Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items: Physician Resources
Guidance for prescribing physician/practitioners to contact the DME MAC for a copy of the prior authorization decision letter. The DME MAC will not automatically send a copy of the decision letter.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 07, 2017
Update 8/9/17:
As the prescribing physician/practitioner, you may contact the DME MAC for a copy of the prior authorization decision letter. The DME MAC will not automatically send you a copy of the decision letter. The request for the decision letter may be included with the documentation sent to the supplier as part of the prior authorization request, or may be made separately. An example of a decision request letter is available in the Downloads section below.
Please see the resources in the Downloads section below and check back soon for more information.
Please send questions and feedback to DMEPOSPA@cms.hhs.gov.
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.