As a provider of programs funded by Medicare and Medicaid, we’re sharing information that may be important to your plan benefits. There were temporary rules that were in place during the COVID-19 Public Health Emergency. On May 11, 2023, the public health emergency ended, and those temporary rules ended. The following changes went into effect May 12, 2023:

• Out-of-Network Providers will need to obtain prior authorization unless related to an urgent care or emergency room visit.
  • Contact My Choice Wisconsin if you have questions about your providers or check the provider directory our website.
• You may not be able to refill your prescription early.
• You may have a limit on the number of tablets allowed in a month for a medicine you take.
• You may be limited to a temporary 31-day supply of medicines that are not included in the list of covered drugs (formulary) when you have a change in your level of care or living location.
• Skilled Nursing Home stays will require prior authorization if the length of stay is longer than 14 days.
• Durable Medical Equipment and Disposable Medical Supplies (DME/DMS) replacement requirements, such as documentation, will be required.

You are not required to take any action in response to this notice. If you have any questions, please call Customer Service number at 1-800-963-0035 for additional information. (TTY users should call Wisconsin Relay System 711.)