MedicaidAdministrativeMedium impact
Wisconsin Medicaid will revise claim and prior authorization instructions as a result of HIPAA
Wisconsin Medicaid (ForwardHealth)·WI·Prior Authorization
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid is revising paper claim and prior authorization form instructions to comply with HIPAA Administrative Simplification provisions. Providers should monitor future Wisconsin Medicaid Updates for specific revised instructions, sample forms, and effective dates.
Action Required
Monitor Wisconsin Medicaid and BadgerCare Updates over the next several months for revised paper claim and prior authorization instructions. Billing team should watch for announcements containing new form samples, effective dates, and ordering information for updated forms.