Resources for Prenatal Care Coordination Providers

ForwardHealth Updates

The most recent ForwardHealth Updates are listed below; however, providers should refer to the Prenatal Care Coordination (PNCC) service area of the ForwardHealth Online Handbook for complete PNCC policy.

ForwardHealth Provider Trainings

• Prenatal Care Coordination Enrollment Training Part One (updated June 1, 2026)
• Prenatal Care Coordination Enrollment Training Part Two (updated June 1, 2026)
• Prenatal Care Coordination Overview Training
• New and Revised Modifier Requirements for CCC and PNCC Care Coordination Services Training (This training outlines the March 1, 2022, transition to new and revised modifiers for billing ForwardHealth for PNCC. Although the implementation date has passed, the modifier requirements, billing logic, and policy described here remain accurate and are still required for current fee-for-service claim submissions.)

Presentations

Supplemental Materials

Providers are required to document specific information. The resources in this table meet these documentation requirements. This table indicates which ones are recommended for use and which are required.

Professional Development Modules

For PNCC Providers

The Division of Medicaid Services has collaborated with the Wisconsin Child Welfare Professional Development System to create a series of four web-based professional development modules for PNCC providers. These modules include information about important topics for PNCC providers, including care coordination, behavioral health, and client-centered interviewing.

While these modules serve as helpful guidance, they are not intended to replace PNCC policy. All policy in the Online Handbook must still be followed.

For Care Coordinators and Providers on Maternal Health

The Division of Public Health has created a series of professional development modules to help educate care coordinators and providers on maternal health. These modules are not specific to PNCC providers but could be useful tools to strengthen knowledge about best practices for care coordination. The modules also address prenatal and perinatal health.

While these materials serve as helpful guidance, they are not intended to replace PNCC policy. All policy in the Online Handbook must still be followed.

Additional Resources

• For information about providing child care coordination services—Resources for Child Care Coordination Services
• For member information—the Wisconsin Department of Health Services PNCC website or the PNCC Member Brochure, P-01046
• For policy and billing questions—Provider Services at 800-947-9627
• For ForwardHealth members who have questions—Member Services at 800-362-3002 (member use only)
• ForwardHealth Provider Portal Professional Claims User Guide

Medicaid Benefits Relevant to PNCC

• Mental Health and Substance Abuse Screening for Pregnant Women–Screening services help refer pregnant individuals to mental health or substance abuse services.
• Family Planning Benefit–ForwardHealth covers certain services by certain providers for family-planning-related activities.
• Over-the-Counter Oral Contraception–ForwardHealth covers over-the-counter oral contraception under state standing orders issued in 2024.
• Non-Emergency Medical Transportation (NEMT)–ForwardHealth covers transportation to covered appointments for certain qualified members.
• Interpretive Services—ForwardHealth covers interpretive services for deaf or hard of hearing members or members with Limited English Proficiency when the interpretive service and the medical service are provided to the member on the same date of service and during the same time as the medical service.
• Housing Support Services—ForwardHealth covers supportive housing services for eligible members who are experiencing or at risk of homelessness to find and keep stable housing.