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Medicare coverage determinations

When Medicare changes coverage rules

The Centers for Medicare & Medicaid Services (CMS) sometimes change the coverage rules that apply to an item or service. When this happens, CMS issues a National Coverage Determination (NCD). It tells us:


  • What benefits and services are covered 

  • What benefits and services are changing

  • What Medicare will pay for an item or service 


See our NCD notices below.

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