MedicaidReimbursementMedium impact
ForwardHealth Is Postponing Implementation of New Reimbursement Policy for Certain Claims and Claim Adjustments with Other Commercial Health Insurance Indicated
Wisconsin Medicaid (ForwardHealth)·WI·Billing
We identified it
Jun 20, 2026
Summary
ForwardHealth is postponing implementation of a new reimbursement policy for claims with other commercial health insurance that was scheduled to take effect June 16, 2014. The postponement means providers should continue current billing practices for dual coverage claims, but new requirements for submitting detailed other insurance information still take effect as planned.
Action Required
Continue current billing practices for BadgerCare Plus and Medicaid claims with other commercial insurance coverage. Do not implement the postponed reimbursement calculation changes. Continue to submit HIPAA claim adjustment reason code 45 as currently required. Monitor ForwardHealth Updates for future announcements regarding when the postponed reimbursement policy will be implemented.