Article Detail - JD DME
New F2F, WOPD, and Prior Authorization Requirements Effective April 13, 2022
Additional codes for face-to-face and written order prior to delivery and the expansion of HCPCS codes were added to Prior Authorization Program for orthotics and power mobility.
The required face-to-face encounter and written order prior to delivery list is effective nationwide April 13, 2022. A F2F encounter must be held with a beneficiary within six (6) months prior to prescribing the item(s). A WOPD must be communicated to the DMEPOS supplier before delivery of the item(s). The Required Prior Authorization List has been expanded to include six power operated vehicle (POV) codes and five orthotics codes. The effective dates of service are: POVs - April 13, 2022; orthotics - on or after April 13, 2022, depending on the state. Helpful resources can be found on the CMS website.
- Face-to-Face Encounter and Written Order Prior to Delivery
- Required Face-to-Face Encounter and Written Order Prior to Delivery List (PDF)
- Prior Authorization
- Required Prior Authorization List (PDF)
