MedicaidAdministrativeMedium impact
Affordable Care Act Risk Level Classifications by Provider Type
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Mar 8, 2013
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid is implementing new ACA-compliant risk level classifications (Limited, Moderate, High) for all enrolled providers effective March 8, 2013. Different provider types will undergo specific screening activities including onsite visits, license verification, and database checks based on their assigned risk level.
Action Required
By March 8, 2013: All Wisconsin Medicaid providers must comply with new risk level classification requirements based on provider type. High and moderate risk providers must prepare for mandatory onsite visits before and after enrollment. All providers should verify current license status and ensure compliance with screening requirements including LEIE/SSA/EPLS database checks. Monitor ForwardHealth Portal for future updates on fingerprinting requirements for high-risk providers.