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 document:
- Provider Handbook (Family Care, Partnership, SSI, Dual Advantage)
- My Choice Wisconsin Provider Orientation (YouTube)
Can’t find what you need? Contact My Choice Wisconsin’s helpful Customer Service staff.
Resource Downloads for Providers
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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
Depression Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (217.63 KB) | Practice Guidelines
DHS Member Grievance and Appeals Guide (BadgerCare Plus & SSI Members)
July 15, 2021 | pdf (1.07 MB) |
Diabetes Prevention and Wellness Practice Guideline
August 9, 2024 | pdf (233.70 KB) | Practice Guidelines
Disposable Medical Supplies (DMS) Prior Authorization Exception List
April 22, 2022 | pdf (214.50 KB) | Authorizations
DME, Prosthetics, and Orthotics Prior Authorization Resource
April 2, 0202 | pdf (207.65 KB) | Authorizations, Prior Authorization Resource
Durable Medical Equipment and Supplies Prior Authorization Request Form
April 22, 2022 | pdf (246.91 KB) | Authorization Request Form, Authorizations
Enteral and Parenteral Nutrition Prior Authorization Resource
April 22, 2022 | pdf (151.13 KB) | Authorizations, Prior Authorization Resource
Enteral Nutrition and Supplies Prior Authorization Request Form
March 22, 2022 | pdf (268.16 KB) | Authorization Request Form, Authorizations
Guidelines for Completing the General Services Claim Form
November 2, 2020 | pdf (167.14 KB) | Claims Information
Guidelines for Completing the Residential Claim Form
March 26, 2024 | pdf (231.57 KB) | Claims Information
Home Health Prior Authorization Request Form
April 22, 2022 | pdf (245.28 KB) | Authorization Request Form, Authorizations
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