Latest Insurance Update
Insurance & Help Desk Recent Updates
WholeHealth Living Announced as The Alliance’s Chiropractic Network Administrator
The announcement that Fulcrum is shutting down operations effective August 1, 2026 has required many insurance companies to identify alternative chiropractic network arrangements. The Alliance has chosen to work with WholeHealth Living (Tivity) beginning August 1,…
WCA Advocacy Efforts pay off with the addition of Medicaid Extraspinal Manipulation
The WCA continued its successful efforts to expand access to chiropractic within Medicaid and increase reimbursement with the recent announcement from the Wisconsin Medicaid program that chiropractors can now use extraspinal manipulation (98943). According to…
Quartz / Fulcrum / UCare Update
Fulcrum recently informed providers that it will continue to accept claims dated June 30, 2026. Claims for dates of service on or before June 30, 2026, must be submitted to Fulcrum no later than end of day July 17, 2026. Fulcrum intends to complete claims repricing by…
CMS Releases 2026 Medicare Physician Fee Schedule
On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that announces final policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2026….
WPS Policy Changes for 2026
In November 2025, the WCA Help Desk was made aware of changes with WPS Health Insurance. Since this time, they have removed the prior authorization requirement for spinal manipulation; however, medical documentation may be requested after the 8th visit to establish…
ASPIRUS Changes: Your voices were heard!
Aspirus updated its chiropractic pre-authorization policy after significant feedback from providers across Wisconsin.
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wcahelp@wichiro.org