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June 4, 2019
2:00-3:30PM

CMS Open Door Forum on Prior Authorization for Support Surfaces

CMS will be hosting a Special Open Door Forum (ODF) on the implementation of prior authorization for pressure reducing support surfaces on June 4 from 2:00pm to 3:30pm (Eastern Time). This is a follow-up from an announcement published in the Federal Register on April 22, where CMS added five support surfaces codes to the prior authorization program: 

  • E0193 Powered air flotation bed (low air loss therapy)
  • E0277 Powered pressure reducing air mattress
  • E0371 Nonpowered advance pressure reducing overlay for mattress length and width
  • E0372 Powered air overlay for mattress, standard mattress length and width
  • E0373 Nonpowered advanced pressure reducing mattress

Prior authorization for these codes will be implemented in two phases. California, Indiana, New Jersey, and North Carolina will require PA for the five support surfaces codes beginning July 21 and then it will be implemented nationally on October 21. The Special ODF will cover:

  • the process of submitting a PA request; 
  • timeframes for the MACs to make a decision on a PA request; and
  • subsequent claim submission process. 

You can find participation instructions and information on the Special ODF here

 

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2019-06-04 14:00:00 2019-06-04 15:30:00 America/Detroit CMS Open Door Forum on Prior Authorization for Support Surfaces CMS will be hosting a Special Open Door Forum (ODF) on the implementation of prior authorization for pressure reducing support surfaces on June 4 from 2:00pm to 3:30pm (Eastern Time). This is a follow-up from an announcement published in the Federal Register on April 22, where CMS added five support surfaces codes to the prior authorization program:  E0193 Powered air flotation bed (low air loss therapy) E0277 Powered pressure reducing air mattress E0371 Nonpowered advance pressure reducing overlay for mattress length and width E0372 Powered air overlay for mattress, standard mattress length and width E0373 Nonpowered advanced pressure reducing mattress Prior authorization for these codes will be implemented in two phases. California, Indiana, New Jersey, and North Carolina will require PA for the five support surfaces codes beginning July 21 and then it will be implemented nationally on October 21. The Special ODF will cover: the process of submitting a PA request;  timeframes for the MACs to make a decision on a PA request; and subsequent claim submission process.  You can find participation instructions and information on the Special ODF here.    ----