Southeast Wisconsin Medicaid Managed Care Organizations
The Department is requesting Proposals from qualified managed care organizations
(MCOs) seeking to establish a risk-based, capitated contract with DHS for providing and
managing the health care services for members enrolled in BadgerCare Plus Standard and
Benchmark plans in Milwaukee, Washington, Ozaukee, Waukesha, Racine and Kenosha
counties. Proposers are required to provide services to members in all six counties. The services
required as part of the contract, which are fully described in the BadgerCare Plus Contract
posted herewith as Appendix A, include providing covered physical health, behavioral health,
and dental services; establishing and managing a provider network; credentialing and contracting
with providers; utilization management, disease management, quality management, customer
service, financial management, claims management, maintaining sufficient information systems;
and promoting coordination and continuity of preventive health services and other medical care.
