MedicaidAdministrativeLow impact
ForwardHealth Update 2025-30: Dental Therapists May Enroll With Wisconsin Medicaid and Bill as Separate ProvidersDecember 16, 2025: This Update has been revised since its original publication. Information about restorative services dental therapists may provide has been clarified. See page 7 of the Update for more information.
Wisconsin ForwardHealth·WI · Dentistry·Enrollment
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Beginning January 1, 2026, dental therapists can now enroll separately with Wisconsin Medicaid to provide and bill for preventive, restorative, and periodontal dental services. This creates a new provider category that can submit independent claims for covered dental services.
Action Required
No immediate action required for most practices. Dental practices in Wisconsin working with dental therapists should: 1) Inform any employed dental therapists they can now enroll separately with Wisconsin Medicaid starting January 1, 2026, 2) Update billing workflows to accommodate separate NPI billing by dental therapists, 3) Ensure dental therapists complete the ForwardHealth Portal enrollment process if they wish to bill independently.