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).”

Upcoming meetings
Date MAC/Jurisdiction Location

Topic(s)

April 7, 2020 Teleconference/Webinar First Coast/JN
  • Treatment of Varicose Veins
  • Implantable Pulmonary Artery Pressure (IPAP) Monitoring for Heart Failure in the Outpatient Setting
April 7, 2020 (PDF) Webinar/Teleconference Only Novitas/ JH/JL
  • Outpatient Wireless Pulmonary Artery Pressure Monitoring for Heart Failure
  • Treatment of Varicose Veins

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

National Government Services, Inc.

American Samoa

DME MAC - JD

A/B MAC - JE

HH + H MAC - J6

Noridian Healthcare Solutions, LLC

Noridian Healthcare Solutions, LLC

National Government Services, Inc.

Arizona

DME MAC - JD

A/B MAC - JF

HH + H MAC - J6

Noridian Healthcare Solutions, LLC

Noridian Healthcare Solutions, LLC

National Government Services, Inc.

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

National Government Services, Inc.

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

National Government Services, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

Hawaii

DME MAC - JD

A/B MAC - JE

HH + H MAC - J6

Noridian Healthcare Solutions, LLC

Noridian Healthcare Solutions, LLC

National Government Services, Inc.

Idaho

DME MAC - JD

A/B MAC - JF

HH + H MAC - J6

Noridian Healthcare Solutions, LLC

Noridian Healthcare Solutions, LLC

National Government Services, Inc.

Illinois

DME MAC - JB

A/B MAC - J6

HH + H MAC - JM

CGS Administrators, LLC

National Government Services, Inc.

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

National Government Services, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

National Government Services, Inc.

Michigan

DME MAC - JB

A/B MAC - J8

HH + H MAC - J6

CGS Administrators, LLC

Wisconsin Physicians Service Government Health Administrators

National Government Services, Inc.

Minnesota

DME MAC - JB

A/B MAC - J6

HH + H MAC - J6

CGS Administrators, LLC

National Government Services, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

New Hampshire

DME MAC - JA

A/B MAC - JK

HH + H MAC - JK

Noridian Healthcare Solutions, LLC

National Government Services, Inc.

National Government Services, Inc.

New Jersey

DME MAC - JA

A/B MAC - JL

HH + H MAC - J6

Noridian Healthcare Solutions, LLC

Novitas Solutions, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

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

National Government Services, Inc.

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.

National Government Services, Inc.

Rhode Island

DME MAC - JA

A/B MAC - JK

HH + H MAC - JK

Noridian Healthcare Solutions, LLC

National Government Services, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

National Government Services, Inc.

Virgin Islands

DME MAC - JC

A/B MAC - JN

HH + H MAC - J6

CGS Administrators, LLC

First Coast Service Options, Inc.

National Government Services, Inc.

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

National Government Services, Inc.

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

National Government Services, Inc.

National Government Services, Inc.

Wyoming

DME MAC - JD

A/B MAC - JF

HH + H MAC - J15

Noridian Healthcare Solutions, LLC

Noridian Healthcare Solutions, LLC

CGS Administrators, LLC

DME = Durable Medical Equipment
HH+H = Home Health and Hospice
A/B MAC = part A and part B Medicare Administrative Contractors

 

 

Page Last Modified:
03/10/2020 12:17 PM