MedicaidAdministrativeMedium impact
Summary of Wisconsin Medicaid handbooks published in 2001, New fax cover sheet, HCF 1176 available for prior authorization requests, Medicaid Basic Training offered, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·WI·Prior Authorization
Effective date
Jan 1, 2002
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid published new handbooks in 2001 and introduced a new fax cover sheet (HCF 1176) for prior authorization requests. Providers are strongly urged to use the new cover sheet when faxing PA requests to help verify complete transmission and expedite processing.
Action Required
Immediately: Download and begin using the new fax cover sheet (HCF 1176) for all Wisconsin Medicaid prior authorization requests. Complete all required fields including date, number of pages, provider contact info, Medicaid provider ID, and fax number. Fax PA requests only to (608) 221-8616. Contact fax clerk at (608) 221-4746 ext. 3064 with faxing questions.