Wisconsin Well Woman Medicaid – WWWMA

Overview

A statewide program that provides medical treatment for women diagnosed with:

Breast Cancer
Cervical Cancer or
Precancerous condition of the cervix

Women must have been diagnosed through one of the following programs:

Wisconsin Well Woman Program
Family Planning Waiver
Badger Care Plus Benchmark Plan or
Badger Care Plus Core Plan for Adults with No Dependent Children

Funded by the State of Wisconsin – WWWMA Factsheet

Provides full Medical Assistance Benefits for eligible women for the duration of treatment of breast or cervical cancer.

Eligibility

Women screened and diagnosed through the previously mentioned programs are automatically eligible for WWMA provided they:

Do not have Medicare or any other insurance that covers treatment for cancer
Are a United States citizen
Have the diagnosis of their condition confirmed by a Medicaid-certified provider
May be eligible if uninsured, have a breast or cervical cancer diagnosis and meet the WWWP eligibility guidelines

Covered Services

Wisconsin Well Woman Medicaid covers the same services as Wisconsin Medicaid, regardless of whether the service is related to cancer treatment.
Providers will be reimbursed for services provided to members enrolled in WWWMA at the current Wisconsin Medicaid rate of reimbursement for covered services.
There are no co-payments for Medicaid covered services for WWWMA members.

To Apply

Wisconsin Well Woman Program Members:

Contact your Case Manager immediately. They will help you:

Determine eligibility
Fill out the appropriate forms
Obtain your provider's signature
Access your benefits

Members of The Badger Care Benchmark Plan or The Badger Care Core Plan:

Contact your healthcare provider immediately. They will help you complete the steps to access coverage.

Steps for Providers:

You may obtain copies of the Wisconsin Well Woman Medicaid Determination form, F-10075 by calling (608) 261-4954
Complete the form indicating which program member is enrolled in: Section A with the member signature; Section B with the provider signature; date, and date of diagnosis
Fax completed Well Woman Determination Form to the Central Application Processing Operation (CAPO) at (608) 267-3381
Please provide a copy of the Determination Form to the member, as this will be her proof of coverage until CAPO processes her paperwork and she receives her Forward Card