Wisconsin agencies
Get case notes and supporting records ready for supervisor review before billing. One Care Portal helps Wisconsin home and community-based services (HCBS) and case management teams find missing documentation, track authorizations, and see where claims stand.
Read the Wisconsin Medicaid HCBS guide for Family Care, Family Care Partnership, and IRIS workflows.
Provider quick reference
For Children’s Long-Term Support (CLTS), the county waiver agency submits the prior authorization in ForwardHealth. The approval identifies the service, approved rate, and frequency. Wisconsin DHS CLTS authorization and claims instructions.
Confirm that the county has approved the service before delivery. After delivery, use the provider’s CLTS Medicaid ID to submit the claim against the approved authorization through ForwardHealth. Wisconsin DHS lists submission options and contacts for payment questions. Wisconsin DHS CLTS provider payment guide.
Internal workflow example. Before sending a CLTS claim, compare the service and frequency on the approval with the service record. If the record falls outside the approval, route it to your authorization lead before billing.
Use One Care Portal for your agency’s internal review and billing preparation. CLTS authorizations and claims go through ForwardHealth.
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Use the modules together or start with the workflow your agency needs most.
Review notes, plans, and supporting PDFs against your agency’s criteria. Reviewers can see flagged gaps, record their decisions, and keep a review history.
Keep contact notes, follow-ups, and service authorizations with the participant’s record. Supervisors can approve notes or return them with feedback, and teams can track upcoming authorization expirations.
Validate claims, submit through supported clearinghouse workflows, track claim status, work denials, and post 835 electronic remittances.
Yes. Each module works on its own or with the others. Keep your current EHR as your system of record and upload PDFs to Compliance Review. Automated document imports depend on compatible EHR API access and are configured during onboarding.
Claim submission uses clearinghouse-supported payer workflows. We confirm payer, plan, enrollment, transaction, and claim-type fit during setup. Bring a list of the payers and claim types you need to handle.
Bring a blank review checklist and tell us which programs you serve. We’ll walk through documentation review and show how it fits with your case management and billing work. Contact us.
Keep participant names, records, and other protected health information out of public contact and booking forms.
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