Important Information About New Managed Care Organization Available for Family Care Members and Providers
Community Care of Central Wisconsin Will Begin Providing Services January 1
MADISON-To help ensure a smooth transition for members and providers when Community Care of Central Wisconsin becomes the new Family Care provider for 11 counties in northern Wisconsin, the Wisconsin Department of Health Services (DHS) and Community Care of Central Wisconsin (CCCW) are providing several options for members and providers to get the information they need about the transition.
"While we expect a seamless transition, we know that members and providers may have questions about the change, so we want to make every effort to make sure they get the information they need," said DHS Secretary Kitty Rhoades.
First, it is very important to note that members currently served by NorthernBridges do not need to do anything to enroll with CCCW. CCCW will be ready to provide long term care services on January 1.
- For questions concerning the transition members and providers can contact DHS at DHSFCWebmail@wisconsin.gov, or call 1-855-885-0287.
- Members and providers with questions about CCCW can call 1-877-622-6700, email Kris.Kubnick@communitycarecw.org, or visit the CCCW web site at http://www.communitycareofcentralwisconsin.org/.
- Informational meetings for members and providers are also scheduled for around the region beginning Tuesday, September 24. While attendance is not mandatory, the meetings provide an opportunity to meet and ask questions of leaders from DHS and CCCW. Again, attendance is not required in order to receive services from CCCW.
Members are also encouraged to call their local Aging and Disability Resource Center (ADRC) if they have questions about the transition. Members should also note that NorthernBridges will begin transferring information about their care plan and providers to CCCW in early October. However, members who contact their ADRC before October 15 to change to the IRIS (Include, Respect I Self-Direct) program will have their records sent to IRIS and not CCCW.
Providers should note that NorthernBridges will continue to operate Family Care through the end of the year and providers should continue to carry out business with the NorthernBridges care management and provider relations team as usual. Like NorthernBridges, CCCW contracts with WPS for third party administrator (TPA) claims processing and there are no anticipated delays in the processing and payment of claims. The claims processing and call center procedures will be no different with CCCW than what they are currently with NorthernBridges.
The Department of Health Services and its Division of Long Term Care announced in August that it would offer a contract to Community Care of Central Wisconsin to become the new managed care organization for the region that includes Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, and Washburn Counties.