FEA 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 or revalidate 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 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.

Fiscal employer agents (FEAs) are key partners to communicate this with providers to minimize impact to Medicaid payments. FEAs are also key in ensuring IRIS participants are aware of this requirement and supported to communicate with their providers about it.

We need your help. FEAs are required to share the following resources with providers.

 Who to share these materials with

The following providers and entities must submit an application to enroll or revalidate with Wisconsin Medicaid through the ForwardHealth Portal:

  • Organizations and agencies
  • Sole proprietors
  • Individuals who are not participant-hired workers

Please note: participant-hired 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)

LTCPM Enrollment Progress Tracker: 76% of goal, 7,635 providers enrolled, estimated 2,365 providers not enrolled

 Materials you're required to use share

How to use it

Use while calling unenrolled providers to remind them about the enrollment requirement

Get the call script

Adult Long-Term Care Provider Enrollment Call Script Cover Preview

Download the call script (PDF)

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 IRIS providers

Get the provider flyer

Adult Long-Term Care Provider Enrollment Flyer Cover Preview

Download the provider flyer (PDF)

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 IRIS providers

Get the provider enrollment checklist

Adult Long-Term Care Provider Enrollment Checklist Cover Preview

Download the provider enrollment checklist (PDF)

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 EVV provider organizations

Get the EVV provider revalidation checklist

Adult Long-Term Care EVV Revalidation Checklist Cover Preview

Download the EVV provider revalidation checklist (PDF)

How to use it

Send weekly emails directly to providers who have not submitted an enrollment or revalidation 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 IRIS authorizations and will not get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.

Apply immediately
ForwardHealth Logo

Apply right away if you want to keep your IRIS authorizations 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 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.

How to apply

Most providers should submit a provider enrollment application on the ForwardHealth Portal to get a Medicaid-issued provider ID.

  1. Go to the ForwardHealth Portal.
  2. Select Become a Provider.
  3. 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.
  4. Once your enrollment is approved, you will receive a confirmation letter with your Medicaid-issued provider ID.

If you are a supportive home care agency with an EVV-only provider Medicaid ID, you have a quicker process. You’ll upgrade your EVV-only enrollment to full Medicaid enrollment. It’s called revalidation.

  1. Go to the ForwardHealth Portal and log in to your EVV secure Portal Provider account.
  2. Select Revalidate Your Provider Enrollment and provide the information requested.
  3. You should revalidate your current EVV-only provider Medicaid ID. You should not submit any new applications to create more Medicaid provider IDs.
  4. Once your revalidation is approved, you will receive a confirmation letter. You will have the same provider ID after revalidation

Reminders:

  • You cannot backdate your enrollment or revalidation 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

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.

  1. Go to the Provider Enrollment for Adult Long-Term Care page.
  2. Select Start Provider Enrollment Application under Quick Links.
  3. 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.

  1. Go to forwardhealth.wi.gov
  2. Log in to your EVV secure Portal Provider account
  3. Select Revalidate Your Provider Enrollment and provide the information requested
Resources

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 it

Include in your monthly newsletter for IRIS participants

Get the short IRIS participant article

Copy and paste the content below:

You may have to find new IRIS providers before April if they didn’t sign up with Wisconsin Medicaid

Your providers do things you need help with through the IRIS (Include, Respect, I Self-Direct) program. Providers are paid by Wisconsin Medicaid for IRIS services. Wisconsin Medicaid has asked your providers to sign up in a new way to get paid to deliver your services.

All your IRIS providers who are not participant-hired workers (PHWs) needed to sign up to be a Medicaid provider using the ForwardHealth Portal by December 31, 2025.

PHWs did not need to sign up. They will keep working as usual. PHWs are workers you sign or approve timesheets for.

If your IRIS providers don’t sign up right away, their signup may not get approved in time for them to get paid to deliver your services by April 1, 2026. That means you may have to find a new provider before April.

What you should do
  1. Ask your providers if they signed up. Check to make sure they have an application tracking number. That means they signed up and their application is in process.
  2. Tell providers who didn’t sign up that they should start right now. They may not get approved by April 1, but they should still sign up if they want to keep providing your IRIS services.
  3. Talk with your IRIS consultant. Tell them you have providers who haven’t signed up.
  4. Get ready to find new providers. Your IRIS consultant will help you make a plan to find new providers before April.
Resources for you

How to use it

Provide to your call center staff to use when IRIS participants call with questions about the new provider enrollment process

Get the FEA support line talking points for IRIS participants

Cover Preview of FEA Talking Points for Participants About Adult Long-Term Care Provider Enrollment

Download the FEA support line talking points for IRIS participants (PDF)

How to use it

Provide to your call center staff to use when providers call with questions about the new provider enrollment process

Get the FEA support line talking points for providers

Cover Preview of FEA Talking Points for Providers About Adult Long-Term Care Provider Enrollment

Download the FEA support line talking points for providers (PDF)

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.

Glossary

 
Last revised January 8, 2026