Medicare Program: Review of National Coverage Determinations and Local Coverage Determinations
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2003-11-07 · Effective 2003-12-08 · 68 FR 63692
Document
Document number
03-27742
Federal Register citation
68 FR 63692
CFR reference
42 CFR 400
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2003-11-07
Effective date
2003-12-08
HHS docket
CMS-3063-F
Abstract
This final rule will create a new process to allow certain Medicare beneficiaries to challenge national coverage determinations (NCDs) and local coverage determinations (LCDs). It will implement portions of section 522 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000. The right to challenge NCDs and LCDs will be distinct from the existing appeal rights that Medicare beneficiaries have for the adjudication of Medicare claims.