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Welcome  » June 16, 2026 8:49 PM
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Alerts
  • Claim suspensions with error code 911
    ForwardHealth is aware of an issue in which claims are suspending with Explanation of Benefits (EOB) code 0000, "This claim/service is pending program review," and error code 911. This is the result of an internal system error. Providers should continue to submit claims as they normally would as we work to resolve the issue.
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Katie Beckett Medicaid


Katie Beckett Medicaid is for children under 19 years old with long-term disabilities or complex medical needs. Children who are not eligible for other Medicaid programs because their parents' income or assets are too high may be eligible for Wisconsin Medicaid through Katie Beckett Medicaid.

For information specific to children and families, visit the Wisconsin Department of Health Services (DHS) site.

Forms

F-10115  BadgerCare Plus / Medicaid Health Insurance Information
F-14014  Authorization to Disclose Information to Disability Determination Bureau (DDB)
F-20582  Medicaid – Katie Beckett Program Application
F-21076  Informed Consent – Children's Long-Term Support Functional Screen
 

What's New?
A summary of what is new for children’s specialty programs:


 
 
 
 
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Wisconsin Department of Health Services
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