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Welcome » April 30, 2025 11:17 PM

	Alerts
	Children’s Long-Term Support (CLTS) Program Providers and County Waiver Agencies: The CLTS Operations Team is available for your questions about submitting prior authorizations (PAs) or claims for CLTS services. Reach the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com. Attention CLTS Providers: The CLTS Prior Authorization Conversion is still processing. If you have any difficulties submitting claims, please contact the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.

Medicaid Recovery Audit Contractor (RAC) Information

Medicaid Recovery Audit Contractor (RAC) Information Available Online

Health Management Systems, Inc. (HMS) has been assigned as the Recovery Audit Contractor (RAC) for the State of Wisconsin Department of Health Services. Pursuant to Section 6411 of the Patient Protection and Affordable Care Act of 2010, HMS is authorized to audit Medicaid provider payments and associated financial records, identify improper payments, and recover any overpayments made to the provider. Information on RAC audits, including upcoming events and approved issues for review, is available online at www.dhs.wisconsin.gov/rac

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Wisconsin Department of Health Services

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