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Welcome to Outreach of Wisconsin!

Call Today!  877-901-5826

iris-logoOutreach Health Services of Wisconsin – IRIS Fiscal Employer Agent (Outreach) provides financial management services to all qualified participants enrolled in long term care services.

Senior Woman in WheelchairYour Self-Directed Care Partner

Outreach supports participants to successfully manage their care:

  • Exceptional customer service
  • Providing easy to complete Participant and New Employee Packets
  • Assisting with the completion of employer and employee forms
  • Accessing online systems for budget information, time entry, and reports
  • Brokering workers compensation for employees
  • Providing Employer Training Tools
  • Processing payroll and taxes for participant employees
  • Reimbursing approved invoices
  • Assisting with employer related tasks
  • Ongoing communication with the participant’s Consultant

About Outreach of Wisconsin

Outreach Health Services Logo
Outreach of Wisconsin is a subsidiary of Outreach Health Services, providing nationwide self-directed care and home care services for over 40 years. We support 8,000 participants, process payroll for 7,000 employees and are developing services in new states. Our main goal is to provide outstanding customer service. We believe it is our responsibility to provide the participant with the right support and training tools to manage his or her care successfully.

To learn more about Outreach Health Services visit www.OutreachHealth.com

IRIS Fiscal Employer Agent

As an IRIS fiscal employer agent (FEA), Outreach Health Services  supports you with the administrative needs of your hired workers.  Wisconsin residents may be eligible for assistance with self-directed long term care through IRIS (Include, Respect, I Self-Direct). IRIS is a self-directed care option for adults with long term care needs. IRIS participant manage an Individual Services and Supports Plan within an individual budget and the guidelines of allowable supports and services to meet their long term care needs. Participants have the flexibility to design a cost-effective and personal plan.

What Next:

  1. Find out if you are eligible for IRIS.
  2. Enroll in the IRIS program.
  3. If you are interested in choosing Outreach as your FEA, please inform your IRIS Consultant.

 

Participant Employer

Forms and Instructions

The following forms need to be completed by the participant so they can be set up as an employer through Outreach Health Services. This is needed for Outreach to provide payroll services to their hired workers (participant hired workers - PHW).

Please take the time to download, review and complete the Participant/Employer Packet and return the completed forms to Outreach Health Services. You can email the completed packet to wisconsin@outreachhealth.com or fax it to 800-687-3121.

Participant/Employer Packet
Instructions, form explanation and forms to be completed by the a new participant/employer.
Example Participant/Employer Packet
This is provided as an example to help fill out the Participant Employer Packet.
Employer/Payer Appointment of Agent Form
This form is needed for Outreach to be able to pay your PHW state and federal taxes based on the W4 filled out by PHW.
PHW Wage Change/New Service Form
The Wage Change form is used to notify Outreach Health Services of a change in wage for a Participant Hired Worker.

Participant Hired Workers

Forms and Instructions

The following forms are used to enroll as a Participant's Hired Worker (PHW). Please take the time to download, review and complete the Participant's Hired Worker Packet and return the completed forms to Outreach Health Services. You can fax or mail the PHW packet using the following information:

Email: wisconsin@outreachhealth.com

Toll Free Fax: 800-687-3121

Mailing Address:

Outreach Health Services of WI
204 3rd Ave Suite 110
P.O Box 945
Osceola WI 54020

It is very important that you complete these forms and return them to Outreach as quickly as possible.  You will not be paid for work time until these forms have been received and are processed by Outreach Health Services.

 

Money Network Mobile App - Video

Outreach provides the option to get paid using the Money Network Payroll Debit Card.

Watch this short video to learn how you can manage your money using the Money Network mobile application.

Participant Hired Worker (PHW) Packet
Instructions, form explanation and forms to be completed by the a new participant hired worker.
Example Participant Hired Worker (PHW) Packet
This is provided as an example to help fill out the Participant Hired Worker (PHW) Packet.
W4 Form
This form is for tax purposes and taxes are taken out based on claim. If claiming any exemptions from W4 please fill out the WT-4 form available on Outreach website. This form is included in the PWH Packet above.
WT-4
The WT-4 form is for tax purposes and taxes are taken out based on claim. This form must be filled out if the number of withholding exemptions claimed for Wisconsin tax withholding purpose is different from the withholding exemptions claimed for federal tax purpose.
I-9 Form
This form documents that you are eligible to work in the United States. This form is also included in the PWH Packet above. This form is included in the PWH Packet above.
I-9 Form Instructions
Instructions for filling out the I-9 form.
Direct Deposit Authorization Form
This form is used to authorize direct deposit for payment of services. Outreach strongly encourages use of direct deposit or pay card. This form is included in the PWH Packet above.
Direct Deposit Cancellation Form
The Direct Deposit Cancelation form is used to cancel direct deposit for payment of services.
Money Network Application and Deposit Agreement
The Money Network Payroll Debit Card (“Card”) provides a dependable, safe, optional, and convenient way for you to receive and access payment for your services. Outreach strongly encourages use of direct deposit or pay card. This form is included in the PWH Packet above.
Money Network Card Fee Schedule
Fees schedule associated with the Money Network Payroll Card. Many Card transactions are free (you can access 100% of your wages,to the penny, using the Money Network Service), but there are fees for other transactions.

Vendor/Provider

Forms and Instructions

The following forms need to be completed by a vendor that is providing services to a Participant/Employer to receive payment.

Please take the time to download, review and complete the Vendor Packet and return the completed forms to Outreach Health Services. You can email the completed packet to wisconsin@outreachhealth.com or fax it to 800-687-3121.

Vendor Packet
Instructions, form explanation and forms to be completed by the a vendor or provider for services.
Request for taxpayer identification number and certificate.
Provider Application
Application used to apply as an IRIS program service provider.
MA Provider Agreement
Wisconsin MEDICAID program provider agreement and acknowledgement of terms of participation.
Vendor Payment Calendar - 2019
Shows when invoices are due and checks are issued for 2019
Sample Vendor Invoice
Example of a vendor invoice.
Vendor Invoice
Used to submit invoices IRIS-funded, non-HIPAA related services.

Payment Forms

Forms and Instructions

The following forms are used by the Participant's Hired Worker (PHW) to receive payment.  Timesheets must be submitted by fax, email, or the Outreach Member Portal before midnight on the due date listed on the Payroll Payment Schedule.

Toll Free Fax: 800-687-3121
Email: wisconsin@outreachhealth.com
Outreach Member Portal: www.outreachhealth.com/WI

2019 Payroll Calendar
Shows when time sheets are due and paycheck are issued for the 2019 calendar year.
Timesheet Form
Used to submit your hours to Outreach Health Services for payment.
Timesheet Tips
Provides information for completing and submitting your timesheet to insure timely payment from Outreach Health Services.
Mileage Reimbursement Form
Used to submit mileage when using your personal vehicle for IRIS related purposes.
PHW Reimbursement Form
Used to submit for reimbursement for work related items purchased by the PHW participant.

Resources

Helpful guides and information to make your self-directed care a success.

These guides are meant to be a resource for you.  Please take the time to download and read these guides. If you have additional questions, please call Outreach toll free at 877-901-5826 for assistance.

Employer Resource Guide
The purpose of this Handbook is to help participants and their participant hired worker (PHW)s understand their roles and responsibilities in IRIS, Outreach’s policies and procedures, and state and Federal rules and regulations for being an employer.
Employee Safety Training
Important safety information for you to read and share with your employees.
Signs of Abuse, Neglect & Exploitation
A printable brochure describing signs and symptoms of abuse, neglect and exploitation to educate participants and their employees.
What is Medicaid Fraud?
This document describes Medicaid fraud and consequences of committing Meicaid fraud.