Provider Publications

Welcome » May 13, 2024 11:14 AM

	Alerts
	Ascension Password Change: On May 8, 2024, a cyber security event disrupted clinical operations of the Ascension Healthcare Network. To ensure the security of protected health information on the ForwardHealth Portal, ForwardHealth will prompt all providers owned by Ascension to change their password. Providers not owned by Ascension will not be prompted to change their password. For instructions on changing your Portal password, refer to the ForwardHealth Provider Portal Account User Guide. Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences. Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.

All Provider Publications

All-Provider Publications

These publications are available only as PDFs. You will need Adobe Reader^® to view these files.

Update Number	Update Topic and Release Date
2019
2019-08	Explanation of Prior Authorization Requirements for HealthCheck "Other Services", 2/25/19
2019-05	Clarifications to HealthCheck Services, 2/5/19
2019-02	2019 CPT and HCPCS Procedure Code Changes, 1/23/19 March 4, 2019: This Update has been revised since its original publication. A procedure code has been revised; see corrected number in red text on page 5 of the Update.
2019-01	Important ForwardHealth Provider Enrollment Process Reminders, 1/14/19
2018
2018-40	ForwardHealth Holiday Schedule, 11/7/18
2018-31	Clarification of Tobacco Cessation Copayment Policy, 9/10/18
2018-30	Clarification of the Timely Filing Claims Submission Process, 9/12/18
2018-21	Family Care and IRIS Expand in Adams County, 6/13/18
2018-09	New Medicare Beneficiary Identifier, 3/1/18
2018-05	Changes to Claims Processing for Members with Medicare Advantage and Medicare Cost Plans, 1/26/18
2018-04	2018 CPT and HCPCS Procedure Code Changes, 1/10/18 *January 26, 2018: This Update* has been revised since its original publication.** The procedure code range for human papillomavirus vaccine listed in Attachment 2 has been revised. See page 11 for the corrected range.
2018-02	Updated SSI HMO Enrollment Policy, 1/5/18
2017
2017-43	National Coordination of Benefits Agreement Medicare Part A and Medicare Part B Crossover Claims Process, 12/21/17
2017-40	Family Care, Partnership, and IRIS Expand in Dane County, 12/7/17
2017-36	ForwardHealth Holiday Schedule, 11/2/17
2017-29	New Billing Instructions for Claims with Deductible, Coinsurance, Copayment, Blood Deduction, or Psychiatric Reduction, 9/8/17
2017-22	Clarifications to BadgerCare Plus and Medicaid SSI Managed Care Provider Appeal Policy, 7/5/17
2017-20	Family Care and IRIS Expansion, 6/27/17
2017-15	Changes to Reporting Other Coverage Discrepancies for Commercial Insurance and Medicare Coverage, 5/12/17
2017-01	2017 CPT and HCPCS Procedure Code Changes, 1/9/17
2016
2016-55	Reminders for Providers Rendering Services in Rock County for Family Care or IRIS, 12/22/16
2016-53	New Revalidation Application Fee for Provider Organizations and Important Reminders About the Revalidation Process, 11/30/16
2016-52	ForwardHealth Holiday Schedule, 11/21/16
2016-40	Changes to the Express Enrollment Process, 9/30/16
2016-39	Medicaid Program Integrity Education Resources Available, Including Continuing Education Courses, 9/26/16
2016-37	Eligibility Information Immediately Available in interChange for Real-Time Eligibility Determinations, 9/16/16
2016-17	New Fingerprinting and Criminal Background Check Screening Requirements Due to the Affordable Care Act, 5/16/16
2016-05	2016 CPT and HCPCS Procedure Code Changes, 1/29/16
2016-02	Changes to Claims Submission Requirements for Outpatient Hospital Services, 1/7/16
2015
2015-58	ForwardHealth Holiday Schedule, 11/23/15
2015-48	ForwardHealth Introduces Real-Time Eligibility Determinations for Qualified Applicants, 9/29/15
2015-47	ForwardHealth Will Not Issue Interim Payments for Claims Delayed Due to Lack of ICD-10 Readiness, 9/29/15
2015-39	Effective Dates and Transition Information for ForwardHealth's Implementation of ICD-10 Code Sets, 8/21/15
2015-28	ForwardHealth Is Reinstating the Explanation of Medical Benefits Form Requirements for Paper Claims and Paper Claim Adjustments with Other Health Insurance Indicated, 7/1/15
2015-26	ForwardHealth International Classification of Diseases, 10^th Revision, Open Testing Information, 6/8/15
2015-22	Family Care and IRIS Coming to Northeast Wisconsin, 5/29/15
2015-17	Important Information and Reminders Related to ForwardHealth's Transition to International Classification of Diseases, 10^th Revision, Code Sets, 5/11/15
2015-16	Clarification of Copayment Exemptions for BadgerCare Plus and Medicaid Members, 4/22/15
2015-15	Upcoming Training Sessions Available for Providers Regarding International Classification of Diseases, 10th Revision Readiness, 3/26/15
2015-10	New Coverage Policy for Testing for Drugs of Abuse, 3/12/15
2015-08	2015 CPT and HCPCS Procedure Code Changes, 2/17/15
2015-06	Coverage Policy for Low-Dose Computed Tomography Scans, 1/20/15
2014
2014-76	ForwardHealth Is Postponing the Explanation of Medical Benefits Form Requirement for Paper Claims and Paper Claim Adjustments with Other Health Insurance Indicated, 12/10/14
2014-67	ForwardHealth Holiday Schedule, 10/22/14
2014-61	New Requirements for Paper Claims and Paper Claim Adjustments with Other Health Insurance Indicated, 10/14/14
2014-43	Functionality Added to the Demographic Maintenance Tool for Reporting Licensure Information, 7/16/14
2014-36	ForwardHealth Is Postponing Implementation of New Reimbursement Policy for Certain Claims and Claim Adjustments with Other Commercial Health Insurance Indicated, 6/9/14
2014-35	Scheduled Maintenance Will Result in Planned Downtime for ForwardHealth, 5/27/14
2014-34	New Requirements for Certain Claims and Claim Adjustments with Other Commercial Health Insurance Indicated, 5/14/14
2014-31	ForwardHealth International Classification of Diseases, 10th Revision, Clinical Modification and International Classification of Diseases, 10th Revision, Procedure Coding System Implementation Is Postponed, 4/23/14
2014-28	Demographic Maintenance Tool Enhancements, 4/16/14
2014-27	Revised Companion Guides for the 270/271 Health Care Eligibility and Benefit Inquiry and Response and 276/277 Health Care Claim Status Request and Response Transactions Available, 4/11/14
2014-23	New Reimbursement Policy for Certain Claims and Claim Adjustments with Other Commercial Health Insurance Indicated, 3/31/14
2014-17	Wisconsin Medicaid Will Reimburse Hospitals for State Prison Inmate Inpatient Hospital Stays, 3/21/14
2014-12	Changes to BadgerCare Plus Due to the Affordable Care Act and 2013-15 Wisconsin Act 20, 2/27/14
2014-11	ForwardHealth's Transition to International Classification of Diseases, 10th Revision, Clinical Modification and International Classification of Diseases, 10th Revision, Procedure Coding System Code Sets, 2/26/14
2014-03	Providers Are Required to Report a Change in Ownership Within 35 Days, 1/17/14
2014-02	Health Care Providers and Partners Are Now Required to Apply on the ForwardHealth Portal to Become Express Enrollment Providers, 1/15/14
2013
2013-72	Introducing the Care4Kids Program, 12/23/13
2013-71	Policy Requirements for Use of Electronic Signatures on Electronic Health Records, 12/20/13
2013-70	Copayment No Longer Required for Specified Preventive Services and Adult Vaccines, 12/20/13
2013-66	Medicaid-Enrolled Providers Are Required to Change Demographic Information Through the ForwardHealth Portal, 12/6/13
2013-63	ForwardHealth Holiday Schedule, 11/22/13
2013-62	Managed Care Organization Changes Affecting Members in Northwestern Wisconsin, 11/22/13
2013-40	Policy Clarification for Services That Are Prescribed, Referred, or Ordered, 8/16/13
2013-34	New Requirements for Prescribing/Referring/Ordering Providers Due to the Affordable Care Act, 6/13/13
2013-32	New Non-emergency Medical Transportation Manager for Wisconsin Medicaid and BadgerCare Plus Members, 6/12/13
2013-28	Changes to Provider Revalidation Process Due to the Affordable Care Act, 5/3/13
2013-17	New Training Opportunities for Providers, 3/22/13
2013-12	Affordable Care Act Risk Level Classifications by Provider Type, 2/19/13
2013-11	New Provider Enrollment Application Fee for Provider Organizations Due to the Affordable Care Act, 2/19/13
2013-10	Centers for Medicare and Medicaid Services-Mandated Recovery Audit Contractor to Begin Auditing, 2/19/13
2013-08	Change to ForwardHealth-Generated Electronic Notifications, 2/6/13
2012
2012-70	Managed Care Organization Changes Affecting Members in Western Wisconsin, 12/19/12
2012-69	New Companion Guides for the 270/271 Health Care Eligibility/Benefit Inquiry and Information Response and the 276/277 Health Care Claim Status Request and Response Transactions, 12/27/12
2012-59	ForwardHealth Holiday Schedule, 10/25/12
2012-56	Changes in UnitedHealthcare Enrollment for Members Enrolled in the BadgerCare Plus Standard Plan and the BadgerCare Plus Benchmark Plan, 10/8/12 *This Update* has been revised since its original publication.** The heading on page 3 of the Update has been revised. For policy regarding date of service for eyeglasses, please refer to the Dispensing Services topic (topic #2267) of the Covered Services and Requirements chapter of the Covered and Noncovered services section of the Vision service area.
2012-48	ForwardHealth Will No Longer Communicate Prior Authorization Decisions by Mail for Requests Submitted Via the Portal, 9/12/12
2012-40	Requirements Regarding the Confidentiality and Proper Disposal of Health Care and Related Records, 8/24/12
2012-38	Introducing the Striving to Quit Initiative, 8/17/12
2012-32	ForwardHealth to Implement New Provider Enrollment and Screening Requirements, 7/5/12
2012-31	Non-emergency Medical Transportation Management System Expands to HMO Enrollees in Milwaukee, Waukesha, Washington, Ozaukee, Kenosha and Racine Counties, 7/9/12 *This Update* has been revised since its original publication.** Information regarding the appeals policy under the heading, "What if I Was Denied a Ride?" on page 4 of the Member Update has changed.
2012-30	Meals and Lodging Member Reimbursement Policy and Other Policy Clarifications for Non-emergency Medical Transportation, 7/9/12
2012-28	Changes to Taxonomy Code Qualifier Requirements for the Paper 1500 Health Insurance Claim Form and UB-04 Claim Form, 6/28/12
2012-27	Portal Enhancement Will Allow Providers to Save Partially Completed Prior Authorization Requests, 6/22/12
2012-22	New Type of ForwardHealth-Initiated Claim Adjustment, 6/11/12
2012-16	New Address for ForwardHealth's Fiscal Agent, 4/3/12
2012-09	Reporting Fraud and Abuse, 3/21/12
2012-02	Upcoming Training Available Regarding Special Claim Processes, 2/23/12
2011
2011-87	Changes to Fees Charged to Members for Copies of Health Care Records, 12/21/11
2011-82	ForwardHealth Making Changes to Explanation of Benefits Information on Provider Portal, 12/15/11
2011-81	ForwardHealth Training Opportunities and Resources, 12/2/11
2011-74	Cost Sharing Clarification for Medicaid, BadgerCare Plus Standard Plan, and BadgerCare Plus Benchmark Plan, 11/2/11
2011-73	Cost Share Exemptions for Tribal Members, 11/2/11
2011-67	ForwardHealth Holiday Schedule, 10/18/11
2011-66	Change to Non-emergency Medical Transportation Services Appeals Process, 10/10/11
2011-60	Reminder: Reimbursement for Laboratory Procedures Requires Valid CLIA Certification, 10/3/11
2011-59	Effective Dates for the Implementation of HIPAA Version 5010 Standard and the NCPDP Telecommunication Standard Version D.0, 9/23/11
2011-58	Announcing Provider Electronic Solutions Software Version 3.0, 9/20/11
2011-47	Providers May Change or Add Taxonomy Codes, 8/24/11
2011-34	Announcing HIPAA ASC X12 Version 5010 Companion Guides, NCPDP Version D.0 Payer Sheet, and Testing Information, 6/24/11 September 23, 2011: The dual processing period for electronic transactions has changed to October 16 through December 31, 2011. Pages 2 and 3 are shown to reflect this change. July 19, 2011: The date trading partners may start compliance testing has changed to October 15, 2011. As of September 23, 2011, this date has changed to October 16, 2011. Page 2 has been revised to reflect this change.
2011-24	New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members, 4/15/11 On May 3, 2011, the TTY telephone number on page 2 and 4 of the Member Update and Attachment 3 was revised. All changes are indicated in red text. *On April 26, 2011, this Update* was revised since its original publication**, as indicated in red text on pages 1, 2, 11 and 13.
2011-19	Uploading Claim Attachments Via the Portal, 4/14/11
2011-18	BadgerCare Plus Basic Plan New Enrollment Ending, 3/1/11
2011-17	The ForwardHealth Update Summary Will Only Be Available on the ForwardHealth Portal, 3/1/11
2011-16	Remittance Advice Modified to Reflect Changes to Claim Adjustment Calculations, 3/1/11
2011-12	Providers May Upload Prior Authorization Attachments and Additional Clinical Supporting Documentation for Prior Authorization Requests Submitted Via the Portal, 3/1/11
2011-11	New Medicaid Non-Emergency Medical Transportation Management System, 2/1/11
2010
2010-113	Announcing the HIPAA ASC X12 Version 5010 and National Council for Prescription Drug Programs Version D.0 Implementation Page on the ForwardHealth Portal, 12/1/10 November 2, 2011: The e-mail address designated for 5010 and D.0 questions will no longer be monitored. Use the "Contact" link located at the bottom of any ForwardHealth Portal page to submit written inquiries.
2010-110	Changes to BadgerCare Plus Basic Plan Copayments and Service Limitations, 12/1/10
2010-106	Note Field Enhancement for Most Claims Submitted Electronically, 12/1/10
2010-105	Reminders Regarding Use of Unlisted, Not Otherwise Classified, Procedure Codes, 12/1/10
2010-80	ForwardHealth Holiday and Furlough Day Schedule, 9/1/10
2010-76	BadgerCare Plus Basic Plan Members Diagnosed with Cancer May Be Enrolled in the BadgerCare Plus Core Plan, 8/1/10
2010-71	Reminder Regarding Charging Members Fees for Health Care Records, 8/1/10
2010-70	Non-emergency Transportation Is Now Covered by the BadgerCare Plus Benchmark Plan, 8/1/10
2010-61	Southeast Wisconsin HMO Changes for Members Enrolled in the BadgerCare Plus Standard Plan and the BadgerCare Plus Benchmark Plan, 7/1/10
2010-42	Introducing the BadgerCare Plus Basic Plan, 6/1/10
2010-41	BadgerCare Plus Basic Plan Training Available for Providers, 5/1/10
2010-37	Payment Information Will Be Released to the ForwardHealth Portal, to WiCall, and to the 835 Health Care Claim Payment/Advice Simultaneously, 5/1/10
2010-35	Centers for Medicare and Medicaid Services to Begin Auditing Medicaid Providers, 5/1/10
2010-33	New Contact Information and Forms for the Pharmacy Services Lock-In Program, 5/1/10
2010-31	2010 Provider Training Opportunities, 5/1/10
2010-27	2010 Introduction to BadgerCare Plus and Medicaid Training Available, 4/1/10
2010-17	Upcoming Changes to HIPAA Standards for Electronic Transactions, 3/1/10
2010-16	Provider Recertification Conducted on the ForwardHealth Portal, 3/1/10
2010-10	Methods of Returning Overpayments to ForwardHealth, 2/1/10
2010-09	Resubmitting Medicare Crossover Claims When Medicare Assessed a Late Fee, 2/1/10
2010-03	Effective May 1, 2010, Remittance Advice Will No Longer Be Mailed and Will Only Be Available on the ForwardHealth Portal, 2/1/10
2009
2009-96	New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid, 12/1/09
2009-91	2010 ForwardHealth Portal Fundamentals Training Available, 12/1/09
2009-90	New Information Regarding the Provider Relations Representatives and Other Provider Resources, 12/1/09
2009-80	Electronic Funds Transfer Payments Available, 11/1/09
2009-70	Copayment and Service Limitations Reset with HMO Enrollment for Members in BadgerCare Plus Core Plan for Adults with No Dependent Children, 10/1/09
2009-69	New Contract for Incontinence and Selected Urological Supplies for Certain BadgerCare Plus and Medicaid Members, 10/1/09 *This Update* has been revised since its original publication to correct the telephone numbers for J&B Medical Supply.** Providers should not distribute copies of the previously-published ForwardHealth Member Update because it contains incorrect telephone numbers for J&B Medical Supply.
2009-67	Enrollment Verification System Enhancement, 10/1/09
2009-57	ForwardHealth Holiday and Furlough Day Schedule, 9/1/09
2009-50	Provider Electronic Solutions Software Training Available, 9/1/09 *This Update* has been revised since its original publication.** The June 17, 22, and 24, 2010, Provider Electronic Solutions claims submission software training sessions for Dental and Pharmacy claims will not be held at their scheduled locations. Instead, a real-time, Web-based training session facilitated through HP^® Virtual Room will be conducted on June 24, 2010. Registration is still required for these sessions. Refer to the Providers Trainings page of the ForwardHealth Portal at www.forwardhealth.wi.gov/ for more information.
2009-38	Women Diagnosed with Breast Cancer or Cervical Cancer While Enrolled in BadgerCare Plus Benchmark Plan or BadgerCare Plus Core Plan Are Now Eligible to Be Enrolled in Wisconsin Well Woman Medicaid, 7/1/09 *This Update* has been revised since its original publication.** The e-mail address for submitting the Wisconsin Well Woman Medicaid Determination form has been updated.
2009-37	BadgerCare Plus and Medicaid Basics Training Available for All Providers, 6/1/09
2009-33	Expansion of the BadgerCare Plus Core Plan for Adults with No Dependent Children, 6/1/09 *This Update* has been revised since its original publication.** Information about BadgerCare Plus Benchmark Plan coverage of routine vision services in Attachment 5 has been corrected.
2009-29	ForwardHealth Portal Fundamentals Training Available for All Providers, 5/1/09 *This Update* has been revised since its original publication.** The training sessions have been extended by 30 minutes. The new end times are noted in the revised Attachment.
2009-17	BadgerCare Plus Core Plan for Childless Adults Training Sessions Available for All Providers, 4/1/09
2009-09	Copayment Policy Clarification for Members in Foster Care, Subsidized Adoption, and the Katie Beckett Program, 3/1/09
2009-03	1099 Miscellaneous Form for the 2008 Tax Year from ForwardHealth, 1/1/09
2008
2008-204	Tobacco Cessation Products and Services Covered Under the BadgerCare Plus Core Plan for Childless Adults, 12/1/08
2008-203	Billing Members for Covered and Noncovered Services Under the BadgerCare Plus Core Plan for Childless Adults, 12/1/08
2008-200	Member Enrollment Verification for BadgerCare Plus Core Plan for Childless Adults, 12/1/08
2008-199	Introducing the BadgerCare Plus Core Plan for Childless Adults, 12/1/08
2008-193	ForwardHealth Electronic Claims Submission Deadlines and Holiday Schedule for 2008, 11/1/08
2008-186	Designating an Address for Prior Authorization Correspondence, 10/1/08
2008-184	New Effective Dates for ForwardHealth Implementation, 9/1/08
2008-182	Separate Prior Authorization Is Required Under the BadgerCare Plus Benchmark Plan, 9/1/08
2008-176	Submitting Adjustment Requests for Claims and Adjustments Paid Prior to ForwardHealth interChange Implementation, 9/1/08
2008-175	Preparing for ForwardHealth interChange Implementation, 9/1/08
2008-174	Interim Payments Available to Providers during the Transition to ForwardHealth interChange, 9/1/08
2008-172	Prior Authorization Requests and the ForwardHealth Portal, 9/1/08
2008-170	Status of Claims and Adjustment Requests in Process at the Time of ForwardHealth interChange Implementation, 9/1/08
2008-167	Claims and Adjustments Using the ForwardHealth Portal, 9/1/08
2008-163	HIPAA-Compliant Data, Including National Provider Identifiers, Required for All Fields on Claims, 9/1/08
2008-162	ForwardHealth interChange Implementation Is Postponed, 9/1/08
2008-157	Provider Services and Other Informational Resources Available with ForwardHealth interChange Implementation, 8/1/08
2008-156	Important Information for ForwardHealth Portal Administrators, 8/1/08
2008-154	ForwardHealth Is Issuing New Member Identification Cards with New Member Identification Numbers, 8/1/08
2008-153	Medicare Crossover Claims for ForwardHealth Providers, 8/1/08
2008-151	Enrollment Verification for Members Enrolled in ForwardHealth Programs, 8/1/08
2008-149	Planned Effective Dates for Claim Submission and Other Changes for ForwardHealth interChange Implementation, 8/1/08
2008-148	National Provider Identifier Requirements with the Implementation of ForwardHealth interChange, 9/1/08
2008-136	Certification Policy and Procedure Changes for Medicaid Providers Due to ForwardHealth interChange, 8/1/08
2008-135	ForwardHealth Announces the New Remittance Advice, 8/1/08
2008-134	ForwardHealth Forms with Barcodes Support Efficient Processing, 8/1/08
2008-131	ForwardHealth Provider Communications, 8/1/08
2008-124	Establishing a Provider Account on the ForwardHealth Portal, 7/1/08
2008-98	Training Sessions in August 2008 on Provider Electronic Solutions Software Upgrades and Changes, 7/1/08
2008-96	Designating a Trading Partner to Receive 835 Health Care Claim Payment/Advice Transactions, 7/1/08
2008-95	Recommended System Requirements for ForwardHealth Portal and PES Users, 7/1/08
2008-94	Introducing the ForwardHealth Portal, 7/1/08
2008-93	ForwardHealth Requires Providers to Use the 1500 Health Insurance Claim Form (version dated 08/05) or the UB-04 Claim Form, 6/1/08
2008-45	Paper Claim Form Preparation and Data Alignment Requirements for ForwardHealth interChange, 6/1/08
2008-39	BadgerCare Plus HMO Expansion, 6/1/08
2008-38	Additional ForwardHealth interChange Training Sessions Available in August 2008, 6/1/08
2008-36	Medicare Will Discontinue Accepting and Forwarding Medicare Crossover Claims Submitted with a Medicaid Provider Number, 5/1/08
2008-33	ForwardHealth interChange Training Available, 4/1/08
2008-32	Reimbursement to Members Due to Retroactive Enrollment, 4/1/08
2008-30	Implementation of National Provider Identifier, 4/1/08
2008-24	Introducing ForwardHealth interChange, a New Web-Based Information System for State Health Care Programs, 3/1/08
2008-23	Introducing ForwardHealth, 3/1/08
2008-19	Health Care Providers Are Required to Report Their National Provider Identifier to Wisconsin Medicaid Immediately, 3/1/08
2008-16	BadgerCare Plus Requirement for Automatic Professional Crossover Claims for Dual Eligibles, 2/1/08
2008-12	Family Care and Family Care Partnership Programs Expand in 2008, 2/1/08
2008-06	Tobacco Cessation Products and Services Covered Under BadgerCare Plus and Wisconsin Medicaid, 1/1/08
2008-04	Mental Health and Substance Abuse Screening, Preventive Mental Health Counseling, and Substance Abuse Intervention for Pregnant Women: A New Benefit Under BadgerCare Plus and Wisconsin Medicaid, 1/1/08
2008-02	Express Enrollment in BadgerCare Plus for Children, 1/1/08
2008-01	Billing Members for Covered Services, Noncovered Services, and Cost Sharing Under BadgerCare Plus, 1/1/08
2007
2007-111	BadgerCare Plus Requirement for Automatic Institutional Crossover Claims for Dual Eligibles, 12/1/07
2007-100	Enrollment Verification for BadgerCare Plus Members, 12/1/07
2007-85	HealthCheck "Other Services" Under BadgerCare Plus, 11/1/07
2007-80	BadgerCare Plus Training Available, 11/1/07
2007-79	Introduction to BadgerCare Plus — Wisconsin's New Health Care Program, 11/1/07
2007-78	Announcing a New Look for Wisconsin Medicaid and BadgerCare Updates and Summaries, 11/1/07
2007-69	Reminder: Wisconsin Medicaid Is Collecting National Provider Identifiers from Health Care Providers, 10/1/07
2007-62	Wisconsin Medicaid Electronic Claims and Web Prior Authorization Submission Deadlines and Holiday Schedule for 2007, 10/1/07
2007-54	Wisconsin Medicaid Is Now Collecting National Provider Identifiers, 7/1/07
2007-53	Wisconsin Medicaid will require NPI for All Health Care Providers, 7/1/07
2007-51	Medicaid Basics Training Offered in August and September, 7/1/07
2007-50	Supplemental Security Income Managed Care Program Expansion, 6/1/07
2007-47	SeniorCare Extended to December 31, 2009, 6/1/07
2007-39	Reminder: Wisconsin Medicaid Will Not Implement the National Provider Identifier on May 23, 2007 — Medicaid Provider Numbers Will Continue to Be Required, 5/1/07
2007-12	Wisconsin Medicaid Will Not Implement the National Provider Identifier on May 23, 2007 — Medicaid Provider Numbers Will Continue to Be Required, 2/1/07
2007-05	Health Coach Service Pilot Addresses Frequent Emergency Room Use, 1/1/07
2007-03	Wisconsin Partnership Program Expands to Kenosha County, 1/1/07
2007-02	Family Care Expands to Racine and Kenosha Counties, 1/1/07
2006
2006-96	Supplemental Security Income Managed Care Program Expansion, 12/1/06
2006-90	Medicaid Provider Numbers Required on Electronic Medicare Crossover Claims, 11/1/06
2006-81	Wisconsin Medicaid Electronic Claims and Web Prior Authorization Submission Deadlines and Holiday Schedule for 2006, 10/1/06
2006-40	Changes to Forward Cards, 5/1/06
2006-25	New Place of Service Code for Pharmacy Services, 3/1/06
2006-22	HMOs and SSI HMOs Contracting with Wisconsin Medicaid for 2006, 3/1/06
2006-11	Medicaid Provider Responsibilities Involving the Wisconsin Birth to 3 Program, 2/1/06
2006-01	BadgerCare Expansion for Certain Pregnant Women, 1/1/06
2005
2005-65	Medicaid Basic Training Offered, 11/1/05
2005-61	Assistance for Hurricane Katrina Evacuees, 9/1/05
2005-48	All-Provider Handbook Revised, 9/1/05
2005-43	National Provider Identifier, 8/1/05
2005-29	Medicare Enrollment Requirement, 6/1/05
2005-16	Managed Care Expansion for Recipients in Milwaukee County, 3/1/05
2004
2004-82	Wisconsin Partnership Program Offers Benefits for Elderly and Disabled Recipients, 11/1/04
2004-80	Wisconsin Medicaid Electronic Claims and Web Prior Authorization Submission Deadlines and Holiday Schedule for 2004, 10/1/04
2004-72	Medicaid Basic Training Offered, 9/1/04
2004-68	Recipients with Medicare Managed Care Coverage, 8/1/04
2004-54	Wisconsin Medicaid Now Supports the HIPAA-Compliant Batch X12 270/271 Health Care Inquiry/Response, 7/1/04
2004-43	Reimbursement for Reproducing Records, 6/1/04
2004-29	Wisconsin Medicaid Will Stop Accepting Claims in Pre-HIPAA Electronic Formats Before the End of 2004, 4/1/04
2004-22	Revised form for reporting discrepancies in recipients' other health care coverage information, 4/1/04
2004-12	New Web site address for Wisconsin Medicaid, 3/1/04
2004-06	Veterans' benefits available through the Wisconsin Department of Veterans affairs, 2/1/04
2004-02	Medicaid as payer of last resort, 1/1/04
2003
2003-159	Providers should distribute the Update Summary to staff, 12/1/03
2003-158	Changes to billing and reimbursement for services provided to dual entitlees as a result of HIPAA and the Wisconsin biennial budget, 11/1/03
2003-157	SeniorCare chapter of Wisconsin Administrative Code available, 11/1/03
2003-149	Medicaid basic training and Provider Electronic Solutions software training offered in November, 10/1/03
2003-148	Wisconsin Medicaid electronic claims submission deadlines and holiday schedule for 2003, 10/1/03
2003-147	Wisconsin Medicaid will inform trading partners of changes to companion documents, 9/1/03
2003-146	HIPAA contingency plan: options for billing services and providers who will not be ready to submit HIPAA-compliant electronic claims, 9/1/03
2003-145	Free HIPAA-compliant claims submission software is available, 9/1/03
2003-139	HIPAA changes to the Eligibility Verification System response, 8/1/03
2003-134	Wisconsin Medicaid will split claims and claim details in certain situations, 8/1/03
2003-133	Remittance and Status Report messages available via e-mail, 8/1/03
2003-132	Provider-Based Billing for recipients retroactively enrolled in Medicare managed care, 8/1/03
2003-76	Announcing Wisconsin Medicaid's companion documents for the HIPAA-compliant 837 health care claim or adjustment transactions, 7/1/03
2003-75	The Division of Health Care Financing offers free HIPAA-Compliant claims submission software,7/1/03
2003-65	Introducing the Wisconsin Medicaid Claim Refund form and instructions, 7/1/03
2003-64	Wisconsin Medicaid will continue to require claims for timely filing appeals, formerly late billing appeals, to be submitted on paper, 7/1/03
2003-45	Changes to the Wisconsin Medicaid paper Remittance and Status Report, 7/1/03
2003-31	Changes to the Wisconsin Medicaid Adjustment Request form and instructions, 6/1/03
2003-30	Policy for submitting claims that require attachments will not change as a result of HIPAA, 6/1/03
2003-29	Wisconsin Medicaid will no longer reimburse claims submitted for newborns under the mother's identification number, 6/1/03
2003-28	Announcing Wisconsin Medicaid�s companion documents for the HIPAA-compliant TA1 interChange Acknowledgment and 997 Functional Acknowledgment, 6/1/03
2003-26	Announcing Wisconsin Medicaid's companion document for the HIPAA-compliant 835 Health Care Claim Payment/Advice, 6/1/03
2003-25	Announcing Wisconsin Medicaid's companion document for the HIPAA-compliant 270/271 health care eligibility inquiry and response transaction, 6/1/03
2003-23	Medicaid publications available on CD-ROM, 4/1/03
2003-17	Training sessions offered in May and June 2003 regarding HIPAA, 3/1/03
2003-13	Wisconsin Medicaid tobacco cessation services, 2/1/03
2003-12	Redesigned forms page on the Medicaid Web site, 2/1/03
2003-11	HIPAA training scheduled to begin May 2003, 2/1/03
2003-09	Review of recipients eligible to be enrolled in a Wisconsin Medicaid and BadgerCare HMO, 2/1/03
2003-04	Wisconsin Medicaid will revise claim and prior authorization instructions as a result of HIPAA, 1/1/03
2003-03	Wisconsin Medicaid provides directory of used medical equipment donation sites, 1/1/03
2002
HIPAA inSight	Wisconsin Medicaid will offer free HIPAA-compliant claims submission software prior to October 2003, December 2002
HIPAA inSight	The HIPAA Privacy Standards, November 2002
2002-57	Revised form for indicating discrepancies in recipients' other health care coverage information, 10/1/02
2002-54	Definition of outpatient hospital services, 9/1/02
2002-52	Two All-Provider Handbook forms revised, 9/1/02
2002-50	Wisconsin SeniorCare participants eligible only for prescription drug benefits, 8/1/02
HIPAA inSight	Wisconsin Medicaid will offer training on the impact of HIPAA, August 2002
2002-48	Medicaid Basic Training offered in October, 8/1/02
2002-39	Wisconsin Medicaid reorganizes Web site, 8/1/02
2002-38	SeniorCare program begins in September, 7/1/02
2002-37	New Wisconsin Medicaid Provider Materials Order form, 7/1/02
2002-35	HIPAA affects all providers — not just those who submit electronic claims, 7/1/02
2002-34	Changes in Wisconsin Medicaid recipient identification numbers and names, 7/1/02
June 2002	Announcing the new Wisconsin Medicaid and BadgerCare Update Summary, Introducing Wisconsin Well Woman Medicaid, What's new on the Medicaid and BadgerCare Web sites, 6/1/02
May 2002	Verifying Medicaid eligibility of foster care children, Deactivated and defective Medicaid Forward cards, What�s new on the Medicaid and BadgerCare Web sites, 5/1/02
HIPAA inSight	One-year extension on compliance deadline for HIPAA standards for electronic transactions, May 2002
April 2002	Release of billing or medical information by providers, Medicaid Basic Training offered in May and June, What's new on the Medicaid and BadgerCare Web sites, 4/1/02
March 2002	All-Provider Handbook available on CD-Rom, All Wisconsin counties have a county veterans service office, What's new on the Medicaid and BadgerCare Web sites, New Medicare crossover claim agreements established, 3/1/02
February 2002	Wisconsin Medicaid provider certification packets available on Medicaid Web site, What's new on the Medicaid Web site, Accessing Wisconsin Medicaid eligibility information, 2/1/02
January 2002	Summary of Wisconsin Medicaid handbooks published in 2001, New fax cover sheet, HCF 1176 available for prior authorization requests, Medicaid Basic Training offered, What's new on the Medicaid Web site, 1/1/02
2001
HIPAA inSight — No. 3	HIPAA standardizes remittance information, Medical data code sets, Frequently asked questions, December 2001
December 2001	Where to submit paper claims for state health care benefits programs, Veterans' benefits available through the Wisconsin Department of Veterans Affairs, Electronic claims submission schedule for 2002, What's new on the Medicaid Web site, 12/1/01
November 2001	How "medically necessary" is applied when evaluating prior authorization requests, What's new on the Medicaid Web site, 11/1/01
October 2001	Wisconsin Medicaid restricts billing recipients, What's new on the Medicaid Web site, Reminder: Electronic claims submission schedule for November 2001, Wisconsin Medicaid and BadgerCare HMO Ombudsmen, 10/1/01
HIPAA inSight — No. 2	The HIPAA standards, The HIPAA Electronic Transactions standard, HIPAA-compliant code sets, Implementation guides, Terms and definitions, HIPAA-related Web sites, 9/1/01
September 2001	Identifying recipients covered under special benefits categories, What's new on the Medicaid Web site, Submitting inquiries to the Written Correspondence Unit, 9/1/01
2001-32	New Milwaukee County Professional Relations representative, 8/1/01
2001-26	Procedures to follow when a recipient appeal is successful, 8/1/01
August 2001	Medicaid Basic Training offered, Prior authorization for recipients retroactively disenrolled from Medicaid HMOs, special managed care programs, or Family Care care management organizations, The Health Care Financing Administration has a new name, What's new on the Medicaid Web site, Correction to July 2001 HIPAA inSight, 8/1/01
HIPAA inSight — Issue 1	All-provider insert for Wisconsin Medicaid, BadgerCare, and HIRSP providers regarding the federal Health Insurance Portability and Accountability Act of 1996, July 2001
July 2001	New Wisconsin Medicaid provider certification packets, New Medicaid Web capabilities: Search engines, What's new on the Medicaid Web site, New Medicaid Web capabilities: Fee schedules available in Portable Document Format and text file formats, 7/1/01
June 2001	How providers can update a recipient's Medicare and other commercial health insurance coverage information, Wisconsin Medicaid/BadgerCare HMO service areas, Who to call with questions, What's new on the Medicaid Web site, 6/1/01
May 2001	Clarification of prior authorization fax procedures, Reminder: HIPAA information-sharing sessions scheduled for May and June, HIPAA inSight, Electronic claims submission deadlines and Medicaid holiday schedule for 2001, What's new on the Medicaid Web site, 5/1/01
April 2001	Notifying Wisconsin Medicaid when changing addresses, Always check a pregnant woman's Medicaid eligibility for HMO enrollment, Medicare managed care services not reimbursable by Wisconsin Medicaid, Reminder: HIPAA information-sharing sessions scheduled for May and June, What's new on the Medicaid Web site, 4/1/01
March 2001	HIPAA information-sharing sessions scheduled, Identifying misuse and abuse of Medicaid ID cards, Commonly asked Family Care questions, What's new on the Medicaid Web site, 3/1/01
February 2001	2001 Medicaid/BadgerCare managed care forums offered, The importance of distributing Updates, What's new on the Medicaid Web site, Identifying Family Care members, 2/1/01
January 2001	Family Care began January 1 in Richland County, What you can find on the Medicaid Web site, What's new on the Medicaid Web site, 1/1/01
2000
December 2000	Send provider-based billing claims to Medicare for Part B services, BadgerCare eligibility not affected by employment status, Commercial health insurance cost-sharing, and What's new on the Medicaid's Web site, 12/1/00
2000-60	Prior authorization requests may now be faxed, 11/1/00
November 2000	Medicaid's role in HIV-related health care, Resources in the Division of Public Health Wisconsin AIDS/HIV Program, List of AIDS Service Organization (ASO) regions in Wisconsin, List of local and national AIDS/HIV resources, and What's new on the Medicaid Web site, 11/1/00
2000-44	New Milwaukee County Professional Relations representative, 10/1/00
October 2000	Information for Wisconsin Medicaid Provider Services calls, What's new on the Medicaid Web site, Common Explanation of Benefit codes for denied claims, and HIPAA Up-to-date, 10/1/00
September 2000	Accommodations and accessibility: Enhancing health outcomes, Commonly asked Family Care questions, Correction to Update 2000-20 for dentists, What�s new on the Medicaid Web site, HIPAA Up-to-date, 9/1/00
August 2000	View electronic version of All-Provider Handbook on Medicaid Web site, How Family Care's Care Management Organizations work with primary care providers, What's new on the Medicaid Web site, Web address error in June Update, HIPAA Up-to-date, 8/1/00
July 2000	Hot off the presses � your new All-Provider Handbook, Family Care implementation date changed for Milwaukee County, Additional category of Family Care eligibility, What�s new on the Medicaid Web site, HIPAA Up-to-date 7/1/00
June 2000	Special Medicaid eligibility programs for Medicare recipients, What�s new on the Medicaid Web site, Family Care available to people not on Medicaid, Commonly asked Family Care questions, 6/1/00
May 2000	Discuss prior authorization with recipients, Enhancements to information available through commercial eligibility verification vendors, Family Care to begin in Milwaukee County, What's new on the Medicaid Web site, Important changes to the Medicaid Estate Recovery Program, May 2000
April 2000	Providers are to bill Wisconsin Medicaid their usual and customary charges, Phone number correction, Reporting suspected recipient misuse or abuse of Wisconsin Medicaid benefits, List of agencies and the special managed care program(s) they support, What's new on the Medicaid Web site, Wisconsin Medicaid and BadgerCare Update sent to recipients, 4/1/00
March 2000	Introducing the Medicaid Purchase Plan, Family Care to begin in Portage and La Crosse counties, Long term care services covered under Family Care, What's new on the Medicaid Web site, Special advisory bulletin describes exclusion from federal health care programs, 3/1/00
February 2000	What every provider needs to know about Medicaid transportation, Electronic claim submission times, Forward card training sessions, What's new on the Medicaid Web site, Telephone numbers for county and tribal transportation, SMV Transportation Physician Certification form, 2/1/00
2000-04	Community Services Deficit Reduction Benefit program, January 2000
January 2000	Family Care begins in February of 2000, Pregnant women benefit from Presumptive Eligibility, Automated Voice Response system helpful hints, What's new on the Medicaid web site, 1/6/00
1999
December 1999	Introducing Family Care, Wisconsin's flexible, innovative long term care benefit; Change in claims submission deadlines for last week of 1999; Wisconsin Medicaid/BadgerCare Year 2000 Contingency Plan; Automated Voice Response system enhancements; What's new on the Medicaid web site, 12/2/99
November 1999	Claims billing deadline and the Year 2000; Change in claims submission deadlines for last week of 1999; Wisconsin Medicaid/BadgerCare Year 2000 Contingency Plan; Time for influenza and pneumonia vaccines; Revised commercial eligibility verification list; What's new on the Medicaid web site, 11/1/99
October 1999	Year 2000 — an opportunity to focus on contingency planning, Wisconsin Medicaid is Year 2000 ready, Reminder about who providers call if they have questions, Social Security Offices, What's new of the Medicaid web site, Attachment 1: President's Council on Year 2000 Conversation, 10/1/99
September 1999	Medicaid and BadgerCare recipients statewide receive Forward ID cards, Provider questions about BadgerCare, Are you prepared for the Year 2000? Revised procedures due to Forward card implementation and Eligibility Verification System (EVS) enhancements, What's new on the Medicaid web site, Clarification for Birth to 3 and natural environments, Medicaid Managed Care HMOs/program list, Automated Voice Response (AVR) Quick Reference Guide, 9/1/99
August 1999	Birth to 3 and natural environments, Y2K on the web, What's new on the Medicaid web site, State launches the BadgerCare web site, Newborn Report form address change, Additional Forward card training sessions/vendor fairs scheduled, BadgerCare Help Index, 8/1/99
99-29	Pharmacy Electronic Media Claims record layout changes, July 1999
July 1999	Commonly asked questions about BadgerCare, Medicaid restricts billing recipients, Y2K-ready electronic billing software is available, what's new on the Medicaid web site, BadgerCare program summary, 7/1/99
June 1999	Commonly asked questions about the enhanced Eligibility Verification System, Forward card and pharmacy POS pilots will begin in July, Contingency planning for Y2K issues, What's new on the Medicaid web site, and Reference guide to responses from AVR and commercial eligibility verification vendors, 6/1/99
May 1999 \| HCFA Letter	HCFA letter addresses Year 2000 issue, What's new on the Medicaid web site, Wisconsin Medicaid will have new Year 2000-ready electronic billing software, Notification necessary when changing addresses, 5/1/99
April 1999	Wisconsin Medicaid available on the web, Computer systems and Y2K, State launches Medicaid outstationing initiative, Professional relations reps voice mail reminder, Address correction, 4/1/99
99-16	New Forward ID card implementation delayed, 3/1/99
March 1999	Governor announces agreement on BadgerCare, Wisconsin Medicaid enhances services for providers, Fixing Y2K - critical to the health of Wisconsin's citizens, Voice mail replaces field reps' answering service, Questions from Recipients about Medicaid Eligibility and Services?, 3/1/99
February 1999	Wisconsin Medicaid will be ready for year 2000, Wisconsin Medicaid is now on the web, Revised list of commercial verification vendors, Additional Forward card training scheduled, Commonly asked questions about the new Medicaid ID card (Forward cards), 2/1/99
January 1999	Wisconsin Medicaid is moving from paper to plastic identification cards, Provider sources for Medicaid information, Medicaid recipient certifying county and tribal human or social services departments, 1/1/99
1998
98-37	Waiver allows Wisconsin Partnership programs to cover all Medicaid services, 12/1/98
December 1998	Appeal procedures for denied or modified prior authorization (PA) requests, Reminder for Milwaukee Medicaid providers, Wisconsin Medicaid professional relations representatives map, 12/1/98
November 1998	DHFS reorganizes Division of Health, How to read a Medicaid fee schedule, Wisconsin Medicaid expands Automated Voice Response system for providers, 11/1/98
98-30	New Medicaid ID card training session and vendor fair, 10/1/98
98-27	What's new with special managed care, 10/1/98
October 1998	Wisconsin Birth to 3 program, Special managed care programs list, 10/1/98
September 1998	Corrections to August Medicaid Update, Questions frequently asked by providers, 9/1/98
98-26	Medicaid copayments, 8/1/98
98-25	New fee schedules and order form, 8/1/98
August 1998	Wisconsin Medicaid redesigns publications, Important information for timely prior authorization review and claims payment, 8/1/98
98-08	Wisconsin Medicaid and SSI children: Questions and Answers, Medicaid HMO information, Medicaid fiscal agent (EDS) professional relations representatives list, 2/12/98
1997
97-36	Medicaid Copayments — Effective January 1, 1998, 11/12/97
97-34	Claim Submission Deadline and Exceptions, 10/22/97
97-33	Health Care Connections (HCC), 10/8/97
97-28	Wisconsin Medicaid remains intact with welfare reform, 9/2/97
97-22	Provider-based billing, 8/13/97
97-18	Wisconsin Medicaid restored for recipients who lost SSI, 6/5/97
97-13	Primary Provider Program (PPP) Ends — Effective June 1, 1997, 4/07/97
97-12	Center for Independent Living for Western Wisconsin — Partnership Is a New Managed Care Program, 4/7/97
97-05	Wraparound Milwaukee is now a managed care program, 2/18/97
1996
96-44	Medicaid fiscal agent, 11/25/96
96-35	PrimeCare Network Change, 10/23/96
96-18	Partnership Access to Independence Program (PAI), 6/7/96
96-01PH	Tuberculosis-TB on the rise, 10/15/96
1988
MAPB-088-040-X	General Policy Clarification, 6/1/88
1987
MAPB-087-038-X	Legislative Update and Other Information, 12/21/87

About | Contact | Disclaimer | Privacy Notice

Wisconsin Department of Health Services

Production PROD_WIPortal2_M952A__3

Browser Tab ID: 1 -1