Provider Updates and Notices

The following updates have been posted and archived for your viewing. These updates and notices will help keep you informed of the changes that may affect you. If you have any questions about these updates, please contact Provider Relations at (715) 552-4300 or (888) 203-7770 for assistance.

 
Posted Date Effective Date Title
4/12/2024 4/12/2024 Update to 2024 Prior Authorization Guidelines: Cosmetic services
2/20/2024 2/14/2024 Updates to BadgerCare Plus, Medicaid SSI Provider Manual
1/12/2024 1/1/2024 Updates to Commercial and BadgerCare Plus, Medicaid SSI Provider Manuals
1/12/2024 1/1/2024 Updates to Provider Appeal Form
12/18/2023 1/1/2024 Claims Payment Changes:  Provider Communication Letter,  Provider Communication Summary, Provider Enrollment Guide, and Provider FAQ
10/30/2023 1/1/2024 2024 Prior Authorization Guidelines
8/16/2023 1/1/2023 Updates to BadgerCare Plus & Medicaid SSI Provider Manual.
2/21/2023 1/1/2023 CMS requires all Medicare organizations to provide annual Model of Care training to health plan employees, contracted and out-of-network providers seen by members on a routine basis.
12/19/2022 12/1/2022 Updates to Commercial and BadgerCare Plus, Medicaid SSI Provider Manuals
11/30/2022 1/1/2023 2023 Prior Authorization Guidelines
7/19/2022 1/1/2022 Updates to Commercial and BadgerCare Plus, Medicaid SSI Provider Manuals
6/20/2022 1/1/2022 Updates to Commercial and BadgerCare Plus, Medicaid SSI Provider Manuals
11/24/2021 1/1/2022 Prior Authorization Guidelines
7/25/2018 8/1/2018 Prior Authorization Requirements Updated: Methadone Treatment Services
1/23/2018 1/24/2018 Personal Care Agencies: Prior Authorization now required before Nursing Assessment
12/22/2017 1/15/2018 Arthrograms & Continuous Glucose Monitor (CGM)
11/29/2017 1/1/2018 Compcare Update
8/9/2017 8/8/2017 Medicare Crossover
5/25/2017 6/1/2017 Prior Authorization Requirements Updated & Pain Injections
2/22/2017 4/1/2017 Prior Authorization Requirement Changed: Pulmonary & Cardiac Rehabilitation
10/18/2016 10/18/2016 APR DRG & Birth Weight
8/11/2016 8/1/2016 Prior Authorization Category Update
8/11/2016 8/1/2016 Prior Authorization Update: Injection Codes
7/18/2016 8/1/2016 Navitus Cost-Share Changes
5/4/2016 5/1/2016 Breast Pump Benefit Update
3/23/2016 3/23/2016 State of Wisconsin (ETF) Wellness Assessment Form
2/23/2016 2/1/2016 Change to prior authorization of anesthesia for children 5 and under
1/21/2016 1/1/2016 ForwardHealth Behavioral Health/Autism Benefit
1/19/2016 1/1/2016 Changes to Medicaid Billing Requirements
8/11/2015 9/1/2015 Provider Manuals Update
7/1/2015 8/1/2015 Authorization of Stay and Notification of Birth Event
5/1/2015 5/1/2015 Learn through our Newsletter
4/27/2015 5/1/2015 A New Telehealth Benefit for Members