Guidance on referring a client into WWC

Referring a client into WWC for diagnostics is a unique type of referral:  

• A WWC diagnostic referral occurs when a client has screening procedures paid using non-WWC funds and is subsequently enrolled in WWC for coverage of her diagnostic work-up.
• When referring a client in for WWC diagnostics, select “Referred in for Diagnostic Evaluation” in the Current Pap Reason or Current Mammogram Reason field in the Medical History Section.
• The date of Mamm or Pap referral should match the date of the first WWC funded diagnostic procedure.
• Enter all screen procedures. Note that they must be non-WWC funded. If your organization is requesting reimbursement for screening procedures, change the Current Mam/Pap reason from “Referred in for Diagnostic Evaluation” to a more appropriate selection.
• After entering the screening procedures funded by a source other than WWC, enter the WWC-funded diagnostic procedures.
• Entering a Final Diagnosis is required for all clients referred into WWC for diagnostics.