MedicaidReimbursementMedium impact
New fee schedules and order form
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jul 1, 1998
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid has revised fee schedules due to July 1, 1998 maximum allowable fee increases and added six new service-specific fee schedules. Providers must bill their usual and customary charges for most services, with reimbursement being the lesser of the billed amount or maximum allowable fee.
Action Required
Immediately: Wisconsin Medicaid providers must obtain updated fee schedules for case management, crisis intervention, home care, prenatal care coordination, school-based services, and tuberculosis-related services. Order fee schedules using revised Appendix 38 order form or download free from EDS-EPIX bulletin board. Replace current Appendix 38 in provider handbook with revised version. Ensure billing reflects usual and customary charges for Medicaid recipients same as private pay patients.