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
August 20, 2026 (PDF) 2-4 pm CST	Noridian - HOST Palmetto GBA Wellpoint Federal	Teleconference only	Biomarkers Utilized in the Diagnosis of Synucleinopathies
August 26, 2026 (PDF) 10:00 AM ET	Noridian/CGS	Virtual – Cvent/Zoom	External Breast Prostheses (DL33317) - Proposing the removal of the not reasonable and necessary determination for breast prostheses, silicone or equal, with integral adhesive.
August 26, 2026 (PDF) 12:30 PM ET	Noridian/CGS	Virtual – Cvent/Zoom	Oxygen and Oxygen Equipment (DL33797) – Proposing reasonable and necessary coverage criteria for topical oxygen therapy for Medicare beneficiaries with diabetic foot ulcers that have failed to heal with four consecutive weeks of optimized diabetic foot ulcer care.

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	CGS Administrators, LLC Palmetto GBA, LLC Palmetto GBA, LLC
Alaska	DME MAC - JD A/B MAC - JF HH+ H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
American Samoa	DME MAC - JD A/B MAC - JE HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Arizona	DME MAC - JD A/B MAC - JF HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Arkansas	DME MAC - JC A/B MAC - JH HH + H MAC - JM	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC
California	DME MAC - JD A/B MAC - JE HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Colorado	DME MAC - JC A/B MAC - JH HH + H MAC - J15	CGS Administrators, LLC Novitas Solutions, Inc. CGS Administrators, LLC
Connecticut	DME MAC - JA A/B MAC - JK HH + H MAC - JK	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
Delaware	DME MAC - JA A/B MAC - JL HH + H MAC - J15	Noridian Healthcare Solutions, LLC Novitas Solutions, Inc. CGS Administrators, LLC
District of Columbia	DME MAC - JA A/B MAC - JL HH + H MAC - J15	Noridian Healthcare Solutions, LLC Novitas Solutions, Inc. CGS Administrators, LLC
Florida	DME MAC - JC A/B MAC - JN HH + H MAC - JM	CGS Administrators, LLC First Coast Service Options, Inc. Palmetto GBA, LLC
Georgia	DME MAC - JC A/B MAC - JJ HH + H MAC - JM	CGS Administrators, LLC Palmetto GBA, LLC Palmetto GBA, LLC
Guam	DME MAC - JD A/B MAC - JE HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Hawaii	DME MAC - JD A/B MAC - JE HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Idaho	DME MAC - JD A/B MAC - JF HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Illinois	DME MAC - JB A/B MAC - J6 HH + H MAC - JM	CGS Administrators, LLC Wellpoint Federal Palmetto GBA, LLC
Indiana	DME MAC - JB A/B MAC - J8 HH + H MAC - JM	CGS Administrators, LLC Wisconsin Physicians Service Government Health Administrators Palmetto GBA, LLC
Iowa	DME MAC - JD A/B MAC - J5 HH + H MAC - J15	Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators CGS Administrators, LLC
Kansas	DME MAC - JD A/B MAC - J5 HH + H MAC - J15	Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators CGS Administrators, LLC
Kentucky	DME MAC - JB A/B MAC - J15 HH + H MAC - JM	CGS Administrators, LLC CGS Administrators, LLC Palmetto GBA, LLC
Louisiana	DME MAC - JC A/B MAC - JH HH + H MAC - JM	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC
Maine	DME MAC - JA A/B MAC - JK HH + H MAC - JK	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
Maryland	DME MAC - JA A/B MAC - JL HH + H MAC - J15	Noridian Healthcare Solutions, LLC Novitas Solutions, Inc. CGS Administrators, LLC
Massachusetts	DME MAC - JA A/B MAC - JK HH + H MAC - JK	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
Michigan	DME MAC - JB A/B MAC - J8 HH + H MAC - J6	CGS Administrators, LLC Wisconsin Physicians Service Government Health Administrators Wellpoint Federal
Minnesota	DME MAC - JB A/B MAC - J6 HH + H MAC - J6	CGS Administrators, LLC Wellpoint Federal Wellpoint Federal
Mississippi	DME MAC - JC A/B MAC - JH HH + H MAC - JM	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC
Missouri	DME MAC - JD A/B MAC - J5 HH + H MAC - J15	Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators CGS Administrators, LLC
Montana	DME MAC - JD A/B MAC - JF HH + H MAC - J15	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC CGS Administrators, LLC
Nebraska	DME MAC - JD A/B MAC - J5 HH + H MAC - J15	Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators CGS Administrators, LLC
Nevada	DME MAC - JD A/B MAC - JE HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
New Hampshire	DME MAC - JA A/B MAC - JK HH + H MAC - JK	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
New Jersey	DME MAC - JA A/B MAC - JL HH + H MAC - J6	Noridian Healthcare Solutions, LLC Novitas Solutions, Inc. Wellpoint Federal
New Mexico	DME MAC - JC A/B MAC - JH HH + H MAC - JM	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC
New York	DME MAC - JA A/B MAC - JK HH + H MAC - J6	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
North Carolina	DME MAC - JC A/B MAC - JM HH + H MAC - JM	CGS Administrators, LLC Palmetto GBA, LLC Palmetto GBA, LLC
North Dakota	DME MAC - JD A/B MAC - JF HH + H MAC - J15	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC CGS Administrators, LLC
Northern Mariana Islands	DME MAC - JD A/B MAC - JE HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Ohio	DME MAC - JB A/B MAC - J15 HH + H MAC - JM	CGS Administrators, LLC CGS Administrators, LLC Palmetto GBA, LLC
Oklahoma	DME MAC - JC A/B MAC - JH HH + H MAC - JM	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC
Oregon	DME MAC - JD A/B MAC - JF HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
Pennsylvania	DME MAC - JA A/B MAC - JL HH + H MAC - J15	Noridian Healthcare Solutions, LLC Novitas Solutions, Inc. CGS Administrators, LLC
Puerto Rico	DME MAC - JC A/B MAC - JN HH + H MAC - J6	CGS Administrators, LLC First Coast Service Options, Inc. Wellpoint Federal
Rhode Island	DME MAC - JA A/B MAC - JK HH + H MAC - JK	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
South Carolina	DME MAC - JC A/B MAC - JM HH + H MAC - J M	CGS Administrators, LLC Palmetto GBA, LLC Palmetto GBA, LLC
South Dakota	DME MAC - JD A/B MAC - JF HH + H MAC - J15	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC CGS Administrators, LLC
Tennessee	DME MAC - JC A/B MAC - JJ HH + H MAC - JM	CGS Administrators, LLC Palmetto GBA, LLC Palmetto GBA, LLC
Texas	DME MAC - JC A/B MAC - JH HH + H MAC - JM	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC
Utah	DME MAC - JD A/B MAC - JF HH + H MAC - J15	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC CGS Administrators, LLC
Vermont	DME MAC - JA A/B MAC - JK HH + H MAC - JK	Noridian Healthcare Solutions, LLC Wellpoint Federal Wellpoint Federal
Virgin Islands	DME MAC - JC A/B MAC - JN HH + H MAC - J6	CGS Administrators, LLC First Coast Service Options, Inc. Wellpoint Federal
Virginia	DME MAC - JC A/B MAC - JL (includes Part B for counties of Arlington and Fairfax, and the city of Alexandria) A/B MAC - JM (excludes Part B for the counties of Arlington and Fairfax, and the city of Alexandria) HH + H MAC - J15	CGS Administrators, LLC Novitas Solutions, Inc. Palmetto GBA, LLC CGS Administrators, LLC
Washington	DME MAC - JD A/B MAC - JF HH + H MAC - J6	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC Wellpoint Federal
West Virginia	DME MAC - JC A/B MAC - JM HH + H MAC - J15	CGS Administrators, LLC Palmetto GBA, LLC CGS Administrators, LLC
Wisconsin	DME MAC - JB A/B MAC - J6 HH + H MAC - J6	CGS Administrators, LLC Wellpoint Federal Wellpoint Federal
Wyoming	DME MAC - JD A/B MAC - JF HH + H MAC - J15	Noridian Healthcare Solutions, LLC Noridian Healthcare Solutions, LLC CGS Administrators, LLC

State

Jurisdiction (J)

Medicare Administrative Contractor (MAC)

Alabama

DME MAC - JC

A/B MAC - JJ

HH + H MAC - JM

Local Coverage Determinations

What is an LCD?

Upcoming Meetings

Medicare Administrative Contractors

Downloads

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