interChange & ForwardHealth Portal

1. interChange & ForwardHealth Portal

2. e-WiSACWIS – iC Interface • e-W sends records to iC nightly, M-F. • iC processes the file the following business day and updates member records that evening. • If there are errors, EDS/HP staff resolve the errors and update the records. This may take up to 2 additional days.

3. Manual Certification • Eligibility should always be processed through e-WiSACWIS, if possible. • Manual cert. is good for urgent eligibility cases. • Information submitted using a manual cert. updates immediately. • Current certification issues: • Cannot cancel eligibility, unless DOD. • All previous eligibility is submitted along with the new changes. Causes multiple error messages. • Unable to remove C/O names from child’s file.

4. Multiple Case Members • When completing a manual certification and multiple case members appear along with the child in the Eligible Case Members panel; do NOT continue with the manual cert. • If you continue, all members listed will update with child’s address information. • Complete a paper 3070 and fax to EDS. • This issue is being worked on. • Example following:

5. Entered Child As Casehead

6. Example of Multiple Case Members that display under his case

7. Member IDs • If child has a permanent (MCI) ID, you will see the MCI box checked on the Elig. Case Members screen across from the ID. • If no checkmark, it is a temporary ID. Temp. IDs start with 90xxxxxxxx. • Temporary ID is assigned until an MCI ID can be assigned that evening. The ID card will go out with the MCI ID. • MCI ID cannot be assigned unless the child has an SSN. Once the SSN is applied to iC, a permanent ID is assigned from MCI. • ID cards are sent with the new MCI ID whenever possible.

8. Example of MCI ID Checked

9. ID Cards • Cards are automatically generated when: • New eligibility is applied. Child has no record on iC. • Previous card was returned undeliverable. If address changes, it generates a card to the new address. • Request cards for: • Name changes • ID changes • Lost or damaged • Need duplicate card for separate households. (Contact Member Services)

10. ID CardsReplacement Requests • If ID card replacement request is not successful through e-WiSACWIS, or the Portal; the child may have 2 active cards. • Must contact member services to request a replacement card. • e-WiSACWIS will only show cards requested through that system. • Can check ID card status through the portal. Will give full ID issuance history, including addresses cards were sent to.

11. Example of 2 active cards Look here for card status.

12. Other Known Issues • If the child has SSI benefits, updates from SSA are changing names, SSNs &/or addresses back to previous. SSA should be notified. • If the child was previously in another case, an update to that case may cause the child’s information to be changed. • This happens most often with CARES or manual certs. submitted by county workers. • Working on protecting demographic information for FC and SA children.

13. Contacts • Password Reset or Technical Issues: • Portal Help Desk: 866-908-1363 or wiedi@wisconsin.gov • Paper 3070s: • Fax the form to EDS/HP at 608-221-8815, attn. Pat Wagner • Removing HMO from a child’s file: • Contact EDS/HP Ombuds Staff: 800-760-0001 • For guardians to call for ID card requests, general Medicaid and benefit coverage questions, provider issues: • Member Services: 800-362-3002 • Problems with private insurance on file: • EDS/HP TPL Unit: 608-221-4746 ext. 50058

14. Questions?