NEW Process Improvement for Personal Care Services Claims/Auths

Following the integration of My Choice Wisconsin and Molina Healthcare of Wisconsin, Inc., we are excited to announce a process improvement for members enrolled in My Choice Medicare Dual Advantage and Molina Healthcare Medicaid SSI/BadgerCare Plus related to Personal Care Services.

Effective today, providers do not need to submit prior authorization or claims to My Choice Wisconsin Medicare for Personal Care Services.

Personal Care Services are a non-covered benefit for Medicare.

Instead, please submit prior authorization requests and clean claims to Molina Healthcare for processing.

For more information on prior authorization/claims submission, please reference the Provider Manual and Prior Authorization LookUp Tool.