CMS Announces Special Open Door Forum

The Centers for Medicare & Medicaid Services will hold a Special Open Door Forum on Feb. 23rd from 3 pm to 4:30 pm EST to provide an opportunity for suppliers and providers to ask questions about the upcoming Prior Authorization of Power Mobility Devices Demonstration.

The Centers for Medicare & Medicaid Services (CMS) will conduct this demonstration to implement a prior authorization process for certain medical equipment for Medicare recipients who reside in seven states with high populations of fraud- and error-prone providers (California, Florida, Illinois, Michigan, New York, North Carolina, and Texas). This step will help ensure appropriate payment for certain medical equipment with a high error rate.

The demonstration also 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 right to receive quality products from accredited suppliers.

In response to comments received from stakeholders about the Prior Authorization of Power Mobility Devices (PMDs) demonstration, CMS has made a number of modifications to the Prior Authorization of PMD demonstrations:

  • CMS has completed a separate Paperwork Reduction Act (PRA) notification for this demonstration
  • CMS has removed the 100% pre-payment review phase (formerly Phase 1)
  • CMS will allow suppliers to perform the administrative function of submitting the prior authorization request on behalf of the physician/treating practitioner
  • CMS anticipates the start of this demonstration will be on or after June 1.

To read more about the demonstration, visit Participants may submit questions prior to the Special Open Door Forum to

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