Medicare AdvantageAdministrativeLow impact
Provider News - May 2016
Security Health Plan·WI·Provider News
We identified it
Oct 6, 2026
Summary
This historical newsletter (published May 2016, newly discovered October 2026) contains multiple policy changes for Security Health Plan that are now 10 years past their effective dates. Key changes include: facility and professional place-of-service matching requirements (effective July 1, 2016), appeals timeline modifications (effective July 1, 2016), colonoscopy prep kit coverage (effective May 20, 2016), SAS platform transition (effective April 1, 2016), and a split-fill pharmacy program for oral chemotherapy (effective June 1, 2016). All stated deadlines and effective dates have elapsed. The billing team should verify current applicability with Security Health Plan, as these policies may have been superseded or modified in the past decade.
Action Required
HISTORICAL MATERIAL - VERIFICATION REQUIRED: This newsletter was published May 1, 2016, and is being discovered on October 6, 2026. All stated effective dates (April 1, 2016; May 20, 2016; June 1, 2016; July 1, 2016) have already passed by 10 years. ACTION: Billing team should contact Security Health Plan at 1-800-548-1224 or shp.provider@securityhealth.org to confirm: (1) Whether facility/professional place-of-service matching requirements remain in force; (2) Current appeals timelines for post-service denials; (3) Current status of colonoscopy prep kit coverage; (4) Current SAS claims processing procedures and Payer ID requirements; (5) Current split-fill pharmacy program parameters. Do not assume any 2016 requirements are still active without current written confirmation from the plan. Retain this newsletter for historical reference only unless current policy documentation confirms these changes remain applicable.