Wisconsin Physicians Service (WPS) will soon begin to serve as the Medicare Administrative Contractor (MAC) for Jurisdiction 8, which includes the states of Indiana and Michigan. According to listserve communications, Indiana Part A providers and Michigan Part A providers will transition to WPS effective July 23, 2012. Indiana Part B suppliers will transition to WPS effective August 20, 2012. WPS is currently the Part B contractor for Michigan suppliers.
WPS is reaching out to Indiana and Michigan providers and/or suppliers with the following announcement:
Urgent – CMS-588 EFT Agreements – Part A Indiana and Michigan providers and Part B Indiana suppliers who currently receive their Medicare payments electronically from National Government Services (NGS) must submit a new CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement form to WPS. Please do so as soon as possible but no later than June 30, 2012.
Providers can download a blank form from the CMS website.
Part A Indiana and Michigan providers should submit their completed CMS-588 form and the voided check or bank letter of verification to the address below:
WPS Medicare Part A
Financial Unit
P.O. Box 1602
Omaha, NE 68101
Overnight address
WPS Medicare Part A
Financial Unit
3333 Farnam Street
Omaha, NE 68131
Part B Indiana suppliers should submit their completed CMS-588 form and the voided check or bank letter of verification to the address below:
WPS Medicare Part B
Medicare EFT Unit
P.O. Box 8680
Madison, WI 53708-8680
Overnight address
WPS Medicare Part B
Medicare EFT Unit
1717 West Broadway
Madison, WI 53713
If you have any questions regarding the EFT agreements or the contractor transition please contact Brian Jent at bjent@hallrender.com or Regan Tankersley at rtankersley@hallrender.com.
