Provider Resources
MHS Health Wisconsin provides the tools and support you need to deliver the best quality of care. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training.
Manuals, Forms and Resources
Provider Frequently Asked Questions (PDF)
Eligibility Verification
Prior Authorization
Electronic Transactions
837 Companion Guide (PDF)
Preferred Drug Lists
Provider Training
Jimmo vs. Sebelius Training
Policies and Procedures
Medical Necessity Criteria
Provider Inquiries
MHS Health Wisconsin has dedicated contact information for network providers. Your Provider Relations Representative can be reached by calling the Provider Inquiry Line. If you don't know your representative, please email our team.
Call the Provider Inquiry Line: 1-800-222-9831
Email: WI_Provider_Relations@mhswi.com
Newsletters
- MHS Health Wisconsin Provider Notes - September/October 2024
- MHS Health Wisconsin Provider Notes - August 2024
- MHS Health Wisconsin Provider Notes - July 2024
- MHS Health Wisconsin Provider Notes - June 2024
- MHS Health Wisconsin Provider Notes - May 2024
- MHS Health Wisconsin Provider Notes - March 2024
- MHS Health Wisconsin Provider Notes - January 2024
- MHS HealthWisconsin Provider Notes - December 2023 (PDF)
- MHS Health Wisconsin Provider Notes - November 2023 (PDF)
- MHS Health Wisconsin Provider Notes - October 2023 (PDF)
- MHS Health Wisconsin Provider Notes - September 2023 (PDF)
- MHS Health Wisconsin Provider Notes - August 2023 (PDF)
- MHS Health Wisconsin Provider Notes - June/July 2023 (PDF)
- MHS Health Wisconsin Provider Notes - May 2023 (PDF)
- MHS Health Wisconsin Provider Notes - April 2023 (PDF)
- MHS Health Wisconsin Provider Notes - March 2023 (PDF)
- MHS Health Wisconsin Provider Notes - February 2023 (PDF)
- MHS Health Wisconsin Provider Notes - January 2023 (PDF)
- MHS Health Wisconsin Provider Notes - November 2022 (PDF)
- MHS Health Wisconsin Provider Notes - October 2022 (PDF)
- MHS Health Wisconsin Provider Notes - September 2022 (PDF)
- MHS Health Wisconsin Provider Notes - August 2022 (PDF)
- MHS Health Wisconsin Provider Notes - July 2022 (PDF)
- MHS Health Wisconsin Provider Notes - June 2022 (PDF)
- MHS Health Wisconsin Provider Notes - May 2022 (PDF)
- MHS Health Wisconsin Provider Notes - April 2022 (PDF)
- MHS Health Wisconsin Provider Notes - March 2022 (PDF)
- MHS Health Wisconsin Provider Notes - February 2022 (PDF)
- MHS Health Wisconsin Provider Notes - January 2022 (PDF)
- MHS Health Wisconsin Provider Notes - December 2021 (PDF)
- MHS Health Wisconsin Provider Notes - November 2021 (PDF)
- MHS Health Wisconsin Provider Notes - October 2021 (PDF)
- MHS Health Wisconsin Provider Notes - September 2021 (PDF)
- MHS Health Wisconsin Provider Notes - August 2021 (PDF)
- MHS Health Wisconsin Provider Notes - July 2021 (PDF)
- MHS Health Wisconsin Provider Notes - June 2021 (PDF)
- MHS Health Wisconsin Provider Notes - May 2021 (PDF)
- Provider Newsletter 2021 (PDF)
- Provider Newsletter - Fall 2019 (PDF)
- Provider Newsletter - Summer 2019 (PDF)
- Provider Newsletter - Spring 2019 (PDF)
- Provider Newsletter - Winter 2019 (PDF)
Helpful Links
- American Diabetes Association’s Clinical Practice Recommendations
- Provider Appeals
Learn more about how to file an appeal with ForwardHealth. - BadgerCare Plus
BadgerCare Plus is a ForwardHealth Program. - Dose of Reality
The Dose of Reality campaign is dedicated to ending prescription opiate abuse. Learn about the problem and how you can help. - ForwardHealth
The ForwardHealth Portal serves as the interface to ForwardHealth interChange, the new Medicaid Management Information System for the state of Wisconsin. - HealthCheck Services
The Wisconsin Medicaid program (ForwardHealth) gives an overview of the comprehensive preventive well-child screening program for Medicaid-eligible children.
- Immunization Schedules
The Centers for Disease Control and Prevention provide recommended immunization schedules for infants, children, teens and adults. - Million Hearts
Million Hearts is a national initiative to prevent 1 million heart attacks and strokes by 2017. This website is managed by the U.S. Centers for Disease Control and Prevention. - Start Smart For Your Baby (pregnancy services)
The Start Smart for Your Baby program is for women who are pregnant and for moms who have just had a baby. - Text4Baby
A free informational program for expectant mothers. Your patients will receive three text messages per week, timed to the baby's due date or birth. They'll get information about how to keep the baby healthy throughout their pregnancy and until the baby's first birthday. - Wisconsin Immunization Registry (WIR)
Use this online tool to make sure that you and your children have received immunizations according to recommended schedules.
- Wisconsin Medicaid
The Wisconsin Department of Health Services’ official Medicaid home page.
- Wisconsin Tobacco Quit Line
Free medications, live coaching and web forums are available through the Wisconsin Tobacco Quit Line. Call the Quit Line 24/7 at 1-800-QUIT-NOW (1-800-784-8669). - Wisconsin Medicaid
Wisconsin Department of Health Services’ Medicaid home page.
- Health information in multiple languages (National Institute on Minority Health and Health Disparities)
- Living will, power of attorney for finances and property, and power of attorney for healthcare
- Your Right to Direct Your Future Health Needs (PDF)