Medicare National Coverage Determinations (NCD) Manual (Pub. 100-03), Ch. 1 § 20.31.2
Ornish Program for Reversing Heart Disease (Effective
20.31.2 – Ornish Program for Reversing Heart Disease (Effective
August 12, 2010)
(Rev. 125, Issued: 09-24-10, Effective: 08-12-10, Implementation: 10-25-10)
A.
General
The Ornish Program for Reversing Heart Disease (also known as the Multisite Cardiac
Lifestyle Intervention Program, the Multicenter Cardiac Lifestyle Intervention Program,
and the Lifestyle Heart Trial Program) was initially described in the 1970s and
incorporates comprehensive lifestyle modifications including exercise, a low-fat diet,
smoking cessation, stress management training, and group support sessions. Over the
years, the Ornish Program has been refined but continues to focus on these specific risk
factors.
B.
Nationally Covered Indications
Effective for claims with dates of service on and after August 12, 2010, the Ornish
Program for Reversing Heart Disease meets the Intensive Cardiac Rehabilitation (ICR)
program requirements set forth by Congress in §1861(eee)(4)(A) of the Social Security
Act, and in regulations at 42 C.F.R. §410.49(c) and, as such, has been included on the list
of approved ICR programs available at http://www.cms.gov/MedicareApprovedFacilitie/.
C.
Nationally Non-Covered Indications
Effective August 12, 2010, if a specific ICR program is not included on the list as a
Medicare- approved ICR program, it is non-covered.
D.
Other
N/A
(This NCD last reviewed August 2010.)