New Durable Medical Equipment Codes Added to Prior Authorization Requirement
CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (collectively “CareFirst”) is continually working with healthcare delivery partners to optimize Utilization Management (UM) strategies to increase efficiencies and control costs, while ensuring members receive affordable, quality care. Prior Authorization helps balance access with appropriate utilization of high-cost durable medical equipment (DME).
Effective August 1, 2023, the DME procedure codes for power operated vehicles, power wheelchairs and power mobility devices will require prior authorization for BlueChoice HMO and CareFirst PPO members.
You can find these, along with other DME codes, on the DME Prior Authorization List. You can also find this list on our Prior Authorization webpage.