Long-Term Care Enrollment In-Person Support

If you are an adult long-term care (LTC) waiver services provider, the deadline to submit your Wisconsin Medicaid application through the ForwardHealth Portal is coming soon! Enroll with Wisconsin Medicaid as soon as possible to continue to be paid by managed care organizations (MCOs) or IRIS (Include, Respect, I Self-Direct) fiscal employer agents (FEAs).

If you are looking for someone to help you enroll, the Wisconsin Department of Health Services (DHS) is hosting six in-person support sessions throughout the State of Wisconsin. Pick the location, date, and time below that works best for you.

* You must answer questions with an asterisk.

What you need to bring:

• Any ownership or controlling interest information related to the adult LTC provider
• Criminal conviction and termination disclosure information
• Address information, including Practice Location, Mailing Location, 1099 Mailing Location, and a valid email address
• All tax information, including Taxpayer Identification Number (TIN) and TIN effective dates
• License and certification information
• Your own laptop if you answered "yes" to question 6

Please see the enrollment checklist (PDF) for other documents you may need.

Interpreter:
If an interpreter is needed, please schedule a virtual meeting by emailing Kathleen Belgen (kathleen.belgen@dhs.wisconsin.gov).