Contact Information Billing and Reimbursement Contracts and Service Agreements Service Authorizations and Member-Related Incidents
Billing and Reimbursement If you have any questions related to billing, claims, reimbursement, denials, adjustments or refunds, please contact: Provider Help Desk (608) 245-3053 Toll-free 1-877-496-3858
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it Monday through Friday, 8:30 a.m. to 4:00 p.m.
Contracts and Service Agreements You have assigned Provider Services staff who are your “go-to” resource for questions and discussions about your contract or service agreement. These provider service representatives cover certain regions of Care Wisconsin’s 10-county service area. If they happen to be out visiting providers when you call, you may be connected with another staff person if you wish – or Joe, Lisa, Mary, Michelle or Tip will gladly get back to you shortly. Please call (800) 963-0035 toll free or contact your representative directly by phone or email: WEST REGION Mary Benisch Contracting Specialist (608) 245-3378 or
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it
Columbia, Green Lake, Marquette & Waushara Counties Lisa Schweitzer Contracting Specialist (608) 245-3518 or
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it
Dane & Sauk Counties Tip Pom Provider Services Specialist-Contracting (608) 245-3424 or
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it
Back-Up for West Region EAST REGION
Joe Bonnett Contracting Specialist (608) 245-3816 or
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it
Washington & Waukesha Counties Michelle Jones Contracting Specialist (608) 245-3455 or
This E-mail address is being protected from spam bots, you need JavaScript enabled to view it
Dodge & Jefferson Counties To be announced Back-Up to East Region
Service Authorizations and Member-Related Incidents Care Wisconsin encourages open communication on all issues related to services and our members. If you have a member-related question or concern, your first contact should always be the member’s care team. If you are not able to reach the care team, please contact Care Wisconsin’s local program managers. Prior authorization is required for services, and claims will not be paid without specific authorization. Please contact a member's Care Wisconsin care team to receive prior authorization for services. Please be sure that the person for whom you are providing services under Family Care or Partnership is a Care Wisconsin member. To access services, Partnership members use their Care Wisconsin Health Plan Member ID card and Family Care members use their Wisconsin Medicaid Forward ID Card. (Please note: There is not a separate member ID card for Family Care.)
Regular business hours are Monday-Friday, 8 a.m. to 4:30 p.m., CT. After business hours, you can reach the on-call staff for both the Partnership and Family Care programs on evenings, weekends and holidays by calling the Care Wisconsin administrative offices or the local office telephone numbers listed below.
Care Wisconsin Administrative Offices (608) 240-0020 or toll-free 1-800-963-0035
Columbia County – Family Care Michelle Vaillancourt, Program Manager (608) 742-8910 or toll-free 1-866-561-2682 Columbia County – Partnership Diane Oftedahl, Program Administrator (608) 240-0020 or toll-free 1-800-963-0035 Dane County – Partnership Angela Seidl, Program Director (608) 240-0020 or toll-free 1-800-963-0035 Dodge County – Family Care Christine Brieske, Program Manager (920) 386-5010 or toll-free 1-877-496-4412 Dodge County – Partnership Diane Oftedahl, Program Administrator (608) 240-0020 or toll-free 1-800-963-0035 Green Lake County – Family Care Denise Blackbourn, Program Administrator (920) 294-4430 or toll-free 1-877-496-3854 Jefferson County – Family Care Rebecca Brokmeier, Program Manager (920) 674-8010 or toll-free 1-877-496-3851 Dawn Smith, Program Administrator (920) 674-8010 or toll-free 1-877-496-3851 Jefferson County – Partnership Diane Oftedahl, Program Administrator (608) 240-0020 or toll-free 1-800-963-0035 Marquette County – Family Care Denise Blackbourn, Program Administrator (608) 297-3901 or toll-free 1-877-247-1017 Sauk County - Partnership Diane Oftedahl, Program Administrator (608) 240-0020 or toll-free 1-800-963-0035 Washington County – Family Care Jenny Patterson, Program Manager (262) 306-5131 or toll-free 1-866-293-0608 Waukesha County – Family Care Tracey Riegert, Program Manager (262) 523-1601 or toll-free 1-866-530-2295 Ann Lamberg, Program Administrator (262) 523-1601 or toll-free 1-866-530-2295 Waushara County – Family Care Denise Blackbourn, Program Administrator (920) 787-6710 or toll-free 1-866-496-3844 Make a Referral | Request Information
|