Community Care Provider Section

PROVIDER HOTLINE: 866-937-2783
Milwaukee: 414-902-2375

REP PAYEE HOTLINE: 888-369-4293
Milwaukee: 414-902-2455

Welcome to the Community Care online Provider Resources section. If you are an individual or a business that provides services to Community Care participants (or are interested in becoming a Community Care provider), these web pages provide you with information and resources designed to make your job easier.

To access application materials, use the navigational links in the left column, or refer to the information below.

eForms Training

Training sessions are held monthly to help you better understand how to submit your claims via our eForms system. You'll find the latest training schedule here.

Provider Application Packet

If you are an individual or a business serving people with long-term care needs and would like to be considered to serve as a Community Care provider, click here to access the Provider Application Packet.

Provider Claim Form

For expedient service, Providers click here for a claim form.

You may fax or mail your claim to:

Community Care
Claims
P.O. Box 341997
Milwaukee, WI 53234

Fax: 414-385-6615

Member Account Balance

For member account balance information, complete this form and fax to 414-944-0035, Attn: Kim Neal.

Restrictive Measures

Education
Click here to access the latest educational piece on restrictive measures.

Training
Would you like additional training on restrictive measures? The state of Wisconsin offers this training free of charge. To submit a request to the state for training, click here. (.pdf format)

Residential Summary

• Submit the Residential Summary for Corporate Entities form to inform Community Care of your facility's housing capabilities.

Notification of Residential Vacancy for Family Care

Complete the Vacancy Form to notify Community Care of a vacancy in your facility.

Important: You must have a Care Capability Assessment on file prior to submitting the Residential Vacancy form.

Frequently Asked Questions

Are You Planning An Open House?

If you are having an open house, we want to hear about it! Email your open house information to Judi.Persinger@communitycareinc.org and include the following information:

• County Location
• Facility Name
• Size of facility (Number of beds, indicate AFH, CBRF, RCAC)
• Address
• Date
• Time
• Contact Name & Telephone Number
• Brief Description of your Home (such as is the home wheelchair accessible)

Once we receive the above information, we will notify the care teams of your open house.