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HHS/CMS | RIN: 0938-AR85 | Publication ID: Fall 2015 |
Title: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items (CMS-6050-F) | |
Abstract:
This final rule establishes a prior authorization process for certain DMEPOS items that are frequently subject to unnecessary utilization and adds a contractor's decision regarding prior authorization of coverage of DMEPOS items to the list of actions that are not initial determinations and therefore not appealable. |
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Agency: Department of Health and Human Services(HHS) | Priority: Economically Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: Yes | Unfunded Mandates: No |
CFR Citation: 42 CFR 405 42 CFR 414 | |
Legal Authority: 42 U.S.C. 1302 42 U.S.C. 1395hh 42 U.S.C. 1395rr(b)(1) |
Legal Deadline:
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
Small Entities Affected: Businesses | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Jill Nicolaisen Director, Division of Medical Review and Education Department of Health and Human Services Centers for Medicare & Medicaid Services Office of Financial Management, MS: C3-09-27, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-5873 Email: jill.nicolaisen@cms.hhs.gov |