Required Prior Authorization (PA) Program Pre-Claim Reviews

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

  • Lower Limb Prosthetics
  • Orthoses
  • Power Mobility Devices
  • Pressure Reducing Support Surfaces
Last Updated Jul 23 , 2024