2024 DME MAC Jurisdiction C News
NOTE: All articles and announcements for 2024 are available on our Articles Archive Page
November 2024
- MLN Connects Newsletter: Nov 14, 2024 – 11.14.24
- Topical Oxygen Therapy Contractor Advisory Committee (CAC) Agenda – December 11, 2024 – 11.14.24
- Reduce the CERT Error Rate: Tip #5 – Medical Necessity – 11.13.24
- MLN Connects Newsletter: Nov 7, 2024 – 11.07.24
- Contractor Advisory Committee (CAC) Meeting Information - Oxygen and Oxygen Equipment (L33797) – 11.07.24
- Policy Article Revision Summary for November 7, 2024 – 11.07.24
- Code Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650) – Revised – 11.07.24
- Dear Physician – Respiratory Assist Devices for Chronic Obstructive Pulmonary Disease – 11.07.24
- Dear Physician – Respiratory Assist Devices for Hypoventilation Syndrome – 11.07.24
- Dear Physician – Respiratory Assist Devices for Restrictive Thoracic Disorders – 11.07.24
- Dear Physician – Sleep Test Scoring and Medicare – 11.07.24
- Dear Physician – Therapeutic Shoes for Persons with Diabetes: Physician Documentation Requirements – 11.07.24
- IVR Beneficiary Eligibility – 11.05.24
- Medical Review Quarterly Reports by Policy – 11.05.24
- Voluntary Refunds – Calendar Year 2024 – 11.01.24
October 2024
- ¡Ofrecemos educación en español! We offer education in Spanish! – 10.31.24
- Finger, Hand, Hand-Finger, Wrist-Hand, Wrist-Hand-Finger Orthoses Modifiers – 10.31.24
- MLN Connects Newsletter: October 31, 2024 – 10.31.24
- 2024 DMEPOS HCPCS Code Jurisdiction List – October Update – 10.31.24
- Dear Physician – Home Oxygen Initial Qualification Testing – 10.31.24
- Dear Physician – Medical Records – 10.31.24
- Dear Physician – Durable Medical Equipment – An Easy Option for Documenting Continued Use – 10.31.24
- Dear Physician – Respiratory Assist Devices for Central Sleep Apnea or Complex Sleep Apnea – 10.31.24
- Dear Physician – Negative Pressure Wound Therapy – 10.31.24
- Dear Physician – Documentation Requirements for Power Wheelchairs and Power Operated Vehicles – 10.31.24
- myCGS 9.0 Featuring Overpayment Recovery Form Submission—Available Now! – 10.25.24
- MLN Connects Newsletter: October 24, 2024 – 10.24.24
- Dear Physician – Insulin for Insulin Infusion Pumps – 10.24.24
- Dear Physician – Positive Airway Pressure Devices: Initial Qualification – 10.24.24
- Dear Physician – Commodes – Documentation Requirements – 10.24.24
- Dear Physician – Masks: Positive Airway Pressure Devices and Respiratory Assist Devices – 10.24.24
- Dear Physician – Documentation of Artificial Limbs and Braces (O&P) – 10.24.24
- Dear Physician – Positive Airway Pressure (PAP) Devices: Replacement – 10.17.24
- Dear Physician – Intermittent Urinary Catheterization – 10.17.24
- Dear Physician – Glucose Monitors and Supplies – 10.17.24
- Dear Physician – Airway Clearance: High Frequency Chest Wall Oscillation Devices & Mechanical In-Exsufflation Devices Physician Documentation Requirements – 10.17.24
- MLN Connects Newsletter: October 17, 2024 – 10.17.24
- LCD and Policy Article Revisions Summary for October 17, 2024 – 10.17.24
- The 4th Quarter 2024 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 10.14.24
- Hurricane Milton – Key Information for Florida – 10.10.24
- MLN Connects Newsletter: October 10, 2024 – 10.10.24
- Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) – Correct Coding – Revised – 10.10.24
- Custom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code – Correct Coding – Revised – 10.10.24
- Dear Physician – Nebulizers – Coverage Criteria and Physician Documentation Requirements – 10.10.24
- Dear Physician – Manual Wheelchair Bases – Documentation Requirements – 10.10.24
- Dear Physician – Durable Medical Equipment – Documentation of Continued Medical Necessity – 10.10.24
- Dear Physician – Continuous Glucose Monitors – 10.10.24
- Dear Physician – CERT Enteral Nutrition – 10.10.24
- Hurricane Milton: CGS Resources to Help You – 10.09.24
- PrEP Fee Amounts – 10.08.24
- The 4th Quarter 2024 Drug Fees are now available – 10.03.24
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: October 4–6, 2024 – 10.03.24
- Pneumatic Compression Devices – Correct Coding and Billing – 10.03.24
- Retirement of Pneumatic Compression Devices Local Coverage Determination (LCD) and Related Policy Article – Effective November 14, 2024 – 10.03.24
- MLN Connects Newsletter: October 3, 2024 – 10.03.24
- Hurricane Helene – Key Information for Florida, Georgia, North Carolina, South Carolina, Tennessee – 10.03.24
- The Fall 2024 JC Supplier Manual is now available – 10.01.24
September 2024
- 2024 HCPCS Code Update – October Edition – Correct Coding – 09.26.24
- Policy Article Revision Summary for September 26, 2024 – 09.26.24
- myCGS – How to Get Access to Locked Tabs – 09.26.24
- MLN Connects Newsletter: September 26, 2024 – 09.26.24
- DME MAC Program Manager Update – MAC Customer Experience (MCE) Survey – 09.24.24
- MLN Connects Newsletter: September 19, 2024 – 09.19.24
- Policy Article Revisions Summary for September 12, 2024 – 09.12.24
- MLN Connects Newsletter: September 12, 2024 – 09.12.24
- October 2024 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 09.09.24
- Prior Authorization and Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1845, L1951) and Spinal Orthoses (L0631, L0637, L0639) – 09.05.24
- MLN Connects Newsletter: September 5, 2024 – 09.05.24
- Effective August 28, 2024: Prior Authorization Suspended For Osteogenesis Stimulators: Effective August 28, 2024, CMS is suspending Prior Authorization for osteogenesis stimulators HCPCS codes (E0747, E0748, and E0760). Do not send a prior authorization for these HCPCS codes. – 09.03.24
August 2024
- MLN Connects Newsletter: August 29, 2024 – 08.29.24
- Policy Article Revisions Summary for August 29, 2024 – 08.29.24
- New! KU Modifier Tool – 08.22.24
- Capecitabine Oral Anti-Cancer Drug Billing Instructions Effective October 1, 2024 – 08.22.24
- MLN Connects Newsletter: August 22, 2024 – 08.22.24
- Correct Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses) – Revised – 08.22.24
- myCGS 8.9 Adds New Field to SNF/Hospital Inquiries – 08.19.24
- Lymphedema Compression Treatment Items Fact Sheet – 08.16.24
- MLN Connects Newsletter: August 15, 2024 – 08.15.24
- Ohtuvayre® (ensifentrine) – Correct Coding and Coverage – 08.15.24
- Dear Physician – Hospital Beds and Accessories – 08.15.24
- Dear Physician – Written Order Prior to Delivery and Face-to-Face Encounter – 08.15.24
- Dear Physician – Medicare Prior Authorization Condition of Payment for Group 2 Pressure Reducing Support Surfaces (PRSS) – 08.15.24
- Dear Physician – Ankle-Foot/Knee-Ankle-Foot Orthoses – 08.15.24
- Dear Physician – Medicare Prior Authorization for Certain Power Mobility Devices and Accessories – 08.15.24
- Dear Physician – Knee Orthoses – 08.15.24
- New "To the Point" video: myCGS Password Requirements – 08.12.24
- New "To the Point" video: myCGS Terms of Use – 08.12.24
- Delay of Prior Authorization Requirements for Osteogenesis Stimulators – 08.09.24
- MLN Connects Newsletter: August 8, 2024 – 08.08.24
- Policy Article Revisions Summary for August 8, 2024 – 08.08.24
- Medical Review Quarterly Reports by Policy – 08.07.24
- Hospital Beds added to Required Face-to-Face and WOPD Effective August 12, 2024 – 08.05.24
- Effective August 12: New Orthoses Codes Added to Required Prior Authorization and WOPD – 08.05.24
- Effective August 12: Osteogenesis Stimulators Require Prior Authorization in Four States – 08.05.24
- MLN Connects Newsletter: August 1, 2024 – 08.01.24
- Clinicians! Are You Ordering PAP Devices and Related Accessories for Your Patients? – 08.01.24
- LCD Revisions Summary for August 1, 2024 – 08.01.24
July 2024
- myCGS 8.8 Adds New Features to the View NPI/PTAN and Claim Status Screens – 07.30.24
- Effective August 12, 2024: New Codes Added to Required Prior Authorization – 07.29.24
- MLN Connects Newsletter: July 25, 2024 – 07.25.24
- DME MAC Program Manager Update – New Supplier/New Biller Resources – 07.25.24
- Electronic Funds Transfer (EFT) Form Requests from the NPE – 07.22.24
- New! Positive Airway Pressure (PAP) Reimbursement FAQ #13: I am receiving overutilization denials on PAP accessories claims. What steps should I take to prevent these denials? – 07.22.24
- LCD and Policy Article Revisions Summary for July 18, 2024 – 07.18.24
- Lower Limb Prostheses – Final LCD and Response to Comments (RTC) Article Published – 07.18.24
- MLN Connects Newsletter: July 18, 2024 – 07.18.24
- The 2nd Quarter 2024 DMEPOS Fee Schedule have been revised. – 07.17.24
- The 3rd Quarter 2024 Drug Fees are now available and the 2nd Quarter 2024 and 3rd Quarter 2023 Drug Fees have been revised – 07.12.24
- The 3rd Quarter 2024 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 07.12.24
- MLN Connects Newsletter: July 11, 2024 – 07.11.24
- Retired: ALYGLO® (immune globulin intravenous, human-stwk), 10% Liquid – Correct Coding and Coverage – 07.11.24
- Osteogenesis Stimulators and Required Prior Authorization – 07.10.24
- Orthoses Prior Authorization Updates Reminder – 07.10.24
- Hospital Beds & WOPD Effective August 12, 2024 – Reminder – 07.10.24
- MLN Connects Newsletter: July 3, 2024 – 07.03.24
- Treating Practitioner Evaluation of the Blood Gas Study for Oxygen – 07.03.24
- Insulin Fee Schedule Reduced July 1, 2024 – 07.03.24
- The Summer 2024 JC Supplier Manual is now available – 07.01.24
June 2024
- July 2024 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – Revised – 06.27.24
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: June 28–30, 2024 – 06.27.24
- Policy Article Revisions Summary for June 27, 2024 – 06.27.24
- MLN Connects Newsletter: June 27, 2024 – 06.27.24
- myCGS 8.7 Now Available – 06.26.24
- Lymphedema Compression Treatment Items Frequently Asked Questions (FAQs) – 06.25.24
- Prior Authorization HCPCS Codes – 06.20.24
- Policy Article Revisions Summary for June 20, 2024 – 06.20.24
- MLN Connects Newsletter: June 20, 2024 – 06.20.24
- 2024 DMEPOS HCPCS Code Jurisdiction List – July Update – 06.19.24
- Methotrexate Oral Anti-Cancer Drug Billing Instructions Effective July 1, 2024 – 06.19.24
- Ascension Health Cyber Related Incident – 06.14.24
- MLN Connects Newsletter: June 13, 2024 – 06.13.24
- Policy Article Revisions Summary for June 13, 2024 – 06.13.24
- Wheelchair Replacements When the Manufacturer Exits Wheelchair Business – Effective July 8 – 06.13.24
- Orthoses Codes Added to Required Prior Authorization & Face-to-Face Encounter and Written Order Prior To Delivery (WOPD) Lists Effective August 12, 2024 – 06.12.24
- Osteogenesis Stimulators Added to Required Prior Authorization – 06.12.24
- Hospital Beds Coded E0290, E0301, & E0304 Require Face-to-Face Encounter and Written Order Prior To Delivery (WOPD) Effective August 12, 2024 – 06.10.24
- Dear Physician – Medicare Record Authentication – Tips for Physicians – 06.10.24
- Dear Physician – Medicare Coverage of Immunosuppressive Drugs – 06.10.24
- Signature Attestation Statement – 06.10.24
- Policy Article Revisions Summary for June 6, 2024 – 06.06.24
- MLN Connects Newsletter: June 6, 2024 – 06.06.24
- Positive Airway Pressure (PAP) Accessories and Supplies Medical Record Documentation Fact Sheet – 06.06.24
- Prior Authorization Smart Submission (PASS) Fact Sheet – 06.05.24
- myCGS 8.6 Now Available – 06.04.24
May 2024
- MLN Connects Newsletter: May 30, 2024 – 05.30.24
- Retired: Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1951) and Osteogenesis Stimulator (E0747, E0748, E0760) – 05.30.24
- Power Wheelchair Electronics Clarification – 05.30.24
- myCGS 8.5 Now Available – 05.28.24
- July 2024 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 05.28.24
- MLN Connects Newsletter: May 23, 2024 – 05.23.24
- 2024 Hurricane Season Update from CGS – 05.23.24
- Face-to-Face Encounter and Written Order Prior To Delivery (WOPD) List Update Effective August 12, 2024 – 05.20.24
- Updates to the Master List and Required Prior Authorization List Effective August 12, 2024 – 05.17.24
- Medical Review Quarterly Reports by Policy – 05.17.24
- MLN Connects Newsletter: May 16, 2024 – 05.16.24
- Policy Article Revisions Summary for May 16, 2024 – 05.16.24
- Correct Billing and Coding of Ventilators – 05.09.24
- Code Verification Review Requirement for Multi-Functional Ventilators – 05.09.24
- Policy Article Revisions Summary for May 9, 2024 – 05.09.24
- Prior Authorization for Replacement of Power Mobility Devices (PMDs) – Effective June 02, 2024 – 05.09.24
- MLN Connects Newsletter: May 9, 2024 – 05.09.24
- Practitioners! Are You Ordering Ankle-Foot /Knee-Ankle-Foot Orthoses (AFO/KAFO) for Your Patients? – 05.07.24
- Reduce the CERT Error Rate: Tip #3 – Avoid Insufficient Documentation Errors – 05.06.24
- Retired: Correct Coding of ActaStim-S Spine Fusion Stimulator – 05.02.24
- LCD and Policy Article Revisions Summary for May 2, 2024 – 05.02.24
- MLN Connects Newsletter: May 2, 2024 – 05.02.24
April 2024
- Practitioners! Are You Ordering Nebulizers and Inhalation Medication for Your Patient? – 04.30.24
- myCGS 8.4 Improves the Prior Authorization Smart Submission Process – 04.29.24
- 2024 DMEPOS HCPCS Code Jurisdiction List – April Update – 04.29.24
- MLN Connects Newsletter: April 25, 2024 – 04.26.24
- DME MAC Program Manager Update – Workgroup Collaboration – 04.25.24
- MLN Connects Newsletter: April 25, 2024 – 04.25.24
- Uploading Documents in the myCGS DME Web Portal – 04.25.24
- The 2nd Quarter 2024 Drug Fees are now available – 04.19.24
- Reduce the CERT Error Rate: Avoid These Common Errors – 04.16.24
- New FAQ! Can the SWO list multiple types of CPAP and RAD supplies? – 04.15.24
- April 2024 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – Revised – 04.12.24
- Provider Level Adjustment Codes on Remittance Advice – 04.12.24
- MLN Connects Newsletter: April 11, 2024 – 04.11.24
- 2024 HCPCS Code Update – April Edition – Correct Coding – 04.11.24
- The 2nd Quarter 2024 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 04.10.24
- LCD Revisions Summary for April 4, 2024 – 04.04.24
- MLN Connects Newsletter: April 4, 2024 – 04.04.24
- Your Voice Matters to CGS Customer Support! – 04.02.24
- The Spring 2024 JC Supplier Manual is now available – 04.01.24
March 2024
- MLN Connects Newsletter: March 28, 2024 – 03.28.24
- Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: March 29–31, 2024 – 03.28.24
- PureWick Urine Collection System – Coding and Billing Instructions – Revised – 03.28.24
- Continuous Glucose Monitors (CGMs) Questions & Answers from Provider Outreach and Education – 03.27.24
- myCGS 8.3 Adds Rep Payee Indicator to Beneficiary Eligibility – 03.25.24
- MLN Connects Newsletter: March 21, 2024 – 03.21.24
- Policy Article Revisions Summary for March 21, 2024 – 03.21.24
- New FAQ! Can a prior authorization decision be transferred to another supplier? – 03.21.24
- New! Ostomy Supplies Documentation Checklist – 03.19.24
- Remittance Advices (RAs) Available in myCGS Web Portal – 03.15.24
- Dear Certifying Physician – Therapeutic Shoes for Persons with Diabetes: Tips for Certifying Physicians and Podiatrist Suppliers – 03.14.24
- Policy Article Revisions Summary for March 14, 2024 – 03.14.24
- MLN Connects Newsletter: March 14, 2024 – 03.14.24
- April 2024 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 03.08.24
- MLN Connects Newsletter: March 7, 2024 – 03.07.24
- Policy Article Revisions Summary for March 7, 2024 – 03.07.24
- New "To The Point" Video: myCGS Prior Authorization Smart Submission (PASS) – 03.06.24
- New "To The Point" Video: Submitting a CGS Connect Request – 03.06.24
- Welcome to Medicare Webinar – 03.04.24
- Billing Repairs of DMEPOS Items Reminder – 03.04.24
- Prior Authorization for Beneficiaries with Retroactive Medicare Coverage – 03.04.24
- Physicians: Are You Ordering DMEPOS for Your Patients? – 03.01.24
- myCGS 8.2.1 Now Available – 03.01.24
- Use Self-Service Technology for Beneficiary and Claim Information – 03.01.24
February 2024
- Visit the New Supplier Welcome Center for helpful information for new suppliers and new staff. – 02.29.24
- Lymphedema Compression Treatment Items – Correct Coding and Billing – Revised – 02.29.24
- Policy Article Revisions Summary for February 29, 2024 – 02.29.24
- MLN Connects Newsletter: February 29, 2024 – 02.29.24
- Save Time When You Call Customer Service – 02.23.24
- MLN Connects Newsletter: February 22, 2024 – 02.22.24
- External Infusion Pumps and Related Drugs – Revised – 02.22.24
- External Upper Limb Tremor Stimulator Therapy – Final LCD and Response to Comments (RTC) Article Published – 02.22.24
- Continuous Glucose Monitors (CGMs) Supply Allowance Billing Reminder – 02.20.24
- Switching Glucose Monitor Supplies – 02.20.24
- MLN Connects Newsletter: February 15, 2024 – 02.15.24
- LCD Revisions Summary for February 15, 2024 – 02.15.24
- Calculating Enteral Nutrition Units of Service – Rounding Rules – 02.14.24
- Continuous Glucose Monitor (CGM) Supply Allowance – 02.14.24
- myCGS 8.2 Brings More Improvements to Prior Authorization Smart Submission and More! – 02.13.24
- Medical Review Quarterly Reports by Policy – 02.12.24
- Policy Article Revisions Summary for February 8, 2024 – 02.08.24
- Open Meeting Agenda – Lower Limb Prostheses Proposed Local Coverage Determination (LCD) – 02.08.24
- MLN Connects Newsletter: February 8, 2024 – 02.08.24
- 3-D Printed Orthotic Devices – Correct Coding – 02.01.24
- MLN Connects Newsletter: February 1, 2024 – 02.01.24
- New Requirement When Calling the Provider Contact Center – Effective March 1, 2024 – 02.01.24
January 2024
- Refillable DMEPOS Documentation Requirements – MLN Matters Article MM13480 – 01.29.24
- Important Billing Reminder for A4258/Spring-Powered Device for Lancet – Blood Glucose Monitors – Revised – 01.26.24
- LCD Revisions Summary for January 25, 2024 – 01.25.24
- Lymphedema Compression Treatment Items Requirement for Registration with the Food and Drug Administration – 01.25.24
- MLN Connects Newsletter: Jan 25, 2024 – 01.25.24
- CGS Search Engine Experiencing Temporary Outage – 01.24.24
- Paper Claim Submission Errors – 01.23.24
- Q&A from Refill Documentation Updates Ask the Contractor Meeting (ACM) on December 20, 2023 – 01.22.24
- Infusion Therapy Drug Calculator – 01.22.24
- 2024 DMEPOS HCPCS Code Jurisdiction List – 01.19.24
- Open Meeting Announcement – Lower Limb Prostheses Proposed Local Coverage Determination (LCD) – 01.18.24
- Proposed Local Coverage Determination (LCD) Released for Comment – Lower Limb Prostheses – 01.18.24
- Retired: Home Assessment for Manual Wheelchairs – Reminder – 01.18.24
- Policy Article Revisions Summary for January 18, 2024 – 01.18.24
- MLN Connects Newsletter: Jan 18, 2024 – 01.18.24
- MLN Connects Newsletter: Jan 11, 2024 – 01.11.24
- The 2024 Labor Fees for codes K0739, L4205, and L7520 are now available – 01.08.24
- The 1st Quarter 2024 Drug Fees are now available – 01.08.24
- MLN Connects Newsletter: Jan 4, 2024 – 01.04.24
- Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – January 2024 – 01.04.24
- 2024 HCPCS Code Update – January Edition – Correct Coding – 01.04.24
- The Winter 2024 JC Supplier Manual is now available – 01.02.24
Looking for older articles? All DME MAC Jurisdiction C articles and announcements can be found on our Articles Archive Pages: