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Provider Manual

Non-Covered Services

Last Updated on August 28, 2018

If a Member agrees in writing to pay for Non-Covered Services, then Security Health Plan, a Security Health Plan provider or the Provider can bill the member for Non-Covered Services. The standard release form signed by the Member at the time of services does NOT relieve Security Health Plan and the Provider from the prohibition against billing a Medicaid Member in the absence of a knowing assumption of liability for a Non-Medicaid Covered Service. The form or other type of acknowledgement relevant to BadgerCare Plus or Medicaid SSI Member liability must specifically state the admissions, services or procedures that are not covered by BadgerCare Plus or Medicaid SSI in accordance with Article III(J).