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  • Forward Health Prior Authorization Form

Get Forward Health Prior Authorization Form

Before completing this form read the Prior Authorization/Brand Medically Necessary Attachment PA/BMNA Completion Instructions F-11083A. Providers may refer to the Forms page of the ForwardHealth Portal at www. forwardhealth. wi. gov/WIPortal/Content/provider/forms/index. Providers may refer to the Forms page of the ForwardHealth Portal at www. forwardhealth. wi. gov/WIPortal/Content/provider/forms/index. htm.spage for the completion instructions.

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Contact support

ForwardHealth brings together many Department of Health Services health care and nutritional assistance benefit programs with the goal of improving health outcomes for members and creating efficiencies for providers.

Providers may fax PA requests to ForwardHealth at 608-221-8616. PA requests sent to any fax number other than 608-221-8616 may result in processing delays.

ForwardHealth's fax number at 608-221-8616 (PA requests sent to any other fax number may result in processing delays.) ForwardHealth's telephone numbers.

Contact Information. The help desk can be reached (Toll-free) at 1-866-908-1363 between the hours of 8:30 AM — 4:30 PM Monday through Friday.

If you are interested in applying for Wisconsin Medicaid, please contact your local county or tribal agency or call Member Services at 800-362-3002. This number is for members, member advocates, and those interested in applying for Medicaid.

ForwardHealth supports BadgerCare Plus HMO and Medicaid SSI HMO enrollee rights regarding the confidentiality of health care records.

Key contacts and other telephone numbers. Call Member Services at 800-362-3002 or email memberservices@wisconsin.gov . If you need help applying, contact your agency. If you are a health care provider or HMO representative, contact Provider Services at 800-947-9627.

Department of Health Services1-608-266-1865 1-888-701-1251 (TTY)ForwardHealth Portal Help Desk1-866-908-1363Resources for ProvidersForwardHealth Provider Services1-800-947-9627WiCall Automated Voice Response (AVR) System1-800-947-354414 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232