New Local Coverage Determination (LCD) Request Process

New LCD requests will be accepted from Medicare beneficiaries, health care professionals, and other interested parties who reside in or do business within the contractor's jurisdiction. Requests must be written, identify the applicable Medicare benefit category, propose desired LCD language, and include a peer‑reviewed evidence‑based justification with full copies of published evidence; materials are reviewed within 60 calendar days. Failure to include required evidence invalidates the request, informal meetings are permitted only for educational purposes, and NGS will notify requestors if a submission is incomplete or invalid.

"New LCD requests will be considered from Medicare beneficiaries who reside in or receive care in the contractor's jurisdiction."

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