Joining Our Network

My Choice Wisconsin encourages small, minority-owned, women-owned, disadvantaged/disabled and veteran-owned business enterprises to become a part of our provider network.

My Choice Wisconsin seeks to ensure our members, including those with limited English proficiency, limited reading skills, hearing incapacity, or those with diverse cultural and ethnic backgrounds have access to providers that offer respectful, culturally competent care. We also seek to ensure our members, including those with specific mental, physical and/or developmental disabilities have access to providers and resources, including access to screening, diagnosis, referrals, and appropriate treatment of their disabilities.

My Choice Wisconsin has a strong commitment to diversity in its members, providers, employees, and the communities it serves. My Choice Wisconsin and its participating network providers honor and support member beliefs and are sensitive to cultural diversity. Contracted providers collaborate with My Choice Wisconsin in fostering in staff/provider attitudes and interpersonal communication styles to respect member cultural backgrounds.

My Choice Wisconsin Family Care, Partnership, and Dual Advantage Providers

How to Become a My Choice Wisconsin Provider

We are accepting applications to contract for the following provider services (Long term care – Acute & Primary Services (Dual Advantage and Partnership Only) – to complete an application to apply please click here: https://www.mcfc-midas.com/provider/BecomingProviderApplicationHome.aspx:

• Milwaukee County (GSR 8):
  • Residential Services: Licensed Adult Family Homes, CBRFs or RCACs that are non-ambulatory (must have entrance ramps) with an onsite Hoyer with staffing to accommodate non-ambulatory Hoyer services
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package
• Dane County (GSR 12):
  • Residential Services: Licensed Adult Family Homes, CBRFs or RCACs that are non-ambulatory (must have entrance ramps) with an onsite Hoyer with staffing to accommodate non-ambulatory Hoyer services
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package
• Rock County (GSR 14):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package
• Brown County (GSR 13):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package
• Sheboygan, Washington, Ozaukee, Waukesha, Walworth Counties (GSR 6):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package
• Racine, Kenosha Counties (GSR 11):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package
• Adams, Waushara, Marquette, Green Lake, Columbia, Dodge and Jefferson Counties (GSR 5):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package (Immediate needs: Transportation, Personal Care, Home Health, Supportive Visits, Supportive Home Care)
• Winnebago, Fond du Lac, Manitowoc Counties (GSR 9):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package (Immediate needs: Transportation, Personal Care, Home Health, Supportive Visits, Supportive Home Care)
• Juneau, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green Counties (GSR 3):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package (Immediate needs: Transportation, Personal Care, Home Health, Supportive Visits, Supportive Home Care)
• Clark, Jackson, Trempealeau, Pepin, Buffalo, Jackson, LaCrosse, Monroe, Vernon Counties (GSR 2):
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package (Immediate needs: Transportation, Personal Care, Home Health, Supportive Visits, Supportive Home Care)
• Douglas, Bayfield, Ashland, Iron, Price, Taylor, Burnett, Washburn, Sawyer, Polk, Barron, Rusk, St Croix, Dunn, Chippewa, Taylor, Pierce, Eau Claire Counties (GSR 1)
  • All Residential Services (please note that there is a fee for certification)
  • Acute & Primary Services (Medicare and Partnership)
  • All other services allowed under the benefit package (Immediate needs: Transportation, Personal Care, Home Health, Supportive Visits, Supportive Home Care)

Due to the importance of following processes and vetting of potential providers, please be advised that the credentialing process can take up to 90 days. It is imperative that providers work directly with our credentialing department and return mandatory documents within 30 days of application receipt. Please be advised that once you have received an email from the credentialing department stating that you have passed, the assigned contractor will reach out to you within 7 business days.

If you are interested in becoming a My Choice Wisconsin provider, or if you have questions or need additional information about becoming a My Choice Wisconsin/Molina Healthcare of Wisconsin provider please email mhwiprovidernetworkmanagement@molinahealthcare.com for BC+ or Medicaid SSI and shfamccontracts@mychoicewi.org for Family Care, Family Care Partnership and Dual Advantage.

Fees for a 1-2 Bed AFH:

• New Certifications & Change of Address $475.00.
• Recertifications $350.00.
• 3rd Visit of certifications $75.00.
• The Credentialing Department will remind you of the fee for Certification. Thefee must be paid by check prior to scheduling an on-site Certification appointment.
• Fees are not refundable. A refund or partial refund could occur under the below circumstances:
  • MCW is unable to certify due to dual certifications.
  • 50% of fee may be refunded if provider does not pass credentialing.

Fees will not be refunded if provider abandons the certification process for any reason.

To change the Tax Id or name on your contract, please fill out the change request form and email to the credentialing department at .

DENTAL PROVIDERS: If you’re interested in joining our dental network for Partnership and Dual Advantage and not contracted with DentaQuest, please contact them to start the credentialing process or visit the website below to access the online credentialing application:

• Online Credentialing Application – Click link and complete application
• Phone: (800) 233-1468
• E-mail (new/initial credentialing requests) 

VISION PROVIDERS: If interested in joining our vision network for Partnership and Dual Advantage  and not contracted with EyeQuest, please contact them to start the credentialing process or visit the website below to access the online credentialing application:

• Online Credentialing Application:  Adobe Acrobat Sign (echosign.com) – Click link and complete application
• Phone: (844) 824-2014
• E-mail: EyeQuestProviderServices@dentaquest.com (new/initial credentialing requests)