CLTS

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 The Centers for Medicare and Medicaid Services (CMS) requires a standardized, statewide claims handling process for providers of Children's Long Term Support Waiver (CLTS-W) services. A Third Party Administrator (TPA) provides a statewide claims process for all agencies administering CLTS-W services, and Wisconsin's statewide claims processing vendor is Wisconsin Physicians Services (WPS). Jackson County will receive and process all invoices related to CLTS expenses. Invoices should be sent to DHHS_Invoices@jacksoncountywi.gov. Please see the FAQ CCS vs CLTS reference sheet below for more information on billing procedures. 

 Service providers have a four-step process in becoming a registered CLTS-Waiver service provider:

STEP 1 - Review the CLTS Waiver Manual to understand specifics on various service arrays and ensure your services meet the criteria. 

• CLTS Waiver Manual. 

STEP 2 -  Please complete the following documents and return them to Jackson County Health and Human Services:

• Billing and Service Information (TPA)
• Request for Taxpayer Identification Number and Certificate (W9)
• Send your completed forms by mail, email, or fax (715-284-7713) to Jackson County Department of Health and Human Services: Attn: Jessica Stinson (jessica.stinson@jacksoncountywi.gov) 421 County Road R, Black River Falls, WI 54615

STEP 3 - Please complete the online registry to register with the State.

• Children's Long-term Support: Provider Registration  
  • Click on the How to Register tab and complete each section.

STEP 4 - Provide rates and sign a contract. 

• Jackson County Business Services Department will generate a contract. Once all details have been submitted, and the contract is finalized, services can be authorized.