Novitas’ Local Coverage Determinations Have New Format

Last Updated: Jan 29, 2018

On Jan. 11, 2018, Novitas Solutions announced that its Local Coverage Determinations (LCDs) have a new format. The changes have been made to accommodate the 21st Century Cures Act, a federal bill signed into law on Dec. 13, 2016.

The new LCD format includes three new sections that clarify the rationale for indications and limitations of coverage:

  1. Summary of Evidence—Provides a summary of pertinent literature and/or guidelines used to determine indications/limitations
  2. Analysis of Evidence—Includes a high-level overview and conclusion, and provides the reasoning or basis for indications/limitations
  3. Bibliography—Includes all sources used to write the LCD

When draft LCDs are finalized, Novitas will include a hyperlink at the bottom of the LCD which links to a “Response to Comments (RTC)” Local Coverage Article with a summary of all the comments received during the draft comment period along with Novitas’ responses.

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