Claims

Claims processes, timelines, forms, and resources can be found here. All claims-related forms are in the resource library below. For other important information about programs, authorizations, 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. Provider Manual
  2. Electronic Funds Transfer Authorization Form
  3. Provider Appeal Form

Please use the standard CMS-1500 or UB-04 claims form (or electronic 837P or 837I) when billing My Choice Wisconsin for Medicare and Medicaid services. Family Care and Partnership waiver service providers who are unable to submit using one of the standard claims forms mentioned above are encouraged to submit using one of our alternative methods described below.

MIDAS portal
CW claims portal

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Authorizations

Find out when you need prior authorizations and how to get paid quickly!

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Resource Library

Find provider guides, forms, and other resources here.

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Provider Forums & Trainings

We host, sponsor and attend many events to help you become more engaged in health and wellness.

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