Information for Providers
Children's Community Health Plan is committed to providing the best possible service to our members and providers. We welcome you as a provider in our network and thank you for serving our members.
Our Provider Portal is now fully functional!
We are excited to announce that the Authorization request portal is now fully functional! We encourage you to submit your prior authorization request electronically using this portal. It's convenient and can allow you to care for your patients faster.
If you have already registered for our new Prior Authorization portal, you may submit your prior authorization request online at provider.childrenscommunityhealthplan.org.
Children's Community Health Plan Authorization Request Portal Provider User's Guide
Children's Community Health Plan requires supporting documentation with your authorization request. Missing documentation can cause delays in your request and/or payment.
Need to register?
Your designated Site Administrator can start the Authorization request portal registration process by calling Children's Community Health Plan at 414-266-5747. Next, Children's Community Health Plan will mail a letter with important information and a unique registration ID code Site Administrators will need to complete their registration.
How do Site Administrators register additional users? Learn more.
How to submit requests until you're registered
Until the Site Administrator has registered your organization, Inpatient Admission notifications or Prior Authorization requests can be faxed to Children's Community Health Plan at 414-266-4726.
If you have any Prior Authorization request or Inpatient Admission submittal questions, please contact Children's Community Health Plan Clinical Services at 877-227-1142, option 2, or 414-266-5707 Monday through Friday, 8:00 a.m. to 4:30 p.m.
Listed below are the individual sections of the Provider Manual. Download the complete CCHP Provider Manual. (PDF)
Provider responsibilities (PDF)
Becoming a Participating Provider
To learn more about becoming a participating provider for Children's Community Health Plan, please submit a letter of interest, your curriculum vitae, a list of your hospital privileges and specialties to Children's Community Health Plan. Submissions may be made by fax at 414-266-1741 or by mail to:
Children's Community Health Plan
Attention: Provider Contracting
P.O. Box 1997, MS 6280
Milwaukee, WI 53201
Children's Community Health Plan will respond to your request within 90 days.
Children's Community Health Plan Service Area
Children's Community Health Plan operates in the following areas:
Milwaukee, Kenosha, Ozaukee, Racine, Walworth, Washington, and Waukesha counties
Brown, Calumet, Outagamie, Sheboygan, Winnebago, Waupaca counties