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Join Our Network

Want to join the MHS Health Wisconsin Network? 

We appreciate your interest in MHS Health Wisconsin as a network of choice. If you are interested in joining as a network provider or provider group, please fill out the form below. One of our provider representatives will reach out to you shortly to discuss contracting options.

Please use this form if you would like to initiate a contract with MHS Health Wisconsin.
Use this form to start a new contract 

Have a contract and need to add or change a provider? 

If you are an existing medical or behavioral health provider group that already has a contract with MHS Health Wisconsin and need to add a provider, please use the form below to enroll a new provider to your group.

Please use these forms if you want to make a change to an existing contract.
Use this form to add a medical provider to an existing contract (PDF)
Use this form to add a behavioral health provider to an existing contract
 

Need to change your practice information? 

If you are an existing medical or behavioral health provider that already has a contract with MHS Health Wisconsin, it is important that you provide us with current information about your practice so we can:

  • Accurately communicate your availability to members and other providers in directories
  • Assure the timely processing of your claims

Medical Providers
Use this form to make changes to your information (address, demographic, etc.) (PDF)

Behavioral Health Providers
Use this form to make changes to your information (address, demographic, etc.)

Expedite Your In-Network Application

To assist us in expediting the processing of your in-network participation: 

  • Make sure your CAQH application is current and you have allowed MHS Health Wisconsin access to your application.
  • Complete page 5 of the CAQH application.
  • Attach your current certificate of insurance.
  • Check out the Credentialing Quick Reference Guide (PDF)