Medicaid (Title XIX - Medical Assistance)
Your child may be able to receive Medicaid (MA). Many people who have Medicaid are enrolled in Health Maintenance Organizations (HMOs). Your child will need to leave the HMO plan while in CCF. The change from your HMO to Medicaid’s “fee-for-service” will be done when your child enters CCF and your child should be able to keep their regular medical and dental health care providers. When CCF ends your child should be able to rejoin the HMO plan, depending on openings. For questions on HMO enrollment and assistance call the local HMO Enrollment Specialist at 608-242-7432. This is an important step to help change the MA coverage from CCF back into an MA-HMO.CCF services replace your MA coverage for MA-covered mental health services. This includes psychiatric inpatient care, but does not include prescription costs. Your child may only receive MA-covered mental health services found in your child's Plan of Care or through private insurance. The treatment team decides which services are needed and the coordinator must pre-approve these services for them to occur.
You may have to pay for mental health services that are not included in your CCF Plan of Care. Call your CCF Coordinator if you have questions about whether a service is in the Plan.
If you have any questions about MA coverage or other insurance questions, you can contact:
Andy Heidt, Ombudsman, Dane County Human Services
242-6477
heidt@co.dane.wi.us
Back