Prior Authorization of Power Mobility Devices Demonstration to Begin September 1

Aug 3, 2012

On August 1, CMS displayed a Federal Register Notice announcing a September 1, 2012 start date of the Power Mobility Devices (PMD) demonstration. The start date of the demonstration is based on the date of the written order. CMS believes this demonstration will lead to reductions in improper payments for power mobility devices, which will help ensure the sustainability of the Medicare Trust Funds and protect beneficiaries who depend upon the Medicare program. In addition, this demonstration is designed to develop and demonstrate improved methods for the investigation and prosecution of fraud in the provision of care or services under the health programs established by the Social Security Act.

Demonstration Description
CMS will implement a Prior Authorization process for scooters and power wheelchairs for people with Fee-For-Service Medicare who reside in seven states with high populations of fraud- and error-prone providers (CA, IL, MI, NY, NC, FL and TX). In addition to the benefits mentioned above, this demonstration will help ensure that a beneficiary's medical condition warrants their medical equipment under existing coverage guidelines. Moreover, the program will assist in preserving a Medicare beneficiary's ability to receive quality products from accredited suppliers. Additional information is available on the Prior Authorization of Power Mobility Devices Demonstration web page.

 

 

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