Children's Long-Term Support (CLTS) Claims Attachments and Instructions
The Wisconsin Department of Health Services (DHS) and the Children's Long-Term Support (CLTS) program now require providers to add attachments to claims with specific service codes. When providers submit claims using certain codes, an itemized invoice with a description of the item or supply being purchased must be attached. Service codes that require an itemized invoice are:
A9999–Miscellaneous DME supply or accessory, not otherwise specified
E1399–Durable medical equipment, miscellaneous
T5999–Supply, not otherwise supplied
Claims that do not receive the required attachment(s) will pend for seven days before being denied.
How to submit an attachment with a claim on the portal
When submitting a claim for one of the codes listed above, after filling out the Claim Panel, follow these steps to attach the required documentation:
- Click on the Attachment Panel.
- Click Add. A row will be added to the Attachments Panel, and the Description field will activate.
- Enter a description of the attachment being submitted.
Refer to the ForwardHealth Provider Portal Professional Claims User Guide for screenshots with the step-by-step instructions to attach documentation to claims.
Submitting an attachment with an 837 health care claim
When you submit an 837 Health Care Claim (837) with one of the codes above, you must indicate that you need to attach a document via the PWK segment. Once the claim is submitted, you can search for the claim on the portal and upload the attachment on the portal. Refer to the Companion Guides for how to use the PWK segment in 837 transactions.
Have questions or need help?
If you have questions or need help, please contact the CLTS Operations Team at cltsoperations@gainwelltechnologies.com or 844-942-5870.
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