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BadgerCare Plus Authorizations

Before submitting your authorization request, please review the most recent list below for exclusions and other important information.

 

Submit Authorizations Online

Network providers should submit inpatient admission notifications and prior authorization requests online using the CareWebQI auto-authorization tool via our Provider Portal. 

Out-of-network providers must call CCHP's Clinical Services department at 877-227-1142 (option 2) for authorization requests.    

The CareWebQI auto-authorization tool gives network providers the online capability to:

  • Quickly submit an authorization request
  • Receive a reference number, an approval or review notification immediately
  • Provide concurrent review information for inpatient admissions


Questions?

For questions or assistance with your authorization request, call:

Children’s Community Health Plan - Clinical Services Department
Toll-free: 877-227-1142, option 2
Local: (414) 266-5707

 


Affirmative Statement - Children’s Community Health Plan (CCHP) wants its members to get the best possible care when they need it most. To ensure this, we use a auto authorization process, which is part of our Utilization Management (UM) program. UM decision-making is based only on appropriateness of care and service, and existence of coverage. CCHP does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for UM decision makers do not encourage decisions that result in underutilization.

 

Medicaid

Children's Community Health Plan

PO Box 56099
Madison, WI 53705
1-800-482-8010

Together with CCHP

Children's Community Health Plan

PO Box 1997, MS 6280
Milwaukee, WI 53201
1-844-201-4672

 

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