Important News from CGS, Jurisdiction B DME MAC: Prior Authorization Condition of Payment for Certain Power Mobility Devices

If you have Medicare patients who are seeking prior authorization of a power mobility devices, please review the CGS physician letter Medicare Prior Authorization Condition of Payment for Certain Power Mobility Devices for an understanding of proper information that will be needed to be provided to the DME MAC for coverage consideration. The letter outlines the appropriate information that needs to be provided and how it is needed.

Claims for power mobility devices are submitted to CGS, the DME MAC for Jurisdiction B, and they process claims for this equipment. This letter explains that process and will help you as the practitioner for your beneficiary to help them find the quickest availability for the equipment they need.

Posted 8/7/2019