Required Prior Authorization (PA) Program Pre-Claim Reviews

The Jurisdiction A, DME MAC, Medical Review Department is conducting pre-claim required prior authorization reviews for the below specialties. The following quarterly edit effectiveness results from July 2024 - September 2024 can be located on the Required Prior Authorization Programs webpage:

  • Lower Limb Prosthetics
  • Orthoses
  • Power Mobility Devices
  • Pressure Reducing Support Surfaces
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