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IRIS

Welcome » June 16, 2026 12:55 PM

	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.

IRIS

IRIS (Include, Respect, I Self-Direct) is a fully self-directed adult long-term care (LTC) waiver program for Wisconsin's frail elders and adults with disabilities. Participants must be eligible for Wisconsin Medicaid to be in the IRIS program. IRIS is built on the principles of self-determination and self-direction. Click here to see what's new! IRIS IRIS program-specific terms and acronyms.

Providers who serve participants enrolled in IRIS are referred to as adult LTC waiver providers.

ICA/FEA/IRIS SDPC Administrators	IRIS Providers	IRIS Participants
This area is intended for certified IRIS consultant agencies, fiscal employer agents, and/or the IRIS Self-Directed Personal Care Oversight Agency.	This area is intended for participant-hired workers and/or service provider agencies currently approved to provide goods, supports, or services to or with an IRIS participant.	This area is intended for participants already enrolled in the IRIS program.

What's New?

A summary of what is new for adult LTC waiver programs: Providers who serve IRIS participants must enroll as Medicaid providers through ForwardHealth. For more information, visit the Provider Enrollment Information page.

Quick Links

IRIS Contractor Provider Agreement

WISITS

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Wisconsin Department of Health Services

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