Skip to Content

Tag: Local coverage determination


Also Noted

AAH responds to proposed LCD for CGMs 

November 21, 2022HME News Staff

WASHINGTON – AAHomecare strongly supported CMS’s proposed local coverage determination for continuous glucose monitors in recent submitted comments. The proposed LCD would, among other things, remove the requirement for multiple administration of insulin and frequent self-adjustments, and allow for telehealth visits in place of in-person visits. The association, however, has concerns about the ability of DMEPOS providers to collect documentation from prescriber medical records that’s...

aahomecare, Continuous Glucose Monitors, Local coverage determination


Read Full Articlered right arrow icon

News

CMS publishes LCD for oxygen 

November 18, 2022HME News Staff

WASHINGTON – CMS has published a new local coverage and policy article for oxygen and oxygen equipment, AAHomecare reports.  Here is a link to the LCD: https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33797  Here is a link to the policy article: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52514  The new LCD goes into effect Jan. 1.  CMS is not required to provide a comment period, because the LCD contains what...

AA Homecare, Home oxygen therapy, LCD, Local coverage determination


Read Full Articlered right arrow icon

Specialty Providers

CMS proposes modifications to CGM coverage 

October 10, 2022HME News Staff

WASHINGTON – CMS has published a proposed LCD that modifies the coverage criteria for continuous glucose monitors (CGMs) based on the best available evidence.  The agency seeks to modify criteria to allow coverage of a CGM for beneficiaries with diabetes mellitus who are insulin treated or have a history of problematic hypoglycemia. Problematic hypoglycemia is defined as:  recurrent level 2 hypoglycemic events (

Continuous Glucose Monitors, Local coverage determination


Read Full Articlered right arrow icon

Specialty Providers

DME MACs to retire LCDs for nutrition

October 13, 2020HME News Staff

ALEXANDRIA, Va. - The DME MACs will retire their local coverage determinations for parenteral nutrition and enteral nutrition effective Nov. 12, according to the National Home Infusion Association. The NHIA commends the move, saying the LCDs for parenteral nutrition and enteral nutrition “cause delays in access to care for Medicare beneficiaries with gastrointestinal disabilities and are administratively burdensome for hospitals, physicians and home infusion pharmacies,” the association...

Enteral Nutrition, Home Infusion, Local coverage determination, National Home Infusion Association


Read Full Articlered right arrow icon

News

Senators introduce bill to change LCD process

October 5, 2016HME News Staff

WASHINGTON - Two senators recently introduced a bill that seeks to improve the transparency and accountability of the local coverage determination (LCD) process performed by the Medicare Administrative Contractors (MACs).The Local Coverage Determination Clarification Act of 2016 would: require open and public meetings with the MACs that are on the record; require disclosure by the MACs of the rationale for an LCD and the evidence for that decision at the beginning of the process; provide stakeholders...

AdvaMed, Legislation, Local coverage determination, MACs


Read Full Articlered right arrow icon