MedicaidBilling CodesMedium impact
ForwardHealth Update 2025-33: ForwardHealth Enhances Behavioral Health Treatment With More Options for Continuing Care and Concurrent Services
Wisconsin ForwardHealth·WI · Psychiatry·Specialty Services
Effective date
Dec 1, 2025
We identified it
Jun 18, 2026
Summary
ForwardHealth (Wisconsin Medicaid) expands behavioral health treatment options effective December 1, 2025, adding continuing care coverage for discharged SUD patients and allowing concurrent outpatient mental health services with residential SUD treatment. A new U2 modifier is required for billing continuing care services.
Action Required
By December 1, 2025: Billing team must update system to require U2 modifier for continuing care services when using specified mental health and SUD procedure codes (H0005, H0022, H0047, T1006, 90832, 90834, 90837, 90846, 90847, 90853). Update encounter forms and train staff on new concurrent service billing rules for members receiving both outpatient mental health and residential SUD treatment. Ensure documentation requirements are met for continuing care discharge plans.