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View these guidelines regarding what it means for a service to be "reasonable and necessary."
Self-administered drugs
The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer comments related to proposed local coverage determinations (LCDs) and/or the revised portion of a proposed LCD tha…
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…
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 last updated January…
View the most recent updates for our LCDs and articles. A final LCD has become effective.
Clinical trials background
What regulatory guidance addresses devices and clinical trials in the Medicare program?
The CAC is used to supplement the MAC’s internal expertise and to ensure an unbiased and contemporary consideration of “state of the art” technology and science. Please read this fact sheet for more details.
View the information for the upcoming June 4 CAC meeting for providers and interested stakeholders in Florida, Puerto Rico, and the U.S. Virgin Islands.