Important: Children's Community Health Plan has an updated Telehealth Policy in response to COVID-19. Please view the policy here.
Children's Community Health Plan will not reconsider services, procedures and inpatient stays that we have not received notification for from the provider.
Providers are required to notify CCHP within 24 hours of an inpatient admission, and prior authorize elective services and/or procedures prior to providing services. Please reference your provider agreement regarding inpatient admissions for more details.
Please attach clinical to the request within 24 hours. Without clinical to review for medical necessity, your request for services may be denied.
You may contact the UM department from 8 a.m. to 5 p.m., Monday through Friday at 414-266-4155. Messages are confidential and may be left 24 hours per day. Communications received after normal business hours will be responded to on the following business day.
Out-of-network providers for Together with CCHP need to call CCHP's Clinical Services department at 414-266-5707 for authorization requests for instructions on submitting their requests.
Prior Authorization List:
Non-covered List:
Out-of-network providers for BadgerCare Plus must call CCHP's Clinical Services department at 414-266-5707 for authorization requests.
Helpful Link:
Submission Guides:
Children's Community Health Plan
PO Box 56099 Madison, WI 53705 1-800-482-8010
PO Box 1997, MS 6280 Milwaukee, WI 53201 1-844-201-4672