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Last Modified: 9/10/2020 Location: FL, PR, USVI Business: Part A, Part B

Informal meeting requests

The local coverage determination (LCD) process may begin with informal meetings in which interested parties in the Medicare administrative contractor’s (MAC’s) jurisdiction can informally discuss potential new LCD requests. These meetings are for educational purposes only and are not pre-decisional negotiations. These meetings are permitted but are not required and the process allows requestors to communicate via conference call or in-person meeting before submitting a formal request. These meetings will assure that all relevant evidence needed for review for coverage is submitted with the request for a formal review. Detailed instructions regarding the LCD development process are found in the Centers for Medicare & Medicaid Services (CMS) internet-only manual (IOM), publication 100-08, Medicare program integrity manual (PIM), chapter 13. The process includes consultations with experts, publication of the proposed policy, opportunity for public comments in writing, publication of a final LCD, response to public comments and notice of the new policy.
The LCD development process can be viewed at the following link: LCD Development Process
Interested parties may request an informal meeting with the MAC for jurisdiction N (JN) by sending an email request to First Coast at medicalaffairs@guidewellsource.com.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.