09/29/2026
Are you practicing in Texas, New Jersey, Oklahoma, Ohio, Washington or Arizona? If so, how can you earn a WISeR Gold Card?
Prior authorization doesn’t necessarily have to remain part of your WISeR workflow forever.
Since July 2026, qualifying providers can earn an automatic WISeR Gold Card exemption from prior authorization and pre-payment medical review for select Medicare services, including applicable skin substitute and CTP applications.
But there’s an important distinction: you don’t apply for the Gold Card. You earn it.
Providers must demonstrate consistent compliance with Medicare coverage, coding, payment, and documentation requirements. CMS establishes baseline requirements, including at least 10 applicable prior authorization requests and meeting the required affirmation-rate threshold, while individual WISeR Model Participants may have additional criteria.
And Gold Card status is tied to the individual provider NPI, not the entire practice.
Strong documentation isn’t just about getting approved today. It can help reduce administrative burden tomorrow, and help providers maintain their exemption once earned.
👉 Learn how WISeR Gold Carding works, what providers need to qualify, and how to build a documentation strategy designed to earn, and keep, the exemption:
https://woundreference.com/p/blog?id=how-to-get-the-wiser-gold-card-for-skin-substitute-and-ctp-applications