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Must Know: New Provider Enrollment System for Adult Long-term Care

Beginning September 2024, the Wisconsin Department of Health Services (DHS) will require providers of adult long-term care (LTC) waiver services to enroll with Wisconsin Medicaid through the ForwardHealth Portal. DHS requires all providers to be certified by Wisconsin Medicaid as described in Wis. Admin. Code ch. DHS 105.

 

DHS is creating a centralized system to standardize, streamline, and automate the ForwardHealth enrollment process for adult LTC waiver services providers. The system will allow you to submit all information necessary to enroll with Wisconsin Medicaid. The new process is for those who provide services listed in the DHS MCO contract or the IRIS Service Definition Manual to adults who are older, have a physical disability, or have an intellectual or developmental disability.

 

As an HCBS provider, you have questions and want more information.

 

Background

If you are a provider that only offers adult LTC waiver services, you will need to enroll for the first time using the Portal system. If you are an existing Medicaid provider who also offers adult LTC waiver services, you will need to log in to the Portal and add LTC waiver programs and services to your current provider record.

 

DHS is excited to share this video to introduce you to the basics of the project and help you understand how the project will affect providers.

Watch the informational video

Note: In communications related to this initiative describing enrolling with Wisconsin Medicaid, DHS may refer to providers who serve adults who are older, have a physical disability, or have an intellectual or developmental disability as adult long-term care waiver services providers or home and community-based waiver services (HCBS) providers. These terms also apply to agencies, organizations, vendors, and sole proprietors who provide services as listed in the DHS MCO contract and/or IRIS Service Definition Manual

Impacted Programs

•    Family Care
•    Family Care Partnership
•    Program of All-Inclusive Care for the Elderly (PACE) 
•    IRIS (Include, Respect, I Self-Direct)

Read the Q&A

 

The New Provider Enrollment System for Adult Long-term Care page of the Portal has information about the enrollment project, including a question and answer (Q&A) document. DHS will update the page and Q&A as the project progresses. You can stay informed and prepare to meet the requirements to become a certified Medicaid provider through the Portal.

Sign Up to Get Emails About New Updates

 

The E-mail Subscription Sign-up page of the Portal has an email subscription list called Adult LTC Waiver Provider. DHS encourages you to sign up for this list to get an email each time a new Adult Long-term Care Update has been published, as well as receive notifications about upcoming provider enrollment trainings.

 

This Update is part of a series for all providers of home and community-based services delivered under one of Wisconsin’s adult long-term care (LTC) waiver programs. Adult LTC waiver programs include Family Care, Family Care Partnership, Program of All-Inclusive Care for the Elderly (PACE), and IRIS (Include, Respect, I Self-Direct).

For more information about this project, please visit the
New Provider Enrollment System for Adult Long-Term Care page of the ForwardHealth Portal. The policy changes from this Update will also be included in the ForwardHealth Online Handbook.

The Online Handbook is your online resource for adult LTC waiver provider-related policy. Refer to the Online Handbook for comprehensive and up-to-date policy information.

Provider Services: 800-947-9627
Monday ─ Friday, 7 a.m ─ 6 p.m.
ForwardHealth Portal
 

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