I've been hearing some news about a new prior authorization program for Fee for Service Medicare. Can you provide more information?
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Let me add more relevant and specific information, see the link here: wiser-model-rfa.pdf
The WISeR model will begin on January 1, 2026, and run for two three-year agreement periods, until December 31, 2031. The scope of WISeR will include select states in select MAC jurisdictions. The selected MAC jurisdictions for WISeR are JH, JL, JF, and J15, and the selected states are New Jersey (JL/Novitas), Ohio (J15/CGS), Oklahoma and Texas (JH/Novitas), and Arizona and Washington (JF/Noridian). CMS plans to select one model participant per included MAC jurisdiction. CMS may consider adding additional model participants, regions, and/or selected items or services in future years of the model depending on specific factors such as number of applicants or newly identified items or services.