{"abstract":"This notice updates the process we use for opening, deciding or reconsidering national coverage determinations (NCDs) under the Social Security Act (the Act). It addresses external requests and internal reviews for new NCDs or for reconsideration of existing NCDs. The notice further outlines an expedited administrative process to remove certain NCDs, thereby enabling local Medicare contractors to determine coverage under the Act. This notice does not alter or amend our regulations that establish rules related to the administrative review of NCDs.","action":"Notice.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2013/08/07/2013-19060.html","cfr_references":[],"citation":"78 FR 48164","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This notice is effective on August 7, 2013.","disposition_notes":null,"docket_ids":["CMS-3284-N"],"dockets":[],"document_number":"2013-19060","effective_on":"2013-08-07","end_page":48169,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/08/07/2013-19060.xml","html_url":"https://www.federalregister.gov/documents/2013/08/07/2013-19060/medicare-program-revised-process-for-making-national-coverage-determinations","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-19060?publication_date=2013-08-07","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-08-07/2013-19060/mods.xml","not_received_for_publication":null,"page_length":6,"page_views":{"count":4497,"last_updated":"2026-10-25 06:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-08-07/pdf/2013-19060.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-19060.pdf?1375820536","publication_date":"2013-08-07","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/08/07/2013-19060.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2013-0184","supporting_documents_count":0,"docket_id":"CMS-2013-0184","regulation_id_number":null,"title":"Medicare Program; Revised Process for Making National Coverage Determinations (CMS-3284-N)","checked_regulationsdotgov_at":"2013-08-27T08:06:06Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":48164,"subtype":null,"title":"Medicare Program; Revised Process for Making National Coverage Determinations","toc_doc":"Revised Process for Making National Coverage Determinations","toc_subject":"Medicare Program:","topics":[],"type":"Notice","volume":78}