Welcome to the Optum Network!

Optum Network Manual

• Network Manual

Clinical Criteria

• Standard Clinical Criteria

Best Practice Guidelines

• BP Guidelines

Coordination of Care (COC)

• COC Flyer
• COC Checklist

Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.

UnitedHealthcare Community Plan, Wisconsin

Wisconsin Provider Overview

WI Medicaid Claims Billing Tips Flyer

Prior Authorizations for Community Plan Members (October 2018 Notification)

WI Medicaid Provider Alert: 21st Century Cures Act Requirements & Action Items

WI Medicaid Provider Alert: Billing NPI and Taxonomy Requirements

Provider Alert - WI Medicaid Prior Authorization List February 1, 2021

Upcoming Trainings

• Register here - Lunch and Learn Training Spring 2023- Wisconsin Medicaid Billing Requirements