Federal Register #2026-06616

CMS Delays Prior Authorization for Select Medicare Services under WISeR Model

This notice from the Centers for Medicare & Medicaid Services (CMS) announces a delay in the implementation of prior authorization requirements for select Medicare services under the WISeR model. - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - Affected Services: - Deep Brain Stimulation for Essential Tremor and Parkinson's Disease (NCD 160.24) - Percutaneous Image-Guided Lumbar Decompression for Spinal Stenosis (NCD 150.13) - No products, OEMs, or vendors are specified - No purchase quantities or part numbers are listed - Purpose of Notice: - To provide additional time for operational readiness before implementing prior authorization or prepayment review for these services - No procurement, solicitation, or award is being announced - No unique technical or business requirements are included

Description

This notice announces a delay in the implementation of prior authorization requirements for two specific services under the Wasteful and Inappropriate Services Reduction (WISeR) model. The delay affects Deep Brain Stimulation for Essential Tremor and Parkinson's Disease and Percutaneous Image-Guided Lumbar Decompression for Spinal Stenosis. The prior authorization or prepayment review processes for these services will be postponed until a future date to be announced, allowing additional time for operational readiness.

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