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Updated Payment Policies - March 2025

Date: 01/31/25

MHS Health Wisconsin continually adds new or provides updates  to clinical and payment policies to ensure they are designed to comply with industry standards while delivering the best experiences and outcomes for our members.

The following new policies or policy revisions are effective March 1, 2025.

You can view the details of these policies on their effective date by visiting Clinical and Payment Policies

Policy Number

Policy Name

Line(s) of Business

CP.MP.107

DME

Medicaid; Medicare

CP.MP.142

Urinary Incontinence Devices and Treatments

Medicaid; Medicare

CP.MP.180

Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea

Medicaid; Medicare

CP.MP.62

Hyperhidrosis Treatments

Medicaid; Medicare

V1.2025

CG Testing: Aortopathies and Connective Tissue Disorders

Medicaid; Medicare

V1.2025

CG Testing: Cardiac Disorders

Medicaid; Medicare

V1.2025

CG Testing: Dermatologic Conditions

Medicaid; Medicare

V1.2025

CG Testing: Epilepsy, Neurodegenerative, and Neuromuscular Conditions

Medicaid; Medicare

V1.2025

CG Testing: Exome and Genome Sequencing for the Diagnosis of Genetic Disorders

Medicaid; Medicare

V1.2025

CG Testing: Eye Disorders

Medicaid; Medicare

V1.2025

CG Testing: General Approach to Genetic and Molecular Testing

Medicaid; Medicare

V1.2025

CG Testing: Hearing Loss

Medicaid; Medicare

V1.2025

CG Testing: Hematologic Conditions Non-Cancerous

Medicaid; Medicare

V1.2025

CG Testing: Hereditary Cancer Susceptibility

Medicaid; Medicare

V1.2025

CG Testing: Immune, Autoimmune, and Rheumatoid Disorders

Medicaid; Medicare

V1.2025

CG Testing: Kidney Disorders

Medicaid; Medicare

V1.2025

CG Testing: Lung Disorders

Medicaid; Medicare

V1.2025

CG Testing: Metabolic, Endocrine, and Mitochondrial Disorders

Medicaid; Medicare

V1.2025

CG Testing: Multisystem Inherited Disorders, Intellectual Disability, and Developmental Delay

Medicaid; Medicare

V1.2025

CG Testing: Prenatal Cell-Free DNA Testing

Medicaid; Medicare

V1.2025

CG Oncology: Algorithmic Testing

Medicaid; Medicare

V1.2025

CG Oncology: Cancer Screening

Medicaid; Medicare

V1.2025

CG Oncology: Circulating Tumor DNA and Circulating Tumor Cells (Liquid Biopsy)

Medicaid; Medicare

V1.2025

CG Oncology: Cytogenetic Testing

Medicaid; Medicare

V1.2025

CG Oncology: Molecular Analysis of Solid Tumors and Hematologic Malignancies

Medicaid; Medicare

V1.2025

CG Testing: Prenatal and Preconception Carrier Screening

Medicaid; Medicare

V1.2025

CG Testing: Prenatal Diagnosis (via Amniocentesis, CVS, or PUBS) and Pregnancy Loss

Medicaid; Medicare

V1.2025

CG Testing: Gastroenterologic Disorders Non-Cancerous

Medicaid; Medicare

V1.2025

CG Testing: Pharmacogenetics (Version A)

Medicaid; Medicare

V1.2025

CG Testing: Skeletal Dysplasia and Rare Bone Disorders

Medicaid; Medicare

 

View all Clinical and Payment Policies.

Thank you for being a valued partner in caring for the health and well-being of our members. If you have any questions about the policies listed above or any our Clinical & Payment Policies, please contact your Provider Relations representative or call the Provider Inquiry Line at 1-800-222-9831. If you are unsure who is your representative, please email us at WI_Provider_Relations@mhswi.com.