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prior authorization

GAO: Extend prior auth program

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05/23/2018

WASHINGTON – CMS should continue with its prior authorization programs and expand prior authorizations to include power wheelchair accessories, according to a new report from the Government Accountability Office.

AAH surveys providers on PMD demo

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05/15/2018

WASHINGTON – AAHomecare’s Complex Rehab & Mobility Council is collecting feedback from providers about the prior authorization demonstration project for power mobility devices currently taking place in 19 states.

CMS plans to extend PMD demo

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02/09/2018

WASHINGTON – It looks like CMS plans to extend a demonstration project requiring prior authorizations for power mobility devices, according to a notice posted in the Federal Register on Feb. 7.

Most read stories: Will 2018 be the year of widespread prior authorizations?

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01/23/2018

YARMOUTH, Maine – The big story in mobility for 2017 was CMS’s new prior authorization program for two complex rehab codes, K0856 and K0861.

Authorize this

Prior authorizations for mobility devices spreads to South Dakota

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01/12/2018

PIERRE, S.D. – South Dakota has joined the prior authorization bandwagon, but there’s a wrinkle.

PA update: Docs may request decision letter

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08/17/2017

WASHINGTON – The prescribing physician/practitioner may contact the DME MAC to request a copy of the prior authorization decision letter, CMS has announced.

Prior auths become law of land for two complex rehab codes

Process for K0856, K0861 began in four states in March
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07/07/2017

WASHINGTON – HME providers in all states must begin submitting prior authorization requests for two complex rehab codes starting July 17, CMS officials confirmed during a Special Open Door Forum on July 6.

Prior auth legislation could nudge CMS forward

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05/19/2017

WASHINGTON – AAHomecare hopes a new bill will be the legislative push for CMS to speed up a prior authorization process for certain HME.

Rep. Blackburn introduces prior auth legislation

Stakeholders applaud the move, believe CMS isn’t moving fast enough to require PA for broader spectrum of HME
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05/17/2017

WASHINGTON – Rep. Marsha Blackburn, R-Tenn., has introduced legislation that would require prior authorization for certain high priced HME, AAHomecare reported this morning.

Prior authorization: CMS clarifies stance on accessories

Agency also agrees to change delivery timeframe
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03/22/2017

WASHINGTON – During a second Special Open Door on March 21, CMS officials gave examples of what accessories are covered under a new prior authorization process for K0856 and K0861 power wheelchairs.

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