Please contact the appropriate TPA with claims questions. For Family Care members with My Choice Family Care, please contact WPS at 800-223-6016. For Family Care members with Care Wisconsin, please contact 855-878-6699.
Provider Forums will be held in February and March to share additional information regarding the merger, changes providers are experiencing with the merger, who providers can contact for questions, claims, authorizations and any additional information we may have about what’s next (re-contracting, etc).
Times and dates will be added to our websites and emailed out to currently contracted providers.
For Family Care if you are serving a member from My Choice Family Care claims should be submitted through WPS. If you are serving a member from Care Wisconsin, you must first review MIDAS for your authorization then claims should be submitted through your normal Care Wisconsin process to the TPA (TriZetto) with the included authorization number in MIDAS on the claim. If you are a provider serving a member for Partnership, Dual Advantage or SSI, claims should continue to go through the normal Care Wisconsin process to the TPA (TriZetto).
Additionally, the Provider Manual may be able to answer common questions for claims.