Required Prior Authorization (PA) Program Pre-Claim Reviews

The Jurisdiction D, DME MAC, Medical Review Department conducts Prior Authorization (PA) reviews for select durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items per the CMS. The following quarterly non-affirmation results from July 2025 - September 2025 can be located on the Required Prior Authorization Programs webpage:

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