Medical policy

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Process flowcharts for new LCD and LCD reconsideration requests

Flowcharts for new LCD and LCD reconsideration requests to provide step-by-step instructions of the processes.

Proposed LCDs

General information regarding proposed LCDs and open meetings.

Clinical trials background

Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination (NCD) 310.1, as well as reasonable and necessary items and services used…

Understanding clinical trials and device coverage

Clinical trials background What regulatory guidance addresses devices and clinical trials in the Medicare program? 

Additional frequently asked questions about clinical trials and device coverage

View these additional FAQs about clinical trials and device coverage.

View our Journey to LCD coverage page

Visit our Journey to LCD coverage page to find more information related to LCDs, including the LCD development process and how to become involved, as well as how local and national coverage…

Proposed LCDs

General information regarding proposed LCDs and open meetings.

Clinical trials background

Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination (NCD) 310.1, as well as reasonable and necessary items and services used…

Multi-jurisdictional contractor advisory committee (CAC) meeting minutes

Multi-jurisdictional CAC meeting minutes

Humanitarian device exemption

First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate…