The Centers for Medicare & Medicaid Services (CMS) recently implemented a voluntary prior authorization program for certain power mobility device (PMD) accessories.

Policies from the 2019 End-Stage Renal Disease (ESRD) and DMEPOS final rule (84 Federal Register 60648 [November 8, 2019]) allow suppliers to submit voluntary prior authorization requests for PMD accessories when requesting prior authorization for a PMD base on the Required Prior Authorization List.

The voluntary prior authorization program began March 20, 2023, for dates of service on or after April 6, 2023.

For a full list of accessories available for voluntary prior authorization, view the Voluntary Prior Authorization List.

CMS also released revised documents related to the prior authorization program to include information on PMD accessories. Additional details on the voluntary prior authorization program are available in each updated document.

• Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items Operational Guide
• Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items Frequently Asked Questions

CRPM Guide Update

The Standards Update Guide on 2023 revisions to standards for the ACHC DMEPOS Distinction in Clinical Respiratory Patient Management (CRPM) has been revised. In the table on the guide, CRPM Standard DRX19-N should instead be DRX19-P. An updated version of the guide is available to download.

Here for You

ACHC is your partner in accreditation. For information on DMEPOS Accreditation, email [email protected] or call (855) 937-2242, ext. 458.