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MedicaidAdministrativeLow impact

Change to Non-emergency Medical Transportation Services Appeals Process

Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

The appeals process for non-emergency medical transportation services has been expanded. Members who are denied transportation benefits can now appeal beyond the Wisconsin DHS to the Department of Administration's Division of Hearings and Appeals for a fair hearing, while other decisions remain final at the DHS level.

Action Required

Action needed
Immediately: Update patient information materials and staff training to reflect the new appeals process for non-emergency medical transportation denials. Inform patients that transportation benefit denials can be appealed to the Wisconsin Department of Administration's Division of Hearings and Appeals after using the DHS appeals process first.