Relationship of NCDs and LCDs
NCD decisions are binding on all Medicare contractors, and LCD policy can be no more restrictive than the NCD, although it can be less restrictive. If an NCD or other coverage provision states that an item is “covered for diagnoses/conditions A, B and C”, contractors should not use that as a basis to develop an LCD to cover only “diagnoses/conditions A, B and C”. When an NCD does not exclude coverage for other diagnoses/conditions, contractors should allow individual consideration, unless the LCD supports automatic denial of some or all of those other diagnoses/conditions. When national policy bases coverage on need assessment by the beneficiary’s provider, LCDs should not include prequisites.
Read more about this topic: National Coverage Determination
Famous quotes containing the words relationship of and/or relationship:
“It is possible to make friends with our children—but probably not while they are children.... Friendship is a relationship of mutual dependence-interdependence. A family is a relationship in which some of the participants are dependent on others. It is the job of parents to provide for their children. It is not appropriate for adults to enter into parenthood recognizing they have made a decision to accept dependents and then try to pretend that their children are not dependent on them.”
—Donald C. Medeiros (20th century)
“From infancy, a growing girl creates a tapestry of ever-deepening and ever- enlarging relationships, with her self at the center. . . . The feminine personality comes to define itself within relationship and connection, where growth includes greater and greater complexities of interaction.”
—Jeanne Elium (20th century)