Starting in December, Medicare will begin requiring prior authorization for certain procedures when performed in ambulatory surgical centers. Dreamstime/TCA
By Donna LeValley From Kiplinger’s Personal Finance
Medicare beneficiaries in 10 states will soon be participating in a new prior authorization program. The Centers for Medicare & Medicaid Services (CMS) is implementing a five-year demonstration project for prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs), starting in December 2025. The targeted services are procedures that can be medically necessary, but could also be considered cosmetic procedures.
