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Wisconsin: ILSP

Welcome to Wisconsin’s ILSP Pilot

For complete information on the ILSP Pilot and participating ADRCs, please visit:
American Rescue Plan Act: Independent Living Supports Pilot | Wisconsin Department of Health Services

On this page, you will find forms for participants, non-professional in-home service providers (NPPs) and vendors. If you are in need of Printable Forms, they can be found near the bottom of this page.

Program Updates

Upcoming ILSP Program Deadlines

Please review the deadlines from Wisconsin DHS for document submission and claims filing. No documents or claims will be accepted past the deadlines.

Disclaimer – All claims must be submitted by April 9, 2025 at 5:00 PM. The ILSP program is unable to pay late claims. Only correct and complete claims will be paid. Any claims that are not correct or have incomplete information by this final submission deadline will be unable to be paid.

ILSP Providers – New Claims Portal for Digital Claims Submissions

We are excited to announce the launch of our Claims Portal. The portal is a new site available to all providers to submit claims directly online versus using paper claims forms. We encourage providers to login using the button below for easier submission of claims and improved troubleshooting of incomplete or incorrect claims.

We have included a Training Guide for further assistance.

Providers and Participants – ILSP Connect Portal

We would like to bring your attention to some key updates to the ILSP program given new guidance from the WI Department of Health Services.

We encourage participants and providers of the ILSP program to access our ILSP Connect Portal. This portal provides detailed information for participants related to their budgets and claims. It allows providers to see the status of submitted claims, including associated payments.

Please email us at ilsp@premier-fms.com or call 888.890.2286 for assistance with setting up an account on either portal.

Participant - Must meet with your local ADRC to Enroll

Participants need to work with their ADRC in the completion of ILSP Enrollment Paperwork. For a list of participating ADRCs and more information on the pilot, please visit: American Rescue Plan Act: Independent Living Supports Pilot | Wisconsin Department of Health Services

Direct Deposit Agreement

If the participant will be requesting to be reimbursed for authorized purchases, they will need to complete a Direct Deposit Agreement.

Release of Confidential Information

If the participant wants to allow other people in their life to have access to information related to their involvement in the program, this form is required.

Participant Information Change Form

Participant Reimbursement Request

Please note that you cannot make a purchase for a reimbursement before you have completed the enrollment to ILSP and also have received an Authorization letter with an official start date from Premier. Any purchase before the start date in Authorization letter will not be paid.

Example: Participant Reimbursement Request

2025 Payment Schedule

2024 Payment Schedule

Vendor

Non-Professional In-Home Service Provider (NPP)

Contact Information

Phone: (888) 890-2286

Enrollment and General Inquiries

Email

ilsp@premier-fms.com

Fax

(877) 334-2573

Mailing

10425 W North Ave, Ste 312
Milwaukee, WI 53226

Invoice Submissions and Claims Questions

Email

ilspclaims@premier-fms.com

Fax

(877) 334-2619

Mailing

1414 MacArthur Rd, Ste, 100b
Madison, WI 53714

Walk-In

Madison

1414 MacArthur Rd, Ste 100B
Madison, WI 53714

Milwaukee

10425 W North Ave, Ste 312
Milwaukee, WI 53226

Terms to keep in mind

There are different terms used in self-direction to refer to the individuals who contract for and receive services, as well as those who provide the services. Here’s a quick guide to these words and who they refer to on our site and in other resources:

Participant: The individual contracting for and receiving services. Common terms include Employer, Member, Client, or Consumer.

Non-Professional In-Home Service Provider (NPP): The individual providing services. Common terms include Caregiver, Care Provider, Provider, Employee, or Direct Staff.

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