MedicaidBilling CodesMedium impact
ForwardHealth Update 2026-13: ForwardHealth Revises Adaptive Stroller Policy
Wisconsin ForwardHealth·WI · PM&R (Physical Medicine & Rehab), Pediatrics, Neurology·Provider Update
Effective date
Jul 1, 2026
We identified it
Jun 18, 2026
Summary
ForwardHealth is eliminating the all-inclusive E1035 code for adaptive strollers and requiring providers to use specific HCPCS codes with a UA modifier plus separate line items for accessories. This change aligns with national coding standards and affects prior authorization and billing processes.
Action Required
By July 1, 2026: Billing team must stop using HCPCS code E1035 for adaptive strollers and instead use appropriate wheelchair codes (E1161 or E1231-E1238) with UA modifier for the base unit. Update prior authorization forms and claims to list all accessories as separate line items. Update billing system to apply process type 130 for adaptive stroller PA requests. For PAs approved before July 1, 2026, continue using E1035 per old policy.