Reports provide users with reports of National and Local Coverage data. You may begin by selecting National Coverage or Local Coverage and selecting the name of the report you would like to see. Use the Advanced Search feature if you are looking for a particular National or Local Coverage item.
Use this report to view a list of National Coverage Analyses (NCAs),
Coding Analyses for Labs (CALs), Medicare Evidence Development & Coverage Advisory Committee (MEDCAC)
Meetings, Technology Assessments (TAs), National Coverage Determinations (NCDs), and
Medicare Coverage Documents postings for the specified timeframe.
Use this report to view a list of National Coverage Determinations (NCDs), National Coverage Analyses (NCAs), and Coverage Analyses for Labs (CALs) by year.
This report provides the user with all Local Coverage Documents (LCDs) and Articles that were updated in the most recent Medicare Coverage Database (MCD) weekly update. The update is completed on Thursdays, unless otherwise scheduled and includes changes in LCDs and Articles that were completed by the previous Sunday...more The report can be queried to include specific Medicare Administrative Contractors (MACs) or Contract Types (Ex: All A and B MACs) and a specific date selection from the “Select Database Update” list. The report is most helpful to determine which LCDs and/or Articles were updated or retired.
This report provides the user with LCD activity and inventory for specific time periods. Users can quickly determine which LCDs were approved, revised, or retired in a given time period...more The Activity numbers provide the list of affected LCDs, and the LCD title is a link to the record. This report can be used as an alternative to the “What’s New Report” for LCDs to query a longer time frame. Rather than viewing changes weekly, this report can be used for a single month, a quarter, or a year.
This report provides a quick and easy method for determining the most recent “status” for individual Proposed LCDs. The report may be queried by specific MACs or contract types (Ex: All DME MACs) and the query results page lists the Proposed LCDs and their status...more
- For more information on Proposed LCDs, please see the Medicare Program Integrity Manual (PIM) Chapter 13 – Local Coverage Determinations which details the 5 procedural or development stages that are required for new LCDs and some revised LCDs. These include but are not limited to: Comment Period, Notice Period, and Issued for Notice.
- Proposed LCDs that have been released to their Final LCD remain on this report for 90 days post release.
This report provides users with the ability to determine when an LCD was last updated and the reason for the update. It is of particular assistance with identifying LCDs that were affected by the quarterly and annual CPT/HCPCS and ICD-10-CM Diagnosis code updates...more It may be queried by individual MAC or by Contract Types (Ex: A and B and HHH MACs) with a specific “Reason for Change” selected.
This report provides the user with Article activity and inventory for specific time periods. Users can quickly determine which Articles were approved, revised, or retired in a given time period...more The Activity numbers provide the list of affected Articles; and, the Article title is a link to the record. This report can be used as an alternative to the “What’s New Report” for Articles to query a longer time frame. Rather than viewing changes weekly, this report can be used for a single month, a quarter, or a year.
This report provides user with a list of drugs that are excluded from Medicare because they are deemed “self-administered". Users select a time period, a specific MAC or a Contract Type (Ex: MAC - Part A), and either a specific code or all codes...more The report includes the Article ID Number, Title, CPT/HCPCS code, and Drug Brand Name. The SAD Article Title is a direct link to the record information. Please Note: For more information on Self-Administered Drugs, please see the Medicare Benefit Policy Manual, Publication 100-2, Chapter 15, Section 50.2 (PDF, 1.33 MB) which addresses how to determine Usually Self-Administered Drugs and Biologicals.