92355 Insurance Policy Changes

ForwardHealth Update 2026-09: Prior Authorization Process Improvements: Revising the Prior Authorization Request Form, Vision Procedure Codes, and Prior Authorization RequirementsApril 17, 2026: This Update has been revised since its original publication. Information regarding the dental and orthodontic exception for PA requests requiring physical 3D models has been corrected on page 1 and 2.

ForwardHealth (Wisconsin Medicaid) is eliminating fax and mail prior authorization submissions effective July 13, 2026, requiring all PA requests be submitted electronically through their Portal. The policy also implements a universal 14-day backdating policy and removes certain vision procedure codes from PA requirements.