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, SSI, and Dual Advantage Providers

How to Become a My Choice Wisconsin Provider

We are accepting applications to contract for the following long-term care providers:

  • Residential providers – all counties
    • Milwaukee county residential providers must either be licensed as non-ambulatory (have entrance ramps) or be certified as non-ambulatory (have entrance ramps) and have a hoyer onsite with staffing to accommodate non-ambulatory hoyer services.
  • Acute and primary services – all counties
  • All other services – all counties

Click here to learn about the application steps to become a network provider.

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. If you are requesting a status on your credentialing application, please reach out to our credentialing department at credentialing@mychoicefamilycare.com. 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, please fill out an application here. If you have questions or need additional information about becoming a My Choice Wisconsin provider please, email: shfamccontracts@mychoicewi.org. (BadgerCare Plus providers may email: providerrelations@trilogyhealthinsurance.com.)

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

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

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

My Choice Wisconsin BadgerCare Plus Providers   

Why Become a My Choice Wisconsin BadgerCare Plus Provider

At My Choice Wisconsin Health Plan, we believe that our providers should be spending their time practicing medicine, not managing through unnecessary insurance company “red tape.” We strive to make our administrative requirements simple and clear and we are firm in our commitment to consistently “do the right thing” on behalf of all those that we serve.

With My Choice Wisconsin Health Plan, you will get personalized service from someone you know, in your community, who is focused entirely on the needs of small businesses and Medicaid program administration.

Our company only serves Wisconsin, and our office and administrative services are handled locally. You will work with people right here in Wisconsin for all your needs, including:

  • Provider Relations and Contracting
  • Medical Management, Case Management, and Disease Management
  • Customer Service
  • Claims Administration

For more information on becoming a My Choice Wisconsin BadgerCare Plus Provider contact our Provider Relations and Contracting team by phone at 414-755-3619 or email at providerrelations@trilogyhealthinsurance.com.

Current My Choice Wisconsin BadgerCare Plus Providers

In the summer of 2019, My Choice acquired Trilogy Health Insurance and on June 1, 2021 rebranded it under My Choice Wisconsin Health Plan, Inc.

What does this mean for you? Beside the name change to My Choice Wisconsin Health Plan, Inc. – nothing. There are no changes to contracts, to the process for authorization requests, or your contacts.

For more information, see our Quick Reference Contact Sheet or visit our Q&A page. Our BadgerCare Plus customer service representatives are here to help you 8:00 am to 5:00 pm Monday-Friday. Call us at 855-530-6790.

Get More From Provider Resources

Claims

Find out how to submit claims to get paid!

Learn More

Authorizations

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

Learn More

Resource Library

Find provider guides, forms, and other resources here.

Find Resources