Wasteful and Inappropriate Service Reduction (WISeR) Model
Texas is one of six states participating in the Centers for Medicare & Medicaid Services’ WISeR prior authorization pilot, which runs from Jan. 1, 2026 to Dec. 31, 2031. Under this program, physicians must seek approval for the 14 identified services either from Cohere Health, the CMS-approved technology vendor, or undergo prepayment review before the claim is paid.
Learn About the WISeR Pilot