Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.5
When a New Order/Prescription is Required
5.2.5 - When a New Order/Prescription is Required
(Rev. 10190; Issued: 06-19-2020; Effective: 01-01-2020; Implementation: 07-01-
2020)
A new order/prescription is required:
• For all claims for purchases or initial rentals;
• If there is a change in the DMEPOS order/prescription (e.g., quantity);
• On a regular basis (even if there is no change in the order/prescription) only if it is so
specified in the documentation section of a particular medical policy;
• When an item is replaced; and
• When there is a change in the supplier, and the new supplier is unable to obtain a copy
of a valid order/prescription for the DMEPOS item from the transferring supplier.