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Wisconsin ForwardHealthMedicaid · Prior Auth · Prior Authorization · WI · ChiropracticMedium impact

Wisconsin ForwardHealth: ForwardHealth Update 2026-12: Prior Authorization Process Improvements: Revising the Prior Authorization/Chiropractic Attachment and Adding a Chiropractic Procedure Code - Medicaid

Took effect
Jan 1, 2026
Effective date
Jan 1, 2026
Identified
Jun 18, 2026

Summary

ForwardHealth has revised the Prior Authorization/Chiropractic Attachment form with new checkboxes replacing text boxes, and added coverage for CPT code 98943 (extraspinal chiropractic manipulative treatment) effective January 1, 2026. The new PA form must be used immediately as submissions with the old form will be rejected.

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What to do

Took effect Jan 1, 2026 · 3 steps
01Billing team must download and use the new Prior Authorization/Chiropractic Attachment form (F-11029 04/2026) from the ForwardHealth Portal for all chiropractic PA submissions.
02Old forms will be rejected.
03Update billing system to include CPT code 98943 for extraspinal chiropractic treatment, limited to once per date of service and following same PA rules as other CMT codes.

Codes mentioned

98943989409894198942

Original notice

ForwardHealth Update 2026-12: Prior Authorization Process Improvements: Revising the Prior Authorization/Chiropractic Attachment and Adding a Chiropractic Procedure Code
forwardhealth.wi.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Wisconsin ForwardHealth policiesWI policy changesChiropracticCode 98943Code 98940Code 98941Code 98942

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