New Provider Enrollment System for Adult Long-Term Care

Are you a provider of home and community-based services under an adult long-term care (LTC) waiver program? You can now enroll with Wisconsin Medicaid through the ForwardHealth Portal. There are many resources on this page to help you with the enrollment process. Looking for more specifics about this new requirement? Scroll down to the Background section on this page.

Note: Supportive home care organizations should not enroll yet. Your provider type is not available in the application. ForwardHealth will let you know when you can enroll, likely in mid-2025. Make sure to subscribe to our mailing list for adult LTC waiver services providers to get notified when you can enroll.

You can attend a live training on Zoom. Look at the training schedule (PDF) to find a time and topic that works for you. To get the Zoom information for the trainings, you must subscribe to our Adult LTC Waiver Provider email subscription list and those links will be sent to you.

There are also several training videos you can watch anytime:

• Adult LTC: Basic Portal Navigation (7:56)
• Adult LTC: Portal Navigation for Adult LTC Resources (7:06)
• Adult LTC: Waiver Provider Enrollment (17:53)
• Adult LTC: Waiver Provider Demographic Maintenance (4:08)
• Adult LTC: Add a Waiver Service (4:18)
• Adult LTC: Add a Waiver Program (1:42)
• Adult LTC: Disenroll From a Waiver Service or Program (2:38)
• Adult LTC: Waiver Provider Re-enrollment (15:25)
• Adult LTC: How to Upload Documents (1:58)
• Adult LTC Waiver Provider Enrollment Guide Training

You can also refer to the Adult LTC: Provider Enrollment and Portal Resources (PDF) presentation from the live training.

Check out the Family Care, Family Care Partnership, Program of All-Inclusive Care for the Elderly (PACE), and IRIS (Include, Respect, I Self-Direct) program areas of the ForwardHealth Online Handbook. The Online Handbook is your online resource for adult LTC waiver service provider-related policy.

ForwardHealth has published a series of Adult Long-Term Care Updates about provider enrollment policies:

• LTC 2024-01, Adult Long-Term Care Provider Enrollment: Overview
• LTC 2024-02, Adult Long-Term Care Provider Enrollment: Risk Level, Federal and State Database Checks, and Licensure and Certification Checks
• LTC 2024-03, Adult Long-Term Care Provider Enrollment: Reporting Identifying Information, Provider Counts, and Member Counts
• LTC 2024-04, Adult Long-Term Care Provider Enrollment: Change in Ownership and Demographic Maintenance
• LTC 2024-05, Adult Long-Term Care Provider Enrollment: Effective Date of Enrollment, Criminal Background Checks, and Revalidation
• LTC 2024-06, Adult Long-Term Care Provider Enrollment: Provider Agreement and Attestations
• LTC 2024-07, Adult Long-Term Care Provider Enrollment: Physical Service Location
• LTC 2024-08, Adult Long-Term Care Provider Enrollment: Record Retention
• LTC 2024-09, Adult Long-Term Care Provider Enrollment: Obtaining Support for ForwardHealth Portal Tasks
• LTC 2024-10, Adult Long-Term Care Provider Enrollment: Termination Policies
• LTC 2024-11, Adult Long-Term Care Provider Enrollment: Revalidation and Re-enrollment
• LTC 2024-12, Adult Long-Term Care Provider Enrollment: Enrollment Is Open

Policy information from the Updates is also available in the Online Handbook.

Go to the Information for Specific Provider Types page to find enrollment information and requirements that are specific to your provider type, and in some cases, your specialty or waiver service.

Subscribe to the Adult LTC Waiver Provider email subscription list so you get important information and announcements about enrollment.

The Q&A (PDF) answers more detailed questions you may have about this effort.

ForwardHealth welcomes additional questions and feedback. You may email LTCProviderEnrollment@wisconsin.gov.

Beginning in September 2024, ForwardHealth requires all adult LTC waiver service providers to enroll with Wisconsin Medicaid.

The new process is for those who provide services listed in the Wisconsin Department of Health Services-managed care organization (MCO) contract or the IRIS Service Definition Manual to adults who are older, have a physical disability, or have an intellectual or developmental disability.

ForwardHealth is excited to share this video (5:03) to introduce you to the basics of the project and help you understand how the project will affect you as a provider.

• Family Care
• Family Care Partnership
• PACE
• IRIS

• Organizations and agencies
• Sole proprietors
• Individuals who are not self-directed service or participant-hired workers
• Self-directed support workers*
• Participant-hired workers*
• MCOs
• IRIS fiscal employer agents (FEAs)
• IRIS consultant agencies
• Self-directed personal care agency

* Individual self-directed support and participant-hired workers will continue to work with the MCOs and FEAs to complete Medicaid enrollment.

The new provider enrollment system complies with federal requirements and improves provider enrollment:

• Your enrollment, credentialing, demographic maintenance, and revalidation processes are automated and centralized, where possible.
• The enrollment system guides you through the enrollment process and automates data entry where possible, reducing the risk of errors.
• ForwardHealth performs screening processes. This reduces repetitive enrollment tasks when you contract and onboard with MCOs and IRIS FEAs.
• You submit information once per location or service type while enrolling.
• Enrollment processes align with those for state plan service (also known as fee-for-service) providers.
• ForwardHealth will develop a directory of Medicaid-certified providers for the use of the public, MCOs, and FEAs.