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Acute and Primary Managed Care
Welcome  » April 28, 2024 4:48 PM
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Alerts
  • Change Healthcare (CHC) has begun submitting some batch X12 electronic transactions to ForwardHealth. The volume of backlogged claims held by CHC and the amount of time it will take CHC to send them is unknown. ForwardHealth will process them in the order received.

    Visit the Change Healthcare Service Interruption: Resources page for more information on the security incident and for ForwardHealth resources.

  • Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences.
    Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.

Acute And Primary Managed Care

Acute and Primary Managed Care for Wisconsin Medicaid refers to the BadgerCare Plus and Medicaid Supplemental Security Income (SSI) programs, which are administered by HMOs. BadgerCare Plus provides health care services for low-income children, families, and single adults. The Medicaid SSI program provides health care services for those who receive SSI Medicaid or SSI-Related Medicaid due to a disability determined by the Disability Determination Bureau. Click here to see what's new!

HMO Administrators HMO Providers HMO Members
This page provides resources and general information for staff and administrators of BadgerCare Plus or Medicaid SSI HMOs. This page provides resources and general information for Medicaid providers that are enrolled, or seeking to enroll, with a BadgerCare Plus or Medicaid SSI HMO. This page provides information for members already enrolled in BadgerCare Plus or Medicaid SSI.

What's New?
A summary of what is new for managed care organizations:


Better to Illuminate Than Merely to Shine: ForwardHealth Connect
 Required ForwardHealth Multi-Factor Authentication
 2023 HMO Quality Guide
 2023 Performance Improvement Project Proposal and Final Report Template
 Forward Health Update (2017-22) 'Clarifications to BadgerCare Plus and Medicaid SSI Managed Care Provider Appeal Policy'
 
 
 
 
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