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WISEWOMAN Program

WISEWOMAN Program

WISEWOMAN (Well-Integrated Screening and Evaluation for WOMen Across the Nation) helps participants understand their cardiovascular disease (CVD) risk factors and make healthy lifestyle choices.

WISEWOMAN is a federal program funded by the Centers for Disease Control and Prevention (CDC) and administered in Michigan by the Michigan Department of Health and Human Services.

The information on this page explains various aspects of our program. If you are not able to find what you are looking for, please email us at MDHHS-MIWISEWOMAN@michigan.gov. Call 844-446-8727 (TTY 711) if you have questions or need help enrolling. Interpreters available.
 

Two women at a farm market gathered around watermelons A sunny day at a local farm market offers fresh produce and big smiles

  • The Michigan WISEWOMAN program has three main focus areas with relation to its participants.

    1. Identify and communicate risk factors for cardiovascular disease (CVD), stroke, diabetes, and other chronic diseases. Enrolled participants undergo a health assessment and risk reduction counseling. These services give participants the opportunity to decide if they would like to set a goal to improve their diet, physical activity, and other lifestyle behaviors.
       
    2. Encourage healthy lifestyle choices. Health coaches work with each participant to make lifestyle behavior changes that will help to prevent, delay, and control cardiovascular and other chronic diseases.
       
    3. Ensure access to health services to all communities.
    • Local WISEWOMAN agencies address access to health services by identifying women at higher risk of heart disease in their service areas and enrolling them in WISEWOMAN.
    • Once in the program, many participants find it difficult to think about making healthy lifestyle choices when they are having trouble paying rent, utilities, or buying food for their families. Michigan WISEWOMAN makes referrals to Michigan 211, where participants are connected to a community navigator who helps them access social services. Michigan WISEWOMAN also helps participants stay engaged in the program by offering tools to help minimize barriers.
       

    Who is eligible for the WISEWOMAN program?

    Those who are eligible for the WISEWOMAN program include individuals who are:

    Eligible clients who will benefit from this program include those who are at increased risk of heart disease and need preventive health screenings as part of their wellness routine.
     

    Senior African American/Black mother with daughter outside in park-like setting

    For more information about the WISEWOMAN program, please call 844-446-8727 (TTY 711) or email MDHHS-MIWISEWOMAN@michigan.gov.

  • Check eligibility and find a local coordinating agency

  • Heart disease and cancer are the leading causes of death for Michigan women. To address this issue, the MDHHS Cancer Prevention and Control Section offers screening programs especially for women:

    The Cancer Section began the Women’s Health Partnership to partner with organizations to help promote these screening programs. Partner organizations:

    • enroll women for lifesaving health screenings;
    • engage women in services for themselves and their families; and
    • help women take advantage of free health services in the communities they serve.

    Find out more about the Women's Health Partnership and how you can help.

    Middle-aged woman in park, wearing work-out clothing with towel over shoulder and replica of a heart in her hand

  • Mailing Address:
    Michigan Department of Health and Human Services
    Cancer Prevention and Control Section
    WISEWOMAN Program
    P.O. Box 30815
    Lansing, MI 48909

    Enrollment: 844-446-8727 (TTY 711)

    Interpreters Available.

    Claim Status: 866-930-6324

    Claim Questions: MDHHS-Claims-CAN@michigan.gov

    Secure Fax: 517-763-0290

    Email: MDHHS-MIWISEWOMAN@michigan.gov

    Two African American women embracing - happy!

  • Below are WISEWOMAN's program-approved procedures, rates, diagnosis codes, place of service, and revenue codes.

    WISEWOMAN is a federally funded program and not an insurance company. Our rates are based on the Centers for Medicare & Medicaid Services (CMS) at or below the Detroit rates, and our approved procedures are provided to us by our funder, the Centers for Disease Control and Prevention (CDC). Rates are reviewed bi-annually in January and July, but are subject to change at any time without notice.

    If you have questions, please email MDHHS-Claims-CAN@michigan.gov.
     

    Reimbursement Rate Schedules and Billing Grids

    Please Note: Both the WISEWOMAN Program Unit Cost Reimbursement Rate Schedules and the WISEWOMAN Program Billing Grids utilize Current Procedural Terminology (CPT) codes, which are copyrighted by the American Medical Association and used by the Michigan Department of Health and Human Services under a licensing agreement.

    Clicking the following link will take you to a gateway webpage summarizing the terms and conditions of the license and asking for your agreement that you will use the codes as presented in this licensing agreement.

    Important: You must agree by clicking on the “Accept” option at the bottom of the CPT gateway page to gain access to the WISEWOMAN Program Unit Cost Reimbursement Rate Schedules and WISEWOMAN Billing Grids.

    Claims-Related Documents

    Claim Submission and Status Information

     
    Paper Claim Submission Address:
    BC3NP & WISEWOMAN Claims
    Elliott-Larsen Building
    320 S. Walnut St., 5th Floor
    Lansing, MI 48933
     

    Claim Status:
    In order to provide the most complete and timely claim status, we ask that you fax a copy of your UB-04 or HCFA-1500 claim form to our secure fax line at 517-763-0290. Be sure to include your email address and phone number so we can reach you.

    Please do not fax new claim submissions.

    Phone (Toll-Free): 866-930-6324
     
    If you have questions, please email MDHHS-Claims-CAN@michigan.gov.
     

  • Please email MDHHS-MiWISEWOMAN@michigan.gov with any questions you may have about the WISEWOMAN program.

    Thank you!

  • Below are WISEWOMAN's program-approved forms. Information on the forms with an asterisk (*) is mandatory, and if not filled out when the forms are submitted, may delay enrollment/ processing/ reimbursement/ etc. If you have any questions or need help locating a form, please email MDHHS-MIWISEWOMAN@michigan.gov.