Department of Health Services Logo

 

Wisconsin Department of Health Services

Children's Home

Birth to 3 Program

Children's Long-Term Support Waivers

Compass
Wisconsin:
Threshold
Unified Intake for Families

Family Support Program

Katie Beckett Program

Resources for Families and Children

County and Provider Resources

Medicaid HCB Waivers Manual

Appendix E (CLTS Forms)

Contact Us

 

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