Please check the ForwardHealth Portal for details on two updates to the BadgerCarePlus program.

Reimbursement Rate Increase for Certain Evaluation and Management (E&M) Services

Effective for dates of service on and after January 1, 2020.

ForwardHealth will increase reimbursement rates for some E&M services performed by certain providers, as authorized by the 2019 Wisconsin Act 9, the 2019-2021 biennial budget.
For more information, see ForwardHealth Update, January 2020, No. 2020-03.

2020 CPT and HCPCS Procedure Code Changes

Effective for dates of service on and after January 1, 2020.

Source: Forward Health Update, January 2020, No. 2020-02.

• Enddating deleted procedure codes

• Adding new CPT and HCPCS procedure codes

• Adopting revised descriptions for certain CPT and HCPCS procedure codes

Providers should refer to the 2020 CPT and HCPCS procedure code books for a complete list of new, deleted, and revised codes.

For complete information on general ForwardHealth coverage related to the updated CPT and HCPCS procedure codes, including information on allowable rendering provider types and maximum allowable fees, providers should refer to the interactive maximum allowable fee schedules on the ForwardHealth Portal.

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