Children's Long-Term Support Waivers
Third Party Administration (TPA)
Claims Processing
The Department of Health Services (DHS) has contracted with a Third Party Administrator (TPA) claims
vendor to process the Children’s Long-Term Support (CLTS) Waiver provider service claims and
collect appropriate claims report data, according to federal regulations. The selected TPA
vendor is the Wisconsin Physicians Service (WPS).
County Waiver Agency Information
Data
Warehouse Training (Learn how to access the data and how to
create the reports you need!)
The Department implemented the statewide TPA process according to the schedule
below:
| April 1, 2011 |
Lutheran Social Services St. Francis Children’s Center |
| August 1, 2011 |
Southeastern Region |
| September 1, 2011 |
Southern Region |
| October 1, 2011 |
Northeastern Region |
| November 1, 2011 |
Western Region |
| December 1, 2011 |
Northern Region |
See the following DLTC Memo for more information related to the Statewide TPA implementation:
Service Providers
DHS and WPS developed a web-based provider TPA training seminar which provides detailed
information regarding the TPA claims payment process.
A printable
version (PDF, 186 KB) of the content of the web-based training is also
available.
The Department held Question and Answer teleconferences for providers
on the dates shown below:
| August 30, 2011 |
1:00 - 3:00 PM |
Southern Region |
| September 26, 2011 |
10:00 AM - 12:00 PM |
Northeastern Region |
| October 25, 2011 |
1:00 - 3:00 PM |
Western Region |
| November 30, 2011 |
1:00 - 3:00 PM |
Northern Region |
See the following TPA provider forms:
Contact Information
For more information regarding the TPA claims processing, contact:
County Waiver Agencies:
DHS Children’s Services Section:
Email: DHSProviderRegistry@wisconsin.gov
WPS CLTS Customer Service Call Center Monday through Friday at:
Phone: (877) 298-1258
Providers:
Contact the WPS CLTS Customer Service Call Center Monday through Friday at:
Phone: (877) 298-1258
Last Revised: May 16, 2012
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