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Resources for Child Care Coordination Services

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 child care coordination policy.

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

ForwardHealth Provider Trainings

Child Care Coordination 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.

Title of Form and Number	Description of Form	Recommended or Required?
Child Care Coordination Family Questionnaire, F-0118 (01/2024)	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 (12/2023)	Form for documenting and sharing referral information with CCC members	Recommended

Provider Enrollment and Ongoing Responsibilities

The following ForwardHealth Online Handbook topics and resources include key content for child care coordination 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 child care coordination policy.

Online Handbook Topic	Description of Content
Provider Enrollment, #3969	Guidance for enrolling as a Wisconsin Medicaid provider
Ongoing Responsibilities, #220	Responsibilities of providers
Documentation, #6277	Documentation requirements of providers
Provider Rights, #208	Rights of providers
Sanctions, #211	Possible consequences for violating program rules and regulations
Provider Numbers, #3421	NPI requirements
Noncovered Services, #68	Services, items, or supplies that cannot be reimbursed
Codes, #976	Diagnosis codes for child care coordination
Covered Services and Requirements, #980	A comprehensive overview on delivery child care coordination services

Payment Integrity Review (PIR)

Title	ForwardHealth Resource	Description
PIR Program, #22798	Online Handbook Topic	Program purpose and goals
PIR Training	Provider Trainings	Program overview, guidance, and process
Child Care Coordination Claims Submission Checklist for Payment Integrity Review, P-03589 (03/2024)	DHS Publication	Optional, self-help tool to assist providers with preparing and submitting proper claims
PIR Frequently Asked Questions	DHS Publication	Questions and answers for common questions for providers

Claim Submission

Title	ForwardHealth Resource	Description
Accuracy of Claims, #516	Handbook Topic	Provider responsibility to submit accurate, truthful, and complete claims
How to Submit a Claim, #17797	Handbook Topic	Provider requirements and instructions for submitting Wisconsin Medicaid and BadgerCare Plus claims
Uploading Claim Attachments Via the Portal, #11677	Handbook Topic	Guidance on attaching and submitting records with claims
Claim Status, #535	Handbook Topic	Process for checking the status or adjusting a claim
Explanation of Benefit Codes in the Claim Header and in Detail Lines, #4822	Handbook Topic	Messages from ForwardHealth about the status or action taken on a claim, claim detail, adjustment, or adjustment detail
Claim Adjustments, #512	Handbook Topic	Requirements and process for submitting claim adjustments electronically
Introduction to Options for Electronic Claims Submission	Provider Training	Allowable options for submitting claims electronically
Options for Electronic Claims Submission	Provider Trainings	Multiple training modules for submitting claims electronically
Provider Portal Professional Claims	User Guide	How to submit professional claims electronically
Uploading Claim Attachments	Instruction Sheet	Step-by-step guide for attaching claim records

Additional Resources

Prenatal care coordination information for members (online and printable brochure)
Members with prenatal and child care coordination 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
Report suspected fraud in Department of Health Services programs at 877-865-3432 or www.reportfraud.wisconsin.gov
For a sample care plan for Child Care Coordination—the Care Plan Development topic (#984) of the Online Handbook

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