GuidingCare Prior Authorization Portal
The GuidingCare Auth Portal allows users to submit and/or access authorizations.
Only those who submit authorizations or need to access authorizations as a routine part of their role will require access to GuidingCare.
Click here to login to GuidingCare
Logging in for the first time?
There are two ways to log in to the GuidingCare Auth Portal. To determine the correct option for your first login, answer the question below. Once you know your answer, click the appropriate blue button to access the login link and step-by-step instructions.
Do you work for Children's Wisconsin or are you a Children's "Outlook" user?
- NO, click the button below and follow the instructions:
I don't work for Children's or have Children's Outlook
- YES, click the button below and follow the instructions:
I work for Children's and have Children's Outlook
If you still need help Watch this demo video for how-to login instructions. If you have additional questions or need help, please complete the form below.
GuidingCare FAQ
Review the GuidingCare FAQs to find quick answers to some of your common questions. These FAQs clarify processes, requirements and authorization information.
You will only need access to GuidingCare if you have a need to submit or access authorizations as routine part of your role. If you will not be frequently completing authorization requests or assessing the status of authorizations in process then you do not need access to GuidingCare.
- If you have been an active user in our former software platform CareWeb in the past 6 months you should have received important information via email on March 4th 2024 regarding your GuidingCare login. If you have been sent login information, you can access GuidingCare here.
Important tip! If you've been sent your login information you will need to click "forgot password" and create your own password. You can refer to the user login instructions linked above #4 if you have questions. - If you have not been an active user in our former software platform CareWeb in the past 6 months or did not receive login information from CCHP but will need access to GuidingCare for authorizations, you should complete the form at the bottom of this webpage and our team will assist you.
No. Although the software platform is changing, authorization requirements, claims processing and all other operational tasks and processes remain as they are today.
Outside of the resources found on this page you can read our FAQ document or use the various provider resources found here.
A message with the cancellation reason will be sent to the submitter as well as the Facility that owns the authorization.
Top Reasons
1. Incorrect template used
2. Inpatient authorization-Procedure code needs to be a valid REV code, no CPT codes
3. Facility listed is a Person. Facility has to be a facility
4. Duplicate auth
5. A prior auth request being built as an inpatient request
6. Member not eligible
7. Request left in draft
8. CCHP Secondary
9. NICU baby under 1200 grams
10. INN provider submitting for plan they are OON
11. Retro/Late Notification not accepted for review
GuidingCare Resources
Explore helpful guides and tutorials designed to make using GuidingCare simple and efficient. Our resource documents (left) provide clear, step-by-step instructions, while videos (right) offer visual demonstrations to walk you through key features and processes.
Bookmark the single sign on link
Submitting Authorizations
Additional Tasks
Portal 2-step authentication for single sign on:
How to use GuidingCare:
Additional Resource Videos:
Complete Inpatient authorization
Complete Outpatient authorization
Complete Medical Pharmacy authorization
Before Completing the Form Below
Before you complete this form, review the questions below. If you answer “YES” to any of them, you will need access to GuidingCare.
- Do you have a current authorization to submit?
- Have you submitted an authorization to CCHP within the last 3 months?
- Did you access the previous CCHP authorization portal as a routine part of your role?
If you have questions about the GuidingCare Auth Portal, or if you answered “YES” to any of the questions above, complete the form now.
We will review the information in your request and get back to you promptly.