Figure 1: Prior Authorization Programs' Implementation and End Dates
This image is excerpted from a U.S. GAO report:
www.gao.gov/products/GAO-18-341
MEDICARE: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending
a) The home health services demonstration was scheduled to run through July 2019, but the Centers for Medicare & Medicaid Services (CMS) paused the demonstration in April 2017. As of February 2018, the demonstration had not resumed.
b) There is no set end date for requiring prior authorization for these durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) items. CMS may suspend prior authorization for these items at any time.
Figure 1: Prior Authorization Programs' Implementation and End Dates
This image is excerpted from a U.S. GAO report:
www.gao.gov/products/GAO-18-341
MEDICARE: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending
a) The home health services demonstration was scheduled to run through July 2019, but the Centers for Medicare & Medicaid Services (CMS) paused the demonstration in April 2017. As of February 2018, the demonstration had not resumed.
b) There is no set end date for requiring prior authorization for these durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) items. CMS may suspend prior authorization for these items at any time.