The purpose of this Annual Prescription Volume Attestation Resources page is to offer explanations, clarifications, and resources. The prescription volume attestation survey is now available until Friday, February 6, 2026.
Providers who submit claims to ForwardHealth with National Drug Codes must attest (affirm, show, or state something to be true) to their annual prescription volume. This requirement does not apply to Tribal federally qualified health centers, community health centers, or out-of-state providers.
Providers can submit surveys using a web-based tool or an Excel spreadsheet. The Excel format lets providers submit a single survey document for multiple locations; the web-based tool does not.
Organizations with multiple locations must attest for each location individually.
Providers can complete the annual prescription volume attestation survey until Friday, February 6, 2026, on behalf of the Wisconsin Department of Health Services by Mercer, a health care consulting firm. Providers must complete the survey for all prescriptions dispensed, not just Medicaid prescriptions.
The Prescription Volume Attestation Survey Instructions provide guidance about completing the web-based survey and the Excel survey.
January 26, 2026: These instructions have been revised since their original publication. Revised information appears in red text on page 1.
Providers may access the online survey by:
Providers can download and complete the Excel survey. Completed Excel surveys should be emailed to CODSurvey@mercer.com or faxed to 212-948-0047 to the attention of Kerri Wade.
ForwardHealth will use the information from the 2026 attestation survey to assign the appropriate professional dispensing fee reimbursement rate based on the annual prescription volume for each provider. ForwardHealth will notify providers of their rate assignments in March 2026. The new professional dispensing fee reimbursement rate assignments will be effective for dates of service (DOS) on and after April 1, 2026.
If a provider does not submit a survey by Friday, February 6, 2026, ForwardHealth will assign that provider the lowest professional dispensing fee reimbursement rate.
Professional dispensing fee reimbursement rates for DOS before April 1, 2026, will not be impacted by the 2026 prescription volume attestation survey.
The Centers for Medicare & Medicaid Services published the federal Covered Outpatient Drugs Final Rule (CMS-2345-FC) in January 2016 to address the rise in prescription drug costs by ensuring that Medicaid programs reformed payment methodologies for prescription drugs and drug rebates to accurately reflect market prices.
In accordance with the federal rule, ForwardHealth implemented a professional dispensing fee reimbursement rate structure based on a provider’s annual prescription volume, effective for DOS on and after April 1, 2017.
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