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J15 Part A/B Advisory Group Meeting Minutes – July 15, 2026

The minutes below are a summary of the advisory group meeting topics, group discussion, actions, and outcomes as a result of this meeting.

Meeting Details

Date: Wednesday, July 15th, 2026

Facilitator(s): Curtis McFadden and Towanna Trip

Meeting Platform: Microsoft Teams

CGS Representatives: Calvin Smith, Ruthie Glazier, Carey Fugate, Nykesha Scales, Derita Wardell

Members in Attendance: Sheri Tomlinson, Denise Moore, Dottie Mudd, Jennifer Hansel, LeeAnn Foster, Mick Polo, Patsy Schwenk, Kendra Hardrick, Michelle Weiss, Daniel Eichelberger, Lee Condron, Sonda Kunzi, Amy Fanelli, Amanda Kert

Welcome

Purpose and Goals

The primary function of the Advisory Group is to assist the contractor in the creation, implementation, and review of provider education strategies and efforts. The Advisory Group provides input and feedback on training topics, provider education materials, and dates and locations of provider education workshops and events. The group also identifies salient provider education issues and recommends effective means of information dissemination to all appropriate providers and their staff, including the use of the Provider Contact Center (PCC) to disseminate information to providers.

Response to feedback related to inquiries submitted to the PCC rather than to POE via email or Advisory Group: Please continue to contact the PCC initially. If you do not receive a resolution, you may then contact POE for assistance. Please include a PCC reference number with your POE request to assist us in providing education both internally and to the provider community.

Current Tasks

The meeting began with CGS welcoming attendees and reviewing member responsibilities along with MAC responsibilities for both sides to understand the purpose and functionality of the group.

Education Feedback

  • CGS asked members for feedback on educational offerings dating back to April 2026. Members stated that the education offered continues to be consistent with good structure and steady delivery. Education referenced included myCGS Lunch and Learn, Provider Based Billing Refresher, and Attention ASC and HOPD Providers - Botulinum Toxin Injection LCD (L39857) Policy Updates. Members requested future sessions on:
    • WISeR Model
    • Prior Authorization for Ohio ASCs
    • Reopening process
    • 2028 Outpatient Location updates
    We shared with providers upcoming education scheduled for both WISeR and Prior Authorization for Ohio ASCs.

Current Topics

WISeR Model

  • CGS shared information on the CMS WISeR model which began January 15th, 2026. Information included the ability to submitting directly to the model participant; Innovaccer, through their portal, located on their website, innovaccer.com/resources/cms-wiser/ohExternal Website. CGS and POE AG Members also talked through pain points of the pilot project. CGS reminded the OH providers if they would like more information on this to visit the CMS website and be on the lookout for education offered by Provider Outreach and Education.

DDE/PPTN Recertification

  • CGS shared information concerning the upcoming recertification for DDE/PPTN. Providers must remember to avoid service interruptions; they must recertify by the deadline. Part A begins on August 1st and ends August 31st. Part B begins on September 1 and ends on September 30th.

CERT Education

  • Derita Wardell joined the meeting to discuss the CERT process and recent CERT findings for Part A/B. Common errors included non-responses to the CERT contractor’s request letter for additional documentation, signature issues, and insufficient documentation. Her information led to great discussion with the providers about other CERT education opportunities.

Telephone Reopening Line

  • CGS shared information concerning the Telephone Reopening line. As of August 1, 2026, the Part B telephone reopening line will no longer be available for providers to call. However, providers are encouraged to use the self-service options for submitting a reopening request, which include the web portal, the IVR systemPDF, and mailing a hardcopy form.

CMS Information for GLP-1

  • CMS reminder providers about the information CMS put out concerning GLP-1. Eligible Medicare beneficiaries may now get GLP-1 medications. This is covered under the beneficiary’s Part D plan. Refer to the CMS webpageExternal Website for complete information.

Future Tasks for Next Meetings

Members were reminded to complete the following tasks before our next POE AG meeting:

  • Attend our educational offerings and share feedback on their experience.
  • Help POE promote any upcoming in-person events to increase attendance.
  • Submit suggestions on enhancing our education to the provider community.
  • Suggestions that were made during the meeting were documented for POE review. Future suggestions can be submitted to the following mailboxes:

Calendar of Events

2026 POE AG Meeting Schedule

  • July 15th, 2026 (Virtual Meeting via Microsoft Teams)
  • October 14th, 2026 (Virtual Meeting via Microsoft Teams)

Adjourn

Meeting concluded at 2:10 PM EST.

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