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Contacts

Who to Call for the Wisconsin Medicaid and BadgerCare HMO Program

     HMO Enrollment Specialist:    (800) 291-2002
HMO Contract Monitors: (800) 760-0001
HMO Ombudsmen: (800) 760-0001
Medicaid and BadgerCare HMOs: Telephone Numbers Are Located Below
Recipient Services: (800) 362-3002 or (608) 221-5720
Provider Services: (800) 947-9627 or (608) 221-9883 
Automated Voice Response System: (800) 947-3544 or (608) 221-4247

 

For Questions About:

Please Call:

Bills and Billing 

HMO Enrollees. . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO

Other Recipients. . . . . . . . . . . . . . . . .

Recipient Services  
(800) 362-3002 or (608) 221-5720

Providers — HMO Related. . . . . . . . . . . .

Medicaid and BadgerCare HMO, or 
HMO Contract Monitors (800) 760-0001

Providers — Non-HMO Related. . . . . . . .

Provider Services (800) 947-9627 or (608) 221-9883

Change of Address 

All Recipients . . . . . . . . . . . . . . . . . . .

County/Tribal Social or Human Services Agency

Commercial Insurance or Primary Insurance Problems

HMO Enrollees. . . . . . . . . . . . . . . . . . .

Enrollment Specialist (800) 291-2002

Other Recipients. . . . . . . . . . . . . . . . .

Recipient Services  (800) 362-3002 or (608) 221-5720

Providers — HMO Related. . . . . . . . . . . .

Medicaid and BadgerCare HMO, or 
HMO Contract Monitors (800) 760-0001

Providers — Non-HMO Related. . . . . . . .

Provider Services (800) 947-9627 or (608) 221-9883

Complaints and Grievances

HMO Enrollees. . . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO,  
Enrollment Specialist (800) 291-2002, or
HMO Ombudsmen (800) 760-0001

Providers. . . . . . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO

Eligibility

Grievances. . . . . . . . . . . . . . . . . . . . .

County/Tribal Social or Human Services Agency, or 

Recipient Services (800) 362-3002 or (608) 221-5720

Eligibility Questions

Providers. . . . . . . . . . . . . . . . . . . . . .

Automated Voice Response System (800) 947-3544 or (608) 221-4247 or
Provider Services (800) 947-9627 or (608) 221-9883

Medicaid and BadgerCare Recipients. . . .

County/Tribal Social or Human Services Agency, or 
Recipient Services (800) 362-3002 or (608) 221-5720

Emergency Care 

HMO Enrollees. . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO

Enrollment in HMOs

Recipients. . . . . . . . . . . . . . . . . . . . .

HMO Enrollment Specialist (800) 291-2002

Exemption From HMO Enrollment

Recipients. . . . . . . . . . . . . . . . . . . . .

HMO Enrollment Specialist (800) 291-2002

HMO Extraordinary Provider Claims

Providers. . . . . . . . . . . . . . . . . . . . . .

HMO Contract Monitors (800) 760-0001

Lost Medicaid and BadgerCare Forward Cards

All Recipients. . . . . . . . . . . . . . . . . . .

Recipient Services (800) 362-3002 or (608) 221-5720

Provider Appeals

Providers. . . . . . . . . . . . . . . . . . . . . .

HMO Contract Monitors (800) 760-0001

Transportation Common Carrier

HMO Enrollees. . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO, or 
County/Tribal Social or Human Services Agency

Other Recipients. . . . . . . . . . . . . . . . .

County/Tribal Social or Human Services Agency

What Services Are Covered Under HMOs

HMO Enrollees. . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO, or 
Enrollment Specialist (800) 291-2002

Providers . . . . . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO, or 
HMO Contract Monitors (800) 760-0001

Where to Go for Services

HMO Enrollees. . . . . . . . . . . . . . . . . .

Medicaid and BadgerCare HMO

Other Recipients. . . . . . . . . . . . . . . .

Recipient Services (800) 362-3002 or (608) 221-5720

Medicaid and BadgerCare HMO

Customer or Member Services

General Information

Abri Health Plan (262) 946-1160 (262) 946-1160
Children's Community Health Plan (800) 482-8010 (414) 266-2445
Compcare (888) 203-7771 (888) 203-7771
Dean Health Plan (800) 279-1301 or
(608) 828-1301
(608) 836-1400
Group Health Cooperative of Eau Claire (888) 203-7770 (888) 203-7770
Group Health Cooperative of South Central Wisconsin (608) 828-4853 (608) 251-4156
Health Tradition Health Plan (800) 545-8499 or
(608) 783-9507
(608) 781-9692
Managed Health Services (888) 713-6180 or
(414) 345-4646
(800) 547-1647 or
(414) 345-4600
MercyCare Insurance Company (800) 895-2421 (800) 752-3431
Network Health Plan (888) 713-6180 or
(414) 345-4646
(800) 547-1647 or
(414) 345-4600
Security Health Plan (800) 791-3044 or
(715) 221-9797
(800) 791-3044 or
(715) 221-9797
UnitedHealthcare of Wisconsin (800) 504-9660 (414) 443-4000
Unity Health Insurance (800) 362-3310 (800) 362-3308 or
(608) 643-2491

PHC 12065 (Rev. 1/06)
Department of Health and Family Services
Division of Health Care Financing
Bureau of Managed Health Care Programs