R13565DEMO

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Dynamic List Data
Transmittal #
R13565DEMO
Issue Date
2025-12-23
Subject

Implementation of Wasteful and Inappropriate Service Reduction (WISeR) Model Prior Authorization and Medical Review Process and Establishment of New Quarterly Change Request (CR) Process for Possible Future Changes to Information Included in Attachments A, B, C, D, E, and F.

Implementation Date
2026-01-05
CR #
14205
Publication #
100-19
Transmittal Year
2025

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