DHA Case No. FCP 203537 (Wis. Div. of Hearings and Appeals January 28, 2022) (DHS) ↓ Download PDF Dental implants are listed as a non-covered service under Wis. Admin. Code § DHS 107.07(4)(i). In this case, the petitioner had strong evidence that dental implant-retained dentures were medically necessary and would support her long-term care outcomes. […] Read more
4.2 Benefits
DHA Case No. MPA 203721 (Wis. Div. of Hearings and Appeals January 19, 2022) (DHS) ↓ Download PDF To determine the number of approved personal care worker hours, providers use the Personal Care Screening Tool, which can then be adjusted. In this case, the petitioner asked for 29.75 hours per week but was only approved […] Read more
DHA Case No. HMO 203704 (Wis. Div. of Hearings and Appeals January 25, 2022) (DHS) ↓ Download PDF A power wheelchair must be approved as medically necessary before Medicaid will pay for it, a determination that includes factors such as being not duplicative of other services and being cost-effective compared to alternatives. In this case, […] Read more