National Coverage Determinations

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Information Last Updated: 10/14/2024

National Coverage Determinations

 

The Centers for Medicare and Medicaid (CMS) periodically releases changes to services covered by Medicare through National Coverage Determinations (NCD). Health plans are required to notify members of these changes. A NCD is a nationwide determination by CMS on whether an item or service is medically necessary. Please check back often to review the most recent updates on Medicare covered services. The full text of these updates may be found here:

Coverage Effective Date: 9/30/2024
Preexposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus (HIV) Infection
NCA - Preexposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus (HIV) Infection (CAG-00464N) - Decision Memo (cms.gov)

Coverage Effective Date: 3/6/2024
Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS)
https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N &NCAId=312

Coverage Effective Date: 10/13/2023
Beta Amyloid Positron Emission Tomography in Dementia and Neurodegenerative Disease

Coverage Effective Date: 10/11/2023
Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting

Coverage Effective Date: 5/16/2023
Seat Elevation Systems as an Accessory to Power Wheelchairs (Group 3)

Coverage Effective Date: 9/26/2022
Cochlear Implantation