Medical policy

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Local and national coverage reference guide

Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).

Drugs and biologicals: Self-administered drug exclusions

Self-administered drugs 

Proposed local coverage determination: Contractor advisory committee (CAC) meetings

Information for the upcoming CAC meetings for providers and interested stakeholders in Florida, Puerto Rico, and the U.S. Virgin Islands.

FastTrack to Medicare coverage policies

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

FastTrack to Medicare coverage policies

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

Locate guidelines on the CMS website

A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this article for more information.

View LCDs

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active…

View LCDs

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active…

RSNAT (repetitive scheduled non-emergent ambulance transportation) glossary tool

The following article provides a list of common terms used by the medical review department for prior authorization requests.

Locate guidelines on the CMS website

A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this article for more information.