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The local coverage determination (LCD) development process

January 8, 2026
General information on the local coverage development (LCD) process.

NCD 110.24: Chimeric Antigen Receptor (CAR) T-cell therapy

January 26, 2026
Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for the treatment for cancer. Article was updated January 23, t…

Proposed LCDs - submit comments

December 30, 2025
Please view these guidelines for submitting comments on proposed LCDs.

Multi-jurisdictional contractor advisory committee (CAC) meeting minutes

December 30, 2025
Multi-jurisdictional CAC meeting minutes

Cardiac lithotripsy: A modern approach to coronary artery calcification

February 9, 2026
In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL).

Prior authorization for ambulance transports is for repetitive transports

February 16, 2026
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks. Repetitive ambulance services are often needed…

Locate guidelines on the CMS website

February 18, 2026
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.

Investigational device exemption (IDE) studies

February 24, 2026
Requirements for IDEs approved by CMS.

Retirement of LCDs and local coverage articles

February 24, 2026
View these reasons why First Coast may consider retiring LCDs and articles.

Proposed LCDs

February 24, 2026
General information regarding proposed LCDs and open meetings.
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