All PlansAdministrativeMedium impact

2026 safety edit update for multiple anticholinergic medications

Q: Who is affected by this change?

This affects Quartz Health Solutions Family Medicine, Internal Medicine, Geriatrics, Psychiatry, Neurology providers in WI on All Plans plans.

Quartz Health Solutions·WI · Family Medicine, Internal Medicine, Geriatrics +2 more·Pharmacy

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Quartz is implementing a second code editing system (ACE from Claritev) to complement existing claims editing software for reviewing anticholinergic medication claims. This aims to improve accuracy and consistency in claims reviews while reducing the need for manual interventions.

Action Required

Action needed

Monitor claims processing for any changes in edit patterns or denial rates related to anticholinergic medications. Be prepared to respond to any new editing requirements or documentation requests that may result from the implementation of the ACE system.

Related policy hubs

Quartz Health Solutions policies WI policy changes Family Medicine Internal Medicine Geriatrics Psychiatry Neurology