MedicaidAdministrativeMedium impact
Wisconsin Medicaid will continue to require claims for timely filing appeals, formerly late billing appeals, to be submitted on paper
Wisconsin Medicaid (ForwardHealth)·WI·Billing
Effective date
Jul 1, 2003
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid will continue requiring timely filing appeals (formerly late billing appeals) to be submitted on paper using a new form HCF 13047, as electronic claim attachments are not yet standardized under HIPAA. All appeals must be submitted within 365 days of service date to a specific Madison address.
Action Required
Immediately: Wisconsin providers must download and use the new Timely Filing Appeals Request form (HCF 13047) from the Wisconsin Medicaid website for all late claim submissions. Update billing procedures to submit paper appeals to Wisconsin Medicaid, Timely Filing, Ste 50, 6406 Bridge Rd, Madison WI 53784-0050. Train staff on new form requirements and 365-day filing deadline. Failure to use proper form and process may result in claim denials.