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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.

Enrollment Notice

In order to enroll in ILSP, you must first meet with your local ADRC and begin the enrollment process.

Program Update

Attention Participants – Spam Caller Notice

It has been brought to our attention that a spam caller is reaching out to ILSP participants posing as PremierFMS to request medical information. Please ignore and block any incoming calls where personal information is being requested further than confirming identity (e.g., name, address, phone number, last four digits of your SSN). PremierFMS will not call you asking for or verifying medical information and we are not conducting any audits or surveys at this time. Please also be wary of any calls not coming from our Premier phone number 888.890.2286. You may also choose to hang up a call and dial us back at 888.890.2286 if you are unsure if you are speaking with PremierFMS. This will help ensure that you are speaking with our team directly.

Please contact us if you have further information about this spam caller. We appreciate your help to relay this information to other participants.

IRIS Providers and 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.

If you are a provider already working with individuals in the IRIS and Family Care programs, you would easily qualify to be a provider in the ILSP program. Providers with an active enrollment with Premier in the IRIS program only need to submit the W-9, direct deposit, and licenses/credentials/insurances to enroll in ILSP. Forms may be emailed to ilsp@premier-fms.com. Providers must receive an authorization letter before providing services under ILSP

Please reach out to Premier with any questions you might have about these changes and thank you for all you do to support individuals in Wisconsin.

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 to setup your account initially.

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

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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