CCHP will not reconsider services, procedures and inpatient stays that CCHP has not received notification for from the provider. Please reference your provider agreement with CCHP that outlines 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 make sure to 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 8:00 a.m. to 5:00 p.m., Monday through Friday at 1-844-450-1926. Messages are confidential and may be left 24 hours per day. Communications received after normal business hours are responded to on the following business day.
Out-of-network providers for Together with CCHP need to call CCHP's Clinical Services department at 877-227-1142 for authorization requests for instructions on submitting their requests.
Out-of-network providers for BadgerCare Plus must call CCHP's Clinical Services department at 877-227-1142 for authorization requests.
The Specialty Medications codes J7318 and J7329 were added to the prior authorization list with an effective date of July 1, 2019.
The Durable Medical Equipment code E2300 was added to the prior authorization list with an effective date of June 1, 2019.
The Durable Medical Equipment code E0465 was added to the prior authorization list with an effective date of May 1, 2019.
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