A Wisconsin pharmacy may not be able to fill your prescription if the prescribing provider is not enrolled in Wisconsin Medicaid. This is because the Wisconsin MA fund will not reimburse the local pharmacy claim for filling a prescription written by a physician who is not enrolled in Wisconsin MA.
This is a mandate listed in the Accountable Care Act within Medicaid code of federal regulation 42 CFR 455-410 reads The State Medicaid Agency must require all ordering or referring physicians or other professionals providing service under the State MA plan or under an MA waiver of the plan to be enrolled as a participating provider.
This demonstrates the reach of Federal control through policy over State implementation of the health service programming. The local pharmacy needs an MA enrolled prescriber to be reimbursed for medications dispensed through some Department of Health Services Programming.
Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin
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Home Care Path www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service. Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility. Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour. Simply call 608-432-4286 to schedule an interview. We can be there when you are working. We accept long term care insurance. Services can be tax deductible. Help with resources and the transition from private payment to public funded programming. Valuing home and human life
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