On September 30, APMA and its CAC engagement coalition held a call with CMS in furtherance of their Carrier Advisory Committee (CAC) engagement efforts to address cross-agency issues with CMS.
APMA and the coalition have experienced several challenges with the Local Coverage (LC) process in recent years and have brought those concerns to CMS’ Coverage and Analysis Group (CAG). The CAG has considered APMA’s concerns and is working to address many of them on an ongoing basis.
As previously reported in APMA Weekly Focus, the CAG has raised many of our concerns regarding CACs with the MAC medical directors, who have developed a working group to address concerns raised by this group, and with whom we are engaged to continue to work through several issues. However, other issues have hit roadblocks, so APMA requested this meeting with CMS to facilitate cross-agency engagement on these issues to help advance goals of transparency, burden reduction, and sound policy.
Specifically, APMA and the coalition again raised the following issues:
This meeting continues APMA and the coalition’s efforts to address lingering concerns regarding the Local Coverage Determination (LCDs) and Article (LCAs) review process, role of the CAC representatives, and other issues that APMA and our coalition have raised related to changes brought about by the 21st Century Cures Act.