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  • CMS Delays Prepayment Review and Prior Authorization of PMD Demonstration

    The Centers for Medicare and Medicaid Services (CMS) recently delayed the implementation of the Prepayment Review and Prior Authorization for Power Mobility Devices (PMD) demonstration so it can carefully consider the many comments/suggestions regarding the demonstration, including those from APTA. The demonstration was scheduled to begin January 1. The agency will provide at least 30 days’ notice before the demonstration begins.

    In its comments, APTA called for CMS to eliminate the prepayment review phase (Phase I) and delay implementation of the demonstration until the prior authorization phase (Phase II) is available for PMD claims.

    CMS also delayed the Recovery Audit Prepayment Review demonstration.

    APTA members are encouraged to use resources from the National Coalition for Assistive and Rehab Technology (NCART) when advocating for policy changes that are needed to provide adequate access to Complex Rehab Technology (CRT) with legislators, the public, private third‐party payers, and other policy makers. An educational video titled "Complex Rehab Technology -- Essential for health. Essential for life" provides an introduction from the perspectives of people who rely on CRT for their health and independence, physicians that prescribe it, and consumer organizations that work to protect access to CRT..


    • I practice in a small critical access hospital in rural Washington state. Many of our patients have surgery in Seattle, they would simply be unable to receive the post-op rehab that they need if it meant a 3 hour commute each way.

      Posted by Mitzi Hazard, PT on 1/6/2012 2:41 PM

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