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Tuesday, 10 July 2012

Wisconsin Medicaid Radiology Authorization Program

Wisconsin Medicaid has joined with MedSolutions to provide authorization for radiology services effective from December 6, 2010.

Authorization required for fee-for-service members enrolled in below Forward Health programs:
  • Medicaid
  • BadgerCare Plus Standard Plan
  • BadgerCare Plus Benchmark Plan
  • BadgerCare Plus Core Plan
  • BadgerCare Plus Basic Plan
  • Express Enrollment for Children
  • Express Enrollment for Pregnant Women
Services require authorization:
  • CT/CTA
  • MRI/MRA
  • PET
Services not require authorization:
  • Emergency Room
  • Inpatient services
  • 23 hour observation
We can request authorization in three ways:
  • Website       -        www.medsolutionsonline.com
  • Phone          -        Request authorization by calling 8886933211, 8 a.m. to 9 p.m. (EST), Monday through Friday
  • Fax              -        We can fax our request to 888-693-3210. Fax form available in MedSolutions website.
All authorization requests processed within three days and faxed to the ordering physician and the requested facility. The patient also receives the authorization through regular mail.

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