Issue 2 | 2025

Doctor's note

Greetings to all

In our commitment to quality, WPS revises its medical policies each year. For these updates and revisions, we rely on evidence-based sources as well as consultations with several practicing specialists in the community to appropriately reflect changing medical practices. We continue to work year-round on review and development of Medical Polices, but will release new and updated policies in our provider newsletter twice a year. 

Please see updates in this issue’s Medical Policy update article immediately following.

As always, we are grateful for the commitments each of you make to your patients (and our members).

Peter Goldzweig

Medical Director

WPS—A health solutions company

Medical policy updates and review

As we indicated in our spring issue of the provider newsletter, we've adjusted our medical policy review schedule to two times a year. We will continue to include medical policy update information in the WPS Provider Network Newsletter twice a year.

The Medical Policy Committee recently met and approved several new medical policies, as well as those due for annual review. Please take a few moments to review the following to determine how they apply to your practice–and note the effective date:

Please be sure all doctors, other clinical staff and office staff are aware of these changes before submitting requests for coverage performing services and issuing referrals.

A library of our medical policies can be viewed online at WPS Medical Policy Updates. 

Specific questions or comments regarding development of policy content may be directed to the Medical Policy Editor at medical.policies@wpsic.com.

WPS portals are now stronger with two-factor authentication (2FA)

Since July 28, Two-Factor Authentication (2FA) has been added to your WPS provider portal login. This means when you enter your username and password, you'll also be asked to enter a one-time passcode (OTP) sent to your email. The OTP will be valid for 20 minutes, and once you are in the portal you will not need to enter a new OTP for the next 12 hours.

This quick step adds another layer of security to protect your health data. Even if someone gets your username and password, this will help stop them from accessing any private information. An updated Provider Portal User Guide with steps on this new process is posted on our website.

Have questions or need help with setup? Reach out to our Customer Service Web Support team at 888-915-5477.

Clinical Services name change

The WPS Clinical Services department has been renamed Health Services department. Today, Health Services is comprised of medical management programs including Case Management, Utilization Management and Grievance & Appeals.



This name change more accurately reflects the services we provide and allows us to expand our program offerings beyond traditional medical management as we evolve to meet market needs. Our contact information remains the same: WPS Health Services: 800-333-5003. 

Provider Relations staff updates

The WPS Provider Relations department is happy to introduce new staff. Robert Schmitt joined our department as Contract Manager. He brings with him a wealth of knowledge in contract negotiations and health plan management, from large national carriers to a provider-owned HMO and a Marketplace insurer across all product lines and provider types. He has extensive in-depth knowledge of Wisconsin’s provider landscape and is dedicated to pursuing contract arrangements that benefit all parties in the delivery of quality-focused, value-based care.

Upcoming holiday schedule

While our offices will be closed on the following dates, providers will still have access to benefits, patient information, claim status and other key information via the Provider Portal.

CONFIDENTIALITY NOTICE: This e-mail, including any attachments, may contain confidential, privileged and/or proprietary information which is solely for the use of the intended recipient(s). Any review, use, disclosure, or retention by others is strictly prohibited. If you are not an intended recipient, please contact the sender and delete this e-mail, any attachments, and all copies.

WPS—A health solutions company | 1717 W. Broadway | Madison, WI | wpshealth.com

©2025 Wisconsin Physicians Service Insurance Corporation. All rights reserved. JO27530

33707-100-2507