WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #214
Withholding Payments
Wisconsin DHS (Department of Health Services) may withhold full or partial Medicaid provider payments without prior
notification if, as the result of any review or audit, DHS finds reliable evidence of fraud or willful misrepresentation.
Reliable evidence of fraud or willful misrepresentation includes, but is not limited to, the filing of criminal charges by a prosecuting
attorney against the provider or one of the provider's agents or employees.
DHS is required to send the provider a written notice within five days of taking this action. The notice will generally set forth the
allegations without necessarily disclosing specific information about the investigation.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
650dd48e95eab1495ccec7369032959b8efab5e71a4f65b17f03747450d83672
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