Provider Publications

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	Alerts
	Ascension Password Change: On May 8, 2024, a cyber security event disrupted clinical operations of the Ascension Healthcare Network. To ensure the security of protected health information on the ForwardHealth Portal, ForwardHealth will prompt all providers owned by Ascension to change their password. Providers not owned by Ascension will not be prompted to change their password. For instructions on changing your Portal password, refer to the ForwardHealth Provider Portal Account User Guide. Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences. Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.

Audiologist Provider Publications

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Update Number	Update Topics and Release Date
2019
2019-07	Revised Hearing Aid Contract Models and Pricing Effective March 1, 2019, 2/19/19
2018
2018-36	Revised Hearing Aid Contract Models and Pricing Effective September 2018, 10/4/18 *October 11, 2018: This Update* has been revised since its original publication.** Two additional hearing aid models and pricing have been added for GN Resound. Revisions on page 9 of Attachment 2 are indicated in red.
2017
2017-30	Revised Hearing Aid Contract Models and Pricing Effective September 2017, 9/28/17 October 11, 2017: This Update has been revised since its original publication. Pricing information for one Unitron Hearing half-shell hearing aid model (Stride 700-Binaural) has been revised and an additional model designation has been added for one Phonak Hearing Systems hearing aid model (Sky V50). Revisions on pages 9 and 11 of Attachment 2 are indicated in red.
2017-25	New and Clarified Telehealth Policy, 8/18/17
2016
2016-46	Revised Hearing Aid Contract Models and Pricing Effective September 2016, 10/21/16 January 24, 2017: This Update has been revised since its original publication. Pricing information for one Starkey Laboratories, Inc. hearing aid model (Muse i1600 monaural) has been revised. Revision on page 9 of Attachment 2 is indicated in red.
2016-28	Prior Authorization No Longer Required for Cochlear Implant and Bone-Anchored Hearing Device Implant Surgeries, 7/13/16
2016-18	Date of Service Defined and Documentation Requirements Clarified for Durable Medical Equipment and Disposable Medical Supplies, 5/16/16
2016-07	Revised Prior Authorization Criteria and Coverage Policy for Cochlear Implant Surgery, 2/23/16
2016-04	New and Clarified Policy Regarding Submission of Prior Authorization Requests and Claims for Hearing Instruments, 1/27/16
2015
2015-65	Overview and Clarification of Hearing Instrument Battery Policy, 12/28/15
2015-53	Revised Hearing Aid Contract Models and Pricing Effective September 2015, 10/26/15
2015-32	Hearing Device Dispensing Fee Policy, 7/20/15
2015-19	Prior Authorization Changes for a Bone-Anchored Hearing Device Implant Surgery and Non-implant Bone-Anchored Hearing Device, 5/14/15
2014
2014-62	Changes to the 1500 Health Insurance Claim Form and Completion Instructions, 10/14/14
2014-54	Revised Hearing Aid Contract Models and Pricing Effective September 2014, 9/16/14 October 29, 2014: This Update has been revised since its original publication. Pricing information for two Phonak Hearing Systems full shell hearing aid models (see page 9 of Attachment 2) has been revised. Revisions are indicated in red.
2013
2013-45	Revised Hearing Aid Contract Models and Pricing Effective September 2013, 9/17/13
2013-31	Requesting Exemption from Prior Authorization Requirements for Advanced Imaging Services, 6/3/13 *6/4/2013: This Update* has been revised since its original publication.** Information under the "Updating the List of Eligible Providers" heading has changed to reflect Portal solution changes.
2012
2012-62	Revised Hearing Aid Contract Models and Pricing Effective September 2012, 10/30/12
2011
2012-19	Policy Changes for Bone-anchored Hearing Aids, 5/14/12
2011-72	Implementation of the HIPAA Accredited Standards Committee X12 Version 5010 Electronic 278 Health Care Services Review — Request for Review and Response Transaction, 11/7/11
2011-61	Revised Hearing Aid Contract Models and Pricing Effective September 2011, 10/4/11 *This Update* has been revised since its original publication.** The address for Oticon, Inc., in Attachment 1 has been updated as of January 9, 2012.
2011-52	Revisions to 1500 Health Insurance Claim Form Instructions Resulting from HIPAA ASC X12 Version 5010 Implementation, 9/14/11
2011-46	Policy for Provider Group Practice Certification, 8/24/11
2011-37	National Provider Identifier Policy Clarification for Durable Medical Equipment Providers, 7/8/11
2011-29	Policy Clarification for Cochlear Implants, 5/11/11
2011-22	Photographs Mailed to ForwardHealth as Additional Supporting Clinical Documentation for Prior Authorization Requests Will No Longer Be Returned to Providers, 4/11/11
2011-13	Important Information About the National Correct Coding Initiative, 3/1/11
2010
2010-119	How to Correctly Indicate Modifiers on Claims for Repeat or Separately Identifiable Procedures, 12/1/10
2010-97	Clarification for Extraordinary Claims Submission for Professional Services, 11/1/10
2010-92	New Prior Authorization Requirements for Advanced Imaging Services, 10/1/10
2010-90	Reimbursement Reduction for Most Paper Claims Submitted to ForwardHealth, 10/1/10
2010-89	Revised Hearing Aid Contract Models and Pricing Effective in September 2010, 10/1/10 This Update has been further revised since its original publication. Information about hearing aid models in Attachment 2 has been added and/or changed as of March 30, 2011and all revisions are indicated in red.
2010-82	Prior Authorization Is Required for Certain Durable Medical Equipment Under the BadgerCare Plus Core Plan and the BadgerCare Plus Basic Plan, 9/1/10
2010-72	ClaimCheck Clarification, 8/1/10
2010-67	Hearing Instruments and Services Now Covered Under the BadgerCare Plus Benchmark Plan, 7/1/10
2010-53	Physical Therapy, Occupational Therapy, and Speech and Language Pathology Services Covered Under the BadgerCare Plus Basic Plan, 6/1/10
2010-38	New Procedure Codes for Audiology Services, 6/1/10
2009
2009-68	Changes to Contracted Hearing Aids Effective in September 2009, 10/1/09 *This Update* has been revised since its original publication.** Information about hearing aid model prices and repair warranties have been corrected. See pages 13 and 18 of the Update for more information.
2009-58	New Reimbursement Rates for Certain Professional Services Effective October 1, 2009, 10/1/09 This Update has been revised since its original publication. Information for procedure code 27158 has been corrected. See page 5 of the Attachment for more information.
2009-39	Changes to Hearing Aid Contracts Effective July 1, 2009, 7/1/09
2008
2008-215	Changes to Contracted Hearing Aids Effective in July 2008, 12/1/08
2008-214	Physical Therapy, Occupational Therapy, and Speech and Language Pathology Services Covered Under the BadgerCare Plus Core Plan for Childless Adults, 12/1/08
2008-197	Enddating a Prior Authorization Request, 11/1/08
2008-187	Correction to Prior Authorization Status Table, 10/1/08
2008-159	1 Percent Reimbursement Rate Increase for Non-Institutional Services, 8/1/08
2008-150	Planned Effective Dates for Prior Authorization Changes for ForwardHealth interChange Implementation, 8/1/08
2008-145	Changes to Copayments for Hearing Services Covered Under the BadgerCare Plus Benchmark Plan, 8/1/08
2008-141	Expanded Review by ClaimCheck, 8/1/08
2008-115	Changes to Prior Authorization for Hearing Services and Hearing Instruments, 7/1/08
2008-91	ForwardHealth Announces Changes to Paper and Electronic Claims Submission for Hearing Services and Hearing Instruments, 6/1/08
2008-34	Clarification of Coverage and Copayments for Hearing Services and Hearing Instruments, Including Cochlear Implants and Bone-Anchored Hearing Devices, Under the BadgerCare Plus Benchmark Plan, May 1, 2008
2007
2007-102	Physical Therapy, Occupational Therapy, and Speech and Language Pathology Services Under BadgerCare Plus, 12/1/07
2007-101	Hearing Services and Hearing Instruments Under BadgerCare Plus, 12/1/07
2007-61	Prior Authorization Requirements and Procedure Code Changes for Cochlear Implants and Bone-Anchored Hearing Devices, 9/1/07
2007-52	Changes to Contracted Hearing Instruments, 6/1/07
2006
2006-99	Procedure Code Updates for Durable Medical Equipment, 12/1/06
2006-95	New 1500 Health Insurance Claim Form and Supplemental Instructions, 12/1/06
2006-63	Procedure Code Changes for Audiology Services, 7/1/06
2006-52	Changes to Contracted Hearing Instruments, 6/1/06
2006-30	Prior Authorization Requests for Hearing Aids No Longer Sent to Recipient, 3/1/06
2006-19	Modifier "CR" Accepted for Catastrophe/Disaster-Related Crossover Claims, 3/1/06
2006-16	Procedure Code Updates for Durable Medical Equipment, 2/1/06
2005
2005-52	Life Expectancy and Quantity Limit Changes for Durable Medical Equipment, 9/1/05
2005-38	Wisconsin Medicaid Accepting Prior Authorization Requests Via the Medicaid Web Site for Hearing Aids, 7/1/05
2005-34	Training Sessions in August for Hearing Aid Providers 6/1/05
2005-30	Policies, Procedures, and Changes to Purchase Rates for Hearing Aids, 6/1/05
2005-20	Wisconsin Medicaid Coverage of Cochlear and Bone-Anchored Hearing Devices, 3/1/05
2005-07	Procedure Code Updates, 1/1/05
2005-04	Procedure Code Updates for Durable Medical Equipment, 1/1/05
2004
2004-86	Purchase Contracts Made for Hearing Aids, 12/1/04
2004-65	Training for New and Current Users of Provider Electronic Solutions (PES) Software Offered in September and October, 8/1/04
2004-46	Revised Prior Authorization Request/Hearing Instrument and Audiological Services (PA/HIAS2) Form Available, 6/1/04
2003
2003-156	New policies and clarifications for hearing instruments and related services, 11/1/03
2003-111	Effective dates for claims submission and prior authorization changes as a result of HIPAA for hearing instruments and hearing services, 8/1/03
2003-56	Changes to paper claims and prior authorization for hearing instruments and hearing services as a result of HIPAA, 7/1/03
2003-06	Hearing instruments and related services code changes, 1/1/03
2003-05	Revised terms of reimbursement for providers who dispense hearing instruments, 1/1/03
2002
2002-31	1.095% reimbursement rate increase for non-institutional services, 6/1/02
2002-27	Maximum allowable fees increase for hearing aids and related services, 6/1/02
2002-14	Maximum allowable fees increase for speech-language pathology services, 3/1/02
2002-05	1.065% reimbursement rate increase for non-institutional services, 3/1/02
2000
2000-29	Audiologic function tests — clarifications for providers, 8/14/00
2000-28	Changes in hearing aid battery codes, 8/14/00
2000-20	One percent reimbursement increase for noninstitutional services — Effective July 1, 2000, 6/1/00
1999
99-46	Medicaid audiology consultant staff changes, 10/1/99
99-44	Billing and reimbursement for augmentative communication devices, 9/1/99
99-43	Augmentative communication prior authorization guidelines, 9/1/99
99-10	Audiology services — procedure code changes for prior authorization and billing, 3/1/99
99-07	Wisconsin Medicaid changes requirements for audiology and hearing instrument services, 2/1/99
99-06	New procedure code for miscellaneous and specialized hearing instruments, 2/1/99
99-02	New PA forms for audiologists and hearing instrument specialists, 2/1/99
1998
98-17	Two percent reimbursement increase for noninstitutional services, 5/28/98
1997
97-40	Biennial Budget Increases Reimbursement for Noninstitutional Services — Effective July 1, 1997, 12/3/97
1996
96-08	New tuberculosis (TB) benefit, 3/27/96
1995
95-52	School Based Services (SBS) Benefit Added, 12/14/95
1992
MAPB-092-029-D/007-HA	Second Major Hearing Aid Repair Service, New "OI" Codes and Claim Form Instructions, 12/14/92
MAPB-092-025-D/006-HA	New HCFA 1500 Claim Form, Revised Prior Authorization and Billing Instructions, 3/27/92
1990
MAPB-090-020-D/005-HA	DRG Implementation, Audiology and Hearing Aid Policy, 8/10/90
1989
MAPB-089-019-D/004-HA	Policy Changes and Clarifications, 6/15/89
MAPB-089-003-HA/-018-D	Certification Policy and Billing Clarification, 2/15/89
1987
MAPB-087-015-D/002-HA	New Claim Form, Place of Service, Type of Service and HCPCS Codes, and New Prior Authorization Form Request for Certified Speech & Audiology Providers and Hearing Aid Dealers, 9/1/87

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