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WISCONSIN DEPARTMENT OF HEALTH SERVICE: Wisconsin Medicaid Provider Enrollment Application on the ForwardHealth Portal In-Person Support

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By: SD Network
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Do you need help completing a Wisconsin Medicaid provider enrollment application on the ForwardHealth Portal? Join Department of Health Services for in-person support

If you are an adult long-term care (LTC) waiver services provider, the deadline to submit your Wisconsin Medicaid application through the ForwardHealth Portal (the Portal) is coming soon! It is important to enroll with Wisconsin Medicaid as soon as possible to make sure you continue to be paid by managed care organizations (MCOs) or IRIS (Include, Respect, I Self-Direct) fiscal employer agents (FEAs).

If you are looking for someone to help you enroll, the Wisconsin Department of Health Services (DHS) is hosting six in-person support sessions throughout the State of Wisconsin.
 

Find an in-person support session near you


Check out the table below to find the dates and locations for each support session. Sessions are from 8 a.m.–5:30 p.m. and each session is one hour. Sign up for an in-person support session to reserve your time slot.

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Sign up for an in-person support session

What do you need to bring?

  • Any ownership or controlling interest information related to the adult LTC provider (Refer to ForwardHealth Online Handbook Terminology to Know for Provider Enrollment topic #14317 for definitions of ownership or controlling interest.)
  • Criminal conviction and termination disclosure information
  • Address information, including Practice Location, Mailing Location, 1099 Mailing Location, and a valid email address
  • All tax information, including Taxpayer Identification Number (TIN) and TIN effective dates
  • License and certification information
  • Your own laptop, if you have one available

Additional enrollment resources

  • The enrollment checklist (PDF) has step-by-step instructions to walk you through the process.
  • The Adult LTC: Waiver Service Provider Enrollment recorded training demonstrates how to enroll.
  • The Provider Enrollment for Adult Long-Term Care page of the Portal has additional trainings and more information about provider enrollment.
  • The ForwardHealth Provider Services call center can help with any additional questions you have. Call 800‑947‑9627 and say “LTC Waiver” at the menu prompt. Representatives are available Monday–Friday, 7 a.m.–6 p.m. Central Time.
Provider Services: 800-947-9627Monday–Friday, 7 a.m.–6 p.m.ForwardHealth Portal

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