MedicaidDocumentationMedium impact
ForwardHealth Update 2025-41: Behavioral Treatment Benefit Policy Clarifications and ForwardHealth Online Handbook Revisions
Wisconsin ForwardHealth·WI · Psychiatry·Medical Policy
We identified it
Jun 18, 2026
Summary
ForwardHealth has updated behavioral treatment benefit policies for Wisconsin Medicaid and BadgerCare Plus following a federal audit. Changes include new documentation requirements, clarified non-covered services, and new topics for adaptive behavior treatment protocols and concurrent billing.
Action Required
Immediately: Review updated ForwardHealth Online Handbook behavioral treatment benefit policies. Billing team must update documentation practices to meet new requirements for adaptive behavior treatment services. Ensure compliance with revised non-covered services list and new concurrent billing guidelines. Maintain all documentation per Wisconsin Admin Code requirements as claims may be audited and recouped if documentation is inadequate.