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Welcome  » April 25, 2024 4:28 AM
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Alerts
  • Change Healthcare (CHC) has begun submitting some batch X12 electronic transactions to ForwardHealth. The volume of backlogged claims held by CHC and the amount of time it will take CHC to send them is unknown. Once claims are acquired from CHC, ForwardHealth will process them in the order received.

    Visit the Change Healthcare Service Interruption: Resources page for more information on the security incident and for ForwardHealth resources.

  • Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences.
    Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.
Contracts

BadgerCare Plus and Medicaid SSI HMO Contract

Materials Cited in the BadgerCare Plus and Medicaid SSI HMO Contract

HMO Provider Network Adequacy Standards

Dual Eligible Special Needs (D-SNP) Contract

BadgerCare Plus and Medicaid SSI HMO Certification

All HMOs interested in participating in the WI Medicaid SSI and/or BadgerCare Plus program must complete a certification application prior to signing an initial contract. Please contact DHSHMOContract@wisconsin.gov to request a meeting to discuss the readiness review process.

The certification application for new HMOs includes completing the document below:

Policy Guides

Standard Member Handbook Language for BadgerCare Plus and Medicaid SSI

 
 
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Wisconsin Department of Health Services
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