Crisis Intervention Benefit (BadgerCare Plus and Medicaid SSI Sample Clauses

Crisis Intervention Benefit (BadgerCare Plus and Medicaid SSI. The HMO must assign a medical representative to coordinate with the designees of crisis intervention agencies certified under Wis. Adm. Code DHS 34 to provide services within the HMO’s service area. The HMO must work with the certified Crisis Intervention Agency to coordinate the transition from crisis intervention care to ongoing BadgerCare Plus and/or Medicaid SSI covered mental health and substance abuse care within the HMO’s network. The HMO is not responsible for payment for services provided to their members by certified Crisis Intervention Agencies. Those services are to be billed directly to FFS. In addition, the HMO is not required to pay for services directed by the certified Crisis Intervention Agency outside the HMO network, unless the HMO has authorized those services.
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Related to Crisis Intervention Benefit (BadgerCare Plus and Medicaid SSI

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