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Managed Care Contacts

Wisconsin Medicaid and BadgerCare Managed Care Programs

State-contracted HMOs

Updated 2/6/07

Managed Care HMO Name
(HMOs serve over 290,000 children and adults in low-income families.)

Customer Service
Telephone Numbers

Managed Care Code

Abri Health Plan (262) 946-1160

06

Compcare

(888) 203-7771

04

Children's Community Health Plan (800) 482-8010 19
Dean Health Plan (Dane County) (800) 279-1301
(608) 828-1301
03
Dean Health Plan (Milwaukee, Kenosha, Waukesha, and Racine Counties) (800) 279-1301 18
Group Health Cooperative of Eau Claire (888) 203-7770 17
Group Health Cooperative of South Central Wisconsin (608) 828-4853 02
Health Tradition Health Plan (800) 545-8499
(608) 783-9507
05
Managed Health Services (888) 713-6180
(414) 345-4646
22
MercyCare Insurance Company (800) 895-2421 11
Network Health Plan   (888) 713-6180
(414) 345-4646
12
Security Health Plan (800) 791-3044
(715) 221-9797
01
UnitedHealthcare of Wisconsin* (800) 504-9660
(414) 443-4000
13
Unity Health Plans (800) 362-3310 21

*Note: Contact UnitedHealthCare of Wisconsin for managed care code 15.

HMO coverage codes - Certain HMOs cover dental and chiropractic services. To find out whether an HMO covers these services, one of the following codes will be indicated through the Eligibility Verification System (EVS) and pharmacy Point of Sale (POS):

186 - Dental and Chiropractic services covered
187 - Chiropractic services covered
188 - Dental services covered
189 - Neither Chiropractic nor Dental services are covered

 

Special Managed Care Programs

Updated 11/16/05

Special managed care programs serve over 6,900 individuals who are elderly and/or who have disabilities.  

Special Managed Care Program Name 

Telephone
Number

Address

Counties Served Managed Care
Code
Children Come First
(MCPCCF)
(608) 250-6634
ext. 106
Dane County Human Services
Children Come First Program
1202 Northport Drive
Madison, WI 53704-2092
Dane 64
Community Care Organization
(MCPCCE)
(414) 536-2100 Community Care Organization, Inc.
1555 South Layton Boulevard
Milwaukee, WI 53215
Milwaukee 65
Community Health Partnership
(MCPCHP)
(715) 838-2900 Wisconsin Partnership Program
2240 EastRidge Center
Eau Claire, WI  54701
Chippewa, Dunn,
Eau Claire
67
Community Living Alliance
(MCPCLA)
(608) 242-8335,
ext. 207
Community Living Alliance, Inc.
1310 Mendota Street, Suite 119
Madison, WI  53714
Dane 63
Elder Care Options
(MCPECO)
(608) 240-0020 Elder Care of Dane County, Inc.
2802 International Lane
Madison, WI 53704
Dane 69
Wraparound Milwaukee
(WM)
(414) 257-7611 Wraparound Milwaukee
Milwaukee County Mental Health
9201 Watertown Plank Road
Milwaukee, WI 53226
Milwaukee 62

SSI Managed Care Organizations

Updated 2/6/07

Managed Care HMO Name
(HMOs serve over 290,000 children and adults in low-income families.)

Customer Service
Telephone Numbers

Managed Care Code

Abri Health Plan

(262) 946-1160
(888) 999-2404

43

Group Health Cooperative of Eau Claire

(888) 203-7770
(toll free)
(715) 552-4300

48

Independent Care Health Plan (iCare)

(414) 223-4847
(800) 777-4376

66

Managed Health Services

(414) 345-4646
(888) 713-6180

41

Network Health Plan

(414) 345-4646
(888) 713-6180

44

UnitedHealthCare

(877) 842-3210

42