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Welcome to the Medicare Coverage Database

The Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database also includes several other types of National Coverage policy related documents, including National Coverage Analyses (NCAs), Coding Analyses for Labs (CALs), Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) proceedings, and Medicare coverage guidance documents.

How to Use this Site

The MCD offers multiple ways to locate and view data:

MCD vs. Medicare.gov

The MCD is intended for use by Medicare contractors, providers, and other healthcare industry professionals. People with Medicare, family members, and caregivers should visit Medicare.gov opens in new window , the official U.S. Government site for people with Medicare, for the latest information on Medicare enrollment, benefits, and other helpful tools.

Information about LCDs and LCD Challenges

Section 522 of the Benefits Improvement and Protection Act (BIPA) defines an LCD as a decision by a fiscal intermediary (FI) or carrier whether to cover a particular service on an intermediary-wide or carrier-wide basis in accordance with Section 1862(a)(1)(A) of the Social Security Act (e.g., a determination as to whether the service or item is reasonable and necessary).

FIs, Carriers, and Medicare Administrative Contractors (MACs) are Medicare contractors that develop and/or adopt LCDs. Medicare contractors develop LCDs when there is no National Coverage Determination (NCD) or when there is a need to further define an NCD. The guidelines for LCD development are provided in Chapter 13 of the Medicare Program Integrity Manual.

A local policy may consist of two separate, though closely related documents: the LCD and an associated article. The LCD only contains reasonable and necessary language. Any non-reasonable and necessary language a Medicare contractor wishes to communicate to providers may be done through the article. At the end of an LCD that has an associated article, there is a link to the related article and vice versa.

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MCD UPDATE STATUS

MCD UpdateData Captured OnRefreshed on MCD
National Coverage InformationCurrentReal Time
Local Coverage Information9/9/2012Weekly (~Thursday)
National Coverage Downloads9/9/2012Weekly (~Thursday)

MCD ARCHIVE

Local Coverage Documents (LCDs) that have been retired for more than 2 years (i.e., an ending date or revision ending date older than 2 years) are stored in the MCD Archive Database. Also, stored in the MCD Archive Database are Draft LCDs that have been released to Final LCDs at least 6 months prior. Please visit the MCD Archive Site to view them.

PUBLIC COMMENTS TOOL

The MCD includes a comment tool that the public can use to submit comments on National Coverage documents open for public comment.






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