# 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.

Use the tool on the [web page](https://tmsclinics.fyi/tools/tms-authorization-readiness). It works without JavaScript.

## How to use it

1. Enter i have the current payer policy and the clinic has checked it.
2. Enter the clinic has the assessment and treatment order.
3. Enter the clinic has the previous-care records required by the policy.
4. Enter the clinic has any required psychotherapy and symptom-measure records.
5. Enter the clinic has documented the proposed device, protocol and safety review.
6. Enter network status, request route and planned visits are confirmed.
7. Read the result.

## How it works

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.

> 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.

> Talk to a psychiatrist or other qualified clinician before you start, stop or change treatment. In a mental health emergency call 911 in the US and Canada (or call or text 988), 999 in the UK (or call NHS 111), or 000 in Australia (or call Lifeline on 13 11 14).