Authorization processes, secondary coverage, and non-covered services information can be found here. All authorization-related forms are in the resource library below. For other important information about programs, claims, and much more search our full Provider Resource Library; you may use the search feature to find resources by program, find a specific document or use the “Document Types” filter to limit to category-specific documents.
Commonly referenced documents
- Prior Authorization Reference Document
- Temporary Prior Authorization Changes during COVID-19 Public Health Emergency (PHE)
- NOTE: The current PHE Prior Authorization relaxations will end when the public health emergency expires, effective 5/11/23. More information coming in April.
- Outpatient Procedure Prior Authorization Exception List
BadgerCare Plus commonly referenced documents
**SSI, Partnership, and Medicare Dual Advantage have temporary prior authorization changes due the COVID-19 health emergency. Please be aware of these changes.
BADGERCARE PLUS PROVIDERS: Please ensure your authorization/form/guide says BadgerCare Plus. You can find all BadgerCare Plus documents by using the “Document Types” filter and choosing “BadgerCare Plus” from the drop-down list.
Get More From Provider Resources
Find provider guides, forms, and other resources here.Find Resources
Provider Forums & Trainings
We host, sponsor and attend many events to help you become more engaged in health and wellness.See Events
Find the latest in news, updates, and trainings for providers.Read The Latest News