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Alerts
  • Children’s Long-Term Support (CLTS) Program Providers and County Waiver Agencies: The CLTS Operations Team is available for your questions about submitting prior authorizations (PAs) or claims for CLTS services. Reach the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.
  • Attention CLTS Providers: The CLTS Prior Authorization Conversion is still processing. If you have any difficulties submitting claims, please contact the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.
 
Provider Enrollment Information
 
Re-enrollment

Providers whose Medicaid enrollment has ended for any reason other than criminal convictions, sanctions, or failure to be revalidated may be re-enrolled as long as all licensure and enrollment requirements are met. When re-enrolling, there may be a lapse in Medicaid enrollment depending on the date the enrollment is completed.

The provider will have to re-enroll as a "new" provider.

The provider can re-enroll by completing and submitting a new application through the ForwardHealth Portal. When providers re-enroll, application fees and screening activities may apply.

 
 
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Wisconsin Department of Health Services
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