MedicaidReimbursementMedium impact
ForwardHealth Update 2025-28: ForwardHealth Reimbursement Rate Increases
Wisconsin ForwardHealth·WI · Dentistry, OB-GYN, Psychiatry +1 more·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
ForwardHealth (Wisconsin Medicaid/BadgerCare Plus) has increased reimbursement rates for multiple service categories including dental anesthesia, home health visits, obstetrics, personal care, private duty nursing, narcotic treatment, and residential substance abuse treatment services. The updated fee schedules will be available on the ForwardHealth Portal.
Action Required
By January 1, 2026: Billing team must access the ForwardHealth Portal to download updated maximum allowable fee schedules with new reimbursement rates. Update billing system with new rates for affected service codes. Verify that claims for these services submitted on or after January 1, 2026 use the increased rates.