SIGNED FINAL 7-27-2022 MOU Sauk County Health Dept. (PNCC) and Anthem Blue Cross Blue Shield

MEMORANDUM OF UNDERSTANDING
BETWEEN PRENATAL CARE COORDINATION PROVIDER AND HMO
INSTRUCTIONS
Prenatal Care Coordination (PNCC) services are paid fee-for-service by Wisconsin Medicaid and 
BadgerCare Plus for all members, including those enrolled in state-contracted HMOs. The PNCC 
provider may not determine the need for specific medical care, or make referrals directly to 
providers of medical care, for services covered under the HMO contract. The HMO is responsible for 
managing the member's overall care. The HMO and the PNCC provider agree to facilitate inter-agency 
communication and inform staff from both the HMO and the PNCC agency about the policies and 
procedures for this cooperation, coordination, and communication.

PURPOSE AND SCOPE
Wisconsin Medicaid and BadgerCare Plus require the establishment of a memorandum of understanding 
(MOU) between PNCC providers and HMOs. The MOU recognizes that the PNCC agency and the HMO have 
"clients-in-common" and agree to cooperate in removing access barriers, coordinating care, and 
providing culturally competent services. The MOU provides a framework for establishing a working 
relationship between both entities.

PERIOD OF AGREEMENT
This MOU becomes effective on the date that both the HMO and the PNCC provider have signed it. The 
MOU remains in effect for
three years from the date of the last signature. At the end of the three-year term, the MOU must be 
renewed in order to remain in effect. If the MOU is not renewed, it will expire.

This MOU may be amended at any time.by mutual agreement, with the changes noted in a signed and 
dated addendum to this document.