If the Centers for Medicare & Medicaid Services (CMS) makes changes to the services that are covered by Medicare, we will list it here.
CMS issued transmittal to communicate the revision of 240.2 of the National Coverage Determination (NCD) Manual, Publication (Pub.) 100-03, Chapter 1, Part 4, and to inform the Medicare Administrative Contractors (MACs) of the changes associated with this NCD, effective Sept. 27, 2021, as amended July 8, 2022.
On July 8, 2022, CMS reconsidered and amended NCD 240.2 narrowly in order to conform the period of initial coverage described in section D with the specific time period specified in §1834(a)(5)(E) of the Social Security Act. Specifically, CMS amended the period of initial coverage for patients in section D of NCD 240.2 from 120 days to 90 days, in order to align with the 90-day statutory time period. No other part of NCD 240.2 was reconsidered or amended. Since §1834(a)(5)(E) of the Social Security Act was the continuous controlling authority, the coverage policies in NCD 240.2 remain effective as of Sept. 27, 2021.