MedicaidAdministrativeMedium impact
Provider News - February 2017
Security Health Plan·WI · Occupational Therapy, Physical Therapy, Speech Therapy +2 more·Provider News
We identified it
Oct 6, 2026
Summary
This is historical material (newsletter from February 2017, newly discovered October 2026) containing multiple policy topics for Security Health Plan of Wisconsin. Key items include: (1) decimal billing requirement for time-based therapy codes (OT, PT, speech therapy) for BadgerCare Plus members; (2) Major Depressive Disorder coding guidance aligned with DSM-5 and CMS V22 risk adjustment; (3) provider credentialing process consolidation with Marshfield Clinic Health System; (4) high-risk medication review program for Medicare Advantage seniors; and (5) 2017 prior authorization requirements updates. Most items are already elapsed; current applicability must be verified against 2026 policies.
Action Required
HISTORICAL MATERIAL - Verification Required: This newsletter was published February 2017 and newly discovered October 2026. The billing team should: (1) Verify current decimal billing requirements for time-based therapy codes (CPT 97032 and related OT/PT/speech therapy codes) for BadgerCare Plus members—if still in effect, confirm all claims use decimal units per Forward Health guidelines; (2) Confirm whether the Marshfield Clinic Health System credentialing consolidation remains in effect and whether future credentialing correspondence continues to route through Marshfield; (3) Check whether 2017 prior authorization requirements have been superseded by current 2026 requirements and obtain updated prior auth matrix from Security Health Plan; (4) Verify whether the high-risk medication review program and depressive disorder coding guidance remain current policy. Contact Security Health Plan directly at 1-800-548-1224 or consult their current provider manual to confirm which items are still applicable and which have been updated.