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Guidance Regarding CMS Coverage Policy

Guidance for Medicare Advantage Organizations, Section 1876 Cost Contractors, Section 1833 Health Care Prepayment plans and PACE organizations(organizations) that they should avail themselves of the Medicare Administrative Contractors’ (MAC) contractor medical directors (CMDs) or other appropriate MAC staff when facing questions regarding Medicare coverage that are not addressed by national coverage determinations (NCDs), the information CMS makes available on its websites, or other supporting documents.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 05, 2014

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.