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Medicare Coverage Determination Process | CMS

Medicare coverage is limited to items and services that are reasonable and necessary for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category). National coverage determi
https://www.cms.gov/medicare/coverage/determination-process - Details - Similar

Coverage with Evidence Development | CMS

CMS released an updated guidance document on August 7, 2024 that describes coverage with evidence development (CED). CMS, as part of the national coverage determination (NCD) may determine coverage of an item or service
https://www.cms.gov/medicare/coverage/evidence - Details - Similar

Medicare Coverage Related to Investigational Device Exemption (IDE) St

Instructions: Medicare Coverage Related to Investigational Device Exemption (IDE) StudiesThe Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) allowed Medicare payment of the routine costs of c
https://www.cms.gov/medicare/coverage/investigational-device-exemption-ide-studies - Details - Similar

Prescription Drug Coverage Contracting | CMS

Prescription Drug Coverage Contracting
https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting - Details - Similar

Medicare Approved Facilities/Trials/Registries | CMS

In recent years, Medicare has issued several national coverage determinations providing coverage for services and procedures of a complex nature, with the stipulation that the facilities providing these services meet cer
https://www.cms.gov/medicare/coverage/approved-facilities-trials-registries - Details - Similar

Telehealth | CMS

Find links to Medicare payment amounts and policies, a list of covered telehealth services, and how to request coverage of a service be via telehealth.
https://www.cms.gov/medicare/coverage/telehealth - Details - Similar

Home - Centers for Medicare Medicaid Services | CMS

Medicare is negotiating prices directly with participating drug companies to improve access to some of the costliest and most dispensed brand-name drugs used by people with Medicare.
https://www.cms.gov/ - Details - Similar

Freedom of Information Act | CMS

The Freedom of Information Act (FOIA), found in Title 5 of the United States Code, section 552, was enacted in 1966 and provides that, upon request from any person, a Federal agency must release any agency record unless
https://www.cms.gov/about-cms/web-policies-important-links/foia - Details - Similar

Policy for Linking to Outside Websites | CMS

Policy for Linking to Outside Websites
https://www.cms.gov/about-cms/information-systems/privacy/linking-outside-websites - Details - Similar

No Fear Act | CMS

Section 301 of the Notification and Federal Employee Antidiscrimination and Retaliation Act of 2002 (the No Fear Act), requires each Federal agency to post summary statistical data pertaining to complaints of employment
https://www.cms.gov/about-cms/web-policies-important-links/no-fear-act - Details - Similar

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