Medicare Managed Care Manual (Pub. 100-16), Ch. 17f § 80.3
Sources for Obtaining Information
80.3 - Sources for Obtaining Information
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
In an effort to make the coverage process more open, understandable, and predictable,
CMS has redesigned its Medicare coverage process. Part of the redesign includes using
the Internet to inform interested parties about how national coverage determinations are
made and the progress of each issue under coverage review.
• The Medicare Coverage Homepage
The Medicare Coverage Homepage, located at http://cms.hhs.gov/coverage/ has
links that:
o Provide a listing of all National Coverage Determinations; and
o Enable you to Search the Database.
Both pending and closed coverage determinations are listed. For each coverage
topic CMS provides a staff name and e-mail link so interested parties can use the
Internet to send questions and to provide feedback.
• The NCD Manual:
The Medicare National Coverage Determinations Manual, Pub. 100-3, is the
primary record of Medicare national coverage policies, and includes a discussion
of the circumstances under which items and services are covered. This manual
may be accessed at http://cms.hhs.gov/manuals/103_cov_determ.
• Program Transmittals
Additional information on new coverage can be found in the Program
Transmittals that transmit CMS’ new policies and procedures. Links to the
Program Transmittals may be found at http://cms.hhs.gov/manuals/transmittals.