In September 2023, Molina acquired My Choice Wisconsin. On this page, you’ll find all the information and resources you need as a valued provider partner to help you through this integration process, which began on July 1, 2024, for Medicaid SSI and BadgerCare Plus and continues on January 1, 2025, for Medicare (Dual Advantage), and January 1, 2026, for Family Care and Family Care Partnership. Our goal is to minimize the impact on you by leveraging all opportunities to seamlessly integrate My Choice Wisconsin data into the Molina system. We will be frequently updating this page with new information, so sign up for email updates and check back here frequently!
Medicaid SSI and BadgerCare Plus Integration is Now Live!
As of July 1, 2024, Molina Healthcare of Wisconsin, Inc. is thrilled to bring together 20,000+ My Choice Wisconsin Medicaid SSI and BadgerCare (BC+) members with our 61,000+ Molina Wisconsin Medicaid members under the Molina brand, effective today. View our updated service area here.
What has changed for Medicaid SSI/BC+
- My Choice Medicaid SSI/BC+ eligibility has changed to Molina in ForwardHealth.
- For dates of service July 1, 2024 and after:
- New SSI/BC+ claims should be submitted to Molina.
- New SSI/BC+ authorizations should be submitted to Molina.
- For dates of service prior to July 1, 2024:
- All open SSI/BC+ authorizations have been integrated into Molina's systems - no provider action needed.
- SSI/BC+ claims and appeals will continue to be procesed by My Choice.
- Reminder: NO CHANGES for My Choice Medicare, Family Care, and Family Care Partnership.
Trainings and Office Hours
Recent Communications
- 7/2/24: My Choice/Molina Prior Authorization Reminders
- 7/2/24: Process clarification for verifying eligibility in ForwardHealth
- 7/1/24: Medicaid SSI/BC+ Integration Now Live
- 6/27/24: Medicaid BC+ & SSI Home Healthcare, Personal Care Worker, and EVV Updates
- 6/24/24: Integration Update - June 2024
- 5/30/24: Integration Update May 2024
- 5/10/24: Important Updates to Provider Agreements and Updated QRG (to impacted providers only)
- 4/24/24: Integration Update April 2024
- 3/28/24: Integration Update March 2024
- 3/12: Last Chance: Send us your roster/practice info by March 15 for claims payment after July 1
- 2/19: Not contracted with Molina? Send us your roster/practice info by March 1
- 1/1/24 - Molina & My Choice Integration Town Hall
Questions? Need help?
- Drop-in office hours: If you have questions or concerns about the upcoming integration, feel free to drop into one of these meetings in June/July or email directly.
- Helpful Materials:
- 6/20 Town Hall PPT
- May 28 Presentation
- Quick Reference Guide
- FAQs - updated 6/10/24
- Provider Contact Information:
- For any other questions, we encourage you to reach out to your Molina or My Choice provider relations representative or email questions to:
- MHWIProviderNetworkManagement@MolinaHealthcare.com(for Medicaid SSI, BadgerCare Plus, or existing Molina Medicare)
- Shfamccontracts@mychoicewi.org (for Family Care, Family Care Partnership, or existing My Choice Medicare)