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Financial Reporting FAQs

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The Financial Reporting department is available to assist providers with the following issues:

CMS-588 Electronic Funds Transfer (EFT) agreement without a CMS-855

  1. Where do I find Form CMS-588 Electronic Funds Transfer agreement?

    The CMS-588 form can be found on the CMS website:
    Electronic Funds Transfer (EFT) Authorization Agreement

  2. How do I complete the CMS-588?

    Information and Helpful Hints to complete the CMS- 588 can be found on our Electronic Funds Transfer (EFT) Agreement CMS-588 page.

  3. Where do I mail my completed CMS-588?

    Mail your application with the original signature (no facsimile or photocopied signatures can be accepted) to WPS GHA at the address listed in the Contact information page by selecting "Contact Us" in the footer of the page, then J5 MAC or J5 National Mailing Address Information, and scroll down to the Financial Reporting section.

  4. What is the status of my Electronic Funds Transfer (EFT)?

    This information is not available online. Please contact us at our toll-free number, select "Contact Us" in the footer of the page, then Part A Telephone Contact Information, and scroll down to the Financial Reporting section. We will need to verify the Medicare Identification Number (PTAN), National Provider Identifier (NPI) and the last five digits of the Tax Identification Number (TIN) prior to releasing information.

Tax Documents

  1. How do I receive a W-9 form for payments to WPS GHA?

    Please contact us at our toll-free number so we can assist you. Select "Contact Us" in the footer of the page, then Part A Telephone Contact Information and scroll down to the Financial Reporting section.

  2. How can I get information or a copy of my 1099?

    This information is not currently available online. Please contact us at our toll-free number so we can assist you. Select "Contact Us" in the footer of the page, then Part A Telephone Contact Information and scroll down to the Financial Reporting section.

    We will need to verify the Medicare Identification Number (PTAN), National Provider Identifier (NPI) and the last five digits of the Tax Identification Number (TIN) prior to releasing information.