Reminder: DMEPOS order and prior-authorization lists
Published November 4, 2026 · Coverage October 25–31, 2026, Pacific · Medium priority
The July 30 notice set October 28, 2026 as the general implementation date for its DMEPOS list updates. It adds 22 specified HCPCS codes to the face-to-face encounter and written-order-before-delivery list and separately adds eight specified codes to the required prior-authorization list. Prior authorization for specified upper-limb orthoses is phased, starting October 28 in California, Florida, Michigan and New York; later phases are January 26 and April 26, 2027. The date’s arrival does not itself establish actual implementation; exact codes, exceptions and later amendments remain open.
Suggested owner and action: DMEPOS suppliers, enrollment and billing teams can check the applicable HCPCS codes, geographic phases, exceptions and current instructions before changing ordering or delivery workflows.
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