Security Health Plan Prior Authorization

Coverage: Wisconsin commercial and BadgerCare Plus; authorization lists also distinguish Medicare Advantage and Insite.

Start with the reviewed Security Health Plan resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

• Use the product-specific authorization list effective October 1, 2026 and the secure provider portal.
• Eviti requirements are separate: its list excludes Medicaid except the stated radiation-therapy codes. This does not remove other Medicaid authorization requirements.

Where to verify prior authorization requirements

• Verification resource 1

How to submit prior authorization requests

• Submit through the Security Health Plan provider portal; use the listed fax process when portal submission is unavailable.

• No direct topic-specific link was captured in the current research set.

Information commonly required

• Not clearly published in the researched sources.

Turnaround notes and caveats

• Eviti requirements are separate: its list excludes Medicaid except the stated radiation-therapy codes. This does not remove other Medicaid authorization requirements.

Provider resources

• Official provider policy or review source (official)
• Official provider policy or review source (official)
• Official provider policy or review source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Replaced a single plan-wide deadline with verified product and affiliation limits. Medicare filing and exact trading-partner routing still require product review.