The following is information for children and families of children who are enrolled in Care4Kids:
Developing a Care Plan
Each child who is enrolled in Care4Kids has a team of people who work together to develop a care plan that meets the specific needs of the child. The team includes a health care coordinator; an outreach coordinator; a child welfare worker; family members; foster parents, if applicable; and health care providers (the child’s doctors). The team makes sure the care plan continues to meet the child’s needs and changes the plan if necessary.
Picking a Doctor
Care4Kids uses a health maintenance organization (HMO) called Children’s Community Health Plan (CCHP)* to provide services. You can pick any doctor or provider in CCHP to provide services for a child enrolled in Care4Kids.
The following is accreditation information for CCHP:
|Accredited?||Name of Accrediting Entity||Accreditation Program||Accreditation Level||Accreditation Dates|
|Yes||National Committee for Quality Assurance (NCQA)||Health Plan Accreditation—Medicaid HMO||Interim||June 10, 2016–December 10, 2017|
* Care4Kids is a Foster Care Medical Home. Robert Duncan serves as executive vice president.
Using the ForwardHealth Card
Shortly after becoming enrolled in Care4Kids, children will get a plastic ForwardHealth card in the mail unless they used to be enrolled in BadgerCare Plus, Medicaid, or the Family Planning Only Services Program.
If they used to be enrolled in BadgerCare Plus, Medicaid, or the Family Planning Only Services Program, they will not automatically get a new ForwardHealth card. They can use the same card they used before if they still have it. If they do not have their ForwardHealth card, call Member Services at 1-800-362-3002 to ask for a new card.
The ForwardHealth card will include the child’s name, a 10-digit identification number, a magnetic stripe, a place for the signature of the child’s parent or foster parent, and the Member Services telephone number. Once the child gets the ForwardHealth card, parents or foster parents should sign it in the space provided.
Show the child’s ForwardHealth card before a doctor’s appointment or when picking up a prescription at a pharmacy.
Before the child gets services, tell the child’s doctor that the child is enrolled in Care4Kids. The doctor must tell you whether or not a service is covered by Care4Kids. If a service is not covered by Care4Kids and the child still gets the service, you will have to pay for it.
Note: If the child needs emergency services, try to go to a Care4Kids doctor if you can. If you are unable to go to a Care4Kids doctor, go to the nearest doctor and tell Care4Kids what happened as soon as you can.
If you have questions about Care4Kids, you can contact the Care4Kids staff at the Children’s Community Health Plan by:
- Email. Note: Do not include any medical information (sometimes called protected health information or PHI) in your email as email is not secure.
- Phone at 1-855-371-8104. Care4Kids staff is available from 8:00 a.m.–6:30 p.m. Monday through Thursday and from 8:00 a.m.–4:00 p.m. on Friday.