Wis. ForwardHealth Online Handbook, Hospice, Topic #4344

To establish an account on the ForwardHealth Portal, providers are required to obtain a PIN (personal identification number).

The PIN is a unique, nine-digit number assigned by ForwardHealth interChange for the sole purpose of allowing a provider to

establish a Portal account. It is used in conjunction with the provider's login ID. Once the Portal account is established, the

provider will be prompted to create a username and password for the account, which will subsequently be used to log in to the

Portal.

Note: The PIN used to create the provider's Portal account is not the same PIN used for revalidation. Providers will receive a

separate PIN for revalidation.

A provider may need to request more than one PIN if he or she is a provider for more than one program or has more than one

type of provider enrollment. A separate PIN will be needed for each provider enrollment. Health care providers will need to

supply their NPI (National Provider Identifier) and corresponding taxonomy code when requesting an account. Non-healthcare

providers will need to supply their unique provider number.

Providers may request a PIN by following these steps:

1. Go to the Portal.

2. Click the Providers link or button.

3. Click the Request Portal Access link from the Quick Links box on the right side of the screen.

4. At the Request Portal Access screen, enter the following information:

a. Health care providers are required to enter their NPI and click Search to display a listing of ForwardHealth

enrollments. Select the correct enrollment for the account. The taxonomy code, ZIP+4 code, and financial payer for

that enrollment will be automatically populated. Enter the SSN (Social Security number) or TIN (Tax Identification

Number).

b. Non-healthcare providers are required to enter their provider number, financial payer, and SSN or TIN. (This

option should only be used by non-healthcare providers who are exempt from NPI requirements).

The financial payer is one of the following:

• Medicaid (Medicaid is the financial payer for Wisconsin Medicaid, BadgerCare Plus, and SeniorCare.)

• SSI (Supplemental Security Income)

• WCDP (Wisconsin Chronic Disease Program)

• WWWP (Wisconsin Well Woman Program)

c. Click Submit.

d. Once the Portal Access Request is successfully completed, ForwardHealth will send a letter with the provider's PIN

to the address on file.