Members
How to Use iCare Medicaid SSI Services
Now that you are a member of iCare, we would like to let you know how to use the services we have to offer.
Your Care Coordinator
When you join iCare, we assign you to a Care Coordinator who can help you get the health care, social and community services you need. You can call your Care Coordinator to help you choose doctors and they can answer any questions you may have about your health care.
Referrals
The following servicse require a referral from your PCP:
- Oral Surgery
- Plastic Surgery
Prior authorizations also are required for certain procedures. Your PCP will know when you need a referral and/or prior authorization. If you do not receive a referral for the above services, talk to your PCP or call iCare Member Services at 1-800-777-4376 (TTY 1-800-947-3529).
Your ForwardHealth Card
Your ForwardHealth card is how your doctor will know you are a Medicaid member. Always carry your ForwardHealth ID card with you, show it every time you get care and tell your doctor that you belong to iCare. You may have problems getting care or medicine if you do not have your card with you. Also bring any other health insurance cards you may have.
Accessing Urgent Care
Urgent Care is care you need sooner than a routine doctor's visit. Urgent care is not emergency care. Do not go to a hospital emergency room for urgent care unless your doctor tells you to go there. Some examples of urgent care are:
- Most broken bones
- Minor cuts
- Sprains
- Bruises
- Non-severe bleeding
- Most drug reactions
- Minor burns
If you need urgent care, call iCare Member Services at 1-800-777-4376 (TTY 1-800-947-3529). We will tell you where you can get care. You must get urgent care from iCare network providers unless you get our approval to see a provider that is not with iCare.
Remember, do not go to a hospital emergency room for urgent care unless you get approval from your PCP first.
Away from Home Care
Follow these rules if you need medical care but are too far away from home to go to your PCP or clinic.
If You Move
If you are planning to move, contact your county Department of Social or Human Services. If you move to a different county, please note that you must also contact the Department of Social or Human Services in your new county to update your eligibility. If you move out of the iCare service area, call the MCO Enrollment Specialist at 1-800-291-2002. The Enrollment Specialist will help you choose a new Medicaid health plan.
Here are some helpful phone numbers for you to call regarding moves and address changes:
- Milwaukee County Change Center: 414-289-6000
- Kenosha County: (262) 697-4500
- Ozaukee County: (262) 284-8200
- Racine County: (262) 638-6353
- Sheboygan County: (920) 459-6400
- Washington County: (262) 335-4610
- Waukesha County: (262) 548-7280
You should also contact the Social Security Administration if you have SSI or Medicare.
- Social Security Recipient Services hotline at 1-800-362-3002
- Social Security Administration: 1-800-772-1213
Medicaid / SSI / BadgerCare Plus
PDF Resources
Listing of CMS approved iCare Medicare publications, Medicaid publications, third-party preventive health brochures.
- Abridged Formulary/iCare Medicare Plan 2012
- Abridged Formulary/iCare Partnership 2012
- Annual Notice of Change (ANOC)/iCare Medicare Plan 2012
- Annual Notice of Change (ANOC)/iCare Partnership 2012
- Anti-Smoking Quit Line (English)
- Anti-Smoking Quit Line (Spanish)
- Caregiver Background Check Policy
- Claim Form LTC Professional Services - Trizetto
- Claim Form LTC Residential Services - Trizetto
- CMS Appointment of Representative Form
- Comprehensive Formulary/iCare Medicare Plan 2012
- Comprehensive Formulary/iCare Partnership 2012
- Direct Mail Postcard/2012 Additional Benefits/iCare Medicare Plan
- Direct Mail Postcard/2012 OTC/iCare Medicare Plan
- Direct Mail Postcard/2012 Walgreens/iCare Medicare Plan
- Emergency Room Brochure
- Enrollment Form/iCare Medicare Plan 2012
- Evidence of Coverage/iCare Medicare Plan 2012
- Evidence of Coverage/iCare Partnership 2012
- FCP Provider Reference Manual
- First Tier, Downstream and Related Entities Fraud
- Formulary Change Notice (iCare Medicare Plan)
- Formulary Change Notice (iCare Partnership)
- Limited English Proficiency Policy/Procedures
- LIS Premium Summary Sheet 2012
- Member Handbook/BadgerCare Plus Core Plan
- Member Handbook/iCare Medicaid SSI
- Member Newsletter Summer/Fall 2011/iCare BadgerCare Plus
- Member Recertification Reminder/BadgerCare Plus Core
- Part D Coverage Determination Request Form
- Part D Prior Authorization Criteria/iCare Medicare Plan 2012
- Part D Prior Authorization Criteria/iCare Partnership 2012
- Part D Redetermination Request Form
- Pharmacy Listing/iCare Medicare Plan 2012
- Pharmacy Listing/iCare Partnership 2012
- Power of Attorney brochure
- Privacy Statement
- Program Brochure/Hmong/iCare Medicaid SSI
- Program Brochure/iCare BadgerCare Plus
- Program Brochure/iCare Medicaid SSI
- Program Brochure/iCare Partnership
- Program Brochure/Spanish/iCare Medicaid SSI
- Program Overview (Spanish)/iCare Medicaid SSI
- Program Overview (Spanish)/iCare Partnership
- Provider Directory/iCare BadgerCare Plus-Medicaid SSI
- Provider Directory/Pharmacy Directory/iCare Medicare Plan 2011
- Provider Directory/Pharmacy Directory/iCare Medicare Plan Expansion Counties 2012
- Provider Directory/Pharmacy Directory/iCare Medicare Plan Original Counties 2012
- Provider Reference Manual 2012
- Provider/Pharmacy Directory - iCare Partnership 2011
- Recertification Reminder (flyer)/BadgerCare Plus
- Report to the Community
- Self-Directed Supports Program Overview/iCare Partnership
- Step Therapy Prescription Drug Criteria/iCare Medicare Plan 2012
- Step Therapy Prescription Drug Criteria/iCare Partnership 2012
- Summary of Benefits/iCare Medicare Plan 2012
- Summary of Benefits/iCare Partnership 2012
- Transition Process
- Value to the Family
Call 1-800-777-4376 (TTY: 1-800-947-3529), from 8:00 a.m to 8:00 p.m.,
7 days-a-week, for further information about iCare.
