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Welcome  » December 6, 2021 11:32 AM
Provider Enrollment Information

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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