MedicaidBilling CodesHigh impact
ForwardHealth Will Not Issue Interim Payments for Claims Delayed Due to Lack of ICD-10 Readiness
Wisconsin Medicaid (ForwardHealth)·WI·Coding
Effective date
Oct 1, 2015
We identified it
Jun 20, 2026
Summary
ForwardHealth (Wisconsin Medicaid) will not provide interim payments for claims delayed due to lack of ICD-10 readiness after October 1, 2015. Claims submitted with invalid ICD-10 codes will be denied and must be resubmitted with valid codes.
Action Required
By October 1, 2015: Billing team must ensure all systems are updated to use valid, specific ICD-10 diagnosis codes for all ForwardHealth submissions. Verify billing software enforces ICD-10 code validity with required character counts. Contact clearinghouse/billing service to confirm their ICD-10 readiness. Claims with invalid ICD-10 codes will be denied and require resubmission.