Required Prior Authorization Programs - JD DME

Prior Authorization Lookup Tool

Determine which HCPCS codes require a Prior Authorization

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Educational Resources

New Prior Authorization Expansion Coming October 28, 2026

CMS announced in a Federal Register notice published on July 30, 2026, that eight additional HCPCS codes will be added to the Required Prior Authorization Program effective October 28, 2026. Suppliers should begin preparing for these upcoming changes and stay informed as implementation details become available. Additional education, resources, and program information will be posted in the coming weeks.

Se ha producido un error al procesar la plantilla.

Java method "com.liferay.portal.kernel.util.DateUtil_IW.parseDate(String, String, Locale)" threw an exception when invoked on com.liferay.portal.kernel.util.DateUtil_IW object "com.liferay.portal.kernel.util.DateUtil_IW@52b897f5"; see cause exception in the Java stack trace.

----
FTL stack trace ("~" means nesting-related):
	- Failed at: #assign norModifieddateObj = dateUtil...  [in template "medicare-velocity-templates-theme_SERVLET_CONTEXT_/templates/freemarker/content/free-form-text.ftl" at line 11, column 5]
	- Reached through: #include "medicare-velocity-templates...  [in template "10155#10193#2245121" at line 1, column 1]
----

1<#include "medicare-velocity-templates-theme_SERVLET_CONTEXT_/templates/freemarker/content/free-form-text.ftl">

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.

DME Jurisdiction D

Medical Review, ADMC, and Prior Authorization

Prior Authorization Lookup Tool

New Prior Authorization Expansion Coming October 28, 2026

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