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Wisconsin ForwardHealthMedicaid · Billing Codes · Provider Update · WI · PM&R (Physical Medicine & Rehab), Pediatrics, NeurologyMedium impact

ForwardHealth Update 2026-13: ForwardHealth Revises Adaptive Stroller Policy

Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
Jun 18, 2026

Summary

ForwardHealth is eliminating the all-inclusive E1035 code for adaptive strollers and requiring providers to use specific HCPCS codes with a UA modifier plus separate line items for accessories. This change aligns with national coding standards and affects prior authorization and billing processes.

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What to do

by Jul 1, 2026 · 4 steps
01Billing team must stop using HCPCS code E1035 for adaptive strollers and instead use appropriate wheelchair codes (E1161 or E1231-E1238) with UA modifier for the base unit.
02Update prior authorization forms and claims to list all accessories as separate line items.
03Update billing system to apply process type 130 for adaptive stroller PA requests.
04For PAs approved before July 1, 2026, continue using E1035 per old policy.

Codes mentioned

E1035E1161E1231E1232E1233E1234E1235E1236E1237E1238

Original notice

ForwardHealth Update 2026-13: ForwardHealth Revises Adaptive Stroller Policy
forwardhealth.wi.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Wisconsin ForwardHealth policiesWI policy changesPM&R (Physical Medicine & Rehab)PediatricsNeurologyCode E1035Code E1161Code E1231Code E1232Code E1233Code E1234Code E1235Code E1236Code E1237Code E1238

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