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Resources for Child Care Coordination Services

Wisconsin Medicaid HMOs began covering child care coordination (CCC) services delivered to BadgerCare Plus and Medicaid members in their health plans on July 1, 2025.

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.

Update and Release Date Description of Policy Change
2025-19, “Coverage Policy Changes, Contracting With HMOs, and Claims Process Updates for Child Care Coordination Providers” (7/1/2025) This Update informs providers of the transition to HMOs reimbursing contracted CCC providers for covered services and CCC policies and processes that have changed. It also includes information about ForwardHealth Online Handbook revisions to the Child Care Coordination service area.
2025-02, “New Enrollment Required for Child Care Coordination Services” (2/3/2025)  

This Update informs providers of new CCC enrollment policy and requirements and describes how providers enroll using the Portal. It also includes information about contracting with Wisconsin Medicaid HMOs.

2023-38, “Enrollment Certification and Claims Changes for Child Care Coordination Services” (11/10/2023) This Update informed providers of changes to enrollment certification and claim submission processes for prenatal care coordination (PNCC) providers that provide CCC.
2023-27, “Prenatal Care Coordination New Enrollment and Revalidation Requirements and ForwardHealth Online Handbook Revisions” (06/30/2023) This Update informed providers of PNCC and CCC services of enrollment changes and revisions to the Online Handbook.
2023-10, “New Requirements for Child Care Coordination” (04/03/2023) This Update informed providers of new policy requirements for submitting claims for CCC services.
2023-05, “New Payment Integrity Review Program” (03/01/2023) This Update announced a new Payment Integrity Review program.
2022-07, “New and Revised Modifier Requirements for Child Care Coordination and Prenatal Care Coordination Services” (03/01/2022) This Update informed providers of new requirements for submitting claims for PNCC and CCC services.

Forms

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.

Title of Form and Number Description of Form Recommended or Required?
Child Care Coordination Plan of Operation, F-03361 (02/2025) Form for documenting the provider’s ability to carry out the full CCC benefit and all CCC activities Recommended
Child Care Coordination Personnel and Training Plan, F-03362 (02/2025) Form for documenting personnel processes and procedures for hiring, training, orientation, supervision, evaluation, and job duties Recommended
Child Care Coordination Family Questionnaire, F-01118 (07/2025) Form for determining eligibility for the CCC benefit Required
Child Care Coordination Monthly Time Log for Ongoing Care Coordination and Monitoring, F-03257 (12/2023) Form for tracking time spent with CCC members Recommended
Child Care Coordination Referral, F-03256 (07/2025) Form for documenting and sharing referral information with CCC members Recommended
Child Care Coordination (CCC) Plan, F-03391 (07/2025) Form includes a blank model of a care plan Recommended
Child Care Coordination Care Coordinator Visit Checklist, F-03390 (07/2025) Form for preparing for and documenting member visits Recommended

ForwardHealth Provider Trainings

Enrollment Resources

Child Care Coordination Enrollment Provider Checklist

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

FAQs

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

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.
  • PNCC providers can find more information on the Resources for Prenatal Care Coordination Providers page of the Portal.
  • Providers should report suspected fraud in DHS 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 DOSand during the same time as the medical service.
 
 
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