Back to dashboard
MedicaidAdministrativeMedium impact

Notifying Wisconsin Medicaid when changing addresses, Always check a pregnant woman's Medicaid eligibility for HMO enrollment, Medicare managed care services not reimbursable by Wisconsin Medicaid, Reminder: HIPAA information-sharing sessions scheduled for May and June, What's new on the Medicaid Web site

Wisconsin Medicaid (ForwardHealth)·WI · OB-GYN·Medical Policy
Effective date
Apr 1, 2001
We identified it
Jun 20, 2026
Days to comply

Summary

Wisconsin Medicaid requires providers to immediately notify them of any address changes using the official Provider Change of Address form, and emphasizes checking pregnant women's Medicaid HMO enrollment status at every appointment. Additionally, Wisconsin Medicaid will not provide additional reimbursement for services already paid by Medicare managed care programs.

Action Required

Action needed
Immediately: Providers must use the Wisconsin Medicaid Provider Change of Address form for any physical or payee address changes - do not rely on updating claim forms. Billing team should verify pregnant patients' Medicaid HMO enrollment status at every appointment to prevent claim denials. Stop expecting additional Wisconsin Medicaid reimbursement for services already paid by Medicare managed care programs.