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Children's Long-Term Support: How do providers get paid?

CLTS Claims are now being processed through the ForwardHealth Portal

For more information please contact the CLTS Operations Team at 844-942-5870 or cltsoperations@gainwelltechnologies.com Monday through Friday 8 a.m.-4:30 p.m.

Steps to get paid

Step 1

Before you deliver a service, make sure you have a prior authorization (PA) from the county waiver agency (CWA) of the county the participant lives in.

The PA will have the service, rate, and frequency that is approved for the child. Once you have a PA from the CWA, you may deliver the service.

Step 2

After delivering the authorized service to the Children's Long-Term Support (CLTS) Program participant, you will submit a claim for that service.

Claims processor update

You can begin submitting claims with Gainwell Technologies, the new CLTS claims processor, in the ForwardHealth Portal on April 28, 2025. Your claims will be processed on May 5, 2025.

For information about the new claims processor for the CLTS program visit the ForwardHealth CLTS Transition webpage.

The ForwardHealth Portal offers a few streamlined ways to submit claims.

  • Direct data entry: you can enter a new claim right into the portal.
  • Copy a claim: the portal allows you to copy information from a paid claim to a new claim. You can then make any needed edits before submitting your new claim.
  • Create a claim from a prior authorization: you can create a claim using a PA. It will prepopulate information on the claim based on the PA.

You can submit claims for dates of services before the transition date. You have 365 days from when the service happened to submit a claim.

Step 3

Know how you’ll get paid. You can get paid in one of two ways:

  • Electronic funds transfers (EFT), which is a direct deposit to a
    bank account of your choosing
  • Paper check in the mail

If you want to get paid via EFT, you’ll have to sign up for EFT in the ForwardHealth Portal. EFT information from WPS does not carry over. Only a clerk from your organization who has been assigned the EFT role can sign up for EFT. Once you sign up for EFT, you cannot revert to receiving paper checks.

You can change your EFT information at any time. Signing up for EFT does not change your Remittance Advice.

 Claims processor

The claims processor for the CLTS Program is Gainwell Technologies, LLC. (GWT), using the ForwardHealth Portal (the Portal).

ForwardHealth claims processing webpage

Who do I contact with questions?

Enrolling as a provider

Contact the CLTS Provider Contact Center at 833-940-1576 or email dhscltsprovider@dhs.wisconsin.gov. They can:

  • Answer questions about the enrollment process.
  • Help you navigate the provider directory.

Getting authorizations to provide services

Contact the local county waiver agencies. They can:

  • Help direct care workers get set up with a fiscal agent or other agency.
  • Help you find more information about becoming a provider in a certain county.

Claims submission and payment

Contact the claims processor. They can answer questions about claims submission and payment:

Call: 844-942-5870
Email: cltsoperations@gainwelltechnologies.com
Monday through Friday: 8 a.m.–4:30 p.m.

Provider claims processing events and communications

ForwardHealth Portal Other Insurance Claims Training

July 30, 10–11 a.m.
Register for the webinar

Provider webinars

July 16 and 17, 2025
April 16, 2025
March 19, 2025
December 17, 2024
  • Agenda: Project timeline, implementation dates, payment and electronic funds transfer, date span clarifications and examples, International Classification of Diseases Tenth Edition (ICD-10) codes on Wisconsin Physicians Service (WPS) transfer prior authorizations, prior authorization number on claims, ForwardHealth Portal access, provider testing process and submission sandbox, training information
  • Dec. 17, 2024 recording
October 31, 2024
August 21 and August 28, 2024

Demonstration sessions

November 13, 2024: Overview of Portal Navigation and Claims Submission Options
August 13 and 15, 2024, How to Submit an 837 Demonstration
July 24 and 25, 2024, Portal and Claims Submission Demonstration Sessions

Provider forums

May 16, 2024, CLTS TPA Transition Provider Forum
January 11, 2024, CLTS Program TPA Transition Financial Management Services Provider Forum
January 9, 2024, CLTS Program TPA Transition Financial Management Services Provider Forum
January 4, 2024, CLTS Program TPA Transition Financial Management Services Provider Forum
November 30, 2023, CLTS Program TPA Transition

Glossary

 
Last revised July 24, 2025