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Wisconsin ForwardHealthMedicaid · Billing Codes · Specialty Services · WI · PsychiatryMedium impact

ForwardHealth Update 2025-33: ForwardHealth Enhances Behavioral Health Treatment With More Options for Continuing Care and Concurrent Services

Act
by Dec 1, 2025
Effective date
Dec 1, 2025
Identified
Jun 18, 2026

Summary

ForwardHealth (Wisconsin Medicaid) expands behavioral health treatment options effective December 1, 2025, adding continuing care coverage for discharged SUD patients and allowing concurrent outpatient mental health services with residential SUD treatment. A new U2 modifier is required for billing continuing care services.

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What to do

by Dec 1, 2025 · 3 steps
01Billing team must update system to require U2 modifier for continuing care services when using specified mental health and SUD procedure codes (H0005, H0022, H0047, T1006, 90832, 90834, 90837, 90846, 90847, 90853).
02Update encounter forms and train staff on new concurrent service billing rules for members receiving both outpatient mental health and residential SUD treatment.
03Ensure documentation requirements are met for continuing care discharge plans.

Codes mentioned

H0005H0022H0047T1006908329083490837908469084790853

Original notice

ForwardHealth Update 2025-33: ForwardHealth Enhances Behavioral Health Treatment With More Options for Continuing Care and Concurrent Services
forwardhealth.wi.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Wisconsin ForwardHealth policiesWI policy changesPsychiatryCode H0005Code H0022Code H0047Code T1006Code 90832Code 90834Code 90837Code 90846Code 90847Code 90853

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