WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #208
A Comprehensive Overview of Provider Rights
Medicaid-enrolled providers have certain rights including:
• Limiting the number of members they serve in a nondiscriminatory way.
• Ending participation in Wisconsin Medicaid.
• Applying for a discretionary waiver or variance of certain rules identified in Wisconsin Administrative Code.
• Collecting payment from a member under limited circumstances.
• Refusing services to a member if the member refuses or fails to present a ForwardHealth identification card. However,
possession of a ForwardHealth card does not guarantee enrollment (for example, the member may not be enrolled, may be
enrolled only for limited benefits, or the ForwardHealth card may be invalid). Providers may confirm the current enrollment
of the member by using one of the EVS (Enrollment Verification System) methods, including calling Provider Services.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
ea4f7ac066578dec8b2781d4f4d1c8816bc7839935e3e63aaaebfa44ca313a6a
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