Long-Term Care Enrollment In-Person Support Survey

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 in-person support sessions throughout the State of Wisconsin. Pick the location, date, and time below that works best for you.

Please sign up for only one time slot.

* You must answer questions with an asterisk.

1.Name of Person Attending(Required.)

2.Email of Person Attending(Required.)

3.Business Name(Required.)

4.Services Provided(Required.)

5.Enrollment Concerns

6.I will bring my own laptop for enrollment. (A laptop is not required.)(Required.)

Yes

No

7.Thursday, December 18, 2025: The Ingleside Hotel, 2810 Golf Rd, Pewaukee, WI

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).