AAH confirms dates for expanded PA program
By HME News Staff
Updated Fri May 3, 2019
WASHINGTON - CMS will add seven codes for complex rehab power mobility devices to the National Prior Authorization Program on July 21, AAHomecare has confirmed. It will add five codes for support surfaces for four states (California, Indiana, New Jersey and North Carolina) on July 21 and nationally on Oct. 21, the association has also confirmed. Although it generally supports the PA program, AAHomecare says it is concerned about the impact on timely access to care for Medicare beneficiaries needing support surfaces and it has reached out to CMS about those concerns. Under the PA program, CMS has 10 business days to make an initial decision and two business days to make an expedited decision in certain situations. There are currently 45 codes included in the PA program. In all, CMS has a “master list” of 135 codes potentially subject to prior authorizations.
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