WASHINGTON, D.C. – CMS will begin Phase one of two of adding new items to the Prior Authorization program for Medicare FFS claims. Following are the HCPCS codes that have been added to the Required Prior Authorization List:
• Orthoses HCPCS codes: L0631, L0637, L0639, L1843, L1845, L1951; and
• Osteogenesis stimulator HCPCS codes: E0747, E0748, E0760.
Phase 1 will only be effective in California, Florida, Ohio, and Pennsylvania on August 12. DME MACs began accepting prior authorization requests for the codes on July 29, 2024. Phase 2 is slated for November 12, 2024, which will expand the changes nationwide.
You can find the DME MAC’s reminder of the changes at the following links: Orthoses and Osteogenesis Stimulator.
CEO Leaders Convene for Quarterly Meeting
WASHINGTON, D.C. – Comprised of CEOs and executive level participants from over a dozen of AAHomecare’s Corporate Partner providers, AAHomecare’s Corporate Partner Provider Council (CPPC) convened this month to discuss key provisions of the 75/25 Impact Survey results, review federal Industry priorities, and discuss regulatory and payer efforts underway. It also welcomed its new volunteer leadership: Chair Dan Vasilj of Performance Home Medical and Vice Chair Gayle Devin of Home Care Delivered.
“CPPC is an important forward-looking platform to share common concerns across the spectrum of all DME specialties,” explains Vasilj. “It is here that we can hear the latest from the Association while also contributing with real world common experiences. CPPC is where ideas are formed.”
“I’m honored to be Vice Chair of CPPC,” Devin adds. “It is an outstanding platform to work with fellow leaders on addressing critical issues affecting our industry.”
For additional information on all of AAHomecare’s councils, visit aahomecare.org/councils.
