What types of policy changes does Wisconsin Medicaid (ForwardHealth) issue?

Wisconsin Medicaid (ForwardHealth) regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does Wisconsin Medicaid (ForwardHealth) update its policies?

Wisconsin Medicaid (ForwardHealth) typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

What should I do when Wisconsin Medicaid (ForwardHealth) changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

Wisconsin Medicaid (ForwardHealth) Policy Changes 2026 | Prior Auth & Coverage Updates

Q: How many Wisconsin Medicaid (ForwardHealth) policy changes are tracked here?

This page currently tracks 50 documented Wisconsin Medicaid (ForwardHealth) policy changes. New items are added as they are identified.

Wisconsin Medicaid (ForwardHealth) Policy Changes & Prior Auth Updates

We track 50 documented policy changes from Wisconsin Medicaid (ForwardHealth) across WI. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original Wisconsin Medicaid (ForwardHealth) notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new Wisconsin Medicaid (ForwardHealth) updates automatically.

Low impact

Year 2000 — an opportunity to focus on contingency planning, Wisconsin Medicaid is Year 2000 ready, Reminder about who providers call if they have questions, Social Security Offices, What's new of the Medicaid web site, Attachment 1: President's Council on Year 2000 Conversation

Wisconsin Medicaid (ForwardHealth)·Identified Jun 20, 2026

This document appears to be a corrupted Year 2000 contingency planning notice from Wisconsin Medicaid dated 1999, discussing Y2K readiness and system preparations. The content is largely unreadable due to formatting corruption and does not contain current billing policy information.

The HIPAA standards, The HIPAA Electronic Transactions standard, HIPAA-compliant code sets, Implementation guides, Terms and definitions, HIPAA-related Web sites

HIPAA affects all providers — not just those who submit electronic claims

Wisconsin Medicaid will require NPI for All Health Care Providers

Reminder: Wisconsin Medicaid Is Collecting National Provider Identifiers from Health Care Providers

HIPAA-Compliant Data, Including National Provider Identifiers, Required for All Fields on Claims

Preparing for ForwardHealth interChange Implementation

Centers for Medicare and Medicaid Services to Begin Auditing Medicaid Providers

Providers Are Required to Report a Change in Ownership Within 35 Days

PrimeCare Network Change

Medicaid fiscal agent

Wraparound Milwaukee is now a managed care program

Wisconsin Medicaid restored for recipients who lost SSI

Provider-based billing

Wisconsin Medicaid remains intact with welfare reform

Health Care Connections (HCC)

What's new with special managed care

DHFS reorganizes Division of Health, How to read a Medicaid fee schedule, Wisconsin Medicaid expands Automated Voice Response system for providers

New Forward ID card implementation delayed

Changes in Wisconsin Medicaid recipient identification numbers and names

Wisconsin Medicaid will revise claim and prior authorization instructions as a result of HIPAA

Announcing Wisconsin Medicaid's companion document for the HIPAA-compliant 835 Health Care Claim Payment/Advice

Announcing Wisconsin Medicaid's companion documents for the HIPAA-compliant 837 health care claim or adjustment transactions

Free HIPAA-compliant claims submission software is available

Medicaid Provider Responsibilities Involving the Wisconsin Birth to 3 Program

New Place of Service Code for Pharmacy Services

Designating an Address for Prior Authorization Correspondence

Copayment Policy Clarification for Members in Foster Care, Subsidized Adoption, and the Katie Beckett Program

Electronic Funds Transfer Payments Available

Provider Recertification Conducted on the ForwardHealth Portal

Reminder Regarding Charging Members Fees for Health Care Records

Reminders Regarding Use of Unlisted, Not Otherwise Classified, Procedure Codes

Requirements Regarding the Confidentiality and Proper Disposal of Health Care and Related Records

Centers for Medicare and Medicaid Services-Mandated Recovery Audit Contractor to Begin Auditing

ForwardHealth Is Postponing Implementation of New Reimbursement Policy for Certain Claims and Claim Adjustments with Other Commercial Health Insurance Indicated

2015 CPT and HCPCS Procedure Code Changes

Important ForwardHealth Provider Enrollment Process Reminders

Legislative Update and Other Information

General Policy Clarification

Partnership Access to Independence Program (PAI)

Tuberculosis-TB on the rise

Center for Independent Living for Western Wisconsin — Partnership Is a New Managed Care Program

Claim Submission Deadline and Exceptions

Wisconsin Medicaid and SSI children: Questions and Answers, Medicaid HMO information, Medicaid fiscal agent (EDS) professional relations representatives list

Wisconsin Medicaid redesigns publications, Important information for timely prior authorization review and claims payment

Corrections to August Medicaid Update, Questions frequently asked by providers

New Medicaid ID card training session and vendor fair

Year 2000 — an opportunity to focus on contingency planning, Wisconsin Medicaid is Year 2000 ready, Reminder about who providers call if they have questions, Social Security Offices, What's new of the Medicaid web site, Attachment 1: President's Council on Year 2000 Conversation

New Milwaukee County Professional Relations representative

Medicaid's role in HIV-related health care, Resources in the Division of Public Health Wisconsin AIDS/HIV Program, List of AIDS Service Organization (ASO) regions in Wisconsin, List of local and national AIDS/HIV resources, and What's new on the Medicaid Web site

2001 Medicaid/BadgerCare managed care forums offered, The importance of distributing Updates, What's new on the Medicaid Web site, Identifying Family Care members