04/15/2026

WISeR Model Downloadable Resource

New Resource Alert

You talked, we listened! OHFAMA has created a downloadable WISeR Model resource for podiatric physicians to use as a reference as you serve your patients.

The Wasteful and Inappropriate Service Reduction (WISeR) Model is a Centers for Medicare & Medicaid Services (CMS) initiative that introduces prior authorization for select outpatient services in traditional fee-for-service Medicare. The goal is to reduce unnecessary utilization while maintaining timely access to medically necessary care.

Providers have a choice: they can submit a prior authorization request before before providing an eligible service or or opt out and have their claim subject to pre-payment medical review.

This education sheet provides an overview of the WISeR Model as it applies to Ohio podiatrists. It is intended for educational purposes and does not include every operational detail or scenario.

Download the OHFAMA Resource APMA WISeR Model Resources WISeR Prior Authorization Form

Updated 10/23/2026

CMS has shared two new resources. The WISeR Exemption Program Provider Fact Sheet includes information and parameters for the gold carding program. The  WISeR Term Definition Fact Sheet explains some of the terminology used in the model.

CMS WISeR Exemption Program Provider Fact Sheet

WISeR Term Definition Fact Sheet