Medicare Program Integrity Manual (Pub. 100-08), Ch. 13 § 13.5.6
Final Decision
13.5.6 - Final Decision
(Rev. 863; Issued: 02-12-19; Effective: 10-03-18; Implementation: 01-08-19)
MACs shall finalize or retire all proposed LCDs within a rolling year of publication date of the
proposed LCD on the MCD (365 days). After the close of the comment period and the required
meetings, the MACs shall publish a final LCD to the MCD. MACs shall link from their
contractor website to the final LCD on the MCD. As stated earlier, the MAC shall also respond
to all comments received, via the RTC article which shall be published on the MCD and be
related to the LCD. The RTC article shall be displayed at the same time as the final LCD.
MACs shall notify the public that a final decision has been published and provide the Web link to
the final decision. MACs may use several tools at their disposal to educate providers, including
the “What’s New Report” on the Medicare Coverage Database, setting up email listservs, or
other 508 compliant and accessible means to inform stakeholders.