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In 2008, the Department of Health and Family Services (DHFS) will implement a
new health care program fiscal agent contract. Among many other changes, the new
contract will support multiple state-sponsored health care programs and replace
Wisconsin’s existing Medicaid Management Information System (MMIS) with
ForwardHealth interChange. Through a secure Web portal, this new system will
allow providers and trading partners greater access to program information and
to conduct business online. Refer to the March 2008 ForwardHealth Update
(2008-24), titled "Introducing ForwardHealth interChange, a New Web-Based
Information System for State Health Care Programs," for an overview of the
implementation and a more detailed outline of the many business process
enhancements and added benefits the new contract will provide. |
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- Important Reminder for Trading Partners
and Providers:
Prior to the implementation of ForwardHealth interChange, all
Trading Partners1 must successfully complete authorization
testing for all electronic transactions that they submit on
behalf of themselves or the providers they serve.
If you are a trading partner and you have not
completed your authorization testing you are strongly encouraged
to complete this testing as soon as possible. It is critical
that this testing be completed in order to ensure that there
will be no delays to business processes or payments with the
implementation of the new system.
If you are a provider that uses a trading
partner to do your billing, or if you act as your own trading
partner, you are strongly encouraged to contact your trading
partner, or internal billing department, to ensure they have
completed their authorization testing.
Trading partners who have not successfully
completed authorization testing before the implemenation of
ForwardHealth interChange will not be able to submit
transactions to the new ForwardHealth interChange system upon
implementation.
1A trading
partner is defined as a covered entity that exchanges electronic
health care transactions as mandated by the Health Insurance
Portability and Accountability Act of 1996. Therefore, the
following covered entities are considered trading partners:
- Billing providers who exchange electronic
transactions directly with the DHS.
- Billing services and clearinghouses that
exchange electronic transactions directly with the DHS on behalf
of a billing provider.
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