PROVIDER INFORMATION

Our Community Family Care Provider Directory outlines our broad network of qualified providers who offer long term health care services to our members. We try to ensure the Provider Directory is up-to-date and accurate. However, because of additions, resignations, and changes in practice arrangements, we cannot guarantee that providers listed in the directory will always be available.

The Provider Manual is developed as a tool for Plan Providers to use when serving Members. It defines policies, procedures and guidelines required by the State of Wisconsin Department of Health and Family Services (DHFS) and CHP-LTS, Inc.

It’s recommended you refer to our website for the most current, electronic document of the Provider Directory and Provider Manual. Printed copies of the Directory and Manual can be obtained by calling the Provider Relations Department at 715-838-1607. CHP cannot guarantee continued affiliation with any provider that is listed in the Directory.

Community Family Care (CFC) is the payer of long-term support and limited Medicaid services for Family Care Members enrolled in the program. The following information will be helpful for you to know when you submit a claim for processing: CFC Provider Billing Procedures.

CFC Frequently Asked Questions

IMPORTANT INFORMATION & FORMS

Additional Appeals and Grievance information is available from the Centers for Medicare and Medicaid Services (CMS) website. (See link below)

• Retroactive Rate Adjustments for Wisconsin Skilled Nursing Facilities Medicaid RUGs Stays
• Fee-For-Service Appeals