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 |
September 20, 2023 2:00 – 4:00 PM CT |
Noridian, JE/JF | Teleconference Only | MolDX: Molecular Testing for Solid Organ Allograft Rejection |
October 9, 2023 JM 10:00 AM – 12:00 PM ET JJ 1:00 – 3:00 PM ET |
Palmetto (JJ & JM) | Microsoft Teams Webinar |
|
October 11, 2023 2:00 – 4:00 PM CST |
Noridian, JE/JF | Teleconference Only |
|
October 12, 2023 1:00pm ET |
Novitas JN | Webinar | Allergen Immunotherapy |
October 13, 2023 10:00am ET |
Novitas, JH/JL | Webinar | Allergen Immunotherapy |
October 19, 2023 2:00 – 5:00 PM ET |
HOST: NGS, J6 and JK -Palmetto GBA (JM & JJ)-Noridian (JE & JF) -WPS -CGS J15 -Novitas, JH & JL -First Coast |
Teleconference Only | Botulinum Toxins |
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 |
|
Alaska |
DME MAC - JD A/B MAC - JF HH+ H MAC - J6 |
Noridian Healthcare Solutions, LLC |
American Samoa |
DME MAC - JD A/B MAC - JE HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Arizona |
DME MAC - JD A/B MAC - JF HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Arkansas |
DME MAC - JC A/B MAC - JH HH + H MAC - JM |
|
California |
DME MAC - JD A/B MAC - JE HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Colorado |
DME MAC - JC A/B MAC - JH HH + H MAC - J15 |
|
Connecticut |
DME MAC - JA A/B MAC - JK HH + H MAC - JK |
Noridian Healthcare Solutions, LLC |
Delaware |
DME MAC - JA A/B MAC - JL HH + H MAC - J15 |
|
District of Columbia |
DME MAC - JA A/B MAC - JL HH + H MAC - J15 |
|
Florida |
DME MAC - JC A/B MAC - JN HH + H MAC - JM |
|
Georgia |
DME MAC - JC A/B MAC - JJ HH + H MAC - JM |
|
Guam |
DME MAC - JD A/B MAC - JE HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Hawaii |
DME MAC - JD A/B MAC - JE HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Idaho |
DME MAC - JD A/B MAC - JF HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Illinois |
DME MAC - JB A/B MAC - J6 HH + H MAC - JM |
|
Indiana |
DME MAC - JB A/B MAC - J8 HH + H MAC - JM |
Wisconsin Physicians Service Government Health Administrators |
Iowa |
DME MAC - JD A/B MAC - J5 HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Kansas |
DME MAC - JD A/B MAC - J5 HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Kentucky |
DME MAC - JB A/B MAC - J15 HH + H MAC - JM |
|
Louisiana |
DME MAC - JC A/B MAC - JH HH + H MAC - JM |
|
Maine |
DME MAC - JA A/B MAC - JK HH + H MAC - JK |
Noridian Healthcare Solutions, LLC |
Maryland |
DME MAC - JA A/B MAC - JL HH + H MAC - J15 |
|
Massachusetts |
DME MAC - JA A/B MAC - JK HH + H MAC - JK |
Noridian Healthcare Solutions, LLC |
Michigan |
DME MAC - JB A/B MAC - J8 HH + H MAC - J6 |
Wisconsin Physicians Service Government Health Administrators |
Minnesota |
DME MAC - JB A/B MAC - J6 HH + H MAC - J6 |
|
Mississippi |
DME MAC - JC A/B MAC - JH HH + H MAC - JM |
|
Missouri |
DME MAC - JD A/B MAC - J5 HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Montana |
DME MAC - JD A/B MAC - JF HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC |
Nebraska |
DME MAC - JD A/B MAC - J5 HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
Nevada |
DME MAC - JD A/B MAC - JE HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
New Hampshire |
DME MAC - JA A/B MAC - JK HH + H MAC - JK |
Noridian Healthcare Solutions, LLC |
New Jersey |
DME MAC - JA A/B MAC - JL HH + H MAC - J6 |
|
New Mexico |
DME MAC - JC A/B MAC - JH HH + H MAC - JM |
|
New York |
DME MAC - JA A/B MAC - JK HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
North Carolina |
DME MAC - JC A/B MAC - JM HH + H MAC - JM |
|
North Dakota |
DME MAC - JD A/B MAC - JF HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC |
Northern Mariana Islands |
DME MAC - JD A/B MAC - JE HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Ohio |
DME MAC - JB A/B MAC - J15 HH + H MAC - JM |
|
Oklahoma |
DME MAC - JC A/B MAC - JH HH + H MAC - JM |
|
Oregon |
DME MAC - JD A/B MAC - JF HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
Pennsylvania |
DME MAC - JA A/B MAC - JL HH + H MAC - J15 |
|
Puerto Rico |
DME MAC - JC A/B MAC - JN HH + H MAC - J6 |
|
Rhode Island |
DME MAC - JA A/B MAC - JK HH + H MAC - JK |
Noridian Healthcare Solutions, LLC |
South Carolina |
DME MAC - JC A/B MAC - JM HH + H MAC - J M |
|
South Dakota |
DME MAC - JD A/B MAC - JF HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC |
Tennessee |
DME MAC - JC A/B MAC - JJ HH + H MAC - JM |
|
Texas |
DME MAC - JC A/B MAC - JH HH + H MAC - JM |
|
Utah |
DME MAC - JD A/B MAC - JF HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC |
Vermont |
DME MAC - JA A/B MAC - JK HH + H MAC - JK |
Noridian Healthcare Solutions, LLC |
Virgin Islands |
DME MAC - JC A/B MAC - JN HH + H MAC - J6 |
|
Virginia |
DME MAC - JC A/B MAC - JL HH + H MAC - J15 |
|
Washington |
DME MAC - JD A/B MAC - JF HH + H MAC - J6 |
Noridian Healthcare Solutions, LLC |
West Virginia |
DME MAC - JC A/B MAC - JM HH + H MAC - J15 |
|
Wisconsin |
DME MAC - JB A/B MAC - J6 HH + H MAC - J6 |
|
Wyoming |
DME MAC - JD A/B MAC - JF HH + H MAC - J15 |
Noridian Healthcare Solutions, LLC |
DME = Durable Medical Equipment
HH+H = Home Health and Hospice
A/B MAC = part A and part B Medicare Administrative Contractors
Downloads
-
LCD Process Modernization Qs & As (PDF) -
Meeting Information (PDF) -
LCD Challenges (PDF) -
CMD Public Directory - September 2023 (XLSX) -
Chapter 13 - Local Coverage Determinations (PDF)