# Medicare Program; Prior Determination for Certain Items and Services
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2008-02-22 · Effective 2008-03-24 · 73 FR 9672
## Document
- **Document number:** E8-2811
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 73 FR 9672
- **CFR reference:** 42 CFR 410
- **Publication date:** 2008-02-22
- **Effective date:** 2008-03-24
- **HHS docket:** CMS-6024-F
## Abstract

This final rule establishes a process for Medicare contractors to provide eligible participating physicians and beneficiaries with a determination of coverage relating to medical necessity for certain physicians' services before the services are furnished. This rule is intended to afford the physician and beneficiary the opportunity to know the financial liability for a service before expenses are incurred. This final rule establishes reasonable limits on physicians' services for which a prior determination of coverage may be requested and discusses generally our plans for establishing the procedures by which those determinations may be obtained. This rule also responds to public comments on the August 30, 2005 proposed rule.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2008/02/22/E8-2811/medicare-program-prior-determination-for-certain-items-and-services)
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