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Data / Federal rules / 2024-10356

Medicare Program; Updates to the Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order Prior To Delivery and/or Prior Authorization Requirements; Updates to the Required Face-to-Face and Written Order Prior To Delivery List; and Updates to the Required Prior Authorization List

The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on May 13, 2024. It took effect on August 12, 2024.

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What the agency says

This document announces the updated Healthcare Common Procedure Coding System (HCPCS) codes on the Master List. It also announces updates to the HCPCS codes on the Required Face-to-Face and Written Order Prior to Delivery List and the Required Prior Authorization List.

Key facts

Document number
2024-10356
Type
Final rule
Action
Updates to the Master List of Items Potentially Subject to Face-To-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements (the "Master List") and updates to the Required Face-to-Face and Written Order Prior to Delivery List and the Required Prior Authorization List
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
May 13, 2024
Takes effect
August 12, 2024
Dates
Implementation of updates to the Master List and the Required Face-to-Face and Written Order Prior to Delivery List are effective on August 12, 2024. Required prior authorization of newly added lumbar- sacral orthoses and lower limb orthoses is effective nationwide on August 12, 2024. Prior authorization of newly added osteogenesis stimulators will be implemented in two phases, with phase 1 including one State per Durable Medical Equipment Medicare Administrative Contractor (DME MAC) jurisdiction on August 12, 2024. The States included in phase 1 are California, Florida, Ohio, and Pennsylvania
Docket
CMS-6095-N
Code of Federal Regulations
42 CFR 410; 42 CFR 414
Pages
8

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Published in May 2024

Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.