Learn how authorizations are processed and find authorization forms and resources! You may access the Long Term Care Services Authorizations Portal from the box on the right.
As of February 1, 2020, an authorization is required prior to rendering ALL services for Family Care program. Care teams will enter all authorizations and providers will be able to see and/or print the authorization from the MIDAS portal for these members. This excludes Partnership, Medicare Dual Advantage, and Medicaid SSI members. Please see the Prior Authorization Reference Document for authorization requirements for these programs.
Commonly referenced documents
- Prior Authorization Reference Document
- Outpatient Procedure Prior Authorization Exception List
- DME/DMS Prior Authorization Request Form
For more Prior Authorization request forms, please see the below library. Other important information about programs, billing and reimbursements, and much more search our Provider Resource Library. Search the full library or use the “Document Types” filter to limit to category-specific documents.
To submit a request for prior authorization for Partnership, Medicare Dual Advantage, and Medicaid SSI members, use the Care Wisconsin form appropriate to the service and fax it to (608) 210-4050.
For Family Care members, contact the member’s Care Manager directly for authorization.