Resources for Child Care Coordination Services

Beginning February 1, 2025, prenatal care coordination (PNCC) providers currently enrolled with Wisconsin Medicaid can begin a second enrollment as child care coordination (CCC) providers on the ForwardHealth Portal (the Portal).

CCC Enrollment Provider Checklist

ForwardHealth has developed a Child Care Coordination Enrollment Provider Checklist to prepare potential CCC providers for enrollment in the CCC benefit. The checklist walks providers through the enrollment process step-by-step.

FAQs

The Department of Health Services (DHS) has developed an FAQ document with questions and answers regarding enrollment criteria for child care coordination services and information about contracting with HMOs.

ForwardHealth Updates

The most recent ForwardHealth Updates are listed below; however, providers should refer to the Child Care Coordination service area of the ForwardHealth Online Handbook for complete CCC policy.

ForwardHealth Provider Trainings

• Child Care Coordination Provider Enrollment
• Portal Basics for Child Care Coordination
• Covered Services Under Child Care Coordination
• Requirements for Child Care Coordination
• New and Revised Modifier Requirements for Child Care Coordination and Prenatal Care Coordination Services Training
• Office of the Inspector General Trainings:
  • Module 1: Office of the Inspector General Overview
  • Module 2: Provider Fraud, Waste, and Abuse in the Wisconsin Medicaid Program
  • Module 3: Wisconsin Medicaid Enrollment Tips for Providers
  • Module 4: Wisconsin Medicaid Self-Audit Tips for Providers
  • Wisconsin Department of Health Services: Payment Integrity Review Program

Child Care Coordination Webinar

• Child Care Coordination Provider Webinar
• Q&As from November 17th Webinar

Supplemental Materials

Providers are required to document specific information. The materials below meet these documentation requirements. The table below indicates which materials are recommended for use and which materials are required. These forms can be found by searching the form number on the Forms page of the Portal.

Provider Enrollment and Ongoing Responsibilities

The following ForwardHealth Online Handbook topics and resources include key content for CCC services. Please note: The topics highlighted on this page are linked to address some of the most common provider questions. This is not a complete list of all handbook topics for providers. Providers are still responsible for reviewing the full Child Care Coordination service area of the ForwardHealth Online Handbook for complete CCC policy.

Payment Integrity Review

Claim Submission

Additional Resources

• Members with CCC and PNCC questions can call Member Services at 800-362-3002
• Providers with policy and billing questions can call Provider Services at 800-947-9627
• ForwardHealth Resources for Prenatal Care Coordination Providers
• For a sample care plan for Child Care Coordination—the Care Plan Development topic #984 of the Online Handbook
• Report suspected fraud in Department of Health Services programs at 877-865-3432 or reportfraud.wisconsin.gov

Medicaid Benefits Relevant to Child Care Coordination

• Family Planning Benefit—Certain covered services by certain providers for family-planning related activities.
• Over-the-Counter Oral Contraception—Coverage of over-the-counter oral contraception under state standing orders issues in 2024.
• Non-Emergency Medical Transportation—Coverage for transportation to covered appointments for certain qualified members.
• Interpretive Services—Interpretive services for deaf or hard of hearing members or members with Limited English Proficiency when the interpretive service and the medical service are provided to the member on the same DOS and during the same time as the medical service.