Local Coverage Determinations
Guidance for general public on background of Local Coverage Determinations.
What is an LCD?
Local coverage determinations (LCDS) are defined in Section 1869(f)(2)(B) of the Social Security Act (the Act). This section states: “For purposes of this section, the term ‘local coverage determination' means a determination by a fiscal intermediary or a carrier under part A or part B, as applicable, respecting whether or not a particular item or service is covered on an intermediary- or carrier-wide basis under such parts, in accordance with section 1862(a)(1)(A).”
- LCD Process Modernization Qs & As (PDF)
- Medicare Program Integrity Manual, Chapter 13 - Local Coverage Determinations (PDF)
- LCD What's New Report (Local Coverage Documents (LCDs) and Articles that were updated in the most recent Medicare Coverage Database (MCD) weekly update)
Upcoming Meetings
| Date | MAC/Jurisdiction | Location | Issues/Topics |
|---|---|---|---|
| July 23, 2026 (PDF) 1:00pm ET | First Coast Service Options, Inc. | Webinar | Facet Joint Interventions for Pain Management |
| July 24, 2026 (PDF) 10:00am ET / 9:00am CT / 8:00am MT | Novitas Solutions Inc. | Webinar | Facet Joint Interventions for Pain Management |
Click the date for more information on each meeting
Medicare Administrative Contractors
A / C / D / F / G / H / I / K / L / M / N / O / P / R / S / T / U / V / W
| State | Jurisdiction (J) | Medicare Administrative Contractor (MAC) |
|---|---|---|
| Alabama | DME MAC - JC A/B MAC - JJ HH + H MAC - JM | |
| Alaska | DME MAC - JD A/B MAC - JF HH+ H MAC - J6 | Noridian Healthcare Solutions, LLC |
| American Samoa | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Arizona | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Arkansas | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
| California | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Colorado | DME MAC - JC A/B MAC - JH HH + H MAC - J15 | |
| Connecticut | DME MAC - JA A/B MAC - JK HH + H MAC - JK | |
| Delaware | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
| District of Columbia | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
| Florida | DME MAC - JC A/B MAC - JN HH + H MAC - JM | |
| Georgia | DME MAC - JC A/B MAC - JJ HH + H MAC - JM | |
| Guam | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Hawaii | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Idaho | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Illinois | DME MAC - JB A/B MAC - J6 HH + H MAC - JM | |
| Indiana | DME MAC - JB A/B MAC - J8 HH + H MAC - JM | Wisconsin Physicians Service Government Health Administrators |
| Iowa | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
| Kansas | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
| Kentucky | DME MAC - JB A/B MAC - J15 HH + H MAC - JM | |
| Louisiana | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
| Maine | DME MAC - JA A/B MAC - JK HH + H MAC - JK | |
| Maryland | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
| Massachusetts | DME MAC - JA A/B MAC - JK HH + H MAC - JK | |
| Michigan | DME MAC - JB A/B MAC - J8 HH + H MAC - J6 | Wisconsin Physicians Service Government Health Administrators |
| Minnesota | DME MAC - JB A/B MAC - J6 HH + H MAC - J6 | |
| Mississippi | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
| Missouri | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
| Montana | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
| Nebraska | DME MAC - JD A/B MAC - J5 HH + H MAC - J15 | Noridian Healthcare Solutions, LLC Wisconsin Physicians Service Government Health Administrators |
| Nevada | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| New Hampshire | DME MAC - JA A/B MAC - JK HH + H MAC - JK | |
| New Jersey | DME MAC - JA A/B MAC - JL HH + H MAC - J6 | |
| New Mexico | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
| New York | DME MAC - JA A/B MAC - JK HH + H MAC - J6 | |
| North Carolina | DME MAC - JC A/B MAC - JM HH + H MAC - JM | |
| North Dakota | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
| Northern Mariana Islands | DME MAC - JD A/B MAC - JE HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Ohio | DME MAC - JB A/B MAC - J15 HH + H MAC - JM | |
| Oklahoma | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
| Oregon | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| Pennsylvania | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
| Puerto Rico | DME MAC - JC A/B MAC - JN HH + H MAC - J6 | |
| Rhode Island | DME MAC - JA A/B MAC - JK HH + H MAC - JK | |
| South Carolina | DME MAC - JC A/B MAC - JM HH + H MAC - J M | |
| South Dakota | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
| Tennessee | DME MAC - JC A/B MAC - JJ HH + H MAC - JM | |
| Texas | DME MAC - JC A/B MAC - JH HH + H MAC - JM | |
| Utah | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
| Vermont | DME MAC - JA A/B MAC - JK HH + H MAC - JK | |
| Virgin Islands | DME MAC - JC A/B MAC - JN HH + H MAC - J6 | |
| Virginia | DME MAC - JC A/B MAC - JL HH + H MAC - J15 | |
| Washington | DME MAC - JD A/B MAC - JF HH + H MAC - J6 | Noridian Healthcare Solutions, LLC |
| West Virginia | DME MAC - JC A/B MAC - JM HH + H MAC - J15 | |
| Wisconsin | DME MAC - JB A/B MAC - J6 HH + H MAC - J6 | |
| Wyoming | DME MAC - JD A/B MAC - JF HH + H MAC - J15 | Noridian Healthcare Solutions, LLC |
DME = Durable Medical Equipment
HH+H = Home Health and Hospice
A/B MAC = part A and part B Medicare Administrative Contractors
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 30, 2020
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