ALERT: Effective January 1, 2025, the Molina and My Choice Wisconsin Medicare Dual Advantage products have been combined and are being administered through legacy My Choice channels and platforms. View the latest updates here.
My Choice Medicaid SSI and BadgerCare Plus products have transitioned to Molina. View Molina’s Medicaid provider page here.
Caring Starts with Finding the Information You Need
My Choice Wisconsin providers can find important information about programs, authorizations, billing and reimbursements, and so much more. You can use the category filter to access specific types of documents or you can search the full library.
Commonly referenced documents:
- Provider Handbook (Family Care, Partnership, SSI, Dual Advantage)
- My Choice Wisconsin Provider Orientation (YouTube)
- 2024 HUD Room & Board Rates
- 2025 HUD Room & Board Rates – effective 2/1/25
- Direct Care Workforce (DCW) Funding Initiative FAQ
Can’t find what you need? Contact My Choice Wisconsin’s helpful Customer Service staff.
Resource Downloads for Providers
You will need Adobe Acrobat Reader to view and print PDF files. Download A Free Copy. If you need materials in other formats or languages, visit Help In Other Languages.
Adult Family Home (AFH) Application Form / Re-Certification Form
October 23, 2020 | pdf (723.75 KB) |
Asthma Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (252.18 KB) | Practice Guidelines
Behavioral Health Pre-Service Request Form
January 9, 2025 | pdf (602.50 KB) | Authorization Request Form
Breast Cancer Screening Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (193.06 KB) | Practice Guidelines
Care Team Resources for Member Education and Empowerment
January 11, 2021 | pdf (147.37 KB) | Provider Manuals & Policies
Chronic Heart Failure Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (203.90 KB) | Practice Guidelines
Cognizant (Trizetto) Electronic Funds Transfer (EFT) Form
September 16, 2020 | pdf (121.96 KB) | Claims Information
Colorectal Cancer Screening Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (202.78 KB) | Practice Guidelines
Coronavirus Disease (COVID-19) Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (225.49 KB) | Practice Guidelines
Credentialing – Health Delivery Organization (HDO) Application
January 10, 2025 | pdf (9.05 MB) |
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