Provider Communicator Fall 2018
This is a newsletter article. The information may not be up-to-date. If you have questions, please contact your Provider Coordinator.

Prior Authorization Updates

  • Prior authorization updates and other monthly notifications are now available in MyPlanTools on the landing page.
  • Please check back frequently for updates, along with the effective date.

Effective July 1, 2018

Prior authorization update specific to Neurology providers (Neurosurgeons):

  • The following Deep Brain Stimulation codes now require a Prior Authorization: 61863, 61867, 61885, 95971, 95974

Updates for Preventive Services under the Affordable Care Act

  • Skin Cancer counseling for children, adolescents and young adults ages 10-24 who have fair skin.
  • Preeclampsia screening for all pregnant women

This change is effective for all lines of business EXCEPT BadgerCare Plus, Medicare Advantage, Medicare Select and Senior Choice

Hearing Aid List Update

Quartz now updates its Hearing Aid List every six months.

Effective July 1, 2018

  • Removed: Widex Beyond 220 Model
  • Change: GN Resound Linx2 & Linx Technology level (Only 5)
  • Removed: Signia (Siemens) Orion and Sirion Models

Does not apply to Senior Preferred members