Launching: Early 2026
Type: Medicaid
Program Goal: Food as Medicine Program
Target Population: These patients are post discharge from the hospital and likely have one or more cardiometabolic conditions (cardiovascular disease, diabetes, high blood pressure, high cholesterol, or obesity). We also plan to see high risk maternal/ postpartum patients in this population.
States: Wisconsin
RD Requirements:
Health Plan Credentialing | State Medicaid Enrollment | Foodsmart Credentialing Requirements |
CAQH Application - Profile Updated | N/A | Medallion Credentialing Application, Copies of CDR, license in home state and where pt resides, CV |
Benefits Overview:
Video Required
| # of Allowed Visits per year
| # of Allowed Units per Visit
| Schedule Cadence
| Billing Codes |
No | 7
If a member completes 3 visits in 3 months they can continue for additional follow ups | 4 units initial 2 unit follow up (30 minute follow ups) | 1 visit per month up to 6 months | Initial: 97802 Follow Up :97803 |
Physician Review for Elevance WI:
For Elevance WI we are required to have our Medical Director review your charts before they can be sent for billing. We have built this workflow directly into FFD.
When you go to submit your chart for these members, you will now see an option to “Send to physician for review” and will not be able to select “Finalize and submit to billing”.
Once you send this to our MD, he will either submit the claim on your behalf or provide feedback on something that needs to be fixed in your chart. If changes are needed, you will see a task show up with comments. You will then be able to fix the chart and re-submit in the same way.
Nutriquiz | SNAP Required
| Risk Assessment Required | Find Help |
Required at Visit 1 and 1 follow up
| Yes
| No | Recommended in Visit 2 |
Food Benefits:
Foodsmart Bucks | Foodboxes/MTM | Food Selection Instructions |
No | YES Vendor is Food For Health
Up to 24 weeks of MTM (lifetime max)
| All members who are part of this plan will receive meals. You do not have to screen for meals. |
Extra Information:
Collect patient reported data and document values in FFD at each visit.
Weight
Blood Pressure
A1C
LDL
HDL
Helpful Programs:
Sample Visit Topics:
Visit Number | To-Dos |
1 Get to Know, NutriQuiz (baseline measurements, Food Insecurity Screening, Introduction to Foodsmart Program) | Building Rapport, NutriQuiz, Baseline Measurement |
2 SNAP application (if applicable) / MNT / Foodsmart Program | Find Help Referral, Reminder of Well Child visit (for maternal pts), SNAP application |
3 MNT / Foodsmart Program | MNT/ Foodsmart Program, NutriQuiz, Biometrics |
4 MNT / Foodsmart Program | Biometrics |
5 MNT / Foodsmart Program | Biometrics, Find Help Referrals (if needed) |
6 Planning for self monitoring / self management for the future | Biometrics |
Please see the following link of Overview of Health Plans for info on all health plans.