CMS / Medicare / source directory

WISeR portal turnaround and MAC forwarding

CMS specifies a 72-hour turnaround for requests sent to a WISeR participant electronic portal from January 5, 2026, for service dates on or after January 15, 2026. This clock applies to the participant; requests through a MAC may take additional forwarding and response-routing time. It is not a guaranteed end-to-end deadline for every submission route. Scope: Program operations only; no individual coverage or medical-necessity determination. Source checked 2026-10-15. Documentary verification only; no clinical review or individual coverage determination.

Prior authorization: unknown. Member-specific applicability must be checked with the payer.

PayerCMS / Medicare

Plan contextOriginal Medicare — reference context only

ServiceWISeR model

State scopeNot verified

Effective dateNot verified

RevisionSource de02c625e763

Retrieved10/15/2026

EvidenceOpen original source ↗

Source evidence

Documentary checks establish what the official source says, not clinical eligibility.

wiser faq · main text — source checked 2026-10-15

Research workspace

SUBSCRIBER WORKSPACE

Turn source research into a repeatable workflow.

This public reference is available in full above. Paid research tools are not currently available; no clinical checklist or cross-payer authorization determination is included.

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Evidence fingerprint: de02c625e763b47332579917ce12d7104f99670bc266fb89106c4b44d202c5ba