MedicaidAdministrativeMedium impact
Clarification of prior authorization fax procedures, Reminder: HIPAA information-sharing sessions scheduled for May and June, HIPAA inSight, Electronic claims submission deadlines and Medicaid holiday schedule for 2001, What's new on the Medicaid Web site
Wisconsin Medicaid (ForwardHealth)·WI·Prior Authorization
Effective date
May 1, 2001
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid has clarified prior authorization fax procedures, requiring PA requests be faxed by 1:00 PM to be processed same day, submitted to (608) 221-8616 only, and providers must not mail original forms after faxing to avoid duplicates. The policy also introduces HIPAA inSight publication and discontinues HIPAA Up-to-date articles.
Action Required
Immediately: Update prior authorization workflow to fax requests to (608) 221-8616 by 1:00 PM for same-day processing. Train staff to never mail original PA forms after faxing to prevent duplicate requests and processing delays. Ensure faxed copies are clear and legible, and include provider fax number for response delivery.