MedicaidCoverageMedium impact
ForwardHealth Update 2026-05: New Coverage for Peer Recovery Support Services
Wisconsin ForwardHealth·WI · Psychiatry, Family Medicine, Internal Medicine·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 18, 2026
Summary
ForwardHealth (Wisconsin Medicaid) is introducing new coverage for Peer Recovery Support Services (PRS) starting April 1, 2026. These are non-clinical behavioral health support services provided by peer recovery coaches, with members eligible for up to 520 hours per calendar year.
Action Required
Before April 1, 2026: Billing teams serving Wisconsin Medicaid patients should review if their practice provides behavioral health services and determine if they want to enroll as a PRS provider agency. If interested, complete Wisconsin Medicaid provider enrollment process for PRS services. Update billing systems to accommodate new PRS service claims once billing codes are published.