MedicaidAdministrativeMedium impact
Managed Care Organization Changes Affecting Members in Northwestern Wisconsin
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jan 1, 2014
We identified it
Jun 20, 2026
Summary
NorthernBridges managed care organization will no longer provide Family Care services to Medicaid members in 11 northwestern Wisconsin counties effective January 1, 2014. Community Care of Central Wisconsin will become the new MCO for these members, requiring billing teams to update member enrollment verification processes.
Action Required
Before January 1, 2014: Billing team must verify enrollment for all Medicaid members in Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, and Washburn counties in Wisconsin on each date of service using Wisconsin's Enrollment Verification System. Update member enrollment records to reflect Community Care of Central Wisconsin as the new MCO. Check ForwardHealth Portal for updated enrollment information to avoid claim denials.