Medicaid

How to Get Credentialed with Wisconsin Medicaid in Wisconsin

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Wisconsin-Specific Requirements

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.

Medicaid Information — Wisconsin

Agency: Wisconsin DHS

Program: BadgerCare Plus

Portal: https://www.forwardhealth.wi.gov

Phone: 1-800-947-9627

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Wisconsin.

2

Prepare Your Application

Complete Wisconsin Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Wisconsin Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Wisconsin Medicaid Provider Enrollment (ForwardHealth)

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-947-9627

General Provider Inquiries

National

1-800-947-9627

Quick Links

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