BadgerCare Plus & Medicaid SSI Provider Manual - Group Health ...
BadgerCare Plus & Medicaid SSI Provider Manual - Group Health ...
BadgerCare Plus & Medicaid SSI Provider Manual - Group Health ...
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<strong>BadgerCare</strong> <strong>Plus</strong> & <strong>Medicaid</strong> <strong>SSI</strong> <strong>Provider</strong> <strong>Manual</strong> - GHC of Eau Claire May 2012<br />
SECTION 6 – COVERED SERVICES – COMPCARE & GROUP HEALTH<br />
The HMO is responsible to provide all medically necessary covered services under <strong>BadgerCare</strong> <strong>Plus</strong> and/or<br />
<strong>Medicaid</strong> <strong>SSI</strong>.<br />
Service <strong>BadgerCare</strong> <strong>Plus</strong> Standard <strong>BadgerCare</strong> <strong>Plus</strong> <strong>BadgerCare</strong> <strong>Plus</strong> Core Plan<br />
Ambulance<br />
Plan and <strong>Medicaid</strong> <strong>SSI</strong><br />
Full coverage of emergency<br />
transportation to and from a<br />
<strong>BadgerCare</strong> <strong>Plus</strong> covered<br />
service with no copayment.<br />
Benchmark Plan<br />
Full coverage of emergency<br />
transportation with a $50.00<br />
copayment per trip.<br />
Includes air transport.<br />
No copayment.<br />
Coverage limited to<br />
emergency transportation.<br />
Buses and Taxi Rides<br />
Non-emergent ambulance<br />
transportation may be<br />
arranged by LogistiCare.<br />
Please call them for<br />
information<br />
Arranged through<br />
LogistiCare<br />
Cardiac Rehabilitation Full coverage with no<br />
copayment.<br />
Chiropractic Services<br />
Compcare does not cover<br />
chiropractic services. You<br />
may receive chiropractic<br />
services from any<br />
chiropractor who will accept<br />
your Forward <strong>Health</strong> ID<br />
card.<br />
Non-emergent ambulance<br />
transportation may be<br />
arranged by LogistiCare.<br />
Please call them for<br />
information.<br />
Arranged through<br />
LogistiCare<br />
36 visits per member per<br />
enrollment year covered<br />
when provided by a physical<br />
therapist. $15.00<br />
copayment per visit.<br />
Compcare does not cover<br />
chiropractic services. You<br />
may receive chiropractic<br />
services from any<br />
chiropractor who will accept<br />
your Forward <strong>Health</strong> ID<br />
card.<br />
Not Covered.<br />
No copayment. Cardiac<br />
Rehab. visits are counted<br />
under the 20 visits for PT.<br />
Compcare does not cover<br />
chiropractic services. You<br />
may receive chiropractic<br />
services from any<br />
chiropractor who will accept<br />
your Forward <strong>Health</strong> ID<br />
card.<br />
Dental/Oral<br />
Surgery/TMJ<br />
You may get dental services<br />
from any dentist who will<br />
accept your Forward <strong>Health</strong><br />
ID card. Your dental<br />
services are provided by the<br />
State, not Compcare.<br />
Please show your Forward<br />
<strong>Health</strong> ID card to the<br />
dentist.<br />
A dental emergency is an<br />
immediate dental service<br />
needed to treat dental pain,<br />
swelling, fever, infection or<br />
injury to the teeth. For help<br />
with a dental emergency,<br />
call 1-800-362-3002 (tollfree).<br />
You may get dental services<br />
from any dentist who will<br />
accept your Forward <strong>Health</strong><br />
ID card. Your dental<br />
services are provided by the<br />
State, not Compcare.<br />
Please show your Forward<br />
<strong>Health</strong> ID card to the<br />
dentist.<br />
A dental emergency is an<br />
immediate dental service<br />
needed to treat dental pain,<br />
swelling, fever, infection or<br />
injury to the teeth. For help<br />
with a dental emergency,<br />
call 1-800-362-3002 (tollfree).<br />
Only covers emergency<br />
dental services.<br />
A dental emergency is an<br />
immediate dental service<br />
needed to treat dental pain,<br />
swelling, fever, infection or<br />
injury to the teeth. For help<br />
with a dental emergency,<br />
call<br />
1-800-362-3002 (toll-free).<br />
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