1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter B - MEDICARE PROGRAM
  5. Part 426 - REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS
  6. Subpart D - Review of an LCD
  7. 42 CFR § 426.416
42 CFR § 426.416
Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review
June 11, 2020
CFR

Medicare MCOs and Medicaid State agencies have no role in the LCD review process. However, once the ALJ has issued its decision, the decision is made available to all Medicare MCOs and State agencies.

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§ 426.415 CMS' role in the LCD review
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§ 426.417 Contractor's statement regarding new evidence

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