MedicaidAdministrativeMedium impact
Interim Payments Available to Providers during the Transition to ForwardHealth interChange
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Nov 4, 2008
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid is implementing a new system (ForwardHealth interChange) in November 2008 that may cause claim payment delays during transition. Providers experiencing delays can request interim payments of up to 75% of submitted claims using form F-13622, but these payments must be repaid within 60 days when claims are processed.
Action Required
If experiencing claim payment delays during system transition: Complete and submit form F-13622 to request interim payments up to 75% of unpaid claims. Fax completed form to ForwardHealth Financial Services at (608) 221-4567. Plan for repayment within 60 days when claims are processed. Note: This is temporary for transition period only.