Rate Type Code and Description

Welcome » May 29, 2025 1:51 AM

	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.

rate_type.html

Rate Type Code and Description Reference

Rate Type Code and Description
005 — BROWN CTY
008 — CALUMET CTY
009 — CHIPPEWA CTY
011 — COLUMBIA CTY
013 — DANE CTY
016 — DOUGLAS CTY
018 — EAU CLAIRE CTY
020 — FOND DU LAC CTY
025 — IOWA CTY
030 — KENOSHA CTY
031 — KEWAUNEE CTY
032 — LA CROSSE CTY
037 — MARATHON CTY
040 — MILWAUKEE CTY
042 — OCONTO CTY
044 — OUTAGAMIE CTY
045 — OZAUKEE CTY
047 — PIERCE CTY
051 — RACINE CTY
053 — ROCK CTY
055 — ST CROIX CTY
059 — SHEBOYGAN CTY
066 — WASHINGTON CTY
067 — WAUKESHA CTY
070 — WINNEBAGO CTY
094 — ILL BORDER CTYS
095 — IOWA BORDER CTYS
096 — MICH BORDER CTYS
097 — MINN BORDER CTYS
C01 — AMB SURG CTR
C02 — AMBULANCE
C03 — ANSTHESIA
C04 — ASSIST SURGY
C05 — AUDIO - PURCH AID
C07 — CHIRO
C09 — CASEMGT
C10 — DENTAL
C11 — PURCHASE DME
C12 — DISP MED SUPPLY
C13 — DAY TRTMT AODA
C14 — DAY TRTMT CHILD
C17 — HLTHCK CASE MGT
C18 — HGH CST MD CMPLX
C19 — HLTHCK PED CAR/td>
C21 — RESP CARE
C22 — HM HLTH PERS CARE
C30 — MED SERVICE
C31 — MH AUTISM EVAL
C32 — MH AODA
C33 — MH COMP COMM
C34 — MH CRISIS INTVN
C35 — MH COMM SUPRT
C36 — MH HOME COMM/td>
C37 — MH HOME PSYCH
C38 — MH NARC TRTMNT
C43 — PN CHLD CARE
C44 — RADIOLOGY
C45 — REHABILITATION
C46 — SCHL BASE SERV
C47 — SPECL MED VECH
C48 — VISION SPEC
C49 — THERAPY
C51 — VISION
C52 — MISCELANEOUS
C53 — MHSA-Pregnant Wmn
C54 — Disp Med Supply JB
C55 — LTC Transport
C56 — COMM RECOV SVCS
CG1 — PT-GLOBAL
CMC — Crossover Medicare
FAP — GEN PT-FAMILY PLAN
GFP — GLOBAL-FAMILY PLAN
HLK — Healthcheck
HPC — Personal Care
INC — INCENTIVE PRICING
KSC — Kids Subst Care
LA5 — LAB GLOBAL
LAC — OUTPATIENT LAB
LAP — LAB PROF
LAT — LAB TECH
MED — Medical
MLW — Milw Children Hosp
OTH — Other
PA1 — 1 ADULT PTPS SPEC
PE1 — MEDSV Pediatric PT
PE2 — ASTSG Pediatric PT
PEA — ASTSG Pediatric
PEM — MEDSV Pediatric
PEO — MEDSV Pediatri OTH
PFA — PROF-FAMPLAN-ADULT
PFP — PROF-FAMILY PLAN
PR1 — PT-PROFESSIONAL
PR2 — PT-PROF-ADULT
PRA — PROFESSIONAL-ADULT
PRO — Professional
PT1 — 1 PTPS Specific Rate
PT2 — 2 PTPS Specific Rate
PT3 — 3 PTPS Specific Rate
PT4 — 4 PTPS Specific Rate
PT5 — 5 PTPS Specific Rate
PT6 — 6 PTPS Specific Rate
RNT — Rental HA
RTL — Rental DME
RWI — Rural WIS Ctys
T18 — Medicare
TE1 — PT-TECHNICAL
TEC — Technical
TFP — TECH-FAMILY PLAN
WCD — WI CHRONIC DISEASE
WWP — WI Well Woman Prog

About | Contact | Disclaimer | Privacy Notice

Wisconsin Department of Health Services

Production PROD_WIPortal2_M1004B__7

Browser Tab ID: 1 -1