BadgerCare Plus Forms

New claims and customer service administration now active as of December 15, 2025. 

BadgerCare Plus forms that will streamline processes and support providers with tools to be efficient and effective.

Claims Forms

• Corrected Claim Submittal Guide
• Claims Recoup/Refund Request Form

Contracting/Credentialing

• Letter of Interest Form
• Provider Addition or Change Notification Form
• Provider Update/Change Form
  

Clinical Forms

• Case / Disease Management Referral Form
• Missed Appointment Notification Form
• Notification of Pregnancy Form

Authorization

• BadgerCare Plus Authorization List
• BadgerCare Plus Authorization Request Form

Patient Forms

• Appealing on behalf of member - Authorization for disclosure of health information form. 
• Ombudsman for grievances