PROGRAM PARTICIPATION SYSTEM Web Access Request

PROGRAM PARTICIPATION SYSTEM WEB ACCESS REQUEST
(Please read the information below for instructions.)

Please check one of the following: *
Add PPS Access
End PPS Access
For changes, please contact the SOS Help Desk at dhssoshelp@dhs.wisconsin.gov or (608) 266-9198.

Effective Date:

User Information

User's WAMS ID:

User's First Name:

* MI:

User's Last Name:

User's Email:

User's Daytime Phone:

( ) - * Ext:

Agency Information

Agency Name:

Authorized Submitter's Name:

Authorized Submitter's Phone Number:

( ) - * Ext:

Authorized Submitter's Email:

10.

Profiles:

(Please do not select both Full and View Only for the same profile at the same time.

If you are not certain which profiles to select for your role or you are unsure if you are allowed to request a certain profile, please contact the SOS Help Desk or speak with your supervisor.)

AODA Services and Outcomes Full Access
Birth to 3 Full Access
Children's Wait List CLTS Full Access
Children's Wait List CLTS View only
CORE Services Full Access
Financial Expense Report Full Access
Financial Revenue Report Full Access
MH Participation Full Access
MH Participation View only
MH Services and Outcomes Full Access
DPI Local Educational Agency Full Access

State User Access Only / MISC

Administrator - Agency*
Administrator - MCI Disconnect*
Birth to 3 State Super*
Children's Wait List CLTS State*
Children's Wait List State Super*
DPI Administrator*
Financial Expense and Revenue Reports Admin*
MH CRS State Approval*
State User*

* Do not request these profiles unless you have approval from the SOS Help Desk or relevant Program Area. State User access should not be requested by county agencies.

* Denotes required field.

Instructions

If you are assigned to more than one agency, then you must fill out a separate form for each agency to which you are assigned

Check the appropriate box to Add or End access to a user's WAMS account.
Use this field to enter your WAMS ID. New users will need to complete self-registration via the WAMS portal. Users who have previously requested access using one WAMS ID must maintain it across employers and changes to access. If you are unsure about a prior WAMS ID or if there is another change you would like to make to your profile, please contact the SOS Help Desk.
Enter your name. If you have previously requested access with another name, such as a maiden name, please list both.
Enter your most current work email.
Enter your most direct work phone number.
Please list your agency name exactly as it appears in the application for the role you are requesting.
Enter your agency's Authorized Submitter's name.
Enter your agency's Authorized Submitter's direct work phone number.
Enter your agency's Authorized Submitter's work Email.
Select the appropriate profiles for your role. If you are unsure which profiles to select, please contact the SOS Help Desk.
Clicking submit will generate the form in a new window. Save the form as a PDF or image and email to your authorized submitter. The authorized submitter must review the form for errors and completeness. They should then email the request to the SOS Help Desk.

This PPS Web Access Request will not generate correctly unless you have accessed it using the Human Services System Gateway page at pps.wisconsin.gov and your IT staff have configured your computer according to the instructions at https://www.dhs.wisconsin.gov/publications/p01448.pdf. Please contact the SOS Help Desk for assistance if you have trouble generating the form