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Welcome  » April 17, 2014 7:39 AM
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To Start a New Medicaid Enrollment
  • Select the link below to start the enrollment process.
  • Applicants have the ability to save their application and return later to finish.
To Start a New ADAP Enrollment
  • Select the link below to start the enrollment process.
  • Medicaid-enrolled providers must complete a separate application to be an ADAP provider.
To Start a New Prescribing/Referring/Ordering Enrollment
  • Select the link below to start the enrollment process.
  • Applicants have the ability to save their application and return later to finish.
To Start a New In-State Emergency/Out-of-State Enrollment
  • Select the link below to start the enrollment process.
  • Applicants have the ability to save their application and return later to finish.
To Continue a Previous Medicaid Enrollment
  • Enter your Enrollment Key and Password and select Login.
  • Enrollment process will start from the beginning; however, previously entered data will be displayed for review.
  • ADAP enrollment cannot be completed in this section. Please start a new ADAP Provider Certification Application to enroll as an ADAP provider.
Enrollment Key
 Enrollment Key: Minimum characters required is (0 ).
Password
 
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Wisconsin Department of Health Services
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