CMS recently announced the suspension of prior authorization requirements for specified orthoses prescribed and furnished urgently or under special circumstances.
Prior authorization requirements for specific durable medical equipment, prosthetics/orthotics, and supply codes will be suspended under certain circumstances, CMS announced.
CMS explains that due to the need for certain patients to receive an orthoses item that may otherwise be subject to prior authorization (such as when the two-day expedited review would delay care and risk the health or life of the beneficiary), it is suspending prior authorization requirements indefinitely for these services.
For a full list of suspended services, see CMS’ full statement.
Amanda Norris is the Director of Content for HealthLeaders.