R13581DEMO

Dynamic List Information
Dynamic List Data
Transmittal #
R13581DEMO
Issue Date
2026-01-13
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
2025-09-30
CR #
14205
Publication #
100-19
Transmittal Year
2026

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