Wisconsin Chronic Disease Program

The Wisconsin Chronic Disease Program (WCDP) offers assistance to Wisconsin residents with chronic renal disease, hemophilia, and adult cystic fibrosis. The WCDP is funded entirely by state dollars. The program pays health care providers for disease-related services and supplies provided to certified WCDP members after all other sources of payment have been exhausted.

WCDP members are responsible for certain copayments and annual deductibles determined by the program. Members whose annual income exceeds 300 percent of the Federal Poverty Level must pay a certain percent of out-of-pocket expense before becoming eligible to receive WCDP benefits. The state seeks repayment of WCDP benefits provided to members under the Estate Recovery Program.

Chronic Renal Disease Program

To be eligible for the state funded Chronic Renal Disease Program (CRD), members must be Wisconsin residents diagnosed as having end-stage renal disease. In addition, members that are eligible for Medicare must pay Medicare Part B premiums in order to receive WCDP renal disease benefits. If the member is eligible for Medicare but chose to delay Medicare participation, the member is not eligible to receive WCDP renal disease benefits until the member begins paying Medicare Part B premiums.

If a CRD member is a Medicare participant at the time of application, the eligibility date is determined by the date of the initial treatment. However, if the member is Medicare-eligible but has chosen not to pay for premiums, the WCDP eligibility date is designated as the date that Medicare benefits are initiated.

CRD members are eligible to receive the following WCDP covered services:

  • Inpatient and outpatient dialysis and transplant treatments.
  • One pre-transplant dental examination, and X-rays.
  • Kidney donor transplant-related medical services.
  • Certain prescription medications.
  • Certain home supplies.
  • Certain laboratory and X-ray services.
CRD Forms and Publications
  • Financial Need Cover Memo - F-01194, Statement - F-01189, and Instructions -F-01189A
  • Application - F-01186, and Instructions - F-01186A
  • Residency and Health Care Benefits Verification - F-01143
  • Income Deductible for the Wisconsin Chronic Disease Program - P-01190
  • Important Notice about the Wisconsin Chronic Renal Disease Program Drug Benefit - F-01058
  • Liability Chart - P-01193
  • Wisconsin Chronic Renal Disease Program Brochure - P-01147A

Hemophilia Home Care Program

To be eligible for the state funded Hemophilia Home Care (HHC) program, the member must be a Wisconsin resident diagnosed by a comprehensive hemophilia treatment center as having hemophilia. The member must also enter into a written agreement with a comprehensive hemophilia treatment center for compliance with a maintenance program. Hemophilia Home Care members become eligible for Wisconsin Chronic Disease Program (WCDP) benefits on the date the application is received by the WCDP.

Hemophilia Home Care members are only eligible to receive services for blood derivatives and supplies necessary for home infusion. A $10 member copay will be applied to each prescription and blood product covered by the program.

HHC Forms and Publications

  • Financial Need Cover Memo - F-01195, Statement - F-01187, and Instructions - F-01187A
  • Application - F-01184, and Instructions - F-01184A
  • Residency and Health Care Benefits Verification - F-01145
  • Income Deductible for the Wisconsin Chronic Disease Program - P-01190
  • Liability Chart - P-01191

 

Adult Cystic Fibrosis

To be eligible for the state funded Adult Cystic Fibrosis Program (ACF), a member must be a Wisconsin resident diagnosed by the medical director of a cystic fibrosis treatment center as having cystic fibrosis and be 18 years of age or older. Adult cystic fibrosis participants are not eligible for retroactive eligibility; therefore, they become eligible for Wisconsin Chronic Disease Program (WCDP) benefits on the date the application was received by the WCDP.

Adult Cystic Fibrosis members are eligible to receive the following WCDP covered services:

  • Inpatient and outpatient services directly related to the disease.
  • Certain physician services.
  • Certain laboratory and X-ray services.
  • Certain prescription medications.
  • Certain home supplies.

ACF Forms and Publications

  • Financial Need Cover Memo - F-01196, Statement - F-01188, and Instructions - F-01188A
  • Application - F-01185, and Instructions - F-01185A
  • Residency and Health Care Benefits Verification - F-01144
  • Income Deductible for the Wisconsin Chronic Disease Program - P-01190
  • Liability Chart - P-01192
 

 

Estate Recovery Program

WCDP Publications

  • Wisconsin Chronic Disease Program Member Handbook - P-01147.
  • Wisconsin Chronic Disease Program Policies Coverage of Enteral Nutrition Products - P-01147B.

HIPAA Privacy Forms and Publications

  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Authorization for Use or Disclosure - F-13153
  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Access Request - F-13154
  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Accounting Request - F-13155
  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Alternate Communication Request - F-13156
  • Wisconsin Chronic Disease Program (WCDP) HlPAA Privacy Amendment Request - F-13157
  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Complaint - F-13158
  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Restriction Request - F-13159
  • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Revocation of Authorization - F-13160
  • HIPAA Privacy Publications
    • Wisconsin Chronic Disease Program (WCDP) HIPAA Privacy Notice - P-13091.
Last Revised: January 26, 2017