{"abstract":"This proposed rule would establish a prior authorization process for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are frequently subject to unnecessary utilization and would add a contractor's decision regarding prior authorization of coverage of DMEPOS items to the list of actions that are not initial determinations and therefore not appealable.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2014/05/28/2014-12245.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"79 FR 30511","comment_url":null,"comments_close_on":"2014-07-28","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time on July 28, 2014.","disposition_notes":null,"docket_ids":["CMS-6050-P"],"dockets":[],"document_number":"2014-12245","effective_on":null,"end_page":30531,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2014/05/28/2014-12245.xml","html_url":"https://www.federalregister.gov/documents/2014/05/28/2014-12245/medicare-program-prior-authorization-process-for-certain-durable-medical-equipment-prosthetics","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2014-12245?publication_date=2014-05-28","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2014-05-28/2014-12245/mods.xml","not_received_for_publication":null,"page_length":21,"page_views":{"count":6134,"last_updated":"2026-04-04 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2014-05-28/pdf/2014-12245.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2014-12245.pdf?1400790130","publication_date":"2014-05-28","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2014/05/28/2014-12245.txt","regulation_id_number_info":{"0938-AR85":{"issue":"201510","html_url":"https://www.federalregister.gov/regulations/0938-AR85/prior-authorization-process-for-certain-durable-medical-equipment-prosthetics-orthotics-and-supplies","title":"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items (CMS-6050-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201510&RIN=0938-AR85&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR85"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AR85/prior-authorization-process-for-certain-durable-medical-equipment-prosthetics-orthotics-and-supplies","title":"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items (CMS-6050-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2014-0070","supporting_documents_count":0,"docket_id":"CMS-2014-0070","regulation_id_number":"0938-AR85","title":"Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items (CMS-6050-P)","checked_regulationsdotgov_at":"2014-07-29T16:31:11Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":30511,"subtype":null,"title":"Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items","toc_doc":"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Items","toc_subject":"Medicare Programs:","topics":["Administrative practice and procedure","Health facilities","Health professions","Kidney diseases","Medical devices","Medicare","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Proposed Rule","volume":79}