MedicaidAdministrativeHigh impact
HIPAA affects all providers — not just those who submit electronic claims
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
We identified it
Jun 20, 2026
Summary
HIPAA compliance affects all Medicaid providers, not just those submitting electronic claims. Wisconsin Medicaid will eliminate local codes and adopt standardized medical code sets (CPT-4, HCPCS, ICD-9-CM, etc.) and non-medical code sets, requiring changes to paper billing processes and forms.
Action Required
Monitor Wisconsin Medicaid Updates and HIPAA inSights for specific implementation timelines. Prepare to transition from local codes to standard medical code sets including CPT-4, HCPCS, CDT, NDC, and ICD-9-CM. Plan to attend Wisconsin Medicaid HIPAA training sessions scheduled for 2003. Review internal systems and business processes for HIPAA compliance requirements.