| Cash Refunds |
|
Wisconsin
Medicaid
Cash Unit
6406 Bridge Rd
Madison WI 53784-0004 |
|
Claims and Adjustments
Submission of claims and adjustments
|
|
Wisconsin
Medicaid
Claims and Adjustments
6406 Bridge Rd
Madison WI 53784-0002 |
|
| Community Services
Deficit Reduction Benefit Coordinator (CSDRB) |
|
CSDRB
Ste 210
10 E Doty St
Madison WI 53703
|
(888) 322-1006 |
| Electronic Data Interchange (EDI) |
8:30 a.m.- 4:30 p.m.,
M-F
Not available on weekends
or holidays. |
Wisconsin
Medicaid
EDI Department
6406 Bridge Rd
Madison WI 53784-0009 |
(608) 221-9036
(Madison area) |
| Estate Recovery/Casualty Collections |
|
Wisconsin Medicaid
Estate Recovery/
Casualty Collections
6406 Bridge Rd
Madison WI 53784-0013 |
|
Form Reorder Requests
For prior authorization forms, drug claim forms, TPL-17, and Late Billing Request
forms
|
|
Wisconsin
Medicaid
Form Reorder
6406 Bridge Rd
Madison WI 53784-0003 |
|
| General Relief Retroactive Recipient
Eligibility |
|
Wisconsin
Medicaid
General Relief/
Retroactive Recipient
Eligibility
Ste 50
6406 Bridge Rd
Madison WI 53784-0050 |
|
| Good Faith Claims |
|
Wisconsin
Medicaid
Good Faith
PO Box 6215
Madison WI 53784-6215 |
|
| HIPAA Transactions — See EDI |
|
|
|
| In-State Emergency Claims |
|
Wisconsin
Medicaid
In-State Emergency
6406 Bridge Rd
Madison WI 53784-0011 |
|
| Timely Filing |
|
Wisconsin
Medicaid
Timely Filing
Ste 50
6406 Bridge Rd
Madison WI 53784-0050 |
|
| Managed Care Extraordinary Claims |
|
Wisconsin
Medicaid Managed
Care
Extraordinary Claims
PO Box 6470
Madison WI 53716-0470 |
|
| Managed Care Contract Monitors |
|
Wisconsin Medicaid Managed
Care
PO Box 6470
Madison WI 53716-0470 |
(800) 760-0001 |
| Out-of-State Emergency Claims |
|
Wisconsin
Medicaid
Out-of-State Emergency
6406 Bridge Rd
Madison WI 53784-0007 |
|
| Out-of-State Youth Program |
|
Wisconsin
Medicaid
Out-of-State Youth
6406 Bridge Rd
Madison WI 53784-0008 |
|
| Personal Computer Software and Magnetic Stripe Card Readers
|
24 hours a day/
7 days a week |
List of vendors |
|
Pharmacy Point of Sale (POS) Correspondents
All Pharmacists should use these numbers.
|
Hours available:
8:30 a.m.- 6:00 p.m.,
M, W-F
9:30 a.m.- 6:00 p.m.,
T
Not available on weekends
or holidays. |
|
(800) 947-9627
(608) 221-9883
(Madison area)
select "2" when
prompted
|
| Prior Authorization |
|
Wisconsin
Medicaid
Prior Authorization
Ste 88
6406 Bridge Rd
Madison WI 53784-0088 |
|
| Provider Certification and Address
Change |
|
Wisconsin
Medicaid
Provider Maintenance
6406 Bridge Rd
Madison WI 53784-0006 |
|
Provider Services
Correspondents assist with questions. Information available
includes:
- Checkwrite.
- Claim status.
- Prior authorization status.
- Provider certification.
- Recipient eligibility.
|
Policy/Billing and Eligibility:
8:30 a.m. - 4:30 p.m.,
M, W-F
9:30 a.m. - 4:30 p.m.,
T
Pharmacy hours |
|
(800) 947-9627
(608) 221-9883
|
| Review of Inpatient Psychiatric and Substance Abuse
Services |
|
|
For questions:
(ERO)
(800) 833-7247
(608) 274-3832 |
Recipient Services
Recipients or persons calling on behalf of recipients only.
Information includes:
- Recipient eligibility.
- Medicaid-certified providers.
- General Medicaid information.
|
7:00 a.m.- 5:00 p.m.,
M-F |
|
(800) 362-3002
(608) 221-5720
(Madison area) |
| STAT-PA |
8 a.m.- 6 p.m., M-F
Not available on holidays.
8 a.m.- 11:45 a.m.,
7 days a week
|
|
For touch-tone
telephones
and help
desk:
(608) 221-2096
(800) 947-1197 |
| Third-Party Liability Casualty |
|
Wisconsin
Medicaid
TPL Casualty
6406 Bridge Rd
Madison WI 53784-0010 |
|
Third-Party Liability Forms
To
submit completed forms
|
|
Wisconsin
Medicaid
TPL
6406 Bridge Rd
Madison WI 53784-6220 |
|
| Written Inquires |
|
Wisconsin
Medicaid
Written Correspondence
6406 Bridge Rd
Madison WI 53784-0005 |
|
All Other Correspondence
Does not include Professional
Relations Representatives
|
|
Wisconsin
Medicaid
(Contact Name)
6406 Bridge Rd
Madison WI 53784-0001 |
(800) 947-9627
(608) 221-9883 |
