MCO Toolkit for Adult Long-Term Care Provider Enrollment

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:

You must submit your enrollment application by December 31, 2025, to be paid for dates of services on and after April 1, 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. Here’s what needs to happen by:

• December 31, 2025: Start your Provider Enrollment Application.
  • Use the Enrollment Checklist (PDF) for help.
  • If you are signing up with a new enrollment application, you may need to submit more than one. 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.
  • If you are updating your EVV-only enrollment to a full Medicaid enrollment, you should just do that with your current EVV-only provider Medicaid ID. You should not submit any new applications to create more Medicaid provider IDs.
• January-March 2026: ForwardHealth reviews and approves your application.
• March 31, 2026: We authorize your contract and services. This will allow you to get paid for dates of services on and after April 1, 2026.

Apply by December 31

You won’t get paid for Medicaid services delivered on and after April 1, 2026, if you don’t apply by December 31, 2025.

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.

You won’t get paid in 2026 if you don’t start now

If your enrollment is not approved by March 31, 2026, you will:

• Not continue to receive payment from us.
• Not get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.
• Lose your contract with us.
• Lose business from people covered by Medicaid.
• Disrupt services for the people who depend on you, who will have to find other providers.
• Worsen the provider shortage in Wisconsin, and cause more strain on remaining providers.

We want you stay contracted with us to remain in our network of dedicated providers.

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:

You must submit your enrollment or revalidation application by December 31, 2025, to be paid for dates of services on and after April 1, 2026

Wisconsin Medicaid has changed provider enrollment requirements. All our providers delivering Medicaid waiver authorized services must enroll or revalidate with Wisconsin Medicaid through the ForwardHealth Portal by December 31, 2025. It can take several weeks for ForwardHealth to review and approve your application. You must start this process now so your application is approved and your contracts and services are authorized by March 31, 2026. This will allow you to get paid next year.

If your enrollment or revalidation is not approved by March 31, 2026, you will:

• Not continue to receive payment from us.
• Not get reimbursed by Wisconsin Medicaid for dates of service on and after April 1, 2026.
• Lose your contract with the MCO or IRIS participants you work with.
• Lose your IRIS authorizations, if applicable.
• Lose business from people covered by Medicaid.
• Disrupt services for the people who depend on you, who will have to find other providers.
• Worsen the provider shortage in Wisconsin, and cause more strain on remaining providers.

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.

What you need to do

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

• 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

 Apply with Medicaid by December 31. All providers of Medicaid waiver authorized services must submit an application to enroll or revalidate using the ForwardHealth Portal immediately. This will allow you to get paid for dates of service on and after April 1, 2026. Get started: forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm

Long banner message

 Apply with Medicaid by December 31. All providers of Medicaid waiver authorized services must submit an application to enroll or revalidate using the ForwardHealth Portal immediately. This will allow you to get paid for dates of service on and after April 1, 2026. If you don’t apply, your contract with [us / the IRIS participants you work with] will end, and you will lose business from people covered by Medicaid. Some providers may have to enroll for each location where they provide services.

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

Download the general use graphic (PNG)

Download the MCO graphic (PNG)

Download the customizable MCO graphic (PDF)