Wisconsin Medicaid
Credentialing and enrollment guides for Wisconsin Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About Wisconsin Medicaid
Wisconsin DHS — BadgerCare Plus
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Wisconsin Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Wisconsin Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Wisconsin Medicaid?
Our specialists handle the entire Wisconsin Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Wisconsin Medicaid Provider Enrollment (ForwardHealth)
Contact Information
Provider Credentialing
1-800-947-9627
Mon-Fri 8am-5pm
Provider Services
1-800-947-9627
Claims & Billing
1-800-947-9627
Quick Links
Need Help?
Let PayerReady handle your Wisconsin Medicaid credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Wisconsin Medicaid-specific credentialing details including timelines, contacts, and local requirements.
Wisconsin Medicaid credentialing requirements by state
Wisconsin Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Wisconsin Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Wisconsin | Open | 30–60 days | Wisconsin Medicaid (BadgerCare Plus) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DHS (Department of Health Services) ForwardHealth provider enrollment portal. (3) Submit application with WI state license, proof of malpractice insurance, and required documentation. (4) Background check including DOJ Caregiver Background Check and federal criminal history is required for all providers. BadgerCare Plus operates managed care through HMOs statewide covering most Medicaid beneficiaries. Behavioral health providers accepted include LPC, LCSW, and LMFT with active Wisconsin licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Wisconsin Medicaid credentialing
How long does Wisconsin Medicaid credentialing take?
Wisconsin Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Wisconsin Medicaid require CAQH?
No. Wisconsin Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on Wisconsin Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Wisconsin Medicaid operate in?
Wisconsin Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.