This website provides information and news about the Medicare program for health care professionals only.All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. If you are a contracted provider, you can log in to access our provider portal. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. We truly value our relationships with our health care providers and appreciate your participation in our network and the care you provide to our customers (members/participants). Please read this agreement carefully before using this Website. About | Careers | Privacy Policy | Terms and Conditions | Code of Conduct | Supplier Code of Conduct | Notice of Privacy Practices, Español | Hmoob | 繁體中文 한국어 | Deutsch | العربية | Русский | Tiếng Việt | Deitsch | ພາສາລາວ | Français | Polski | हिंदी | Shqip | Tagalog | Use this search for individual and group PPO health plans, or short-term health coverage. •    Not attempt to exceed authorized access to sensitive information; and  •    Only access sensitive information necessary to perform job functions (i.e., "need to know" or "minimum necessary"). WPS makes no representations whatsoever about any other website that may be accessed through or hyperlinked to this Website. If you are not a current customer, select the option you are interested in. WPS Medicare Plans K and L offer two different designs: a 25% cost-sharing plan and a 50% cost-sharing plan. Select the Manage NPIs option, 3. MAC. Medicare supplement plan. The Transactional Areas may experience occasional outages for routine system maintenance, normally completed after business hours. WPS supports the Transactional Areas on Microsoft Internet Explorer. Medicare prescription drug plan. © 2020 NTT Data Services. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. This disclaimer of responsibility and liability applies to any damages or injury caused by any failure of performance, error, omission, interruption, deletion, defect, delay in operation or transmission, computer virus, communication line failure, theft or destruction or unauthorized access to, alteration of, or use of record, whether for breach of contract, tortious behavior, negligence, or under any other cause of action. WPS GHA supports the WPS GHA Portal on the latest version of Microsoft Internet Explorer (version 11 and up). USPS Mailing Address WPS GHA Medicare Provider Enrollment P.O. The Centers for Medicare & Medicaid Services (“CMS”) and Wisconsin Physicians Service Insurance Corporation (WPS) are committed to maintaining the integrity and security of health care data in accordance with applicable laws and regulations. WPS Medicare agent sales support. Applications are available at the American Dental Association web site. Health Details: WPS GHA Medicare Provider Enrollment 1717 W. Broadway Madison, WI 53713-1834 (866) 518-3285, option 2 7:00 AM - 5:00 PM CT, Monday - Friday. ATTN: Audit Supervisor Provider Login . FREE. The NPI Administrator’s user review shall include the following steps: Individuals with access to the Transactional Areas must attest that they have completed their company's annual security awareness training during the yearly re-certification process. The capitalized term “Website” shall be defined herein to include wpsgha.com and all other web pages operated or hosted exclusively by WPS for health care providers in Medicare Jurisdiction 5 (“J5”) and Jurisdiction 8 (“J8”), including the transactional areas of the WPS GHA Portal that require user registration to access. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. Sign in to the secured portal If you are a user supporting an organization associated with a provider who is registering in order to submit a Medicaid enrollment application, then as a new Primary Account Holder you need only complete the following step: Users of the Transactional Areas must exercise caution to ensure that accurate information is entered into the Transactional Areas in order to prevent user suspension. The scope of this license is determined by the AMA, the copyright holder. Reminder: To register for access to the provider portal, you need the following information from two of your remittances from the past 90 days: Our customers (members/participants) depend on you for top-quality health care, which is why WPS works closely with providers. Provider Manuals Provider Links Provider Training Provider Enrollment Resources Search For Providers Provider Screening and Fee Rpt Level of Care Review Instrument(LOCERI) ICD-10 Pre-Admission Screening Provider Portal Secure Email Provider Login . Provider News; Provider Portal Overview; Reimbursement Policies; Medicare EDI . Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Transactional Area User IDs and Passwords. A PIN letter containing your unique PIN number is provided by iCare and is required to access the Provider Portal. WI: 800-236-1448 IL: 800-221-5319 FL: 800-221-5696 Other states: 800-236-8809 . Enter your email above. until providers/suppliers must submit all claims with MBIs only. Please enter your user id and password. All content included on this Website, such as text, graphics, logos, button icons, images, audio and video clips, and software, is either the exclusive property of WPS or duly licensed by third parties. Do you want to terminate your existing login or cancel this new login request? There are 2 PECOS interfaces available through this portal: Medicare providers and suppliers submit enrollment applications to enroll in Medicare and become eligible for reimbursement of Medicare services provided. The Transactional Areas shall only be used to verify, and not determine, Medicare beneficiary eligibility. End Users do not act for or on behalf of the CMS. In addition, by electronically signing you attest to your identity and that you are acting in good faith. Box 8248 Madison, WI 53708-8248. Medicare Resources Provided by CGS Part B Box 8248 Madison, WI 53708-8248. Navigate to the ePassport tab 2. If you do not wish to be bound by these terms and conditions, you should not access or use Transactional Areas. Availability. 01/08/2021 | 06:44 AM. The content on this Website may be used as informational resource only. 800-748-0582 [email protected] Select the option below that best describes you. $("#wps-footer-year").text("").text(year); Logging into the Transactional Areas establishes your consent to any and all monitoring and recording of your activities. Green Bay Packers partnership is a paid endorsement. You are already logged in from another client. var dteNow = new Date(); While using the Transactional Areas, you must: •    Use appropriate safeguards to prevent improper use or disclosure of Protected Health Information (“PHI”) and Personally Identifiable Information (“PII”) according to CMS regulations and the Privacy Policy; All Rights Reserved. Electronic Remittance Advice (ERA) enrollment forms are now available for use in the WPS Government Health Administrators Portal. It is the national database (source) of all Medicare provider and supplier enrollment information. Remember my selection Medicare policies can vary by state and are different for Part A and Part … Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Each NPI must have, at a minimum, one administrator (“NPI Administrator”). CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Availity Portal Find important self ... (UniCare) is an innovative new plan available to Medicare beneficiaries in select areas, that is easy to participate in: The SecurityChoice Plan works much the same way original Medicare does. Please save and/or print a copy of these General Terms of Use and our Privacy Policy for your future reference. Claim Status/Patient Eligibility: (866) 518-3285 24 hours a day, 7 days a week. Users cannot create and host local Medicare eligibility and claim status databases that replicate functionality of the Transactional Areas. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. In general, the Transactional Areas are available 24 hours a day, 7 days a week. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. About the iCare Provider Portal. For a summary of what the plan covers and service areas, see the Summary of Benefits. Provider The Health Enterprise Portal is a state-of-the-art electronic health care administration system that gives patients, doctors, pharmacists and other users easy, secure and efficient access to … For information about WPS data protection practices, please read the WPS Privacy Policy. Verifying all active user accounts are current employees or members of the NPI organization and that the user should still have access to the WPS GHA Portal. Only one user ID is allowed per person. PDF download: MACs Provider Portals – CMS. WPS Health Insurance (wpshealth.com) TRICARE East Region (humanamilitary.com) TRICARE For Life (tricare4u.com) Veterans Affairs Patient-Centered Community Care (VAPC3) Regions 3, 5, 6 (triwest.com) Medicare MAC J5, MAC J8, and J5 National Part A (wpsgha.com) × You can download the latest version from the. (function($){ WPS GHA Portal Intermittent Login Issues We are currently experiencing intermittent issues with logging into the WPS GHA Portal. NPI Administrator Search, Learning Center Showing WPS GHA Portal Content for Jurisdiction, WPS GHA supports the WPS GHA Portal on the latest version of Microsoft Internet Explorer (version 11 and up). Wisconsin Physicians Service (WPS) administers the TRICARE For Life (TFL) benefit and should be your primary contact for TRICARE For Life related customer service needs in the United States or U.S. territories (American Samoa, Guam, the Northern Mariana … WPS Health Insurance: 800-332-1398 [email protected] A PIN letter containing your unique PIN number is provided by iCare and is required to access the Provider Portal. WPS Health Insurance Privacy Policy WPS Health Plan Privacy Policy AspirusArise Privacy Policy Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. The patient's Medicare Advantage/MCO card will have their contact information or provider's can find the information in the WPS GHA portal under the patient's eligibility under the MCO tab. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Getting Started. The information on this web site is limited in nature and therefore may be incomplete. NOTE: This website uses cookies. Medicare Administrative Contractors (MACs) Provider Portals MAC Jurisdiction/ Claim Type Processes Claims for the following states: Provider Portal URL ADDING/CONTROLLING AN NPI (PROVIDER ADMINISTRATORS ONLY) To add and control an NPI, the Provider Administrator of the NPI must login then follow the steps listed below: 1. All claims-related forms are in the resource library below. Showing WPS GHA Portal Content for Jurisdiction Part (Click here to change) Member Search AAN Home - Home [O NetScaIer Gateway Live Chat Personalized Home Search Login / Register Q Search Our Site wpsl GOVERNMENT HEALTH ADMINISTRATORS Welcome to the WPS GHA Medicare News Get the right info. WPS may also make improvements and/or changes in the services described in this information at any time without notice. This Website contains hyperlinks (“links”) to and frames of websites that are not maintained by WPS. Claims. WPS Iowa Medicare 2019. Sharing of accounts may lead to termination of system access privileges and/or adverse action. This system supports all of your State Medicaid and Decision Support needs. By registering for and accessing the transactional areas of the WPS GHA Portal Website (the “Transactional Areas”), you agree to be bound by the following terms and conditions. After logging in, select My Dashboard to see the courses you've registered for. Provider Portals. A/B . j=d.createElement(s),dl=l!='dataLayer'? All WPS trademarks are strictly owned by WPS, and nothing in these General Terms of Use can be construed to transfer ownership rights or grant any permission, license or other rights to any WPS trademark without written authorization from WPS. The views and opinions of third party authors published on this web site do not necessarily reflect those of WPS. Part B Providers: Depression Screening Survey – Last Chance. After a user account is suspended, the user must submit a written corrective action plan to WPS. General Terms of Use Privacy Policy EEO/AA Report Security Incidents, © ---- Wisconsin Physicians Service Insurance Corporation. The fax request form is available on the DMAS web portal in the Provider Services section. Users are not authorized to use the Transactional Areas’ eligibility and claim status functions to create non-CMS controlled Medicare databases. var intYear = dteNow.getFullYear(); To the extent permitted by applicable law and without waiving sovereign immunity, you will hold WPS and its officers, directors, employees and agents harmless for any indirect, punitive, special, incidental or consequential damage, however it arises (including attorneys' fees and all related costs and expenses of litigation and other form of dispute resolution), whether in an action of contract, negligence or other tortious action, or arising out of or in connection with these General Terms of Use, including without limitation any claim for personal injury or property damage, arising from (i) your use of and access to the services portrayed on the Website; (ii) your violation of any of these General Terms of Use; (iii) your violation of any third party right, including without limitation any copyright, property, or privacy right; or (iv) any claim that your content caused damage to a third party. All rights reserved. The ADA is a third party beneficiary to this Agreement. The eligibility and claims data displayed by the Transactional Areas originates from several third party (external) data centers, which are ultimately responsible for the data content provided to the Website. Short-term health plan. A user ID and password is assigned to each individual who registers for access to the Transactional Areas. *If you are a member with a Medicare Supplement policy, please call toll-free:1-888-253-2694. It was founded in 1946 to administer a non-profit insurance plan intended to help people having difficulty paying for health Care. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. DDE Navigation & Password Reset: (866) 518-3251 Cigna login/register. The Medicare Rules of Behavior outline your responsibility in obtaining, disseminating, and using beneficiary's Medicare eligibility data. PDF download: Medicare Fee-for-Service Provider Enrollment Contact List … – CMS. })(jQuery); WPS GHA Portal User Manual WPS’ inclusion of such links and frames in this Website is for your convenience only and does not imply WPS' endorsement or recommendation of the linked or framed websites or their content or privacy practices. There are no referrals for you to process. Sport and Recreation Law Association Menu. Your account is currently pending approval by the NPI Administrator. Provider Enrollment Guides and Resources - WPS GHA. Find important self ... Anthem Blue Cross and BlueShield Medicare Advantage Plans and Benefits . GPM Life will not process Medicare payment estimates where Medicare has not made a final determination on the claim. Direct care providers, mentors, carpenters, medical equipment suppliers, and other service providers are encouraged to learn more. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The Website is designed to provide general information about WPS and its administration of Medicare in J5 and J8, as well as access to eligibility and claims data. For the most up-to-date information, please watch the WPS GHA website and subscribe to … document.write(intYear); The WPS GHA Portal Website is composed of various web pages operated by Wisconsin Physicians Service Insurance Corporation (“WPS”). Use this search for individual and group HMO or POS plans. Availity Portal. 800-332-0893 … IN NO EVENT WILL WPS BE RESPONSIBLE OR LIABLE TO ANY PARTY FOR ANY DIRECT, INDIRECT, SPECIAL, PUNITIVE OR CONSEQUENTIAL DAMAGES FOR ANY USE OF THIS WEBSITE, OR ON ANY OTHER HYPERLINKED WEBSITE, INCLUDING, BUT NOT LIMITED TO, ANY LOST PROFITS, BUSINESS INTERRUPTION, LOSS OF PROGRAMS OR OTHER DATA ON ANY INFORMATION HANDLING SYSTEM OR OTHERWISE, EVEN IF WPS IS EXPRESSLY ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Choosing Medicare Advantage Plans as an Alternative to Original Medicare. All rights reserved. Misuse of this system is subject to civil and criminal penalties for falsifying information, wrongful obtaining of information, and wrongful disclosure of information obtained in the Transactional Areas. For example, it may not contain all of the applicable terms, conditions, limitations or exclusions of the services referenced. 25590-100-2010. Live Event - 2021 01/27 WPS Provider Audit Update (January 2021) View Details. CDT IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THE IMPLIED WARRANTIES O F MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Take advantage of the last week for primary care providers to offer input on the depression screening benefit. No permission is granted to any user to use WPS' icons, site address, or other means to hyperlink other Internet sites with any page in this Website, and WPS assumes no responsibility, obligation or liability for any other party's website that is hyperlinked to this Website or in which any part of this Website has been hyperlinked. NH MMIS has established a maintenance window from 12:01 A.M. to 12:00 P.M. every Sunday to apply scheduled system upgrades. Provider Portal Updated Message. CPT is a registered trademark of the American Medical Association (AMA). FREE. End User Point and Click Agreement: iCare's Provider Portal allows you to view service authorizations and view claim information for the iCare members you serve. One NPI may be associated with multiple user IDs. Appeals Department Provider Login . Live Event - 2021 01/21 Office of Inspector General (OIG) Work Plan - Why does it matter? If you are an NPI Administrator, it is your responsibility to identify and enroll/approve standard users, and to authorize, monitor, and control the access of standard users. Resources searchQueryLabel Search ... is Medicare-wraparound coverage for TRICARE beneficiaries who have Medicare Part A and Medicare Part B, regardless of age or place of residence. WPS may amend these General Terms of Use from time to time. Disclosure of Medicare beneficiary data is restricted under the provisions of the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). CMS DISCLAIMER. Your continued use of the Website following the posting of revised Terms of Use means that you accept and agree to the changes. CPT codes, descriptions and other data only are copyright 2020 American Medical Association. WPS may add, modify or discontinue functionality within the Transactional Areas without advance notice. If a user is no longer employed for the associated NPI, disabling the user account or removing the NPI location access immediately. You can go to Help Center for more information or continue in the public site. USPS Mailing Address WPS GHA Medicare Provider Enrollment P.O. WPS will not be responsible for any errors or failures from the malfunction or failure of your hardware or software. WPS Government Health Administrators Portal. Medicare policies can vary by state and are different for Part A and Part B. Javascript is required for this site to function. WPS is aware that providers have been targete in phishing attacks requesting provider website credentials. This is a security measure to protect your account information. Provider_Portal. WPS' MedicareRx stand-alone prescription drug plans are the only Part D plans in Wisconsin to have a 5-star rating in the 2015 plan year. Further, WPS shall be free to use any ideas, concepts, know-how, methodology, or techniques contained in such Feedback for any purpose whatsoever, including, but not limited to, developing and marketing products or services incorporating such Feedback. To continue, please select your Jurisdiction and Medicare type, and click 'Accept & Go'. This system is provided for Government authorized use only. Electronic signatures are captured throughout the Transactional Areas, for example, at the time of initial registration and with all claim appeal requests. Do not lend, share, or "hand off" your user ID and/or disclose your password. About; Membership. Transport Layer Security (TLS) should be set at TLS 1.1 or higher on Internet Explorer. Madison, WI 53708-0260, Nebraska Live Event - 2020 12/15 Documenting Medicare’s Depression Screening Benefit 1. Claims processes, timelines, forms, and resources can be found here. Menu Search. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Some jurisdictions do not allow the exclusion of implied warranties, so the above exclusion may not apply to you. and/or providers who support a specific language, enter one or both of the two search criteria fields below. We are researching and hope to have this resolved shortly. PDF download: MACs Provider Portals – CMS. DME . Submission of 276 queries and issuance of 276 responses should be less expensive for both providers and for Medicare. The WPS GHA Portal automatically logs out users after 15 minutes of inactivity. Welcome to the Conduent Government Solutions Health Enterprise Portal. End Users do not act for or on behalf of the CMS. Verifying all active user accounts listed for each of the NPI’s he/she administers have appropriate Portal role access (Standard or Eligibility Only) and correcting if necessary. No information, statements, links, or references to any specific commercial products, processes, or services by trade name, trademark, manufacturer should be interpreted as an endorsement or recommendation by WPS. It is the national database (source) of all Medicare provider and supplier enrollment information. Box 6169, Indianapolis, IN 46206-6168 ….. www. View Details. Your time is valuable. }); use or access the Website for any fraudulent or unlawful purpose; use or access the Website to impersonate any person or entity; interfere with or disrupt the operation of the Website or access to it; transmit or otherwise make available in connection with the Website or access to it any virus, worm, Trojan horse, time bomb, spyware, or other harmful computer code, file, or program; restrict or inhibit the ability of any other person to access or use the Website; modify, adapt or translate any portion of the Website; remove, obscure or modify any copyright, trade mark, or other proprietary rights notice from the Website; and. Medicare Administrative Contractors (MACs) Provider Portals MAC Jurisdiction/ Claim Type Processes Claims for the following states: Provider Portal URL Noridian Healthcare Solutions, LLC . ... ©2015 Wisconsin Physicians Service Insurance Corporation. The Transactional Areas interface with the Medicare HIPAA Eligibility Transaction System (“HETS”). The AMA is a third party beneficiary to this agreement. Medicare Administrative Contractors (MACs). Provider Disclosure form and Provider Manual are in the PDF format. CVS Caremark is complying with requirements in this bulletin. Although WPS strives to ensure its accuracy and integrity, information on this Website and documents available from this server are provided "as is" without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability, fitness for a particular purpose, or non- infringement. It also includes WPS GHA articles regarding coverage, claims submission, and reimbursement. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. Each user ID is associated with a National Provider Identifier (NPI). The data presented within the Transactional Areas is not a guarantee of benefits. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. 5010; ... C-SNAP Provider Home Page Change My Provider Home page has changed to Provider Administration Home, why? Find a Doctor. Availity Portal Find important self ... (UniCare) is an innovative new plan available to Medicare beneficiaries in select areas, that is easy to participate in: The SecurityChoice Plan works much the same way original Medicare does. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use. It was founded in 1946 to administer a non-profit insurance plan intended to help people having difficulty paying for health Care. Resources searchQueryLabel Search Click to ... TRICARE For Life (TFL) is Medicare-wraparound coverage for TRICARE beneficiaries who have Medicare Part A and Medicare Part B, regardless of age or place of residence. Find a Doctor. The WPS provider portal is your resource for quick, convenient access to customer and claim information. WPS may amend these Terms of Use from time to time. Our paperless option is an efficient, easy way of doing business with us. Visit our Providers page, click the Register button and select WPS Health Insurance from the drop-down menu. Users shall have access to the Transactional Areas based upon the roles established during the registration process or by the NPI Administrator. If you are a Medicare recipient and you have questions regarding the Medicare program, please visit www.medicare.gov [EXtÞ] or call 1.800.MEDlCARE (1.800.633.4227 orTTY 1.877.486.2048). All rights reserved. In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider … Refer to the DMAS Provider Memo, dated 11/2/2016, Clarification of Existing Medicaid Coverage of Continuous Glucose Monitoring (CGM) for members in Medicaid/FAMIS/FAMIS Fee-for-Service Programs-Effective for dates of service on or after December 15, 2016. Using the Medicare Beneficiary Identifiers (MBIs), helps to protect the identities of people with Medicare and keep them safer from identity theft. WPS GHA previously published all articles included the Communiqué on our website and/or in WPS GHA Medicare eNews. THE SOLE RESPONSIBILITY FOR THE SOFTWARE, INCLUDING ANY CDT AND OTHER CONTENT CONTAINED THEREIN, IS WITH (INSERT NAME OF APPLICABLE ENTITY) OR THE CMS; AND NO ENDORSEMENT BY THE ADA IS INTENDED OR IMPLIED. Advantage plans must cover everything Original Medicare covers. Medicare providers and suppliers submit enrollment applications to enroll in Medicare and become eligible for reimbursement of Medicare services provided. This agreement will terminate upon notice if you violate its terms. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. If a provider type you are looking for is not in this list, contact our Helpline at 804-786-6145. © 2020 NTT Data Services. Security Alert: WPS Health Solutions and WPS Health Insurance are aware of a phishing scam which appears to come from [email protected]