Children’s Long-Term Support: Third-Party Administrator Claims Processing for Counties
The CLTS Program Participant and Family Handbook is here!
This easy-to-use handbook was created to help families better understand the CLTS Program, so they can better access available supports and services and navigate the program with confidence.
Get the Children’s Long-Term Support Program Participant and Family Handbook, P-03689.
TPA vendor
We contract with a third-party administrator vendor for the Children’s Long-Term Support (CLTS) Program. Our vendor is Wisconsin Physicians Service (WPS). They help us:
- Collect and report claims data.
- Process and issue payments for CLTS services.
- Recover overpayments on our behalf.
Claims Processor Update
The claims processor for the CLTS Program will transition from WPS Physician Services (WPS) to Gainwell Technologies, LLC. (GWT) The anticipated date of this transition is May 5, 2025. This page provides information on the current processes through WPS. You can find information on the transition by clicking the button below.
Working with WPS
This list offers helpful details about the CLTS Program and WPS:
- CLTS Program Service Rates—Find the CLTS code crosswalk and rate schedule. You also can view other program information.
- CLTS Waiver Program Timely Filing Claim Processing Changes (PDF)—View changes to the timely filing claim processing policies and protocol. These apply to all CLTS providers, including county waiver agencies.
- Long Term Care Data Warehouse Training—Learn how to get data and create reports you need.
- WPS Provider Resources—Access details about third-party administrator authorization. See what’s required to process a claim.
Who do I contact?
For more about the CLTS Program and third-party administrator claims processing, contact:
- Wisconsin Department of Health Services (DHS) CLTS Program at dhscltsprovider@dhs.wisconsin.gov.
- WPS CLTS Customer Service Call Center at 877-298-1258 or authsupport@wpsic.com. The call center is open Monday–Friday.
- MoveIt (or for other account issues) at 800-782-2680, option 4.