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Welcome to the path for becoming a My Choice Wisconsin provider. You will first have to fill out and submit a request to apply. If approved, you will then go through a more comprehensive Provider Application process.

For existing users, login below to access your request information. For new applicants, click the New Application Registration button to register.
Request to Apply Started:
Last Updated:
Existing User Login
User Login:  
If you have any questions, click 'Need Assistance?' at the top of the page.