CMS issues guidance on national PA program

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Thursday, August 9, 2018

WASHINGTON – CMS has published guidance for power mobility device providers on the transition to the national prior authorization program. “Inclusion of Power Mobility Device Codes in the Prior Authorization Program for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items” lists all the HCPCS codes that will be included in the program starting Sept. 1, according to a bulletin from AAHomecare. For states not currently in the demonstration, the MACs will start accepting prior auth requests Aug. 18. For the 19 states currently in the demonstration, MACs will no longer accept prior auth requests for items that will not be part of the national program.