Medicaid and BadgerCare co-pays temporarily suspended by DHS
Starting January 1, 2020, Medicaid and BadgerCare Plus members in Wisconsin won’t have to pay co-pays. The elimination of co-pays applies to all services covered by the programs, including doctor’s visits, prescriptions, and emergency care. The move aims to make healthcare more affordable and accessible to low-income individuals and families. Additionally, this change will benefit around one million people enrolled in Medicaid or BadgerCare Plus. This aligns with federal law, which prohibits the imposition of premiums and co-pays exceeding five percent of a member’s income. Also, the Wisconsin Department of Health Services (DHS) has initiated necessary system changes to ensure co-payments adhere to these regulations.
Members to Pay
Effective next year, the obligation of Medicaid and BadgerCare Plus members to pay co-pays for services obtained from providers registered under Medicaid shall be abolished. Hence, the policy change aims to support those with limited financial resources by improving access to healthcare services. Providers must ensure their systems are up-to-date and compliant with the recently implemented policy. This new rule results from the state’s efforts to increase access to affordable healthcare. Furthermore, the Centers for Medicare & Medicaid Services have sanctioned a temporary plan where DHS will not collect member co-pays. DHS will communicate to providers when they can resume collecting co-payments from members in 2020.
Note: The temporary suspension of co-payments does not apply to members enrolled in SeniorCare or the Wisconsin Chronic Disease Program (WCDP). SeniorCare and WCDP members will continue to be charged co-pays. https://www.dhs.wisconsin.gov/
Your Revenue Cycle Management partner, ebix, Inc., thought this information would benefit your organization. Our professional associations help us stay ahead of the curve, ensuring our partners benefit from our growing expertise.
By and large, medical billing begins with accurate and complete documentation in the medical record. Hence, coding is how your intellectual services and labor translate into a code used to bill insurance and document the value of your service. The ebix Billing Services team has a strong reputation as an expert in medical coding services.
Perhaps most noteworthy are the ICD-10 codes. The ICD-10 is currently the cornerstone of classifying diseases, injuries, health encounters, and inpatient procedures in morbidity settings. Because of this, the ebix, Inc. team has honed medical coding skills and business processes to meet the needs of independent physicians.