MedicaidAdministrativeHigh impact
Wisconsin Medicaid Will Stop Accepting Claims in Pre-HIPAA Electronic Formats Before the End of 2004
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Dec 31, 2004
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid will stop accepting claims in pre-HIPAA electronic formats (HCFA 1500 and UB-92 layouts) before the end of 2004. All providers must transition to HIPAA-compliant electronic claim submission formats to ensure continued reimbursement.
Action Required
Before end of 2004: Billing team must transition from pre-HIPAA electronic formats (HCFA 1500 80-byte, UB-92 80-byte, and UB-92 192-byte) to HIPAA-compliant claim submission. Contact billing services, IT department, or clearinghouses to verify HIPAA compliance status. Download free HIPAA-compliant Provider Electronic Solutions (PES) software from Wisconsin Medicaid website. Failure to transition will result in claim rejection after the cutoff date.