Special Open Door Forums

When a Special Open Door Forum (ODF) is scheduled, please refer to the "Downloads" section below for the Special ODF details and RSVP information. Approximately one week after the Special ODF has passed, the announcement, transcript and MP3 audio file will be posted under the "Downloads" section in one Download link for 30 days.

CMS has Special Forums throughout the year, to independently discuss new and important program topics. 

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**Updated May 19, 2020- Special Open Door Forum (SODF), Prior Authorization Process and Requirements for Certain Outpatient Hospital Department Services, Thursday, May 28, 2020 from 1:30pm-3pm ET. The Centers for Medicare & Medicaid Services, Center for Program Integrity (CPI) will host a Special Open Door Forum to invite hospital providers, physicians, and other Medicare practitioners or interested parties to discuss the Prior Authorization Process and Requirements for Certain Outpatient Hospital Department (OPD) Services. As announced in the Calendar Year 2020 Outpatient Prospective Payment System/Ambulatory Surgical Center Final Rule (CMS-1717-FC), as published on November 12, 2019, CMS will require prior authorization for the following service categories: blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. Prior authorization will be required nationwide for dates of service beginning on or after July 1, 2020. Here is the link to our website where slides will be posted in advance of this ODF: https://www.cms.gov/research-statistics-data-systems/medicare-fee-service-compliance-programs/prior-authorization-initiatives/prior-authorization-certain-hospital-outpatient-department-opd-servicesThe final rule that establishes this program can be found on page 61446 using this link: https://www.govinfo.gov/content/pkg/FR-2019-11-12/pdf/2019-24138.pdf. We look forward to your participation. If you wish to participate, dial 1-888-455-1397 & Conference ID: 9375124We look forward to your participation. Please see the Downloads section below for the full call announcement. Thank you for your continued interest in the CMS Open Door Forums.

Page Last Modified:
05/19/2020 01:15 PM