Wisconsin has three managed care programs under the umbrella of ForwardHealth that serve specific subsets of the Medicaid population. The state describes the Medicaid SSI program as mandatory managed care; however, the program is effectively optional. Persons with chronic conditions, high-risk pregnancies, or continuity of care issues may request exemption from enrollment. As of October 2018, only 24% of the elderly, blind, and disabled population was enrolled. Individuals in the Wisconsin Medicaid SSI managed care program receive all state plan services through one of eight health plans.
This Wisconsin Medicaid Contract is for Network Health Plan, signed January 1, 2018.
For more information on Wisconsin’s Medicaid managed care programs, and to view other contracts, visit Wisconsin Medicaid Managed Care Contracts.