APMA met with representatives from CMS’ Center for Clinical Standards and Quality (CCSQ) and Coverage and Analysis Group on November 12 to discuss ongoing frustrations with the revised release and review process for Local Coverage Determinations and Articles (LCDs and LCAs) and the roles of Contractor Advisory Committee (CAC) representatives under the 21st Century Cures Act.
APMA met with CMS to discuss these concerns in June 2019. This most recent meeting was precipitated by the recent Noridian Routine Foot Care LCA for which APMA submitted comments in September, expressing concerns over the lack of formal notice and comment period, as well as omission of a number of diagnostic codes included in the National Coverage Determination (NCD) as well as other Medicare Area Contractors’ (MACs) LCDs. CMS acknowledged APMA’s concerns and noted it would meet with Noridian to discuss them further. APMA will provide updates as they become available.