Important provider update:

Notice Regarding Optum - Change Healthcare Outage and Delay in Claim Payments

Chorus Community Health Plans (CCHP) utilizes Optum - Change Healthcare (CHC) as our vendor to print checks, provide electronic explanation of payments (EOPs), and for coordination with banks for claim payments. CHC, a subsidiary of UnitedHealth Group is experiencing a cyber-security issue. CCHP is currently unable to make provider payments through CHC and our team is looking for an alternative payment solution. Click here to stay informed of the situation UnitedHealth Group is providing regular updates on a newly launched website.

Once we became aware of the outside threat, in the interest of protecting our partners and members, we took immediate action to disconnect our systems to prevent impact. We have no indication that CCHP systems has been compromised. Our Security and Privacy teams are following this closely and are working to develop contingency plans.

Here are answers to questions you may be asking:

Optum-Change Healthcare has not notified us that any CCHP member information is involved. CHC is working with law enforcement and forensic investigators.

No, coverage or benefits are not impacted by this issue.

CHC is working diligently to restore those systems and resume normal operations as soon as possible, but cannot estimate the duration or extent of the disruption at this time.

Please click this link to stay informed as CHC is providing updates as needed.

For Medicaid claims, CCHP is unable to make payments or send Electronic Remittance Advices until the Change Healthcare system is restored.

For Individual & Family Plan claims, payments are being made through another vendor. Although Electronic Remittance Advices are not available and will not be until the Change Healthcare system is restored.

A Healthcare Network Committed to Caring

Chorus Community Health Plans (CCHP), an affiliate of Children’s Wisconsin, is an HMO dedicated to providing access to the highest quality health care and services to our members living in Wisconsin.

Chorus Community Health Plans is a member of the Association for Community Affiliated Plans (ACAP), which is a national trade association representing more than 70 nonprofit safety net health plans in 28 states. ACAP’s mission is to represent and strengthen not-for-profit, safety-net health plans as they work in their communities to improve the health and well-being of vulnerable populations.

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CareWebQI Authorization Registration

Current Providers

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Introducing Guiding Care

New Provider Auth Portal Coming 3/5/2024

CCHP will be transitioning to a new Provider Authorization Portal through Guiding Care beginning March 5, 2024. The previous Provider Authorization Portal through CareWeb will not accept new authorizations after March 4, 2024.

As a valued provider in the CCHP network we want to make sure you feel confident using the new Guiding Care Provider Authorization Portal. We have information, resources and more available to you now and after the 3/5 go-live date.

Thank you for your ongoing partnership in providing high quality care to our members! 

Recredentialing Notice

To assist practitioners with the challenges to timeliness during COVID, CCHP had extended the recredentialing cycle by two months, going from 36 months to 38 months during the Public Health Emergency (PHE). With the PHE set to expire in May 2023, CCHP will return to the 36 month cycle as designated by law, therefore any practitioner who does not submit their completed recredentialing application within the cycle will be terminated.

APNP – Collaborative Agreement

In compliance with the executive order during the Public Health Emergency, CCHP had waived the collaborative agreement requirement for APNPs. With the PHE set to expire in May 2023, CCHP will once again require a Collaborative Agreement per Wisconsin State law. APNP’s without a collaborative agreement by May 18, 2023 will receive a summary suspension of their network privileges.

Help us, help members

Medicaid renewals are underway

It is critical to help Medicaid members renew their benefits so they keep their health insurance coverage and continue to receive uninterrupted care.

All Medicaid members will need to go through a redetermination, or renewal, process to keep their Medicaid eligibility and benefits. We need your help to ensure your Medicaid patients keep their coverage. Find out how you can help our members.

Click here to learn more.

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Provider Education

Here you'll find helpful links to information you need to work with us more efficiently, so you can spend less time on administrative tasks and more time providing outstanding care to our members.

Stay Connected

Chorus Community Health Plans sends updates through the mail, email and in our provider newsletter. If you would like to start receiving email communications from us, please complete our newsletter email opt-in form. 

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