WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #207
Ending Participation
Providers other than home health agencies and nursing facilities may terminate participation in ForwardHealth according to Wis.
Admin. Code § DHS 106.05.
Providers choosing to withdraw should promptly notify their members to give them ample time to find another provider.
When withdrawing, the provider is required to do the following:
• Provide a written notice of the decision at least 30 days in advance of the termination.
• Indicate the effective date of termination.
Providers will not receive reimbursement for nonemergency services provided on and after the effective date of termination.
Voluntary termination notices can be sent to the following address:
Wisconsin Medicaid
Provider Enrollment
313 Blettner Blvd
Madison WI 53784
If the provider fails to specify an effective date in the notice of termination, ForwardHealth may terminate the provider on the date
the notice is received.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
017db4f657361f72214d051a01019b05c5ce7e450ddda2565aefb616c0836502
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