MedicaidAdministrativeMedium impact
Changes in Wisconsin Medicaid recipient identification numbers and names
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid clarifies that providers should proceed with services when the Eligibility Verification System (EVS) shows a patient is eligible, even if the patient's Forward card shows a different 10-digit ID number or name. Claims can be submitted using either the old or new ID numbers/names due to cross-referencing in the system.
Action Required
Immediately: Train front desk and billing staff to always verify Wisconsin Medicaid eligibility through EVS before providing services, even when patient Forward card information differs. Proceed with services if EVS confirms eligibility. Submit claims using either the Forward card information or EVS information - both will process due to cross-referencing. Update staff protocols to use EVS as the authoritative source for eligibility verification.