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Power Mobility Devices - CMS

Page 1 of 10 Power Mobility DevicesMLN905063 June 2021 MLN BookletPower Mobility DevicesMLN905063 June 2021 Page 2 of 10 Table of ContentsWhat s Changed? ..3 Introduction ..4 Coverage ..4 POVs ..5 PWCs ..5 Master Encounter ..7 Documenting the Face-to-Face Encounter ..7 Standard Written Order ..8 Supplier Requirements ..9 SWO & Face-to-Face Encounter Documentation ..9 Home Assessment ..9 POD ..9 DMEPOS Competitive Bidding Program ..10 Resources ..10 MLN BookletPower Mobility DevicesMLN905063 June 2021 Page 3 of 10 What s Changed? Added: Policies effective 01/01/2020 establishing a standardized set of required elements for all DMEPOS orders and creating 1 master list of DMEPOS items requiring a face-to-face encounter (pages 4 & 6) Standard Written Order (SWO) requirement (page 8) Statement that if supplier doesn t get a Power Mobility Device (PMD) SWO or prescription before delivery, Medicare denies the claim as not reasonable and necessary (page 6) Complete face-to-face encounter 6 months befo

DMEPOS orders and creating 1 master list of DMEPOS items requiring a face-to-face ... Medications or other symptom treatment ... PMD doesn’t appear on the prior authorization list, submit the order to the supplier before claim submission. Only power wheelchairs require the written order prior to delivery.

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