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Wisconsin MedicaidCertification and Ongoing Responsibilities1 Aftercare Expansion for Certain Pregnant Women Page 1 of 31Wisconsin MedicaidArchive Date:06/02/2010Certification and Ongoing Responsibilities:CertificationCategories
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How to Fill Out Wisconsin Medicaid Certifies Providers:

01
Understand the requirements: Before starting the application process, it is important to familiarize yourself with the eligibility criteria and provider requirements for Wisconsin Medicaid certifies providers. This includes understanding the types of services covered, provider qualifications, and any specific documentation needed.
02
Collect necessary information: Gather all the necessary information and documentation required to complete the application. This may include personal identification, credentials, licenses, certifications, and any other relevant information related to your profession or organization.
03
Access the online portal: Visit the Wisconsin Department of Health Services website or the designated online portal for Medicaid provider enrollment. Create an account or sign in if you already have one.
04
Start the application: Begin filling out the application form provided on the portal. Follow the instructions carefully and ensure all the required fields are completed accurately. Be prepared to provide detailed information about your practice or organization, including contact details, service areas, and the types of services you intend to provide.
05
Submit supporting documentation: Attach all necessary supporting documentation to the application. This may include copies of licenses, certifications, accreditations, contracts, or any other documentation specified by the Medicaid program.
06
Review and finalize: Carefully review all the information provided in the application form and attached documentation. Double-check for any errors or missing details before finalizing the application.
07
Submit the application: Once you are confident that the application is complete and accurate, submit it through the online portal following the specified submission process. Take note of any confirmation or reference numbers provided for future reference.

Who Needs Wisconsin Medicaid Certifies Providers?

01
Healthcare professionals: Physicians, nurses, psychologists, social workers, therapists, and other healthcare professionals who provide covered services to Medicaid recipients in the state of Wisconsin may need to become certified Medicaid providers.
02
Healthcare organizations: Hospitals, clinics, nursing homes, home healthcare agencies, and other healthcare organizations that offer services eligible for Medicaid reimbursement may need to become certified providers to receive payment for their services.
03
Non-profit organizations: Non-profit organizations that provide specialized services to Medicaid recipients, such as community-based organizations or mental health support centers, may also need to seek certification as Medicaid providers.
In summary, individuals, healthcare professionals, healthcare organizations, and non-profit organizations involved in providing covered services to Medicaid recipients in Wisconsin may need to go through the process of becoming certified Medicaid providers.
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Wisconsin Medicaid certifies providers who meet certain criteria and standards to participate in the program and provide services to Medicaid beneficiaries.
Healthcare providers who wish to participate in the Wisconsin Medicaid program are required to file for certification.
Healthcare providers can fill out the Wisconsin Medicaid certification application online or by submitting a paper application to the appropriate state agency.
The purpose of certifying providers is to ensure that Medicaid beneficiaries have access to high-quality, cost-effective healthcare services from qualified providers.
Providers must report information such as their credentials, qualifications, services offered, and billing practices.
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