Additional information is available on the ForwardHealth Portal:

• Resources for Child Care Coordination Services page
• Trainings page, which includes:
  • Child Care Coordination Overview training
  • Child Care Coordination Claim Submission training
  • Child Care Coordination Provider Enrollment training
  • Child Care Coordination Enrollment Provider Checklist (PDF)
• Forms page