We’re pleased to share an important update from My Choice Wisconsin that will streamline access to visiting physician services for many residents across the state. Effective April 1, 2026, prior authorization requirements will be lifted for select in-network services.
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We want to share an additional update from CMS regarding implementation of the HCBS Waiver Access Rule that impacts assisted living providers. Following last week’s announcement delaying Interested Party Group requirements, CMS has now also extended the enforcement timeline for state compliance with grievance system requirements.
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We encourage members to review newly released 2025 compliance statistics from the Division of Quality Assurance, which include important statewide and national comparisons.
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CMS will host a national webinar on March 24 highlighting key trends in Medicaid Home and Community-Based Services (HCBS) waiver payments and financing under Section 1915(c). This session will provide valuable insight into how states structure, fund, and reimburse HCBS programs across the country, along with national data and emerging payment trends.
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We encourage members to take advantage of several free virtual compliance workshops being offered in March and April through a partnership between the Wisconsin Division of Quality Assurance (DQA) and the University of Wisconsin–Oshkosh Center for Community Development, Engagement & Training.
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WHCA/WiCAL is proud to recognize Pathway Health, a valued Premier Partner, for their outstanding commitment to WHCA/WiCAL. Through their partnership, sponsoring over $10,000 annually, they support vital programs and education while delivering expert guidance and practical solutions that help providers strengthen clinical quality, regulatory compliance, and operational performance.
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