Authorizations

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 a specific document or use the “Document Types” filter to limit to category-specific documents.

As of November 2, 2020, the Wisconsin Department of Health Services begins implementing electronic visit verification for Medicaid-covered personal care services. Providers can find more information in this October memo.

Commonly referenced documents

  1. Prior Authorization Reference Document 
  2. Temporary Prior Authorization Changes during COVID-19 Health Emergency
  3. Outpatient Procedure Prior Authorization Exception List

**SSI, Partnership, and Medicare Dual Advantage have temporary prior authorization changes due the COVID-19 health emergency. Please be aware of these changes.

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