{"id":51,"date":"2026-10-08T22:56:32","date_gmt":"2026-10-08T22:56:32","guid":{"rendered":"https:\/\/www.suralegacy.com\/blog\/2026\/10\/08\/texas-adds-wiser-prior-authorization\/"},"modified":"2026-10-08T22:56:32","modified_gmt":"2026-10-08T22:56:32","slug":"texas-adds-wiser-prior-authorization","status":"publish","type":"post","link":"https:\/\/www.suralegacy.com\/blog\/2026\/10\/08\/texas-adds-wiser-prior-authorization\/","title":{"rendered":"Texas Adds WISeR Prior Authorization"},"content":{"rendered":"<div class=\"video-zmyer\">\n<div class=\"video-frame-zmyer\">\n        <iframe loading=\"lazy\" width=\"640\" height=\"640\" src=\"https:\/\/www.roomvu.com\/agent\/embed\/gilberto-2\/medicare-procedures-review-remotion-videos-26dc\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><br \/>\n        <\/iframe>\n    <\/div>\n<div class=\"video-description-zmyer\">\n<p>In Texas, traditional Medicare patients seeking selected outpatient procedures now face a coverage review either before treatment or before payment under a new federal test.<br \/>\nActive categories in Texas included epidural steroid injections, cervical fusion, nerve stimulators, vertebral augmentation, certain knee procedures, incontinence devices, erectile-dysfunction treatments, and wound-care substitutes.<br \/>\nTexas providers could seek advance approval, with reviewers generally responding within 3 business days or 2 for expedited cases, or accept prepayment review afterward.<br \/>\nIf coverage was not affirmed in Texas, providers could resubmit with more documentation and request clinician discussion; patients should read any noncoverage notice carefully.<br \/>\nFederal officials left room to add more services in Texas, so patients and providers benefited from confirming billing codes, review routes, records, and costs early.<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In Texas, traditional Medicare patients seeking selected outpatient procedures now face a coverage review either before treatment or before payment under a new federal test. Active categories in Texas included epidural steroid injections, cervical fusion, nerve stimulators, vertebral augmentation, certain knee procedures, incontinence devices, erectile-dysfunction treatments, and wound-care substitutes. Texas providers could seek advance approval, [&hellip;]<\/p>\n","protected":false},"author":391,"featured_media":52,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-51","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-posts"],"_links":{"self":[{"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/posts\/51","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/users\/391"}],"replies":[{"embeddable":true,"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/comments?post=51"}],"version-history":[{"count":0,"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/posts\/51\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/media\/52"}],"wp:attachment":[{"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/media?parent=51"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/categories?post=51"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.suralegacy.com\/blog\/wp-json\/wp\/v2\/tags?post=51"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}