“Providers” is a general term that the plan uses for physicians, medical specialists, hospitals, clinics, pharmacies and other care providers that are licensed and/or certified by Medicare and the state to furnish health care services. Network providers have signed a contract to provide services to members and follow the policies, procedures and guidelines set forth in the Provider Manual.
We ensure the integrity of our network providers through credentialing, utilization review and ongoing quality initiatives.
Provider Directory
The Provider Directory contains a list of network providers and is updated annually. Providers must confirm provider network status prior to assisting members with coordinated services. For assistance, call Care Wisconsin Health Plan Provider Services at (608) 245-3053 or 1-800-963-0035.
Provider Manual