MedicaidAdministrativeMedium impact
DHFS reorganizes Division of Health, How to read a Medicaid fee schedule, Wisconsin Medicaid expands Automated Voice Response system for providers
Wisconsin Medicaid (ForwardHealth)·WI·Billing
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid reorganized into two divisions and updated their fee schedule reading instructions and Automated Voice Response system. This provides guidance on understanding Medicaid fee schedules and accessing enhanced eligibility verification services.
Action Required
Wisconsin providers should: 1) Update contact information for the new Division of Health Care Financing for Medicaid-related issues, 2) Review the fee schedule reading instructions to ensure proper understanding of PACs, TOS codes, and reimbursement rates, 3) Begin using the enhanced AVR system for eligibility verification and retain transaction log numbers as proof of eligibility inquiries, 4) Download updated fee schedules from EDS-EPIX bulletin board system.