MCO Toolkit for Adult Long-Term Care Provider Enrollment

How to use it

Send monthly via email directly to providers who have yet to start an enrollment application, based on the reports DHS sends.

Get the email for providers

Copy and paste the content below, and customize anything in [brackets]:

As you know, Wisconsin Medicaid has changed provider enrollment requirements. You must self-enroll with Wisconsin Medicaid through the ForwardHealth Portal by January 1, 2026, to remain a Medicaid provider and get reimbursed for Medicaid services.

As of August:

• Supportive home care agencies can now start a provider enrollment application.
• Supportive home care agencies with an electronic visit verification (EVV)-only provider Medicaid ID can convert their EVV-only enrollment to full Medicaid enrollment (revalidate).

You are receiving this notice because our records indicate you have not yet completed this requirement. Time is running out to process provider enrollment applications in time to avoid disruptions in the new year. Take some time in the next month to enroll.

We would like to remind you that:

• You cannot get paid for Medicaid services delivered in homes or in the community after January 1, 2026, if you do not enroll by the deadline.
• After you enroll, [we OR the IRIS consultant agency you work with] must also authorize your services before you can be paid for Medicaid services.
• You cannot backdate your enrollment to a date before you submitted your application.
• Medicaid members and families cannot be held liable for paying for Medicaid services you don’t get reimbursed for.

[Providers / Vendors] should enroll now

If you are any of the following provider types, you should enroll now:

• Organizations and agencies
• Sole proprietors
• Individuals who are not self-directed support workers
• Individuals who deliver supportive home care along with other services

 Use the Provider Enrollment Checklist: www.forwardhealth.wi.gov/WIPortal/content/pdf/LTCPM_Care_Enrollment_Provider_Checklist.pdf.spage

 Start your enrollment application today: www.forwardhealth.wi.gov/WIPortal/Subsystem/Certification/EnrollmentCriteria.aspx

Those with an EVV-only provider Medicaid ID have a quicker process

Are you a supportive home care agency with an EVV-only provider Medicaid ID who provides services under service codes S5125, S5126, T1019, and T1020? You’ll convert your EVV-only enrollment to full Medicaid enrollment. You received a letter in the mail in August with instructions—simply log onto the ForwardHealth Portal and provide additional information after you get that letter. Then, you’ll be fully enrolled as a Medicaid provider. You will keep the same provider ID after revalidation.

 Use the EVV Provider Revalidation Checklist: www.forwardhealth.wi.gov/WIPortal/content/pdf/LTC_EVV_Provider_Revalidation_Checklist.pdf.spage

Help is available

Visit forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm for information about the requirement and to get key resources, including:

• Recorded trainings
• Adult Long-Term Care Updates
• Questions and answers
• Contacts for assistance

Call Provider Services at 800-947-9627 if you have questions or need help. Representatives are available Monday–Friday, 7 a.m.–6 p.m. Central time. When you call, say, “LTC Waiver” at the menu prompt to speak with a representative about LTC provider enrollment.

You can get notifications and reminders sent right to your email by signing up for the Adult LTC Waiver Provider email list at www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Subscriptions.aspx.

How to use it

Include in regular channels you use to communicate with new and existing providers, such as:

• Webpages about provider enrollment
• Provider FAQs
• Newsletters, bulletins, or updates

Get the short provider article

Copy and paste the content below, and customize anything in [brackets]:

All [providers / vendors] should self-enroll with Medicaid now to avoid disruptions in 2026

Wisconsin Medicaid has changed provider enrollment requirements. All our [providers / vendors] delivering Medicaid waiver authorized services must self-enroll with Wisconsin Medicaid through the ForwardHealth Portal by January 1, 2026, to remain a Medicaid provider and get reimbursed for Medicaid services.

As of August, these provider types can now enroll as well:

• Supportive home care agencies that provide adult long-term care waiver services
• Supportive home care agencies with an electronic visit verification (EVV)-only provider Medicaid ID
  • If you’re part of this group, you have a quicker process to enroll
  • You’ll convert your EVV-only enrollment to full Medicaid enrollment
  • You received a letter in the mail in August with instructions—simply log onto the ForwardHealth Portal and provide additional information after you get that letter. Then, you’ll be fully enrolled as a Medicaid provider
  • You will keep the same provider ID after revalidation

2026 is closer than it seems! Enrolling now will help you avoid disruptions in the new year. That’s important for both you and the Medicaid members you serve.

If you haven’t already, start your Wisconsin Medicaid provider self-enrollment application today. Enrolling now will let you:

• Get paid in 2026. You cannot get paid for Medicaid services delivered in homes or in the community after January 1, 2026, if you do not enroll by the deadline. [information about MCO- or FEA-specific timelines regarding authorizations.] Keep in mind, you can’t backdate your enrollment to a date before you submitted your application, and Medicaid members and families cannot be held liable for paying for Medicaid services you don’t get reimbursed for.
• Help the people you serve get seamless care. Medicaid members depend on service providers like you to get vital care. Staying on with them means they won’t have to find new service providers next year.
• Join more than 3,000 other providers who’ve already enrolled. Our goal is 100% enrollment by the new year, but time is running out.

Find everything you need to enroll at forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm—on-demand trainings, resources, help, and more. Make sure to subscribe to the Adult LTC Waiver Provider email list by going to www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Subscriptions.aspx—you’ll get updates, reminders, and resources sent right to your inbox.

How to use it

Place prominently on materials and channels your providers see regularly when filing claims or getting paid, such as:

• Claims portals
• Payment receipts
• Claims-related letters
• Monthly statements

Get the banner message

Copy and paste the content below:

Short banner message

 Self-enroll with Medicaid now. All providers of Medicaid waiver authorized services must get a Medicaid ID by self-enrolling with Wisconsin Medicaid through the ForwardHealth Portal by [January 1, 2026 OR date set by MCO/FEA]. Get started: forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm

Long banner message

 Self-enroll with Medicaid now. All providers of Medicaid waiver authorized services must self-enroll with Wisconsin Medicaid using the ForwardHealth Portal by [January 1, 2026 OR date set by MCO/FEA], to get paid for Medicaid services in 2026. Some providers may have to enroll for each location where they provide services. You cannot receive payment from managed care organizations or IRIS (Include, Respect, I Self-Direct) for services delivered after January 1, 2026, if you do not have a Medicaid ID number by the enrollment deadline.

Find information and trainings about this requirement on the ForwardHealth Portal: forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm