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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
 
Notice of Enrollment Decision
Time of Enrollment Decision Notification

ForwardHealth usually notifies the provider of their enrollment status within 10 business days after receiving the complete enrollment application, but no longer than 60 days.

Approval of an Enrollment Application

ForwardHealth will send a welcome letter and a copy of the Medicaid provider agreement to all providers who meet enrollment requirements. Included with the letter is important information, such as effective dates and assigned provider type and specialty. This information is used when conducting business with Wisconsin Medicaid. The welcome letter also notifies non-healthcare providers (for example, specialized medical vehicle providers, personal care agencies, adult long-term care waiver providers, and blood banks) of their Medicaid provider number. This number is used on claim submissions, prior authorization requests, and other communications with Wisconsin Medicaid.

Denial of an Enrollment Application

If ForwardHealth denies the enrollment application, it will inform the applicant in writing about the reasons for the denial.

 
 
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Wisconsin Department of Health Services
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