Local Coverage Determination Process and Timeline

The Local Coverage Determination (LCD) process allows beneficiaries or healthcare professionals to request coverage for specific services or items under Medicare by clearly identifying the related benefit category and providing supporting rationale. Requests must be submitted in writing and can be sent via email, fax, or mail, along with sufficient evidence to justify the medical need. Key limitations include the necessity to specify the benefit category and provide backing documentation for the request to be considered.

"LCD requests are made by beneficiaries or healthcare professionals within the MAC''s jurisdiction."

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