Prescribing, Referring, and Ordering Permissions UpdatedDecember 15, 2025: This Update has been revised since its original publication. Revised information appears in red text on page 1.

By December 1, 2025: (1) Billing team must update the billing system to recognize all eligible provider types (NPs, PAs, psychologists, occupational/physical therapists, SLPs, etc.) as authorized to prescribe, refer, and order medical services and drugs under Wisconsin Medicaid; (2) Remove any hard-coded system rules that restrict prescribing/ordering authority to physicians only; (3) Update encounter forms and templates to allow these provider types to generate orders and referrals; (4) Train front-desk and clinical staff that prescriptions and referrals from expanded provider types are now valid for reimbursement; (5) Ensure all submitted claims include proper documentation of the ordering provider's credentials and scope of practice authorization per Wis. Admin. Code § DHS 106.02(9); (6) Contact MCOs serving your practice to confirm their implementation of this policy, as managed care organizations must provide at least the same benefits as fee-for-service. Claims submitted without recognition of expanded provider authority or without proper documentation will be denied and subject to recoupment.