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Provider Manual

Nursing Facility Care/ Skilled Nursing Facility Care

Last Updated on October 25, 2021
  • Inpatient skilled nursing facility services do not require prior authorization for Security Health Plan BadgerCare and SSI members.
  • Nursing Facility care and Skilled Nursing Facility care is covered at a Medicaid participating facility.
  • Outpatient therapy performed in a skilled nursing facility requires prior authorization (place of service 32 or 33; bill type 22x or 23x). For more information on prior authorization requirements see Security Health Plan Authorization Page – Outpatient Therapy Treatment Initial or Outpatient Therapy Treatment Concurrent
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