CMS Releases Power Mobility Prior Authorization Guidance

WASHINGTON, D.C. (August 10, 2018)—CMS published “Inclusion of Power Mobility Device Codes in the Prior Authorization Program for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items,” which is guidance for power mobility suppliers on the transition to the national prior authorization program. The article lists all the HCPCS codes that will be included in the program starting September 1, 2018. For states that are not currently in the PMD PA Demonstration, the MACs will start accepting PA requests on August 18, 2018. For the 19 states currently participating in the Demonstration, beginning August 18, MACs will no longer be accepting PA requests for items that are not going to be added to the national PA program.

You can read the full guidance here.