Credentialing & Enrollment Services in Wisconsin

CapitalMed Solutions offers expert provider enrollment and credentialing support for practices across Wisconsin streamlining your Medicaid onboarding through the ForwardHealth Provider Portal (via OneHealthPort), ensuring compliance, and minimizing claim denials.

Why Wisconsin Providers Trust Our Credentialing & Enrollment Services?

Secure Enrollment via the ForwardHealth Portal: Providers enroll with Wisconsin Medicaid (including waiver programs) through the ForwardHealth Provider Portal, accessible via OneHealthPort SSO. The portal supports provider account management, enrollment application, updates, and revalidation workflows.

Timely Revalidation, Every Three Years: All Medicaid-enrolled providers must revalidate their enrollment every three years. ForwardHealth sends notices via mail, and providers must submit their revalidation within 30 days of the due date to avoid termination.

Enrollment Deadline for Adult LTC Waiver Providers: Providers in adult long-term care (LTC) waiver programs (e.g., Family Care, PACE, IRIS) must enroll through the ForwardHealth Portal by January 1, 2026, or they will not be able to deliver services or receive payments from MCOs or IRIS.

Credentialing & Enrollment Services We Offer in Wisconsin

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Wisconsin, including Milwaukee, Madison, Green Bay, Kenosha, Racine, Appleton, Waukesha, Eau Claire, Oshkosh, and Janesville. Our specialty credentialing and enrollment services cover anesthesiology, radiology, cardiology, orthopedics, and more, helping practices statewide gain payer participation efficiently.

Whether it is a national or Wisconsin-specific regulation, our experts stay updated with current requirements to ensure accurate applications, timely follow-ups, and compliant provider enrollment. For each specialty, we deliver tailored credentialing solutions that reduce delays, prevent denials, and streamline your revenue cycle.

Our Credentialing & Enrollment Process in Wisconsin

Assist with OneHealthPort registration, Portal PIN retrieval, and account configuration to grant your team secure access.

Guide you through the ForwardHealth enrollment application—including provider type designation, NIC, licenses, ownership details, and document submission.

Monitor your submission, assisting with immediate revisions based on portal flags or compliance feedback.

Ensure LTC waiver providers complete enrollment before the Jan 1, 2026 deadline to maintain authorization and claim payment eligibility.

Track your revalidation schedule and handle submission within the 30-day window to sustain active Medicaid status.

Benefits of Choosing Us for Credentialing Services in Wisconsin

  • Faster and Cleaner Enrollment: Real-time portal error alerts and professional navigation accelerate approval.
  • Compliance Assurance: We ensure correct application, on-time revalidation, and avoid termination or payment interruptions.
  • Taxonomy & MCO Readiness: Your provider profile is optimized for integration with waiver programs and MCO networks.
  • Deadline Protection: Targeted support for LTC waiver enrollment safeguards service delivery and reimbursement.
  • Administrative Peace of Mind: We handle portal access, tracking, documentation, and updates freeing your team to focus on patient care.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Wisconsin

At CapitalMed Solutions, we partner with major insurance carriers across Wisconsin to ensure seamless provider credentialing and faster payer enrollment. Our strong relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.

humana Credentialing & Enrollment Services in Wisconsin
aetna Credentialing & Enrollment Services in Wisconsin
Blue cross Credentialing & Enrollment Services in Wisconsin
Cigna Credentialing & Enrollment Services in Wisconsin
United healthcare Credentialing & Enrollment Services in Wisconsin
Medicare Credentialing & Enrollment Services in Wisconsin
Quartz Credentialing & Enrollment Services in Wisconsin
Dean Health Plan Credentialing & Enrollment Services in Wisconsin
molina Credentialing & Enrollment Services in Wisconsin
Chorus Credentialing & Enrollment Services in Wyoming

Ready to streamline credentialing in Wisconsin?

Contact our credentialing specialists today we’ll manage your ForwardHealth enrollment, portal access, meeting of waiver deadlines, revalidation compliance, and MCO readiness so you can focus on delivering quality care with confidence.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478