Use this report to view all Final Local Coverage Determinations (LCDs) or just the Final LCDs for a single state. LCDs are decisions made by a Medicare Administrative Contractor (MAC) regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction.
Learn more about the various document types found in the MCD
Note that Final LCD document IDs begin with the letter "L" (e.g., L12345).
Getting to know the Report
This report contains a list of Final LCDs. By default, all Final LCDs are included but you can limit the list to a single state.
The columns in this report include:
- ID: The ID of the Final LCD.
- Title: The title of the Final LCD.
- Contractor: The Medicare Administrative Contractor (MAC) responsible for the Final LCD.
- Effective Date: If it is a new LCD then this is the effective date of the original version of the LCD. If it is an existing LCD then this is the effective date of the revised version.
- Last Updated: If it is a new LCD then this is the date the LCD was created. If it is an existing LCD then this is the date the LCD was updated.
- Status: The status of the Final LCD -- Active, Retired or Future Effective.
Filtering Your Report
You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.
Choose from a list of states. Selecting a state will limit your report to only the Final LCDs relevant for the selected state. After selecting a state, you have the option to further limit the report to just one contractor number. By default, all states are included in the report.
Choose from a list of LCD statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report. Please note the MCD only includes retired documents for less than one year. For documents retired beyond one year, visit the MCD Archive.
Sorting Your Report
You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.
You can open a document by selecting the link in the ID column.
Adding Documents to the Basket
You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.
To see the items in your basket, select the basket icon in the navbar.
At the bottom of the report, you will find additional helpful features:
- Report Run Date: The date you ran the report
- Selected Criteria: This is the criteria used to run the report
- Submit Feedback/Ask a Question: Use this feature to contact CMS
- Download to Excel: Use this feature to download all of the report data to an Excel file
Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:
- Region I: CT, MA, ME, NH, RI, VT
- Region II: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
- Region III: DC, DE, MD, PA, VA, WV
- Region IV: AL, FL, GA, KY, MS, NC, SC, TN
- Region V: IL, IN, MI, MN, OH, WI
- Region VI: AR, LA, NM, OK, TX
- Region VII: IA, KS, MO, NE
- Region VIII: CO, MT, ND, SD, UT, WY
- Region IX: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
- Region X: AK, ID, OR, WA
Partial State Selections
Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".
When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.