Lexology January 24, 2022
Reed Smith LLP

In response to concerns over perceived lack of transparency and deteriorating stakeholder engagement on the part of Medicare Administrative Contractors (MACs) in the process of developing Medicare local coverage determination (LCD) policies, a number of medical societies jointly urged the Centers for Medicare & Medicaid Services (CMS) to make changes to these processes. A total of 18 medical organizations signed on in support of this request, which was spelled out in a letter sent this month to Lee Fleisher, MD, Chief Medical Officer and Director at CMS’s Center for Clinical Standards and Quality.

The societies cite as a particular concern what they view as a serious erosion of MAC engagement with local Contractor Advisory Committees (CACs). The CACs historically engaged...

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