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 and on our Provider Q&A page.
Family Care, Partnership, SSI, and Dual Advantage commonly referenced documents
- Provider Handbook
- Cognizant (Trizetto) Electronic Funds Transfer (EFT) Authorization Form
- WPS Electronic Funds Transfer (EFT) Tip Sheet
- 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.