MCO Toolkit for Adult Long-Term Care Provider Enrollment
All providers of home and community-based services under an adult long-term care (LTC) waiver program needed to submit an application to enroll with Wisconsin Medicaid through the ForwardHealth Portal by December 31, 2025. Those who choose not to apply will not get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.
Providers who want to keep delivering home and community-based services under one of Wisconsin adult long-term care programs can still apply, but they must apply now. Their application must be approved and contracts and services must be authorized before they can be paid by Wisconsin Medicaid. This can take several weeks. They may see a lapse in payment if their application is not approved by March 31, 2026.
Managed care organizations (MCOs) are key partners to communicate this with providers to minimize impact to Medicaid payments.
We need your help. MCOs are required to share the following resources with providers.
Who to share these materials with
The following providers and entities should submit an application to enroll with Wisconsin Medicaid through the ForwardHealth Portal:
- Organizations and agencies
- Sole proprietors
- Individuals who are not self-directed support workers
Please note: individual self-directed support workers do not have to enroll with Wisconsin Medicaid. The requirement does not apply to them so they will keep working as usual.
Enrollment progress tracker
Partners across Wisconsin are working together to help ensure all adult LTC waiver services providers start their enrollment right away. DHS is sharing enrollment progress so everyone knows how close to 100% enrollment the state is. Numbers are updated monthly.
Providers already enrolled: 7,635
Providers not yet enrolled: 2,365 (estimated)
Total providers expected to enroll: 10,000 (estimated)
Materials you're required to use and share
How to use it
Use while calling unenrolled providers to remind them about the enrollment requirement
How to use it
- Add a link to it on your website or provider portal
- Link to it in an automatic response message for email addresses frequently used by providers
- Share it in an email or newsletter
- Include a printed copy when sending direct mail to your providers
How to use it
- Add a link to it on your website or provider portal
- Link to it in an automatic response message for email addresses frequently used by providers
- Share it in an email or newsletter
- Include a printed copy when sending direct mail to your providers
How to use it
- Add a link to it on your website or provider portal
- Link to it in an automatic response message for email addresses frequently used by providers
- Share it in an email or newsletter
- Include a printed copy when sending direct mail to your EVV provider organization
How to use it
Send weekly emails directly to providers who have not submitted an enrollment application.
Get the email for providers
Copy and paste the content below:
Your Medicaid payments will end March 31, 2026
You are receiving this email because our records indicate you have not submitted your enrollment application with Wisconsin Medicaid using the ForwardHealth Portal.
Wisconsin Medicaid has changed provider enrollment requirements, and has asked you to apply using the ForwardHealth Portal by December 31, 2025. This means you will lose your contract with us and will not get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.
Apply immediately
Apply right away if you want to stay contracted with us and get paid for Medicaid services.
Apply now to minimize impact to your Medicaid payments
Apply immediately if you want to keep delivering home and community-based services under one of Wisconsin’s adult long-term care waiver programs. Your application must be approved and your contracts and services must be authorized before you can be paid by Wisconsin Medicaid. This can take several weeks.
You may see a lapse in payment if your application is not approved by March 31, 2026.
We want you stay contracted with us to remain in our network of dedicated providers.
How to apply
You should submit a provider enrollment application on the ForwardHealth Portal to get a Medicaid-issued provider ID.
- Go to the ForwardHealth Portal.
- Select Become a Provider.
- Follow the prompts to apply. You may need to submit more than one application. It depends on what services you provide and how many locations you have. The Online Handbook has more information. Search for Topic 23490 for information about enrollment by location.
- Once your enrollment is approved, you will receive a confirmation letter with your Medicaid-issued provider ID.
Reminders:
- You cannot backdate your enrollment to a date before you submitted your application.
- You cannot hold Medicaid members and families liable for paying for Medicaid services you don’t get reimbursed for.
Resources
- Training and information: Provider Enrollment for Adult Long-Term Care
- Support: Call Provider Services at 800-947-9627.
- 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.
- Updates and notifications: Sign up for the Adult LTC Waiver Provider email list
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:
Medicaid payments will end March 31 for providers who do not submit an application immediately
Wisconsin Medicaid has changed provider enrollment requirements. All our providers delivering Medicaid waiver authorized services needed to enroll or revalidate with Wisconsin Medicaid through the ForwardHealth Portal by December 31, 2025.
If you choose not to apply, you will not get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.
Apply now to minimize impact to your Medicaid payments
If you did not apply but want to keep delivering home and community-based services under one of Wisconsin’s adult long-term care waiver programs, you must apply immediately. Your application must be approved and contracts and services must be authorized before you can be paid by Wisconsin Medicaid. This can take several weeks. You may see a lapse in payment if your application is not approved by March 31, 2026.
You cannot backdate your enrollment to a date before you submitted your application. And, you cannot hold Medicaid members and families liable for paying for Medicaid services you don’t get reimbursed for.
How to apply
Most providers should submit a new provider enrollment application on the ForwardHealth Portal to get a Medicaid-issued provider ID. Use the Enrollment Checklist (PDF) for help.
- Go to the Provider Enrollment for Adult Long-Term Care page.
- Select Start Provider Enrollment Application under Quick Links.
- Follow the prompts to apply.
Supportive home care agencies with EVV-only provider Medicaid IDs have a quicker process. They’ll upgrade their EVV-only enrollment to full Medicaid enrollment. It’s called revalidation. Use the EVV Revalidation Checklist (PDF) for help.
- Go to forwardhealth.wi.gov
- Log in to your EVV secure Portal Provider account
- Select Revalidate Your Provider Enrollment and provide the information requested
Resources
- Training and information: Provider Enrollment for Adult Long-Term Care
- Support: Call Provider Services at 800-947-9627.
- 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.
- Updates and notifications: Sign up for the Adult LTC Waiver Provider email list
How to use it
Place prominently on materials and channels your providers see regularly when filing claims or getting paid, including:
- Secure claims portals
- Payment receipts
- Claims-related letters
- Monthly statements
Get the banner message
Copy and paste the content below, and customize anything in [brackets]:
Short banner message
Did you apply with Medicaid? The deadline was December 31. If you want to keep delivering Medicaid waiver authorized services, you must submit an application to enroll or revalidate using the ForwardHealth Portal immediately. You may see a lapse in payment if your application is not approved by March 31—it takes several weeks from the date you apply. Get started: forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm
Long banner message
Did you apply with Medicaid? The deadline was December 31. If you want to keep delivering Medicaid waiver authorized services, you must submit an application to enroll or revalidate using the ForwardHealth Portal immediately. You may see a lapse in payment if your application is not approved by March 31—it takes several weeks from the date you apply. If you don’t apply, you won’t get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.
Get started and find help: forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm
How to use them
- Share on social media
- Include in emails and newsletters
- Add to webpages
Get the digital display graphics
How to use it
- Share on social media
- Embed or link on webpages
Get the informational video
Please do not download and save the materials in the table above. Make sure to access these materials using the links above each time you want to use them! DHS will refresh the content throughout the year, so providers are always seeing something new and fresh.
If you have questions or feedback, email us at LTCProviderEnrollment@wisconsin.gov. We also encourage you to sign up for the Adult LTC Waiver Provider email list to get news and resources.