42 C.F.R. § 426.416 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.
Title 42 - Public Health
Medicare MCOs and Medicaid State agencies have no role in the LCD review process. However, once the ALJ has issued its decision, the decision is made available to all Medicare MCOs and State agencies.
Title 42: Public Health
PART 426—REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS
Subpart D—Review of an LCD
§ 426.416 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.
