July 10, 2014 11:36 PM
Welcome to the online provider enrollment process
Please complete each of the steps in the enrollment process. When you have completed all of the steps click on the "Submit" button to submit your enrollment application. If you need to leave the enrollment application before it is completed you may click on the "Save & Exit" button on the bottom of any page.
If you need additional assistance completing the steps of the enrollment process, please click the Help on the header menu.
ForwardHealth will only use the provided information to monitor for waste, fraud and abuse. All information provided will be protected under federal and/or state confidentiality laws. Social security numbers and other personally identifiable information will only be used for the direct administration of the Wisconsin Medicaid program.
Please click the "Next" button to start the enrollment process.
Wisconsin Department of Health Services