Wisconsin Provider Status
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ResourcesResources for Your PracticeWisconsin Provider Status

What is Provider Status?

Provider Status ensures that pharmacists, with their extensive medication expertise, are recognized as part of the integrated healthcare team. Provider Status will increase access to pharmacist-provided services by ensuring that pharmacists are equitably paid for the patient care services they provide.

Do you have questions regarding provider status? Wondering if the services your practice provides will be covered? Curious about what documentation and compliance requirements look like? Please email info@pswi.org.

Wisconsin Medicaid Billing Code Guide

This Pharmacist Provider Status Wisconsin Medicaid Billing Code Guide is intended to assist pharmacists in implementing pharmacist-provided medical service billing as permissible via 2021 Wisconsin Act 98, s. 49.46 (2) (bh), Stats. The guide outlines 2024 payment rates and basic coding guidance for specific covered WI ForwardHealth medical services.
 
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Wisconsin Pharmacist Provider Status Certificate Program

Make sure you and your practice are ready to serve the patients of your community by completing PSW’s comprehensive certificate training program.
 
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Resources & FAQs

Make sure you and your practice are ready to serve the patients of your community by completing PSW’s comprehensive certificate training program.
 
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Medicaid HMO Enrollment Details

Once pharmacists have received approval from the Wisconsin Department of Health Services as certified medical providers, consider which Medicaid HMOs you would like to contract with.
 
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Provider Status Continuing Education

These CE courses are designed to provide important information surrounding provider status implementation, billing, best practices, and more.

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PSW Pharmacist Provider Status Newsletter

Sign up now to enroll in the “Pulse on Provider Status” electronic updates from PSW! Receive timely information and updates about Wisconsin pharmacist provider status enrollment and implementation right to your inbox. View a sample of this newsletter. 

This newsletter is a PSW membership benefit. To sign up for the newsletter, please login to your PSW membership account.

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Pharmacist Provider Status Implementation Guide

This guide has been created to help pharmacist providers and practices modify policies and processes to bill ForwardHealth (Wisconsin Medicaid) for medical services as allowed by 2021 Wisconsin Act 98 (s. 49.46 (2) (bh), Stats), DHS 105, DHS 107, and ForwardHealth policy. This guide is intended to be used by pharmacy professionals across various practice sites (e.g., ambulatory care, community pharmacy). The process for providing services and submitting claims to ForwardHealth may differ by practice site. This guide is included in the Wisconsin Pharmacist Provider Status Certificate Program. 


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