Medicare Program Integrity Manual (Pub. 100-08), Ch. 11 § 11.1.3.5
Policy Reconsideration/Revision Activities (Activity Code
11.1.3.5 - Policy Reconsideration/Revision Activities (Activity Code
21206)
(Rev. 130, Issued: 11-10-05, Effective: 10-01-05, Implementation: 12-12-05)
In an attempt to achieve jurisdictional consistency, multi-state contractors shall develop
and revise local policies that apply to all their states. When reporting workload to CAFM
II, the contractor shall report just one LCD, even if that policy varies slightly from state
to state.
Report all costs associated with reconsiderations and revisions to LCD in CAFM II
Activity Code 21206. Include reconsideration requests made as a result of IOM Pub.100-
08 ch.13 §13.10. The cost of inputting the LCD into the Fu database shall also be
reported here and not in activity code 24118 – Education delivered through electronic or
paper media. Report the total number of policies revised or retired in the month it became
effective in Workload 1. Report the number of policies revised that required notice or
comment as Workload 2. Report the number of policies revised due to an outside request
(e.g., beneficiary or provider request) in Workload 3.