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Provider Enrollment Information
 
Multiple Locations and Services

ForwardHealth may require providers who offer a variety of services to complete a separate Medicaid enrollment application for each specified service and provider type. The number of Medicaid enrollments allowed or required per location is based on licensure, registration, and certification by a state agency, federal agency, or an accreditation association identified in the Wisconsin Administrative Code. Providers may call Provider Services with questions.

If a Medicaid-enrolled provider begins offering a new service after their initial enrollment, it is recommend that they call Provider Services to inquire whether they are required to complete another enrollment application.

Multiple Locations

Providers with multiple locations should call Provider Services to inquire whether they are required to complete multiple applications when applying for Medicaid enrollment.

 
 
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Wisconsin Department of Health Services
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