US · guidance
CMS Pub. 100-04, ch. 30, § 120.1
Documentation of Notices Regarding Coverage
A critical step in the implementation of the limitation on liability provision is the
distribution by contractors of notices regarding coverage issues to the medical
community, or to specific segments of it, such as laboratories or certain physician
specialty groups. An ongoing program of communication by contractors is essential.
Timely communication of existing general notices to physicians and suppliers new to a
contractor’s service area is essential. The existence of written general notices will often
determine the extent of program liability. As a minimum, the contractor should have a
program for dissemination of the coverage guidelines published in the National Coverage
Determinations Manual and the Medicare Benefit Policy Manual, as well as other
guidelines contained in this manual for determining medical necessity and others issued
from time to time in other CMS issuances.
History
(Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e92214ff18de8482b5ecd34b03e6dd1f12ef632b721aa384390987ddc66dbfda
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