Local Coverage Determinations
What is an LCD?
Local coverage determinations (LCDS) are defined in Section 1869(f)(2)(B) of the Social Security Act (the Act). This section states: “For purposes of this section, the term ‘local coverage determination' means a determination by a fiscal intermediary or a carrier under part A or part B, as applicable, respecting whether or not a particular item or service is covered on an intermediary- or carrier-wide basis under such parts, in accordance with section 1862(a)(1)(A).”
- LCD Process Modernization Qs & As (PDF)
- Medicare Program Integrity Manual, Chapter 13 - Local Coverage Determinations (PDF)
- LCD What's New Report (Local Coverage Documents (LCDs) and Articles that were updated in the most recent Medicare Coverage Database (MCD) weekly update)
Upcoming Meetings
Date | MAC/Jurisdiction | Location | Issues/Topics |
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October 17, 2024 (PDF) 3:00 – 5:00 PM ET/ 2:00- 4:00 PM CT | Multi-Jurisdictional CAC Meeting (hosted by NGS) -Noridian, JE/JF -WPS, J5/J8 -CGS | Webex Teleconference | Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) |
October 23, 2024 (PDF) 1:00 PM CT – 3:00 PM CT (2:00 Pm – 4:00 PM ET) | WPS/J5,J8 | Webinar | Fall Proposed LCDs – Molecular Diagnostics (MolDX) |
October 24, 2024 (PDF) 12:00 – 2:00 PM ET/ 11:00- 1:00 PM CT | NGS, J6/JK | Webex Teleconference |
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October 24, 2024 (PDF) 5:00 PM CT – 7:00 PM CT (6:00 Pm – 8:00 PM ET) | WPS/J5,J8 | Webinar | Fall Proposed LCDs – Molecular Diagnostics (MolDX) |
October 29, 2024 (PDF) 4-5 PM ET | CGS, J15 KY | Onsite and Teleconference/Webinar via Microsoft Teams |
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October 30, 2024 (PDF) 4-5 PM ET | CGS, J15 OH | Onsite and Teleconference/Webinar via Microsoft Teams |
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Click the date for more information on each meeting
Medicare Administrative Contractors
A / C / D / F / G / H / I / K / L / M / N / O / P / R / S / T / U / V / W
State | Jurisdiction (J) | Medicare Administrative Contractor (MAC) |
---|---|---|
Alabama | DME MAC - JC A/B MAC - JJ HH + H MAC - JM | |
Alaska | DME MAC - JD A/B MAC - JF HH+ H MAC - J6 | Noridian Healthcare Solutions, LLC |
American Samoa | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Arizona | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Arkansas | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
California | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Colorado | DME MAC - JC A/B MAC - JH HH + H MAC - J15 | |
Connecticut | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
Delaware | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
District of Columbia | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
Florida | DME MAC - JC A/B MAC - JN HH + H MAC - JM | |
Georgia | DME MAC - JC A/B MAC - JJ HH + H MAC - JM | |
Guam | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Hawaii | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Idaho | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Illinois | DME MAC - JB A/B MAC - J6 HH + H MAC - JM | |
Indiana | DME MAC - JB A/B MAC - J8 HH + H MAC - JM | Wisconsin Physicians Service Government Health Administrators |
Iowa | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Kansas | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Kentucky | DME MAC - JB A/B MAC - J15 HH + H MAC - JM | |
Louisiana | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
Maine | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
Maryland | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
Massachusetts | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
Michigan | DME MAC - JB A/B MAC - J8 HH + H MAC - J6 | Wisconsin Physicians Service Government Health Administrators |
Minnesota | DME MAC - JB A/B MAC - J6 HH + H MAC - J6 | |
Mississippi | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
Missouri | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Montana | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
Nebraska | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Nevada | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
New Hampshire | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
New Jersey | DME MAC - JA A/B MAC - JL HH + H MAC - J6 | |
New Mexico | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
New York | DME MAC - JA A/B MAC - JK HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
North Carolina | DME MAC - JC A/B MAC - JM HH + H MAC - JM | |
North Dakota | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
Northern Mariana Islands | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Ohio | DME MAC - JB A/B MAC - J15 HH + H MAC - JM | |
Oklahoma | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
Oregon | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
Pennsylvania | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
Puerto Rico | DME MAC - JC A/B MAC - JN HH + H MAC - J6 | |
Rhode Island | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
South Carolina | DME MAC - JC A/B MAC - JM HH + H MAC - J M | |
South Dakota | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
Tennessee | DME MAC - JC A/B MAC - JJ HH + H MAC - JM | |
Texas | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
Utah | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
Vermont | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
Virgin Islands | DME MAC - JC A/B MAC - JN HH + H MAC - J6 | |
Virginia | DME MAC - JC A/B MAC - JL HH + H MAC - J15 | |
Washington | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
West Virginia | DME MAC - JC A/B MAC - JM HH + H MAC - J15 | |
Wisconsin | DME MAC - JB A/B MAC - J6 HH + H MAC - J6 | |
Wyoming | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
DME = Durable Medical Equipment
HH+H = Home Health and Hospice
A/B MAC = part A and part B Medicare Administrative Contractors
Downloads
-
LCD Process Modernization Qs & As (PDF) -
Meeting Information (PDF) -
LCD Challenges (PDF) -
CMD Public Directory - June 2024 (XLSX) -
Chapter 13 - Local Coverage Determinations (PDF)