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:

Act now: Your Medicaid payments will end if you don’t self-enroll through the ForwardHealth Portal

You are receiving this email because our records indicate you have not started your enrollment using the ForwardHealth Portal.

Wisconsin Medicaid has changed provider enrollment requirements, and has asked you to self-enroll using the ForwardHealth Portal. You must start now, otherwise your Medicaid payments will end in 2026.

• 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.
• Once your application is approved, we 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.
• You cannot hold Medicaid members and families liable for paying for Medicaid services you don’t get reimbursed for.

Enroll right now on the ForwardHealth Portal

1. Use the Enrollment Checklist (PDF) or EVV Revalidation Checklist (PDF)
2. Start your Provider Enrollment Application

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

If you don’t start your enrollment now:

• You will lose business from people covered by Medicaid.
• Your contract with us will end.
• People who depend on you for vital services will have to find other providers.
• The provider shortage in Wisconsin will worsen, and remaining providers will experience more strain.

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:

Medicaid payments to end for providers not self-enrolled through the ForwardHealth Portal

Wisconsin Medicaid has changed provider enrollment requirements. All our providers delivering Medicaid waiver authorized services must self-enroll with Wisconsin Medicaid through the ForwardHealth Portal. You must start your enrollment now, otherwise your Medicaid payments for services you deliver in homes or in the community will end in 2026. This means:

• You will lose business from people covered by Medicaid.
• Your contract with us will end.
• People who depend on you for vital services will have to find other providers.
• The provider shortage in Wisconsin will worsen, and remaining providers will experience more strain.

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.

• Go online at www.forwardhealth.wi.gov
• Click Become a Provider in the top left of the screen

Supportive home care agencies with EVV-only provider Medicaid IDs have a quicker process.

• They’ll convert their EVV-only enrollment to full Medicaid enrollment. It’s called revalidation.
• These agencies received a letter in the mail in August with instructions—they can simply log onto the ForwardHealth Portal and provide additional information after they get that letter. Then, they’ll be fully enrolled as a Medicaid provider. That means they will meet all state and federal requirements to keep delivering adult LTC waiver services to Medicaid members.
• They will keep the same provider ID after revalidation.
• This applies to agencies delivering services under service codes S5125, S5126, T1019, and T1020.

You must start now. Once your application is approved, we must also authorize your services before you can be paid for Medicaid services. Keep in mind, 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.

Resources

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, 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

 Self-enroll with Medicaid now. Medicaid payments will end in 2026 for providers of Medicaid waiver authorized services who do not obtain a Medicaid ID number by self-enrolling with Wisconsin Medicaid through the ForwardHealth Portal now. Get started: forwardhealth.wi.gov/WIPortal/cms/public/ltc/provider_enrollment.htm

Long banner message

 Self-enroll with Medicaid now. Medicaid payments will end in 2026 for providers of Medicaid waiver authorized services who do not obtain a Medicaid ID number by self-enrolling with Wisconsin Medicaid using the ForwardHealth Portal now. 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.

Find information and trainings about this requirement: 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)