TMS prior-authorization readiness checklist
Check paperwork readiness, not treatment eligibility. Mark a task only when the clinic has confirmed it. Do not enter diagnoses, medicines or health records. The checklist follows topics in WPS Medicare LCD L34641.
How we calculated this
CMS/WPS LCD L34641, revision effective 26 March 2026, https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34641, fetched 2026-10-29. Coverage topics include confirmed severe major depressive disorder, medication history or intolerance, psychotherapy, symptom measures and a psychiatrist’s order and supervision. The clinical team must interpret the exact policy wording.
This tool asks whether paperwork exists. It does not ask whether you meet diagnostic or medical-necessity rules. Payer policy, network status and request procedures must be checked separately. Marking every box produces a prompt for clinic review, not an approval score.
Medicare LCDs are local. Private insurers and other countries use different rules. Give clinical records to your treating team through a secure channel.
Method checked on 2026-10-29.
Not a medical assessment or a coverage decision. Confirm suitability, protocol and cost with a qualified clinician.
Questions
- Does a complete checklist mean I qualify?
- No. Your clinician assesses suitability and the payer decides coverage. The checklist only tracks document tasks.
- What if I use a different insurer?
- Ask for its current written policy. Use this list only to start the paperwork discussion.
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