MedicaidAdministrativeMedium impact
Policy Requirements for Use of Electronic Signatures on Electronic Health Records
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Dec 1, 2013
We identified it
Jun 20, 2026
Summary
ForwardHealth (Wisconsin Medicaid programs) now accepts electronic signatures on electronic health records as an alternative to handwritten signatures, provided specific technical and security requirements are met. Providers must implement proper authentication, audit logging, and security safeguards to use electronic signatures.
Action Required
For providers using electronic signatures on EHRs for Wisconsin Medicaid programs: Ensure your EHR system meets all technical requirements including unique user identification, audit logging per 45 CFR 170.210(b), SHA-1 hashing algorithm, and HIPAA security safeguards. Establish written policies for electronic signature use and conduct annual staff reviews. Maintain confidential documentation of which electronic signatures belong to each provider. Failure to meet requirements may result in reimbursement recoupment.