MedicaidAdministrativeMedium impact
Release of billing or medical information by providers, Medicaid Basic Training offered in May and June, What's new on the Medicaid and BadgerCare Web sites
Wisconsin Medicaid (ForwardHealth)·WI·Billing
Effective date
Apr 1, 2002
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid has updated procedures for how providers must handle requests for billing or medical information relating to Medicaid recipients. Providers must now notify Wisconsin Medicaid when releasing billing information (with specific exceptions) and follow different protocols based on who is requesting the information.
Action Required
Immediately: Billing and medical records staff must implement new procedures for releasing Medicaid recipient billing information. Stop sending itemized billings directly to Medicaid recipients - forward all such requests to Wisconsin Medicaid Coordination of Benefits. Obtain signed releases for attorney/insurance requests and notify Wisconsin Medicaid with copies. For managed care enrollees, send requests directly to the managed care program. Update staff training on information release protocols to ensure HIPAA compliance.