Attention Medical Equipment and Supplies (MES) and Complex Rehabilitation Technology (CRT) providers:
Retroactive for dates of service on and after October 1, 2024, the Health Care Authority (HCA) does not require prior authorization (PA) for the following HCPCS codes:
HCPCS Codes: A4660, A4663, A4670, E2601, E2602, E2603, E2604, E2605, E2606, E0994, K0019, E0951, E0952, E2611, E2612, E2216, E2217, E2218, E2219, E2220, E2221, E2222.
HCA has corrected both the Medical Equipment and Supplies Billing Guide, published January 1, 2025, and the Complex Rehabilitation Technology (CRT) Products and Related Services Billing Guide, published January 8, 2025, to reflect these changes and to align with the current fee schedules.
Questions?
Please direct all questions related to this alert to the FFS Durable Medical Equipment (DME) Program.
For specific PA questions, contact the Authorization Services Office (ASO).
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