Review of an LCD

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Review of National Coverage Determinations and Local Coverage Determinations
  7. Review of an LCD

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Section
426.400

Procedure for filing an acceptable complaint concerning a provision (or provisions) of an LCD.

Section
426.403

Submitting new evidence once an acceptable complaint is filed.

Section
426.405

Authority of the ALJ.

Section
426.406

<em>Ex parte</em> contacts.

Section
426.410

Docketing and evaluating the acceptability of LCD complaints.

Section
426.415

CMS' role in the LCD review.

Section
426.416

Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.

Section
426.417

Contractor's statement regarding new evidence.

Section
426.418

LCD record furnished to aggrieved party.

Section
426.419

LCD record furnished to the ALJ.

Section
426.420

Retiring or revising an LCD under review.

Section
426.423

Withdrawing a complaint regarding an LCD under review.

Section
426.425

LCD review.

Section
426.431

ALJ's review of the LCD to apply the reasonableness standard.

Section
426.432

Discovery.

Section
426.435

Subpoenas.

Section
426.440

Evidence.

Section
426.444

Dismissals for cause.

Section
426.445

Witness fees.

Section
426.446

Record of hearing.

Section
426.447

Issuance and notification of an ALJ's decision.

Section
426.450

Mandatory provisions of an ALJ's decision.

Section
426.455

Prohibited provisions of an ALJ's decision.

Section
426.457

Optional provisions of an ALJ's decision.

Section
426.458

ALJ's LCD review record.

Section
426.460

Effect of an ALJ's decision.

Section
426.462

Notice of an ALJ's decision.

Section
426.463

Future new or revised LCDs.

Section
426.465

Appealing part or all of an ALJ's decision.

Section
426.468

Decision to not appeal an ALJ's decision.

Section
426.470

Board's role in docketing and evaluating the acceptability of appeals of ALJ decisions.

Section
426.476

Board review of an ALJ's decision.

Section
426.478

Retiring or revising an LCD during the Board's review of an ALJ's decision.

Section
426.480

Withdrawing an appeal of an ALJ's decision.

Section
426.482

Issuance and notification of a Board decision.

Section
426.484

Mandatory provisions of a Board decision.

Section
426.486

Prohibited provisions of a Board decision.

Section
426.487

Board's record on appeal of an ALJ's decision.

Section
426.488

Effect of a Board decision.

Section
426.489

Board remands.

Section
426.490

Board decision.