CMS Finalizes Prior Authorization Program for Certain DMEPOS Items Print
Written by FHI's Week in Review   
Tuesday, 12 January 2016 18:15

In a January 7, 2016 post by, the authors report:

On December 30, 2015, the Centers for Medicare & Medicaid Services (CMS) published its final rule establishing a prior authorization program for certain durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) items frequently subject to unnecessary utilization (the Final Rule). As noted in our commentary on the proposed rule the Final Rule creates a "Master List" of items that could require prior authorization as a condition of Medicare payment as well as a subset list of items for which prior authorization is required. The provisions of the Final Rule are effective on February 29, 2016.

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