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A national coverage determination (NCD) [1] is a United States nationwide determination of whether Medicare will pay for an item or service. [2] It is a form of utilization management and forms a medical guideline on treatment.
In 1989 the Health Care Financing Administration formalized this as a National Coverage Determination (NCD), 140.3, Transsexual Surgery that made transsexual surgery ineligible from public insurance on the basis of the NCTCH report. [2] [4] [8] [12] The ACLU submitted letters and affidavits challenging the NCD. [13] The NCD stated:
National coverage determination, American public healthcare guidance Neurocognitive disorder , a class of mental illness Organisations in government and politics
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Medicaid coverage gap; Medicaid Drug Rebate Program; Medicaid Home and Community-Based Services Waivers; Medicaid waiver; Medical necessity; Medical savings account (United States) Medically indigent adult; Medically Unlikely Edit; Medicare Advantage; Medicare and Medicaid Extenders Act of 2010; Medicare for All Act; Medicare Fraud Strike Force
Shuren was responsible for the development of Medicare national coverage determinations for drugs, biologics, and non-implantable devices, while director of the Division of Items and Devices, Coverage and Analysis Group at the Centers for Medicare and Medicaid Services. [1]
A National Prevention, Health Promotion and Public Health Council (National Prevention Council) was created to develop a national strategy on prevention, health promotion and public health; by, for example, disseminating evidenced-based recommendations on the use of clinical and community prevention services. [7]
The Affordable Care Act of 2010 was designed primarily to extend health coverage to those without it by expanding Medicaid, creating financial incentives for employers to offer coverage, and requiring those without employer or public coverage to purchase insurance in newly created health insurance exchanges. This requirement for almost all ...