Provider News
September 2021
Security Health Plan distributes Provider News digitally. Information in this newsletter is important for care providers, clinic managers, patient assistance, coding and other clinic staff. Please share with your colleagues.

If you wish to receive this monthly newsletter, please create a Provider Portal account by contacting your practice's organization administrator. If you don't have an organization administrator, click here to set one up.
Check back often to see how Security Health Plan processes help minimize COVID-19 impact on providers

The National Public Health Emergency is expected to run through at least the end of 2021. Our COVID-19 web page provides information on coverage of the COVID-19 vaccines and administration as well as treatment. Access our COVID-19 web page for timely updates. Click here to go directly to our most recent COVID-19 Provider FAQ.
Proud of it
Security Health Plan rated among top plans in Wisconsin by NCQA
Security Health Plan of Wisconsin, Inc., has once again been rated by the National Committee for Quality Assurance as one of the highest-rated plans in Wisconsin and the nation. In the 2021 NCQA plan ratings released Sept. 15, Security's Medicare and Commercial plans were both rated a 4.5 out of 5, while its Medicaid (BadgerCare) plan received a 4.0 out of 5. Read the full press release.
Use Provider Portal to verify claims information
Claim status, eligibility, benefits and prior authorization requirements can be verified on the Security Health Plan Provider Portal. Click here for information on Provider Portal access and other ways to get the information you need by email, phone and fax. 
Coding corner
Specificity essential to ensure accuracy with HCC coding of vascular disease
By BRENDA ANDERSON, Revenue Management Educator
Since 2013 the vascular disease hierarchical condition coding (HCC) category has consistently had the highest number of HCC gaps in Security Health Plan’s Medicare Advantage (MA) population. Specificity in documentation and coding is essential to assure accuracy on claims for the services you provide. Read more for tips to help you accurately document and code the most common vascular disease HCC diagnoses.
Policy review
Security Health Plan policy review - effective September 2021
By KAREN BORGEMOEN, Registered Nurse/Team Leader
Security Health Plan reviews medical policies on a monthly basis. Medical policies are found in the provider section of the Plan's public website. Read more for policy reviews and changes effective Sept. 1, 2021.
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Security Health Plan updates
Security Health Plan to add Medicaid SSI for 2022
By LISA PRUST, Provider Relations Account Manager
Security Health Plan is pleased to announce that it will be adding Medicaid SSI (Supplemental Security Income) to its product portfolio effective Jan. 1, 2022, in select counties. SSI plans provide coverage to help manage day-to-day health care needs for members who meet these three criteria:
  1.  Age 65 or older, blind or disabled
  2. Family income at or below the monthly program limit
  3. United States citizens or legal immigrants
Members must reside in one of the following 12 counties to be eligible: Barron, Chippewa, Clark, Eau Claire, Lincoln, Marathon, Oneida, Portage, Price, Rusk, Taylor or Wood. This service area aligns with the Security Health Plan Ally Rx Dual-Eligible Special Needs Program (D-SNP) for members who qualify for both Medicare and Medicaid.

Adding Medicaid SSI will allow Security to coordinate care more effectively for these vulnerable members and to ensure their complex care needs are met. SSI members will receive the same great service as our current Medicaid members. 

For additional provider resources on Medicaid SSI:
Prior authorization updates
Reminder: Magellan Rx Management program helps providers avoid wastage with specialty drugs  
By AMANDA SIEGLER, Clinical Pharmacy Specialist
Providers are reminded that Magellan Rx Management, Security Health Plan’s medical specialty pharmacy vendor, will conduct outreach to providers when appropriate to help with drug wastage opportunities. Read more for the program description, goals and where to find the list qualifying specialty medications.
Help patients find you
  • Has your practice moved?
  • Have you changed the name or ownership of your practice?
  • Do all of your providers accept new patients?
  • Is anyone seeing patients in a new or different location?
  • Has anyone left your practice or been replaced in the last year?
Help patients find you by keeping information about your practice current with Security Health Plan.

Security Health Plan’s online provider directory is the primary provider search tool we offer our members. Members use the “Find a Doctor” directory to search for providers who can fill their specific care needs, whether they’re looking for a primary care provider who sees children, a specialist with privileges at a specific hospital, or an affiliated nursing home near their aging parents.
To help patients find you, visit www.securityhealth.org/directory. Whether you’re a provider, a practice or a facility, please review the directory information for accuracy.

Be sure to contact us right away with any needed updates: You can report a change to Provider Relations staff. Call us at
715-221-9640 (TTY 711), fax changes to us at 715-221-9699 or email us at [email protected].
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