Children's Long-Term Support Program: Claims Processing Transition
The Children’s Long-Term Support (CLTS) Program helps children with disabilities and their families through supports and services that help children grow and live their best lives in their homes and communities.
New Claims Processor in 2025
The Wisconsin Department of Health Services (DHS) has transitioned the state’s claims processing for CLTS Program prior authorizations (PAs) and claims from Wisconsin Physicians Service (WPS) to Gainwell Technologies using the ForwardHealth Portal (the Portal).
DHS created two temporary webpages to provide more information on ForwardHealth processes:
What changed?
CLTS providers and county waiver agencies (CWAs) may no longer use the WPS Portal. Instead, they must use the ForwardHealth Portal to submit claims and view claims history or PAs. Here are some important notes about how the Portal works:
How can I learn more?
ForwardHealth hosted several webinars, forums, trainings, and system demonstrations about the transition. Providers and CWAs may view recordings and presentations on the DHS webpages listed above by scrolling to the Past Events drop-down menu.
Transition Timeline
Here is the full transition timeline:
Testing
Existing CLTS providers received a welcome letter and a PIN letter in January 2025 containing a new Medicaid ID and PIN. In addition to using the Medicaid ID and PIN to log in to the Portal, CLTS providers may also use the submission sandbox through July 2025 to practice submitting claims to ForwardHealth for CLTS services.
Training Resources
Written and video presentations of the trainings are available:
Resources
County Waiver Agency Prior Authorization Error Checklist (PDF)
Checklist for CWAs to help resolve PA errors
CWAs
Children’s Long-Term Support Program: Multiple Dates of Service on a Claim (PDF)
Guidance for billing multiple dates of service, also known as span billing, on a claim for CLTS services
CWAs, Providers
Assigned Children’s Long-Term Support (CLTS) Operations Representatives by County (PDF)
Map and contact information of CLTS Operations representatives assigned to each Wisconsin county
Children’s Long-Term Support Program Claim Attachments and Instructions (PDF)
Guidance for when and how to attach documentation to claims for CLTS services
Providers
Children's Long-Term Support (CLTS) Waiver Program Timely Filing Claim Exception Request, F-03334
· Use this form if ForwardHealth denied your claim for a timely filing denial reason and you want to request an exception to the CLTS Waiver Program’s timely filing policy
· Click the form title link to go to the Official DHS Forms Library page. Enter F-03334 in the Search Forms field. Complete either the PDF or Word version of the form and submit it to the address listed on the form.
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