The Centers for Medicare & Medicaid Services (CMS) is expanding the types of durable medical equipment (DME), prosthetic, orthotics, supplies (DMEPOS) that are subject to Medicare prior authorization requirements on the basis of being “frequently subject to unnecessary utilization.” Specifically, CMS announced that it is adding to the Required Prior Authorization List:

Separately, CMS announced that it is adding the following items to its “Master List of Items Frequently Subject to Unnecessary Utilization”:

Note that an item’s inclusion on the Master List does not automatically require prior authorization of the item, but CMS could subject any items on this list to prior authorization in the future. For additional information, see the CMS DMEPOS prior authorization web page.

Read the Federal Register notice here: Federal Register Notice

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