Children's Long-Term Support Waiver Program - Third Party Administration (TPA) Claims Processing

The Department of Health Services (DHS) has contracted with a Third Party Administrator (TPA) claims processing vendor for the Children's Long-Term Support (CLTS) Waiver provider services. The DHS TPA vendor is Wisconsin Physicians Service (WPS). WPS processes and issues payments for CLTS services, collects and reports claims data, and recovers overpayments on behalf of DHS according to federal regulations.

County Waiver Agency Information

Data Warehouse Training - Learn how to access the data and how to create the reports you need.

See the following DLTC Memo for more information related to the statewide TPA implementation:

Service Providers

See the following CLTS Waiver Program TPA provider forms:

A Note Regarding ICD-10
WPS, DHS's third party administrator for the Children's Long-Term Supports (CLTS) Waiver Program claims processing, only accepts ICD-10 medical codes for any medical service claims submitted for payment. Provider claims submitted with ICD-9 codes will not be accepted.

Non-medical providers using the ICD-9 default code of 780.99 can use the ICD-10 default code of R6889 when submitting electronically. Paper and spreadsheet claims can continue to be submitted without an ICD-10 code for non-medical services.

Additional details are available on the ForwardHealth ICD-10 Code Set Transition page.

 

Contact Information

For more information regarding the TPA claims processing, contact:

County Waiver Agencies:

DHS Children's Long-Term Supports Waiver Program:
Email: DHSProviderRegistry@wisconsin.gov

WPS CLTS Customer Service Call Center, Monday through Friday at:
Phone: 877-298-1258
Email: authsupport@wpsic.com

For MoveIt and Other Account Issues:option#4
Phone: 800-782-2680

Providers:

WPS CLTS Customer Service Call Center Monday through Friday at:
Phone: 877-298-1258

Last Revised: June 16, 2017