17-01 Version of 30.6 Processing
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State of Wisconsin
Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

30.6 Processing

Determine TB-related assistance groups manually by doing the following:

  1. Determine Medicaid eligibility for all other subprograms in CARES. Do not confirm unless there is eligibility for a category of Medicaid that is not QMB, SLMB, or QDWI. If there is only QMB, SLMB, or QDWI eligibility, test the person against the TB-related financial tests.  Complete the Medicaid/BadgerCare Plus Eligibility Certification form, F-10110 (formerly DES 3070) and fax it to 608-221-8815 or mail it to the following address:

 

HP Enterprise Services

P.O. Box 7636

Madison, WI 53707

 

  1. If the member is eligible, certify him or her with a manual Medicaid/BadgerCare Plus Eligibility Certification form, F-10110 (formerly DES 3070), medical status code of TR (see Process Help Section 81.3 Electronic F-10110 [formerly the 3070 and HCF-10110]). Confirm all denials in CARES and allow the CARES-generated notices to be sent. Send him or her a manual positive notice with the effective date of his or her eligibility for TB-related services.
  2. If the person is not eligible for any Medicaid subprograms, including TB-related Medicaid, confirm all denials in CARES and allow the CARES-generated notices to be sent. Send him or her a manual negative notice indicating that he or she is not eligible for TB-related Medicaid.

 

 

 

This page last updated in Release Number: 17-01

Release Date: 05/05/2017

Effective Date: 05/05/2017

 

The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030