Computed Tomography (CT) Compliance Clarifications under Section 218(a)(1) of the Protecting Access to Medicare Act (PAMA)-
REVISED 04.15.16: Revised to clarify questions regarding oversight
• Information Only: The Centers for Medicare & Medicaid Services (CMS) is sharing
this clarification with State and Federal Surveyors as information only. Surveyors will
not be expected to determine compliance with Advanced Diagnostic Imaging (ADI)
suppliers or hospital outpatient department requirements. Accrediting Organizations
(AOs) will be evaluating compliance on a periodic basis. State Agency and Regional
Office Staffs have no role to play in this process.
• Clarifications: The CMS is providing compliance and payment clarifications based on
stakeholder questions regarding National Electrical Manufacturers Association (NEMA)
• Frequently Asked Questions (FAQs): The FAQs attached with this policy
memorandum aim to clarify stakeholder uncertainty and to include aspects of payment
reductions if CT systems are found non-compliant.