AODA / Behavioral Health Credentialing


Provider Network

Credentialing Information

AODA and Behavioral Health Practitioners 

 

All NEW AODA and BEHAVIORAL HEALTH PRACTITIONERS providing services through the Wraparound Milwaukee Provider Network are required to comply with the credentialing requirements referred to on this page.

NEW PROVIDERS

COMPLETED  Wraparound Milwaukee specific Universal Application are to be submitted upon request following the agency site visit.

 

EXISTING PROVIDERS – NEW PRACTITIONERS

COMPLETED  Wraparound Milwaukee specific Universal Application are to be submitted along with the Add Request Form (PDF), to include documentation outlined on the form.

Questions about the status of a practitioner’s application should be directed to Provider Network at: Tracie.Zimmerman@milwaukeecountywi.gov


CLICK HERE TO ACCESS THE PROVIDER SPECIALTIY INFORMATION FORM

PRACTITIONERS CAN USE THIS FORM TO IDENTIFY OR UPDATE PROVIDER AREAS OF EXPERTISE,
INTERESTS & LANGUAGE PROFICIENCIES


 SUBMIT UNIVERSAL APPLICATONS TO:

WRAPAROUND MILWAUKEE PROVIDER NETWORK

9455 WATERTOWNK PLANK ROAD

ATTN:  CONTRACT MANAGEMENT

FAX: 414-257-8101

OR EMAIL TO:

Tracie.Zimmerman@milwaukeecountywi.gov


 

 

 WRAPAROUND MILWAUKEE

CREDENTIALING INFORMATION AND FORMS

 

 Wraparound Milwaukee Credential Instructions and Forms

Credential process includes
  • Submitting original copy of signed and dated Universal Application form to Wraparound Milwaukee Provider Network
  • Verification of practitioner education, training, licensing and certifications
  • Completion of background check (all 3 parts)
  • Confirmation of professional liability insurance
  • Medicaid/Medicare sanctions search

Re-credentialing will occur every 3 years

 

No individual will be excluded from participating in Wraparound Milwaukee’s credentialing process on the basis of gender, race, religion, age, disability, sexual orientation, ethnic origin or client population served.

Related Information/Forms

Universal Application
Tips for Completing Credentialing Process  
Credentialing/Recredentialing Criteria  
Primary Source Verification
Credentialing/Recredentialing Plan

 Submit Completed Universal Application Form to:

 Wraparound Milwaukee Provider Network

Attn: Provider Network

9455 Watertown Plank Road, Milwaukee, WI 53226 – Email – Tracie.Zimmerman@milwaukeecountywi.gov – Fax 414-257-8101