Local Coverage Determinations
Guidance for general public on background of Local Coverage Determinations.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 30, 2020
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 |
|---|---|---|---|
| April 18, 2024 (PDF) 2:00 p.m. – 3:00 p.m. CT | Noridian, JE/JF | Teleconference only | Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) JE-DL39810 / JF-DL38912 |
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 | Noridian Healthcare Solutions, LLC |
| 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 | Noridian Healthcare Solutions, LLC |
| Maryland | DME MAC - JA A/B MAC - JL HH + H MAC - J15 | |
| Massachusetts | DME MAC - JA A/B MAC - JK HH + H MAC - JK | Noridian Healthcare Solutions, LLC |
| 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 | Noridian Healthcare Solutions, LLC |
| 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 | Noridian Healthcare Solutions, LLC |
| 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 | Noridian Healthcare Solutions, LLC |
| 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 | Noridian Healthcare Solutions, LLC |
| 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
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