About WPS Government Health Administrators (GHA)

WPS Government Health Administrators (WPS GHA) has served Medicare beneficiaries since 1966, providing almost 50 years of service to the Centers for Medicare & Medicaid Services (CMS) and the Medicare program. Our mission is to provide service and value considered by our customers to be the very best. We remain committed to providing the best in service to Medicare beneficiaries and providers through emphasis on uncompromising business ethics and long-term sustained performance excellence. It has long been our goal to serve our Medicare customers more effectively while lowering our costs and improving productivity.

WPS GHA currently serves:

  • Medicare Administrative Contractor (MAC) Jurisdiction 5 (J5) - providing both Part A and Part B Medicare benefit administration for Iowa, Kansas, Missouri, and Nebraska, as well as Part A Medicare benefit administration for J5 National providers
  • MAC Jurisdiction 8 (J8) - providing both Part A and Part B Medicare benefit administration for Indiana and Michigan
  • As a subcontractor for other CMS contracts

Some important facts to know about the WPS GHA division include:

  • Winner of the CMS 2015 Provider Customer Service Program of the Year Award - previously won in 2011
  • Performs in the top tier of Medicare contractors as measured by CMS evaluations of operating performance
  • Ranks in the top tier of Medicare contractors for system security posture as measured by CMS audits - invited to speak at CMS 2015 system security conference to share best practices with other Medicare contractors
  • Receives consistently high website satisfaction scores for www.wpsmedicare.com, the WPS GHA website available 24 hours a day, 365 days a year
  • Offers C-SNAP(external link) (CMS Secure Net Access Portal), a WPS GHA-pioneered web-based self-service tool available 24 hours a day, 365 days a year, that allows providers to verify eligibility, check claims status, file appeals, check appeal status, submit claims, send secure messages, access help desk services, and use other automated services independently and in real time
  • Is ISO 9001-2008 certified
  • Serves more than 140,000 providers and over 6.6 million Medicare beneficiaries

WPS Health Solutions has been named one of the "World's Most Ethical Companies" by the Ethisphere® Institute(external link) every year since 2010. We are proud to be the only health insurance company in the world recognized for six consecutive years. WPS Health Solutions secured this honor by operating at the highest standards of integrity and doing the right thing for our customers, with honesty always at the forefront. We believe that good ethics translate into better business, better bottom lines, and lower costs for our customers.

WPS Receives Global Award For Excellence In Case Management!

The Workflow Management Coalition presented WPS Health Solutions with a 2016 Global Award for excellence in case management for its use of OnBase in the Government Health Administrators (GHA) division. WPS GHA was selected for its use of OnBase by Hyland to connect and automate information to review and enroll physicians and medical facilities that offer Medicare services.

WPS GHA used the OnBase enterprise information platform to:

  • Streamline its credentialing process for provider enrollment
  • Reduce printing costs
  • Simplify its reporting processes related to provider enrollment applications
  • Achieve provider enrollment timeliness and quality standards