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MedicaidReimbursementMedium impact

ForwardHealth Update 2025-32: 2025 Hospice Reimbursement Rate Changes

Wisconsin ForwardHealth·WI · Palliative Care·Claims & Billing
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

ForwardHealth updated Wisconsin Medicaid and BadgerCare Plus hospice reimbursement rates effective October 1, 2025, with county-specific rates for routine care, continuous care, inpatient respite, and general inpatient services. ForwardHealth will automatically adjust previously paid claims for services provided on and after the effective date.

Action Required

Action needed
No immediate action required: ForwardHealth will automatically adjust previously paid claims for hospice services provided on and after October 1, 2025. Billing team should verify updated reimbursement rates are reflected in payments and reference the county-specific rate table for future hospice claims involving HCPCS codes T2042, T2043, G0155, G0299, T2044, and T2045.

Affected Billing Codes

T2042
T2043
G0155
G0299
T2044
T2045