WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #5158
Managed Care Organization Portal Reports
The following reports are generated to MCOs (managed care organizations) through their account on the ForwardHealth MCO
Portal:
• Capitation Payment Listing Report
• Cost Share Report (long-term MCOs only)
• Enrollment Reports
MCOs are required to establish a Portal account in order to receive reports from ForwardHealth.
Capitation Payment Listing Report
The Capitation Payment Listing Report provides payee MCOs with a detailed listing of the members for whom they receive
capitation payments. ForwardHealth interChange creates adjustment transaction information weekly and regular capitation
transaction information monthly. The weekly batch report includes regular and adjustment capitation transactions. MCOs have the
option of receiving both the Capitation Payment Listing Report and the 820 Payroll Deducted and Other Group Premium
Payment for Insurance Products transactions.
Initial Enrollment Roster Report
The Initial Enrollment Roster Report is generated according to the annual schedules detailing the number of new and continuing
members enrolled in the MCO and those disenrolled before the next enrollment month.
Final Enrollment Roster Report
The Final Enrollment Roster Report is generated the last business day of each month and includes members who have had a
change in status since the initial report and new members who were enrolled after the Initial Enrollment Roster Report was
generated.
Other Reports
Additional reports are available for BadgerCare Plus HMOs, SSI HMOs, and long-term MCOs. Some are available via the
Portal and some in the secure FTP (file transfer protocol).
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
d6514514cc44a28a02e28e3097b26844cbb8b285c59224bd04f800dd6e94756d
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