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CMS Pub. 100-08, ch. 13, § 13.3.3

Process Requirements

activein force · 2026-08-25 – presentas-observed

The requestor shall submit a valid LCD reconsideration request to the appropriate MAC,

following instructions on the MAC's Web site.

Within 60 calendar days of the day the request is received, the MAC shall determine whether the

request is valid or invalid. If the request is invalid, the contractor shall respond, in writing, to

the requestor explaining why the request was invalid. If the request is valid, the contractor shall

follow the requirements below.

The MAC shall open the LCD and follow the LCD process as outlined in section 13.2 of this

manual or include the LCD on the MAC’s waiting list. The MAC shall respond, in writing, to the

requestor notifying the requestor of the acceptance, and if applicable, wait-listing, of the

reconsideration request.

Contractors shall keep an internal list of the LCD Reconsideration Requests received and the

dates, subject, and disposition of each one.

History

(Rev. 863; Issued: 02-12-19; Effective: 10-03-18; Implementation: 01-08-19)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
2449ed541ee864368f51906e30db377350098558032f1a4d1c189846af8a0573
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