WSI Changes IV Infusion Therapy Authorization Process
Summary
The North Dakota Workforce Safety and Insurance (WSI) has updated its process for authorizing outpatient IV infusions and therapy. Providers must now use the pharmacy prior authorization process and complete the M11 form.
What changed
The North Dakota Workforce Safety and Insurance (WSI) has transitioned the prior authorization process for outpatient IV infusions and therapy from direct contact with claims adjusters to WSI's established pharmacy prior authorization procedure. This change requires medical providers to complete the "Provider's Request for Medication Prior Authorization (M11)" form and submit it with supporting documentation via fax.
Medical providers seeking approval for outpatient IV infusions/therapy must now adopt this new procedure. They are instructed to download and complete the M11 form and fax it to 888-786-8695. Failure to follow the updated process may result in delays or denials of authorization, impacting patient care and billing.
What to do next
- Complete the Provider's Request for Medication Prior Authorization (M11) form for outpatient IV infusions/therapy.
- Fax the completed M11 form with supporting documentation to 888-786-8695.
Source document (simplified)
Authorization for Outpatient IV Infusions/Therapy
Thursday, August 14, 2025 - 01:00 am
Categories: Medical Provider All News Medical Provider Pharmacy Medical Provider Utilization Review Agency News WSI has changed how a provider requests approval for outpatient IV infusions/therapy. Previously, a provider would contact the claims adjuster managing the claim to obtain approval. However, due to the complexity of certain conditions, IV infusion/therapy now follows WSI’s pharmacy prior authorization process.
To request prior authorization for outpatient IV infusions/therapy:
- Complete the Provider's Request for Medication Prior Authorization (M11) form.
- Fax the form with supporting documentation to 888-786-8695. If you have questions about this article, please send an email to [email protected]. Click here to sign-up to receive email notifications of the latest Medical Provider News. Make sure to follow us on Facebook and LinkedIn.
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