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Acute and Primary Managed Care
Welcome  » April 30, 2025 6:45 PM
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Alerts
  • Children’s Long-Term Support (CLTS) Program Providers and County Waiver Agencies: The CLTS Operations Team is available for your questions about submitting prior authorizations (PAs) or claims for CLTS services. Reach the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.
  • Attention CLTS Providers: The CLTS Prior Authorization Conversion is still processing. If you have any difficulties submitting claims, please contact the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.

Acute And Primary Managed Care

Acute and Primary Managed Care for Wisconsin Medicaid refers to the BadgerCare Plus and Medicaid Supplemental Security Income (SSI) programs, which are administered by HMOs. BadgerCare Plus provides health care services for low-income children, families, and single adults. The Medicaid SSI program provides health care services for those who receive SSI Medicaid or SSI-Related Medicaid due to a disability determined by the Disability Determination Bureau. Click here to see what's new!

HMO Administrators HMO Providers HMO Members
This page provides resources and general information for staff and administrators of BadgerCare Plus or Medicaid SSI HMOs. This page provides resources and general information for Medicaid providers that are enrolled, or seeking to enroll, with a BadgerCare Plus or Medicaid SSI HMO. This page provides information for members already enrolled in BadgerCare Plus or Medicaid SSI.

What's New?
A summary of what is new for managed care organizations:


•2025 HMO Quality Guide
 •2025 BadgerCare Plus/Medicaid SSI D-SNP Contract
 
 
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Wisconsin Department of Health Services
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