Medicare AdvantageCoverageMedium impact
Provider News - February 2025
Security Health Plan·Psychiatry, Wound Care·Provider News
Effective date
Mar 1, 2025
We identified it
Jun 20, 2026
Summary
Security Health Plan's February 2025 newsletter provides updates on multiple policy changes including BadgerCare covering intensive outpatient programming services starting March 1, 2025, updates to skin substitute coverage for Medicare Advantage members effective March 1, 2025, and guidance on using the provider portal for home health authorization extensions.
Action Required
By March 1, 2025: Billing team must update systems to bill for intensive outpatient programming (IOP) services for BadgerCare members without prior authorization requirements. Update skin substitute billing procedures for Medicare Advantage members to ensure Medicare-approved substitutes are covered. Review home health authorization extension procedures and use only the provider portal extension feature, never the Create Service/Procedure Authorization tab.