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Updates to Required Documentation for Prior Authorization Requests for Personal Care Services

Per Wis. Admin. § Code DHS 106.02(9)(e)1, providers must submit complete documentation to justify prior authorization (PA) requests. Required documentation now includes relevant clinical documentation from a member’s medical record.

Refer to the newly published ForwardHealth Update 2026-23, “Required Prior Authorization Documentation for Personal Care Services,” for more information about the requirements for complete and accurate PA requests for personal care services.

 
 
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