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Supportive Home Care Agencies With an Electronic Visit Verification-Only Provider Medicaid ID Need to Update Enrollment

Supportive home care agencies who have an electronic visit verification (EVV)-only provider Medicaid ID will have to update their enrollment with Wisconsin Medicaid this summer.

All adult long-term care (LTC) waiver services providers are required to be fully enrolled in Wisconsin Medicaid. This includes supportive home care agencies that provide services under service codes S5125, S5126, T1019, and T1020. Later this summer, ForwardHealth will publish an Adult Long-Term Care Update and send you a notice to let you know that you can update your enrollment.

When your agency was first enrolled in Wisconsin Medicaid for EVV, ForwardHealth collected basic information about your organization. You’ll need to log in to the ForwardHealth Portal (the Portal) to provide additional information when you receive this notice. This additional information will let us fully enroll you as Medicaid provider.

ForwardHealth is using the term “revalidation” for this process to convert your EVV-only enrollment to full Medicaid enrollment. You will keep the same provider ID after revalidation.

Revalidation will be available starting in late summer 2025. Once you revalidate, you will be a fully certified Medicaid provider and will meet all state and federal requirements to deliver adult LTC waiver services.

The deadline to update your file to full enrollment is January 1, 2026. You can use the Portal to complete your revalidation or check your status.

Helpful Resources

The Wisconsin Department of Health Services (DHS) is hosting two informational sessions to explain the revalidation requirement and help you with the process. The content of each session is the same. We encourage you to attend one session, but you are welcome to attend both.

The informational sessions will be held online through Zoom at the dates and times listed below. To register, click the date that works best for you:

You can find the Adult LTC Provider Q&A document and more information about enrolling with Wisconsin Medicaid on the Provider Enrollment for Adult Long-Term Care page of the Portal.

 
 
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