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.

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.

ForwardHealth Provider Trainings

• Child Care Coordination Overview
• Child Care Coordination Claim Submission
• Child Care Coordination Provider Enrollment
• Portal Basics for Child Care Coordination
• New and Revised Modifier Requirements for CCC and PNCC Services
• 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

Technical Assistance Modules

ForwardHealth has collaborated with the University of Wisconsin-Milwaukee’s Professional Development Network for Family Support Professionals to create a series of four web-based professional development modules for CCC providers. These modules include information about important topics relevant to CCC providers, including care coordination with children and families, early childhood development, behavioral health for children and families, and best practices for engaging partners and aligning care.

While these modules serve as helpful guidance, they are not intended to replace CCC policy. All policy in the Online Handbook must still be followed.

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 DOS and during the same time as the medical service.