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• Former Foster Care Youth • Anyone receiving services through Express Enrollment • Pregnant women 21.5.3 Copay Exempt Programs Copays will not be charged for members enrolled in the following subprograms: • Family Planning Only Services • Institutional Medicaid (not including childless adults (CLAs) enrolled in BadgerCare Plus and residing in an institution) • Katie Beckett • Wisconsin Well Woman Medicaid 21.5.4 Copay Exempt Services The following services do not require copayment: • Case management services. • Crisis intervention services. • Community support program services. • Emergency services. • Family planning services, including sterilizations. • HealthCheck. • HealthCheck "Other Services." • Home care services. • Hospice care services. • Immunizations. • Independent laboratory services. • Injections. • Private Duty Nursing (PDN) and PDN services for ventilator-dependent members. • Pregnancy related services. • Preventive services with an A or B rating from the U.S. Preventive Services Task Force. • Residential substance use disorder treatment services. • School-based services. • Substance abuse day treatment services. • Surgical assistance. Providers are required to make a reasonable effort to collect the copayment. Copayments range from $0.50 to $3.00 for each procedure or service. Providers may not refuse services to an EBD Medicaid member who fails to make a copayment. This page last updated in Release Number: 21-01 Release Date: 03/29/2021 Effective Date: 03/29/2021 21.6 HMO Enrollment In Wisconsin, health maintenance organization (HMO) refers to managed care organizations that contract with health care providers and facilities to provide services for BadgerCare Plus and the Medicaid for Elderly, Blind or Disabled programs.