[Federal Register: November 7, 2003 (Volume 68, Number 216)]
[Rules and Regulations]
[Page 63691-63731]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr07no03-21]
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Part IV
Department of Health and Human Services
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Centers for Medicare & Medicaid Services
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42 CFR Parts 400, 405, and 426
Medicare Program: Review of National Coverage Determinations and Local
Coverage Determinations; Final Rule
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 400, 405, and 426
[CMS-3063-F]
RIN 0938-AK60
Medicare Program: Review of National Coverage Determinations and
Local Coverage Determinations
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule.
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SUMMARY: This final rule will create a new process to allow certain
Medicare beneficiaries to challenge national coverage determinations
(NCDs) and local coverage determinations (LCDs). It will implement
portions of section 522 of the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000. The right to challenge NCDs and
LCDs will be distinct from the existing appeal rights that Medicare
beneficiaries have for the adjudication of Medicare claims.
EFFECTIVE DATE: The provisions set forth in this final rule are
effective December 8, 2003.
FOR FURTHER INFORMATION CONTACT: Vadim Lubarsky, 410-786-0840 for
National Coverage Determinations. Misty Whitaker, 410-786-3087 for
Local Coverage Determinations.
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.
Note: The former name of the Centers for Medicare & Medicaid
Services (CMS) was the Health Care Financing Administration (HCFA).
The terms CMS and HCFA can be used interchangeably.
In addition, because of the many terms to which we refer by acronym
in this final rule, we are listing these acronyms and their
corresponding terms in alphabetical order below.
ALJ--Administrative Law Judge
CAC--Carrier Advisory Committee
CMP--Comprehensive Medical Plan
DMERC--Durable Medical Equipment Regional Carrier
FI--Fiscal Intermediary
HCPP--Health Care Prepayment Plan
HMO--Health Maintenance Organization
LCD--Local Coverage Determination
LMRP--Local Medical Review Policy
M+C--Medicare+Choice
MCAC--Medical Coverage Advisory Committee
NCD-National Coverage Determination
QIO--Quality Improvement Organization
RHHI--Regional Home Health Intermediary
I. Background
A. Background of Rulemaking
On August 22, 2002, we issued a proposed rule (67 FR 54534)
implementing certain provisions of section 522 of the Medicare,
Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
(BIPA), proposing a process for the review of local coverage
determinations (LCDs) and national coverage determinations (NCDs). The
notice and comment period closed on October 21, 2002. We received 31
timely comments, which were quite useful in identifying issues and
concerns. We have made significant changes to this final rule to
address the public comments. We believe that these changes will
contribute to a fairer and more efficient process. Significant changes
to the proposed rule based on public comments, which are discussed in
section III, below, include:
[sbull] More broadly defining beneficiaries ``in need.''
[sbull] Reducing the burden for physician certification
requirements.
[sbull] Allowing for participation in the BIPA section 522
adjudicatory process as an amicus curiae (friend of the court) for NCD
appeals.
[sbull] Creating a mechanism to allow new evidence to be received
subject to time-limited remands.
[sbull] Expanding the effect of a final decision by the
Administrative law judge (ALJ) or the HHS Departmental Appeals Board
(Board).
B. Overview of Existing Statutes, Regulations, and Policies
Medicare is the nation's largest health insurance program covering
approximately 41 million Americans. Beneficiaries consist primarily of
individuals 65 years of age or older, some disabled people under 65
years of age, and people with end-stage renal disease (permanent kidney
failure treated with dialysis or a transplant).
The original Medicare program consists of two parts. Part A, known
as the hospital insurance program, covers certain care provided to
inpatients in hospitals, critical access hospitals, skilled nursing
facilities, as well as hospice care and some home health care. Part B,
the supplementary medical insurance program, covers certain physicians'
services, outpatient hospital care, and other medical services that are
not covered under Part A. While the original Medicare program covers
many health care items and services, it does not cover all health care
expenses. The Medicare statute specifically excludes from coverage
certain items and services under section 1862(a) of the Social Security
Act (the Act).
In addition to the original Medicare program, beneficiaries may
elect to receive health care coverage under the Medicare+Choice (M+C)
program under Part C of the Medicare program. This program provides
beneficiaries with various options, including the right to choose a
Medicare managed care plan or a Medicare private fee-for-service plan.
Under the M+C program, an individual is entitled to those items and
services (other than hospice care) for which benefits are available
under Part A and Part B. An M+C plan may provide additional health care
items and services that are not covered under the original Medicare
program.
The Act gives beneficiaries specific rights to challenge particular
types of decisions. We are committed to providing beneficiaries an
opportunity to fully exercise these statutory rights. Moreover, we are
committed to resolution of these disputes in a fair and efficient
manner.
C. Claims Appeal Process
Under the original Medicare program, a beneficiary may generally
obtain health services from any institution, agency, or person
qualified to participate in the Medicare program that undertakes to
provide the service to the individual. Assuming that a qualified
provider or supplier has furnished medical care, the health care
provider or supplier, or, in some cases, a beneficiary would submit a
claim for benefits under
[[Page 63693]]
the Medicare program. If the claim is for an item or service that falls
within a Medicare benefit category, is reasonable and necessary for the
individual, and is not otherwise statutorily excluded, a government
contractor (either a fiscal intermediary for claims under Part A or
Part B, or a carrier for claims under Part B) would pay the claim.
However, if the Medicare contractor determines that the medical care is
not covered under the Medicare program, the Medicare contractor would
deny the claim.
This final rule does not seek to significantly alter the existing
claims appeal process. Nor does this rule significantly alter our
existing regulations for M+C beneficiaries as established at Sec.
422.560 through Sec. 422.622. However, it does create an expanded
definition of aggrieved party to include a beneficiary who received a
service, but whose claim for the service was denied, extending an
opportunity to that beneficiary to file a complaint under Sec. 426.400
or Sec. 426.500. For further discussion of the claims appeal process
please consult the proposed rule.
D. National Coverage Determinations (NCDs)
Section 1869(f)(1) of the Act defines national coverage
determination as ``a determination by the Secretary with respect to
whether or not a particular item or service is covered nationally under
title XVIII, but does not include a determination of what code, if any,
is assigned to a particular item or service covered under this title or
a determination with respect to the amount of payment made for a
particular item or service so covered.'' For the full discussion of
NCDs please consult our proposed rule at 67 FR 54535 published on
August 22, 2002.
E. Local Medical Review Policy (LMRP)
As explained in the preamble to the proposed rule, Local Medical
Review Policies are contractor-specific policies that identify the
circumstances under which particular items or services will be (or will
not be) considered covered and correctly coded. An LMRP is not
controlling authority for ALJs or the Board in the claims appeals
process. These guidelines simply help to ensure that similar claims are
processed in a consistent manner within those jurisdictions. LMRPs may
not conflict with an NCD, but may be written in the absence of, or as
an adjunct to, an NCD.
An LMRP may contain any or all of the following:
[sbull] Coding provisions.
[sbull] Benefit category provisions.
[sbull] Statutory exclusion provisions.
[sbull] Provisions related to the authority under section
1862(a)(1)(A) of the Act, which prohibits payment for any expenses
incurred for services that are not reasonable and necessary for the
diagnosis or treatment of illness or injury, or to improve the
functioning of a malformed body member.
Some LMRPs contain only a single type of provision, while other
LMRPs contain all four types. The provisions described in bullets two
through four above constitute coverage provisions.
For further information on LMRPs please consult our proposed rule
at 67 FR 54535.
F. Local Coverage Determinations
Section 522 of BIPA does not use the term ``LMRP,'' but uses the
term ``Local Coverage Determination'' (LCD). Section 522 of BIPA amends
section 1869(f)(2)(B) of the Act, to define LCD as ``a determination by
a fiscal intermediary or a carrier under part A or part B, as
applicable, respecting whether or not a particular item or service is
covered on an intermediary-or carrier-wide basis under such parts, in
accordance with section 1862(a)(1)(A).''
An LMRP may contain four different types of provisions (coding,
benefit category, statutory exclusion, and reasonable and necessary).
Section 1869(f)(2)(B) of the Act limits an LCD as a determination only
under section 1862(a)(1)(A) of the Act's ``reasonable and necessary
provision.'' For the purposes of this regulation, we will use the term
``reasonable and necessary provision'' to describe section
1862(a)(1)(A) of the Act. We intend to work with contractors to divide
LMRPs into separate LCD and non-LCD documents; however, it is likely
that LMRPs will continue to exist for the next several years. During
this time, the term LCD will refer to both of the following:
[sbull] Separate, stand-alone documents entitled ``LCDs'' that
contain only reasonable and necessary language; and
[sbull] The reasonable and necessary provisions of an LMRP.
G. Differences Between NCDs and LMRPs/LCDs
Under our claims appeals process, ALJs may consider, but are not
bound by, LMRPs or LCDs. Thus, an ALJ may rule that Medicare payment is
due on a particular item or service received by a beneficiary, based on
the particular circumstances represented by the case, even if the
contractor's LMRP or LCD clearly prohibits payment for the particular
service. (We note that a regulation which may impact ALJ consideration
of LCDs in claims appeal cases has been proposed. See 67 FR 69328,
69351.) On the other hand, contractors and ALJs are bound by NCDs. ALJs
may not review an NCD.
H. Individual Claim Determinations
In addition to policy determinations, contractors may make
individual claim determinations, even in the absence of an NCD, LMRP,
or LCD. In circumstances when there is no published policy on a
particular topic, decisions are made based on the individual's
particular factual situation. See Heckler v. Ringer, 466 U.S. 602, 617
(1984) (recognizing that the Secretary has discretion to either
establish a generally applicable rule or to allow individual
adjudication).
I. Impact of Section 522 of the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000 (BIPA)
1. Overview of the Legislation
Section 522 of the BIPA created a new review process that enables
certain beneficiaries to challenge LCDs and NCDs. These appeal rights
are distinct from the existing appeal rights for the adjudication of
Medicare claims. This section also creates additional avenues for
beneficiaries to seek judicial review. Before BIPA, the statute did not
provide an administrative avenue to challenge the facial validity of
LCDs or NCDs.
2. Differences Between the Claims Appeal Process and the LCD/NCD Review
Processes
The existing claims appeal rights were not significantly changed by
section 522 of the BIPA. Our claims appeal regulations will continue to
provide detailed administrative appeal rights for beneficiaries whose
claims are denied. These claims appeal procedures permit beneficiaries
to challenge the initial claims denial and include de novo review by an
independent ALJ. If still dissatisfied after exhausting all
administrative remedies, a beneficiary has a right to seek judicial
review in a Federal district court. This claim appeal system enables
beneficiaries to submit any relevant information pertaining to an
individual claim. Moreover, because LCDs are not controlling
authorities for ALJs, when an ALJ does not find an LCD persuasive, an
individual claim appeal could result in the claim being paid without
the need to challenge the underlying LCD. We have proposed rules that
would modify the claims appeals process at 67 FR 69312 (November 15,
2002).
Section 522 of the BIPA created a review process that is separate
and
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independent from the claims appeal process. This process will be
different, because the nature of the challenge and the relevant
evidence is different. The procedures used in this process will be
different from the claims appeals process. Review of an LCD or NCD
requires examination of an entire policy, or specific provisions
contained therein, and not just one claim denial. Therefore, such
reviews may lead to changes that impact other beneficiaries if the
policies are found to be unreasonable. A beneficiary, thus, may elect
to pursue a claims denial through the claims appeal process, seek
review of an LCD or NCD using the process in this final rule, or both.
In no way does filing a 522 challenge, or a decision on a 522
challenge, affect beneficiary appeal rights or other issues that may
arise in the claims appeal process.
Complaints under section 522 of the BIPA are subject to standing
rules. Namely, under section 1869(f)(5) of the Act ``[a]n action under
this subsection seeking review of a national coverage determination or
local coverage determination may be initiated only by individuals
entitled to benefits under part A, or enrolled under part B, or both,
who are in need of the items or services that are the subject of the
coverage determination.'' In this final rule, we are interpreting the
standing provision to include individuals who have received the item or
service and whose initial claim was denied based on an LCD or NCD and,
thus, are in need of Medicare coverage. We will also permit the estates
of certain individuals to have standing. Only individuals who have
standing may bring a challenge under section 522 of the BIPA, and in
this final rule, we refer to these individuals as ``aggrieved
parties.''
As discussed in the proposed rule, the aggrieved party may not
assign the right to bring a challenge under section 522 of the BIPA to
anyone else. However, the aggrieved party is permitted to obtain
assistance from any individual in pursuing the challenge. (We discuss
the difference between assigning rights and receiving assistance in
section IV of this final rule.)
The definition of an ``aggrieved party'' will permit an individual
to bring a challenge to an LCD or NCD in advance of receiving an item
or service, or after the LCD or NCD is applied to a claim causing the
claim to be denied. As we discuss in greater detail in section IV.E of
this preamble, a successful challenge would permit the individual to
have his or her specific claim reviewed without reference to the
challenged policy. Claims that are otherwise payable can be paid. In
addition, a successful challenge to an LCD or NCD may result in the
following:
[sbull] The policy being retired/withdrawn in its entirety, or
[sbull] The policy being revised to effectuate the Board decision,
or the ALJ decision if it is not appealed to the Board.
3. The Reconsideration Process
We previously established a procedure by which individuals could
seek reconsideration of policies established in an LCD or NCD. The
procedures for NCDs were set forth in the September 26, 2003 notice (68
FR 55634, 55641). The procedures for LCDs were set forth in the Program
Integrity Manual, Chapter 13, Section 11.
4. The Role of Other Interested Individuals or Entities
The section 522 review process is intended to be initiated only by
aggrieved parties. However, consistent with several public comments, we
are expanding Sec. 426.510(f) to allow for limited participation in an
NCD challenge by other individuals as amicus curiae when the
individuals or entities meet the standards set forth in these
regulations. Please note that the reconsideration process described in
section I.I.3 of this preamble remains the appropriate process by which
all other interested entities may submit new evidence pertaining to the
review of current LCDs and NCDs.
5. Differences Between an LCD/NCD Review and an LCD/NCD Reconsideration
The main difference between an LCD/NCD review under section 522 of
the BIPA and an LCD/NCD reconsideration is the avenue an individual
chooses to take to initiate a change to a coverage policy and who may
initiate the review. All interested parties, including an aggrieved
party, may request a reconsideration of an LCD or NCD, rather than
filing a complaint to initiate the review of an LCD or NCD. Conversely,
only an aggrieved party may file a complaint to initiate the review of
an LCD or NCD. If the aggrieved party believes that we, or the
contractor, misinterpreted evidence or excluded available evidence in
making the coverage determination or has new evidence to submit, then
the aggrieved party has the option to file a request for a
reconsideration by the contractor or us, respectively, or to file a
complaint to seek review by an adjudicator.
In the reconsideration process, all interested parties, not just
aggrieved parties, have the opportunity to submit new scientific and
medical evidence for review by individuals with medical and scientific
expertise. The reconsideration process permits experts to make
judgments about those policies, rather than using an adjudicatory
proceeding.
II. Provisions of the Proposed Rule
For a discussion of the specific provisions of the proposed rule,
please see 67 FR 54534-54563. The significant changes to the final
rule, based on public comments, are reflected in section III, below.
III. Analysis of and Response to Public Comments
We received 31 comments from the public on the proposed rule.
Summaries of the major comments received and our responses to those
comments are set forth below.
Definition of an NCD
Comment: We received several comments on our interpretation of what
qualifies as an NCD, and which policies are subject to review. Some
public comments stated that we interpreted the statute too narrowly,
and that additional policies should be subject to review; other public
comments suggested that we interpreted the statute too broadly, and
that benefit category determinations should not be defined as NCDs, and
should not be subject to review before the Board.
Response: Our definition of an NCD is consistent with the statutory
language, and we are not accepting the public comments that suggest the
definition is either too broad or too narrow. We continue to believe
that the statute is clear, and that the Congress has created a new
definition of NCD to include benefit category determinations. The
Congress's definition of an NCD is now broader than the prior statute
at section 1869(b)(3) of the Act. Moreover, it is broader than the
definition of LCD that is specifically limited to determinations made
in accordance with section 1862(a)(1)(A) of the Act. We presume that
the Congress acted intentionally and precisely in defining an NCD, and
we are following that definition in this final rule.
Definition of LCD
Comment: One commenter suggested that an LCD should be synonymous
with LMRP.
Response: Because the statutory definition of an LCD is limited to
the reasonable and necessary provisions in section 1862(a)(1)(A) of the
Act, we could not make the definition of an LCD synonymous with the
definition of an LMRP. As discussed earlier in this preamble, an LMRP
may contain coding,
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benefit category, and statutory exclusion provisions that are not based
on section 1862(a)(1)(A) of the Act.
Comment: Several commenters suggested that both procedure codes and
diagnosis codes be included within the definition of LCD. These
commenters stated that the final regulation should not preclude an
aggrieved party from challenging the reasonable and necessary
provisions of an LCD that contain diagnosis codes.
Response: An LCD or LMRP provision stating that a service is not
reasonable and necessary for specified diagnoses (whether listed in
text or listed by ICD-9 diagnosis code) is considered part of the LCD.
Definition of an Aggrieved Party
Comments: We received two comments in support of our proposed
definition of an aggrieved party as a beneficiary in need of a service
and who has not yet received the service that is the subject of the
coverage determination. While these commenters felt that it is correct
to allow aggrieved parties to initiate the review of an LCD or NCD,
they wrote that opening up the LCD/NCD review process to beneficiaries
who have already received the service would result in unnecessarily
complicated adjudications. However, over half of all commenters on the
rule suggested that the definition was too narrow and should be
expanded. Some commenters stated that the proposed definition was far
too restrictive and suggested that we remove the requirement that the
service not be received at the time the complaint is filed. One
commenter pointed out that the proposed definition would insulate
certain LCDs and NCDs from ever being challenged because some LCDs/NCDs
address services that are only used in emergency or urgent situations
where the beneficiary would be incapable of filing a challenge prior to
receiving the service. Some commenters suggested that beneficiaries
would lose their section 522 rights if they chose not to forego urgent
treatment. One commenter suggested that we revise the definition to
require that the beneficiary be in need of coverage for a service. One
commenter specifically requested the establishment of an emergency
appeals process.
Response: In response to these comments, we have interpreted the
statutory requirements more broadly and have expanded the definition of
aggrieved party to require that the beneficiary be in need of coverage
of a service. Therefore, the definition includes beneficiaries who have
already received the service. We believe this change obviates the need
for an emergency appeals process because a beneficiary can obtain an
emergency service and then seek review without forgoing his or her
rights. In order to define which beneficiaries have standing as
aggrieved parties, we have added a requirement in Sec. 426.400(b)(2)
and Sec. 426.500(b)(2) that aggrieved parties, who have received a
service and have filed a claim, must file their section 522 challenge
within 120 days of the date of the initial denial notice from the
contractor.
Comment: One commenter stated that beneficiaries should be allowed
to challenge coverage NCDs as well as non-coverage NCDs.
Response: We conclude in this final rule that a beneficiary is
aggrieved by an NCD only if it denies coverage for a service which that
beneficiary needs. Therefore, the ALJ/Board may accept a complaint
regarding an NCD that limits coverage. Since the Congress provided for
review upon the filing of a complaint by an aggrieved party, we believe
that the Congress intended the process to be available only when the
beneficiary is in need of coverage for an item or service that would be
denied or has been denied, under an LCD or NCD.
Allowing a Beneficiary To Assign Appeal Rights
Comment: We received a number of public comments suggesting that
the aggrieved party should be able to assign LCD or NCD review rights
under section 522 of the BIPA to another person or entity. Several of
the comments suggested that the procedures were complex and that, by
enabling a beneficiary to assign the rights to another person, it would
relieve the beneficiary of the burden of participating in the process
and would be more equitable, or, perhaps, more efficient. One commenter
suggested that permitting providers to be aggrieved parties would have
been consistent with an earlier proposal in a Senate bill. Some
commenters suggested that allowing physicians or other interested
parties to assist the beneficiary in requesting review would be useful
to beneficiaries. Other commenters recognized that the Medicare program
permitted the assignment of rights in other contexts.
On the other hand, one commenter noted that the statute requires a
beneficiary in need to initiate a review. Another commenter agreed with
our proposal, and believed it would be inappropriate under the statute
to permit the assignment of rights to request a review of an LCD or NCD
to other interested parties. That commenter noted that the ``Medicare
program is fundamentally a beneficiary, or patient, program designed to
assure access to clinically sound services.''
Response: We are retaining our position that an aggrieved party may
not assign legal rights to request a review of an LCD or NCD to a third
party, but are clarifying our rules to ensure that a challenger is not
precluded from obtaining assistance or representation from individuals
or entities who may assist the beneficiary in pursuing the individual's
appeal.
We agree with the commenter who suggested that the statute was
clear in this regard. The standing provision in section 1869(f)(5) of
the Act is precise. Moreover, as one commenter correctly observed, a
broader standing provision, that would have enabled other interested
parties to file complaints about LCDs and NCDs, existed in earlier
drafts of the legislation. It appears that the Congress's narrowing of
the language in the final bill was intentional and deliberate. We do
not believe it would be consistent with this history to expand the
scope of individuals who have a legal right to initiate and pursue a
challenge to an LCD or NCD.
We do, however, agree that beneficiaries may seek assistance from
knowledgeable physicians, suppliers, providers, manufacturers, and
attorneys in developing the individual's request for review. The
individual is free to consult with these individuals and to follow
those suggestions, recommendations, or advice. Thus, while these
individuals may assist the beneficiary in navigating the adjudicatory
process in an efficient manner, the beneficiary may not assign his or
her legal right to request a review of an LCD or an NCD to a third
party.
Comment: A commenter suggests that dually eligible Medicare and
Medicaid beneficiaries have already assigned rights to third party
payment to Medicaid agencies by virtue of sections 1902(a)(45) and 1912
of the Act, and Sec. 433.137 of the Medicaid regulations, and that
States, therefore, should be allowed to participate in the process.
Response: We disagree with the commenter. The provisions of the Act
and regulations cited concern the assignment of rights to seek medical
support or payments and in providing information to assist the State in
pursuing financially liable third parties. In contrast, a person
initiating a challenge to an LCD or NCD is seeking to have a coverage
policy held invalid and is not establishing a right to medical support
or payment. Should a dually eligible beneficiary prevail in a policy
challenge, a State may benefit in the
[[Page 63696]]
claims adjudication process if it is determined that the policy was
invalid. Furthermore, although this adjudicatory process is not
available to a State directly, a State may always request
reconsideration of an LCD or NCD.
Dismissal of Complaint Upon Death of Beneficiary
Comments: We received comments about the proposed policy that would
have dismissed complaints if the beneficiary died after initiating a
section 522 challenge. Approximately one third of the commenters were
opposed to this policy, and only one supported it. That commenter
concluded that since the deceased would no longer be considered ``in
need,'' it would be appropriate to dismiss the claim. The majority of
those who commented objected to permitting an estate to appeal a claim
without permitting the estate to continue a challenge to the policy
that could determine the outcome of the appeal, thereby denying
meaningful relief. One commenter indicated that the policy of automatic
dismissal of a complaint upon death runs contrary to Federal common law
that allows for the survival of remedial, as distinguished from penal
or punitive, claims. In describing the burdens created by an automatic
dismissal, the commenters referred to the potential for delay, the
requirement to seek meaningful redress in Federal court rather than
through the administrative appeals process, wasted resources expended
prior to the death of the beneficiary in LCD/NCD challenges, and the
potential for devastating financial burdens on the estates of deceased
beneficiaries.
Response: We have revised the final rule to permit the estate of a
beneficiary, as a successor in interest, to continue a challenge in
those cases where the aggrieved party received the service and filed a
timely complaint prior to death. In addition, we will allow an estate
to initiate a challenge within 120 days of the issuance of a denial
notice.
Acceptability of Complaints
Comments: Some commenters stated their belief that the complaint
filing process in the proposed rule was overly complex. One commenter
suggested that complaints should be deemed acceptable if sent to the
ALJ, the local Social Security office, carrier or fiscal intermediary
(FI), or the Board.
Response: We have revised the final rule to simplify and clarify
the complaint filing procedures and to make them more beneficiary-
friendly. We have eliminated a number of requirements that we believe
are unnecessary. However, it is the duty of the beneficiary to file the
complaint correctly under these regulations. Nevertheless, we will
issue instructions advising our contractors of procedures for a
misdirected LCD/NCD complaint. These instructions will inform the
contractor that it should forward the complaint to the proper location
and notify the beneficiary.
Physician Certification
Comment: Some commenters stated that physician documentation of
medical need is a reasonable way of determining whether beneficiaries
have a basis for challenging LCDs/NCDs. However, other commenters felt
that the physician certification requirements imposed unnecessary new
paperwork burdens on physicians. Some commenters argued that it was
unrealistic to require physicians to be certain of the intricacies of
Medicare policies. Others felt these requirements would prove to be a
significant impediment to the process and suggested that the original
physician order for the service suffice as certification that the
beneficiary needed the service. Finally, a number of commenters
suggested that non-physician practitioners should be allowed to
document the beneficiary's need.
Response: We have revised the certification requirements at Sec.
426.400(c) and Sec. 426.500(c) in this final regulation by clarifying
that the certification of need can be in the form of a written order
for the service in question or other documentation in the medical
record, thus significantly simplifying the certification requirements.
We have also removed the requirement that the practitioner predict that
payment would be denied. However, we continue to believe that the
beneficiary's treating physician--not any treating practitioner--is
best situated to determine ``in need'' status, both because he or she
is the primary caregiver and also is responsible for the beneficiary's
overall care.
Joint Complaints
Comments: We proposed permitting multiple parties to file a single
complaint. We received one comment in support of the joint complaint
option noting that it permits more effective resource utilization in
addressing complaints. One commenter recommended that the criterion for
joint complaints should not require ``a similar medical condition,''
rather that the adverse impact created by the LCD or NCD should create
standing. Another commenter asserted that requiring a similar medical
condition was unnecessary and inconsistent with the Federal Rules of
Civil Procedure and that requiring a challenge to the same provisions
of the same policy should be sufficient.
Response: In response to the comments concerning the requirement of
a ``similar medical condition'' for the filing of a joint complaint, we
believe that this requirement is reasonable, given the specific focus
of these adjudications. Moreover, the Federal Rules of Civil Procedure
are not controlling on our administrative proceedings. We believe that
these procedures appropriately fit the specific requirements for LCD
and NCD adjudications and are consistent with the Secretary's authority
(42 U.S.C. 405(a)). Moreover, we do not eliminate the possibility of
combining actions based upon different medical conditions if a party
believes, and the ALJ/Board finds, that there are other bases for
consolidating complaints.
Adjudicator Consolidation of Complaints
Comment: We received three comments on adjudicator authority to
consolidate complaints. One commenter recommended merging the
provisions for joint and consolidated complaints or, alternatively,
having the provisions cross-reference one another. Another commenter
objected to the consolidation of complaints without the aggrieved party
having reviewed the other complaint(s) to determine whether or not the
consolidation might negatively impact the individual's specific issue
with the LCD or NCD. Another commenter questioned whether the
consolidation might result in lengthening the process if an adjudicator
combined a later complaint with an earlier one.
Response: We believe that preserving the procedures for aggrieved
parties to file joint complaints and for adjudicators to consolidate
complaints promotes efficiency in adjudicating challenges to LCDs and
NCDs. While we recognize that the two procedures support a common goal,
we note that they are separate and distinct and therefore should remain
in their respective sections. With respect to the comments concerning
the possibility that a party might find consolidation adverse or
burdensome, we believe it is appropriate for the adjudicator to
determine whether consolidation is appropriate under the specific
circumstances. We will allow any aggrieved party who feels
disadvantaged by consolidation to raise these issues to the ALJ/Board.
We have added language to Sec. 426.410(e) and Sec. 426.510(e) to
[[Page 63697]]
clarify that the ALJ/Board may not consolidate complaints if doing so
would unduly delay the ALJ/Board decision.
Amending a Complaint
Comment: Several commenters indicated that they were concerned that
the proposed rule allowed a beneficiary to amend a complaint only once
and then required the ALJ/Board to dismiss the challenge if the
aggrieved party failed to submit an acceptable amended complaint.
Response: The statute requires that the section 522 challenge begin
with the filing of a complaint. We believe that it would be inefficient
if an aggrieved party had an unlimited number of attempts to file an
acceptable complaint. A complaint is a significant document in
identifying issues on appeal and leads to the production of the record.
The final rule continues to allow the aggrieved party one opportunity
to amend an unacceptable complaint before a time penalty is imposed.
Withdrawal of Complaint--Six-Month Limit on Refiling
Comment: We received two comments in support of our proposal to
establish a six-month limitation if an aggrieved party withdraws a
complaint. One commenter was opposed, stating that if the aggrieved
party has new evidence, he or she should be allowed to file another
complaint regardless of the timeframe. We received two additional
comments suggesting that, if the aggrieved party has new evidence, he
or she should be allowed to file another complaint without a time
limitation.
Response: We continue to believe that the six-month time limit is
necessary to ensure the efficient use of scarce resources. If the
aggrieved party withdraws a complaint, that aggrieved party must still
wait six months before filing a new complaint on the same LCD/NCD.
However, we have clarified that, once an acceptable complaint has been
filed, if the aggrieved party identifies new evidence that was not
available at the filing of the original complaint, the aggrieved party
may submit that new evidence at any time without withdrawing and
resubmitting the complaint.
Aggrieved Party Submitting a Brief
Comment: We received one comment suggesting that an aggrieved party
should have the opportunity to submit a brief after the aggrieved party
has had the opportunity to review the record upon which the LCD or NCD
was based.
Response: We agree that an aggrieved party should have an
opportunity to make his or her case. In seeking to make this process
accessible to Medicare beneficiaries, who may or may not have legal
representation, we did not want to mandate that parties submit legal
briefs in support of their claims. However, in view of the changes we
have made to the review process in this final rule, particularly for
the introduction and use of new evidence, we are clarifying that, while
briefs are not required in all cases, the adjudicator may request or
permit the parties to submit written briefs and that the aggrieved
party has the option to retain representation and to submit these
written briefs.
Educating Beneficiaries and Providers About the Process
Comment: Many commenters stressed the importance of having a well-
constructed and advertised educational campaign for providers and
beneficiaries. Some commenters suggested that a template for an
acceptable complaint, a physician's certification, and an acceptable
appeal of an ALJ's decision be available on the CMS Web site to assist
beneficiaries in filing an acceptable complaint. Another commenter
suggested that beneficiaries should be informed of their rights in the
LCD or NCD review process and that one means of providing this might be
to include it with advanced beneficiary notice (ABN) forms. Another
commenter encouraged us to inform beneficiaries clearly as to their
financial obligations while the complaint is pending. Several other
commenters suggested that we provide model language for use by Medicare
managed care organizations to use in their evidence of coverage
documents.
Response: In the proposed rule (67 FR 54547), we explained our
intent to produce a user-friendly guide that beneficiaries may use in
accessing the section 522 process. We will work with the ALJs and Board
to develop educational materials to inform the public of--
(1) The elements of an acceptable complaint;
(2) The standards for treating physician certifications; and
(3) The elements of an acceptable appeal of an ALJ decision. We
intend to prepare this educational material (including templates) and
make it publicly available, but we will not delay implementation of the
final rule to wait for these materials to be developed. We will work
with ALJs and the Board to make available to Medicare managed care
organizations and Medicaid State agencies, relevant information on
complaints and decisions. We do not intend to revise ABNs as part of
this educational program.
Allowing Participation by Interested Entities
Comment: Several commenters believed that we should allow for more
public participation of interested entities in the process, along with
submission of evidence by those parties.
Response: The LCD and NCD reconsideration processes currently exist
to give all interested entities the right to request and participate in
reconsiderations of these policies. These processes will continue to
exist to provide an avenue for all interested entities to submit
evidence that they consider pertinent. In contrast, the adjudicatory
process created by section 522 is initiated only by a beneficiary in
need of coverage, and not by all interested individuals. We are
concerned that allowing any member of the public to submit evidence
would make these adjudicatory proceedings unwieldy. We are modifying
this final rule at Sec. 426.513, however, to permit participation as
amicus curiae, in the NCD process. We recognize that NCD reviews may
impact a large number of stakeholders apart from the aggrieved parties
initiating the review. We believe that the nationwide effect of an NCD
review decision requires public notice and opportunities for input in a
way that LCD reviews do not. In addition, this impact may be
significant, even where no change to existing policy results from the
review, such as when the Board concludes that an NCD record is complete
and contains adequate information to support the validity of the NCD.
Anyone who has information that can assist the Board in reviewing
an NCD challenge is permitted to request participation as an amicus
curiae. Given the nationwide effect of an NCD review decision, the
process must strike a careful balance between providing reasonable
opportunities for input by those who may ultimately be substantially
affected by any decision, and creating a workable process to address
the issues presented by the aggrieved party seeking review. Because of
the regional nature and high number of LCDs, allowing the opportunity
for amicus curiae participation in the review of LCDs would create an
inefficient process. However, at any time, any party within the
contractor's jurisdiction who wishes to bring forward new evidence
relating to a policy may do so through the contractor's LCD
reconsideration process. This process is frequently used
[[Page 63698]]
and is an efficient method to bring new evidence to the contractor's
attention.
Making NCD Complaints and Documentation Available and Announcing the
Proceedings
Comments: A number of commenters suggested that all interested
parties should have notice of an LCD/NCD complaint and have the
opportunity to participate in the proceedings. One commenter
recommended the use of an on-line docketing system whereby the public
could learn of LCD/NCD challenges and determinations made by the ALJs
and Board in these cases.
Response: The statute does not require that we develop such a
nationwide online docketing system. While the concept is interesting,
an online docketing system is beyond the scope of this regulation.
Currently, we are exploring options for the best way to docket and
track challenges.
Changes in NCDs may determine the health care services,
technologies, and treatments to which beneficiaries have access. The
denial of coverage for a service that is allegedly reasonable and
necessary may have an adverse impact on others across the nation.
Hence, it is important that the review decisions are based on a
comprehensive and well-developed record.
In addition, the general public may have a substantial interest in
the outcome of some NCD reviews. NCD review decisions will constitute a
legal precedent with respect to the outcome. Board decisions will
clarify the extent of available Medicare coverage.
Therefore, under the final rule, the Board will make available to
the public information about all NCD complaints by means of posting on
the Internet. This method will provide the broadest possible public
notice, without unreasonably delaying review of the complaint already
filed. Any request to participate as an amicus must then generally be
filed within the timeframes set by the Board.
Although LCDs are also important, LCDs are regional in nature.
Because LCD reviews generally impact only a limited geographic area, we
will not require the ALJs to make public all LCD complaints.
Notice to Managed Care Organizations (MCOs) and State Agencies
Comment: Several commenters suggested that Medicare managed care
organizations (MCOs) and State agencies receive timely notification
when a challenge is filed at each stage of review, when an ALJ/Board
decision is made, and when a revised LCD/NCD is effective. One
commenter suggested that the regulation be revised to require the ALJ
or the Board to notify MCOs when an enrollee challenges an LCD/NCD.
Response: We will work with the ALJs and the Board to make
available to MCOs and State agencies, relevant information about
complaints and decisions.
Mediation
Comment: We received one comment for and one comment against using
mediation in an evidence-based review process.
Response: We have added a provision authorizing the Board to stay
the review proceedings for a reasonable time when all parties
voluntarily engage in settlement negotiations, with or without the
assistance of an impartial mediator. In general, we do not consider it
appropriate to negotiate about clinical issues that affect the health
or safety of Medicare beneficiaries. In some instances, however, it may
be worthwhile to explore alternative and less costly means of resolving
a dispute. Mediation may be useful to narrow the issues in dispute in
order to make the review process more efficient. Using alternative
means of resolving disputes is consistent with the Federal
Administrative Dispute Resolution Act and HHS policy. Under this final
rule, the ALJ or the Board could not compel mediation. Where the
parties consent to mediation, the ALJ or the Board may provide an
impartial mediator or assist the parties in finding an impartial
mediator acceptable to them.
Automatic Dismissal When a Contractor Retires an LCD or CMS Withdraws
an NCD
Comments: One commenter agreed that, if an NCD is withdrawn, the
purpose for the review has been eliminated and the claims can be
adjudicated without consideration of the repealed NCD, but objected to
the statement that the repeal will have the same effect as a decision
under Sec. 426.560(b). The commenter, however, interpreted section
Sec. 426.560(b) as permitting a contractor to continue to rely on a
withdrawn NCD.
Response: Retiring an LCD or withdrawing an NCD would result in the
retired/withdrawn policy no longer applying in the claims adjudication
process for services rendered on or after the date that the policy is
retired/withdrawn. Moreover, the aggrieved party would be granted
individual claim review. Since a claimant would receive the same relief
that would have been available had the adjudicator found that the
relevant LCD or NCD was not valid, there would be no reason to continue
the appeal.
Comment: One commenter recommended against automatic dismissal if a
policy were retired or withdrawn. As an alternative, the commenter
suggested giving the adjudicator discretion to dismiss ``where the
decision normally occurs'' and opined that since a retired or withdrawn
policy may be reconsidered or reaffirmed, the automatic dismissal
provision effectively nullifies the entire policy appeal process.
Response: When we retire/withdraw an LCD/NCD we will not apply
those policies for services furnished after the retirement/withdrawal
date and we will reprocess the aggrieved party's affected claims
without applying the retired/withdrawn policy. If, in the future, the
contractor or CMS issues a new LCD/NCD on that subject the change would
be adopted after an opportunity for public comment. Any such change
would be prospective in nature, and a new LCD/NCD would be subject to
challenge under this final rule.
Comment: Two commenters indicated that automatic dismissal would
not permit an ALJ's or the Board's findings to be used in the appeal of
claims decisions based upon the invalidated policy.
Response: Because the ALJ or the Board would not be required to
make a decision in a case where the contractor/CMS retired/withdrew the
LCD/NCD, there would be no Board decision with precedential effect.
However, we believe our approach conserves resources for all parties
and adjudicators.
Timeline for Beneficiary Getting the LCD/NCD Record
Comment: We received one comment on the timing of the LCD/NCD
record production requirement. That commenter suggested that we should
create a 45-day response timeframe to ensure that the review process
proceeds without inordinate delays.
Response: We agree that the establishment of timeframes will
promote the efficiency of the BIPA 522 process. However, we believe
that the time required will vary with the size and scope of the record
requested. Therefore, we have revised the final rule at Sec.
426.410(d) and Sec. 426.510(d) to state that the contractor or CMS
must generally produce the record within 30 days, subject to extension
for good cause shown.
Timeline for an Aggrieved Party to Review the LCD or NCD Record
Comment: One commenter suggested that 30 days might not be enough
time
[[Page 63699]]
for the aggrieved party to review the record, particularly for an
individual pursuing a complaint with minimal outside assistance. The
commenter recommended a 45-to-60-day timeframe for the aggrieved party
to respond.
Response: We accept the commenter's suggestion to increase the time
for review of the record. While we have maintained the 30-day
timeframe, we have added an exception for good cause shown, for review
and response to the relevant LCD or NCD record, if additional time is
required.
No Evidence To Support an LCD/NCD
Comment: We received several comments stating that where no record
exists to support an LCD/NCD, the beneficiary should not have to
introduce new evidence.
Response: We expect it would be a rare event that no record exists.
In that rare event, we agree with the commenter. We have made changes
to clarify that, in the rare event that no evidence exists to support
an LCD or NCD, we will either voluntarily retire/withdraw the policy,
or request the ALJ/Board to strike down the applicable provision(s) of
the policy, whichever is the more expeditious option.
New Evidence
Comment: Approximately half of the commenters made comments on the
issue of new evidence. Most of the comments stated that allowing us to
have an automatic stay, coupled with the absence of specific deadlines,
would unduly delay the review process. Other commenters suggested that
the stay should be a matter of ALJ/Board discretion. Numerous comments
specifically requested that the ALJ or Board review all evidence,
including new evidence, to allow for a more efficient process.
Response: We agree that a more efficient and time-sensitive
adjudicatory process is important, and we have addressed several
aspects of these comments in the final rule. We have taken considerable
steps to create an efficient adjudicatory process that still preserves
the important role of the clinical and scientific experts in making
LCDs and NCDs.
We have eliminated the proposed automatic stay when new evidence is
submitted. Instead, our final rule will require that, if new evidence
has been received by the ALJ/Board that would otherwise be admissible,
the ALJ/Board will review the new evidence after the period for
discovery and the taking of evidence is complete, and decide if it has
the potential to significantly affect the LCD/NCD provision in
question. If not, the review will continue. If the ALJ/Board determines
that the new evidence has the potential to significantly affect the
validity of the LCD/NCD, the ALJ/Board will stay the proceedings and
forward the material to the contractor or to us for a brief review. The
contractor/CMS will have 10 days to provide a statement indicating
whether or not: (1) A reconsideration will be initiated, or (2) the
policy will be revised or retired/withdrawn. If the Agency undertakes a
reconsideration, it must be completed within a period set by the ALJ/
Board that is not more than 90 days. We believe this 90-day timeframe
is reasonable due to the potentially large body of evidence that must
be reviewed. Following a reconsideration, the contractor/CMS will
prepare and submit the new LCD/NCD record, and the ALJ/Board
proceedings will continue on the revised LCD/NCD. If the contractor/CMS
chooses not to initiate a reconsideration, the ALJ/Board proceedings
will continue on the original LCD/NCD as supplemented with the new
evidence. The aggrieved party will have an opportunity to submit a
statement about whether the record still fails to support the validity
of the LCD/NCD. The contractor/CMS will have an opportunity to respond.
No further evidence will be taken at this stage, and the ALJ/Board will
proceed to make a determination on the merits.
We have also made changes to the definition of ``new evidence'' to
clarify that new evidence means evidence that was not considered by the
contractor or CMS.
When Does the Review Stop?
Comments: In the proposed rule, we specifically asked for comments
on alternatives for structuring the review process. We proposed to
divide the decision making process for cases at the ALJ/Board level
into two stages and thereby establish the prerequisites for discovery
under the statutory framework set forth at section
1869(f)(1)(A)(iii)(I) and section 1869(f)(2)(A)(i)(I) of the Act. Under
the proposed regulation, in order to obtain discovery, a challenger was
required to first file a motion with the Board or ALJ alleging that the
record was incomplete or lacked adequate information to support the
validity of the determination. Only if the record was incomplete or
otherwise inadequate would an aggrieved party be able to pursue
discovery. Even if the challenger did not file such a discovery motion,
however, a beneficiary could seek a decision on whether the
determination was based on reasonable findings of fact, reasonable
interpretations of law, and reasonable applications of fact to law.
We outlined another possible approach in our proposed rule at 67 FR
54542. That approach would require a party to file a statement
regarding whether that party considers the record complete and
adequate, and an ``offer of proof'' supporting factual allegations
about incompleteness. The adjudicator would then decide whether the
record is complete and adequate to support the decision and would
prepare a written decision. If the adjudicator found that the record
was complete and adequate, this decision would be a final Agency action
appealable to the court.
There were two public comments on this issue. One commenter
suggested that, if the adjudicator found that the record was incomplete
or inadequate, the Board would be legally required to determine that
the ``NCD is not reasonable.'' This commenter believed that the Board
would be precluded from allowing discovery or any other new evidence at
this point, but must automatically rule against CMS. A commenter
appeared to prefer the following approach: ``If, upon review of the
record, the aggrieved party does not have objections to the
completeness or adequacy of the LCD or NCD record, then what is the
basis of the aggrieved parties complaint? Presumably the coverage
policy would be challenged on the basis that it is inconsistent with
current clinical or scientific evidence. In such case, a motion by the
aggrieved party would appear to be a necessary part of the complaint
process and an appropriate step given the limited time and resources of
adjudicators, CMS and contractors.'' The commenter ``believed that the
aggrieved party should challenge the completeness or adequacy of the
record before an adjudicator should make a determination with respect
thereto.''
Response: We have re-examined our proposed procedures in light of
the public comments and the unique statutory language in section
1869(f)(1)(A)(iii)(I) and section 1869(f)(2)(A)(i)(I) of the Act. In
this final rule, we clarify at Sec. 426.400 and Sec. 426.500, the
procedural and substantive steps involved in the appeal. The revised
procedures incorporate approaches from both alternatives discussed in
the proposed rule. We believe that the revised procedures are fair,
consistent with the statutory framework, and will enable the ALJs and
Board to fairly resolve challenges to LCDs and NCDs in an expeditious
manner.
The administrative review provisions in BIPA section 522 are
unique. While
[[Page 63700]]
the reviews are, at the outset, based on the medical and scientific
evidence that the contractor/CMS considered in issuing the LCD/NCD, and
the statute requires that the adjudicator ``shall review the record,''
it does permit discovery in some limited circumstances and also permits
that adjudicator to consult with ``appropriate scientific and clinical
experts.'' Obviously, new evidence obtained through discovery or
testimony could not have been considered by the agency when the policy
predates the new evidence. Thus, the procedures are not entirely based
on the record, but new evidence and testimony may influence the ALJ's/
Board's decision in some cases.
It is possible that an aggrieved party would attempt to challenge
an LCD/NCD for several reasons. For instance, a challenger may believe
that a policy that was correct when it was issued has become outdated
and is no longer valid in light of advances in medicine. Those
challengers may be most interested in presenting new medical evidence
in support of changing the policy rather than challenging the original
factual basis for the policy. As noted previously, we are modifying our
procedures to allow a party to submit new evidence to the ALJ/Board. We
have modified the procedures at Sec. 426.340 to allow the ALJ/Board to
make a preliminary determination on whether the new evidence submitted
would have a significant bearing on the validity of the LCD/NCD. If the
evidence is found significant, it would be sent to the contractor/CMS
to determine whether the contractor/CMS agrees that the evidence
warrants a formal reconsideration. As mentioned earlier, the
reconsideration process would be time limited but would allow the
public to submit medical and scientific evidence and allow the agency
to fully develop the record in light of advances in medical science.
Following the time-limited reconsideration, a supplemental record would
be filed and the adjudication could continue, if necessary.
This approach will provide the contractor/CMS the initial
opportunity to permit medical and scientific experts to examine the new
evidence and to make findings of fact concerning the new evidence.
Among other things, the statute requires that the ALJ/Board ``shall
defer only to the reasonable findings of fact'' and it was impossible
for the agency to have made findings on evidence that did not yet exist
or that had not been furnished to the agency for consideration. We
believe this approach is necessary to ensure that the medical and
scientific opinions of the agency experts illuminate the record, since
these appeals could involve very technical medical and scientific
material related to the new evidence.
While it is possible that the challenger may submit credible
medical and scientific studies that warrant a formal reconsideration,
it is also possible that the evidence submitted would not be either
relevant or persuasive, or that a challenger may seek to challenge the
policy on other grounds. Because the public comments have highlighted
the different types of disputes that may be presented, we have modified
our procedures in attempt to fairly, yet expeditiously, resolve any
type of challenge that may be presented. Our revised approach would
allow the ALJ or the Board to resolve some cases without need for a
reconsideration and would also allow the review proceedings to be
resolved in a more expeditious manner. To resolve any confusion, we
will describe the significant procedural and substantive steps of the
review.
Under the revised procedures at Sec. 426.425 and Sec. 426.525,
all aggrieved parties, after reviewing the LCD or NCD record, will be
able to file a statement that includes the challenger's arguments as to
why the record is not complete, or not adequate to support the validity
of the LCD/NCD under the reasonableness standard. This may be the most
important step in the review process from the aggrieved party's
perspective because this is the opportunity to present any arguments
for the LCD/NCD being held invalid. (See Sec. 426.425(a), Sec.
426.525(a)). CMS or the contractor will have 30 days to submit a
response to this statement. (See Sec. 426.425(b), Sec. 426.525(b)).
After evaluating the materials and the record, our revised
procedures will permit the ALJ/Board to make a prompt decision in the
nature of a summary judgment if the case warrants this approach. For
instance, if applying the reasonableness standard, the adjudicator
finds that record is complete and has adequate information to support
the validity of the LCD or NCD, the ALJ or the Board may issue a
decision that ``the record is complete and adequate'' to support the
policy. (See Sec. 426.425(c)(1), and Sec. 426.525(c)(1)). For cases
involving an NCD, the aggrieved party would have the right to challenge
this final agency action in Federal court. (Section 1869(f)(1)(A)(v) of
the Act). For cases involving an LCD, the aggrieved party would have
the right to challenge the ALJ's decision at the Board, and potentially
in Federal Court. (Sec. 426.465).
If, on the other hand, after evaluating the materials submitted by
the parties and the record, the ALJ/Board determines that the record is
not complete or not adequate to support the validity of the LCD/NCD,
the adjudicator will permit discovery and the taking of evidence.
Following discovery and the taking of evidence as set forth in these
final rules, the ALJ/Board will issue a final decision. (See Sec.
426.447, Sec. 426.547). Those final decisions may also be appealed in
appropriate circumstances.
Although we recognize that one commenter suggested that the ALJ or
the Board would be legally required to hold invalid the LCD/NCD rather
than allowing the agency to supplement the record, the case cited is
not relevant given the unique language and history of BIPA section 522.
The ALJs and the Board are not acting as a Federal court reviewing
final agency action. The case relied on by the commenter concerned the
scope of review under the judicial review provisions of the
Administrative Procedure Act, 5 U.S.C. 706. Moreover, under prior
provisions for court review of NCDs, even courts were required to
permit us to supplement the record before declaring an NCD invalid. We
believe our approach is consistent with the specific requirements of
the statute.
Scope and Weight of Evidence
Comment: One commenter believed that the proposed rule would have
the effect of excluding highly relevant information such as physicians'
standards of practice and their professional opinions from the review
process. Another commenter believed that we should define the hierarchy
of evidence strength to assure proper weighting by the ALJ or Board
when considering scientific and clinical information.
Response: We are not accepting the recommendation to include a
hierarchy of evidence in order to allow flexibility in analyzing
evidence. We recognize that many types of evidence have value, and will
consider clinical experience, as well as other forms of medical,
technical, and scientific evidence in making LCDs and NCDs. We note
that the ALJ/Board may seek input from clinical and scientific experts
at their discretion. There is no prohibition against the ALJ or the
Board seeking the input of practicing physicians or considering
standards of practice.
Discovery
Comment: We received several comments on the nature and scope of
discovery. One commenter supported the limitation upon discovery that
[[Page 63701]]
would allow contractors to produce existing records rather than
requiring them to develop and produce new documentation.
Response: We appreciate the commenter's support of our proposals
and have taken its views into account in considering the comments of
those commenters who recommended revisions.
Comment: One commenter objected to our proposal not to initiate
discovery between parties until after an adjudicator has made a
determination about the adequacy of the record. The commenter suggested
that discovery should be available any time after the complaint is
filed.
Response: We note that the statute establishes the timing of
discovery. Section 1869(f)(1)(A)(iii)(I) and section
1869(f)(2)(A)(i)(I) of the Act provide for discovery and the taking of
evidence only in instances where an ALJ or the Board has reviewed the
record and made a determination that it is incomplete or lacks adequate
information to support the validity of the LCD or NCD at issue.
Therefore, we believe that an initial determination regarding the
completeness and adequacy of a record must precede the initiation of
discovery between parties.
Comment: Several commenters opposed our rule limiting discovery to
requests for documents only. The commenters suggested that parties
should be permitted to use interrogatories and other discovery means. A
commenter also objected to the rules at Sec. 426.435 and Sec. 426.535
setting forth the subpoena procedures on the basis that they are
inconsistent with the Federal Rules of Civil Procedure, particularly
with respect to the 30-day notice requirement. Finally, one commenter
suggested that discovery should not be restricted to material relating
to a specific LCD or NCD but should include other policies that might
be relevant to an evaluation of whether a coverage policy is
reasonable.
Response: The BIPA gives a right to discovery, but does not specify
permissible forms and does not require that these administrative
proceedings follow the discovery or subpoena rules set forth in the
Federal Rules of Civil Procedure or the rules of any other
administrative proceedings. We proposed limiting discovery to requests
for documents and believe this approach is consistent with other
Departmental rules permitting discovery. (See, for example, 42 CFR
1005.7). After consideration of the comments, however, we are expanding
discovery under Sec. 426.432(c) and Sec. 426.532(c) to include the
opportunity to submit 10 written interrogatory questions. This is
intended to be a limited opportunity, available when needed to promote
the overall efficiency of the review proceeding, that we expect ALJs
and the Board to narrowly construe to minimize the burden on the
agency. We are also revising Sec. 426.432(e) and Sec. 426.532(e) to
exclude written interrogatories from the list of unavailable discovery.
We are not allowing for depositions, requests for admissions, or other
types of discovery because we view them as unnecessary for this kind of
administrative proceeding and because this limitation will reduce the
time and expense associated with these appeals. We believe that
limiting discovery in this way will ensure the timely and efficient
disposition of LCD and NCD challenges.
Comment: A commenter objected to an adjudicator's issuance of a
protective order without the employment of a balancing test to
determine whether the moving party has a sufficient basis for
requesting the order. Another commenter objected to the absence of any
provision authorizing a beneficiary or the Board to compel disclosure
of documents by us.
Response: Sections 426.432(b)(2) and 426.532(b)(2) set forth
criteria that adjudicators must utilize in determining whether to grant
or deny protective orders. We believe that these criteria are
sufficient to evaluate the merits of a request for a protective order
without developing an additional balancing test. As a result, we will
not be incorporating the commenter's suggestion into this final rule.
Furthermore, we believe that a process for compelling disclosure of all
documents by us is not necessary because these regulations already set
forth and define the scope of what must be provided through discovery.
Expert Witness
Comment: One commenter objected to the restrictions on the
introduction of expert evidence, having interpreted them as permitting
oral testimony by an expert witness only if written evidence were
submitted.
Response: Sections 426.440(e) and 426.540(e) do not require that a
witness provide a written report, but rather require that any expert
witness providing written testimony be available for oral cross
examination. Under Sec. 426.440(d) and Sec. 425.540(d), the ALJ or
the Board may require or permit expert witnesses to submit a written
report. Moreover, it is common practice for expert witnesses to submit
written reports in order to use hearing time efficiently and to focus
questioning effectively.
Withholding Evidence Deemed To Be Proprietary
In the proposed rule, we sought to limit disclosure of
``proprietary data'' based on the parenthetical phrase included in
section 1862(a) of the Act in the paragraph that follows. The provision
in this paragraph establishes several procedural requirements that the
Secretary must follow in making NCDs. The provision states:
In making a national coverage determination (as defined in
paragraph (1)(B) of section 1869(f)) the Secretary shall ensure that
the public is afforded notice and an opportunity to comment prior to
implementation by the Secretary of the determination; meetings of
advisory committees established under section 1114(f) with respect
to the determination are made on the record; in making the
determination, the Secretary has considered the applicable
information (including clinical experience and medical, technical,
and scientific evidence) with respect to the subject matter of the
determination; and in the determination, provide a clear statement
of the basis for the determination (including responses to comments
received from the public), the assumptions underlying that basis,
and make available to the public the data (other than proprietary
data) considered in making the determination.
The reference to ``proprietary data'' reflects a limitation on
disclosure to the public. We specifically invited public comments ``on
the scope of proprietary data and the extent to which this material
should not be disclosed'' (67 FR 54541). Comments we received on this
issue follow.
Comment: We received several public comments concerning proprietary
data and information disclosure. Several commenters agreed with the
proposal to limit disclosure of proprietary data. One commenter
suggested that the record contain only the materials referenced in the
LCD. One commenter indicated that it should apply to the studies and
analysis purchased or performed by a contractor. Another commenter
observed that patient specific information should also be protected and
disseminated only with patient permission.
Other commenters opposed the concept. One commenter asked that the
regulation be revised to state that the record contains ``all the
information presented to the Agency and/or the Medicare contractor when
the coverage determination was being established[.]'' One commenter
suggested that the record should be expanded to include relevant
information that comes to CMS ``after a policy is published.'' Another
commenter wrote that, ``a contractor or CMS can withhold from the
reviewing body information it believes to be
[[Page 63702]]
proprietary, creating a huge loophole that allows the withholding of
evidence in support of the beneficiary's claim. Because the proposed
regulation provides for very limited discovery, a beneficiary will have
very little opportunity to determine whether supporting documentation
has been withheld.'' Other commenters suggested that ``these proposed
regulations be revised to state that the record includes any document
or materials that were presented to CMS or the contractor in the
development of the LCD or NCD.''
Another commenter suggested that when we compile the record of the
LCD or NCD, we should also produce an index of all material that was
excluded, and then seek a protective order from the adjudicator to
exclude that material from the record. We would be required to state
for each document the specific basis for a claim of privilege or the
specific provisions of Federal statute authorizing the withholding or
prohibiting disclosure. A beneficiary would be given an opportunity to
respond and object.
Response: In section 1862(a) of the Act, the Congress provided that
the Secretary was not required to disclose ``proprietary data'' to the
public when making available the data considered in making the
determination. We believe it is likely that this exception serves to
encourage manufacturers and others to submit evidence that would be
useful in making LCDs/NCDs. Prior to this statute, manufacturers may
have been reluctant to submit valuable business and commercial data if
they believed it would be publicly disclosed as part of a record in a
judicial proceeding. This provision enables the Secretary to receive
and consider proprietary data and to assure that proprietary data would
not be disclosed without the expressed consent of the individual or
entity that submitted the documents. This may enable the contractor/CMS
to make LCDs/NCDs, including determinations that may expand Medicare
coverage, more rapidly and accurately.
We are aware that there is tension in the statute between the
specific right given to an aggrieved party to seek discovery during the
appeal process (section 1869(f)(1)(A)(iii)(I) of the Act), and the
opportunity that the Secretary is given to withhold from the public
``proprietary data.'' The public comments include cogent views from
both perspectives. The Secretary has the discretion and challenge to
balance these competing interests, and must resolve this issue in order
to implement the expanded appeal rights that the Congress has provided.
We are resolving this tension by issuing this regulation to inform
the public that we will withhold proprietary data from the public
during the ALJ or the Board process. We do not expect to have
proprietary data in our possession in most cases. In the rare instance
that we obtain and consider proprietary data, this information will be
presented to the ALJ or the Board under seal but will not be disclosed
to any party or disclosed as part of the public record of the LCD/NCD
proceedings. We believe that the Congress's concern about disclosure of
proprietary information to the public in section 1862(a) of the Act
suggests that the Congress did not intend to mandate disclosure of that
same data during the LCD/NCD appeal. The limited assurance of
maintaining confidentiality during the process of preparing an LCD/NCD,
but not during the administrative appeal, would discourage
manufacturers from submitting crucial confidential information.
At Sec. 426.110, we are specifically defining ``proprietary data''
and ``privileged information'' as information from a source external to
CMS or a contractor, or protected health information, that meets the
following criteria: (1) It is ordinarily protected from disclosure
pursuant to 45 CFR Part 164, under the Trade Secrets Act (18 U.S.C.
1905) or under Exemptions 4 or 5 of the Freedom of Information Act (5
U.S.C. 552) as specifically interpreted in our Departmental regulations
at 45 CFR 5.65; and (2) the party who possesses the right to protection
of the information from public release or disclosure has not provided
its consent to the public release or disclosure of the information. Any
information submitted by the public that is not marked as proprietary
will not be considered proprietary. We may review this assertion in
determining whether the information is proprietary data. Any
information received that is not designated as ``proprietary data''
will not be considered ``proprietary data.'' In order for proprietary
data to be considered and given weight in LCD or NCD reviews, any such
proprietary data submitted by a manufacturer of a drug or device should
contain true and complete records of all clinical and scientific data
existent and, therefore, any submission must include an affidavit that
the data consists of true and correct copies of all data submitted by
the manufacturer to any other Federal or State agency or department in
relation to that drug or device. This is to limit the possibility that
review decisions are based on partial or biased presentations of
available evidence. Consistent with this requirement, CMS will request
such certifications when receiving proprietary data for its initial NCD
analysis, and would anticipate a similar procedure by carriers or
intermediaries in their LCD analysis.
We believe this relatively narrow exception will still provide
beneficiaries adequate access to all of the evidence that is typically
considered in making LCDs/NCDs. There is a great deal of helpful and
useful information available in publicly disclosable documents that are
relevant to the subjects that we consider. In many cases the
proprietary data may just reaffirm conclusions that are consistent with
publicly available sources. While we recognize that this resolution may
be somewhat awkward for a party challenging an LCD/NCD, we believe this
result is in the best interests of the public. This approach will
support more accurate and rapid coverage determinations through greater
access to more data and may lead to faster and better LCDs/NCDs that
may increase access to new advances in medicine and technology.
For the comment that we provide an index of all excluded material,
we are adopting this comment in part. In the rare event that we rely on
proprietary and privileged data in formulating a coverage decision,
these data will be given to the ALJ/Board under seal. In this rare
event, these data will not be furnished to the aggrieved party; rather,
we, or our contractors, will include an index that lists all of the
excluded material as part of the LCD/NCD record. To implement the
statutory protections for proprietary data and privileged information
in section 1862(a) of the Act, we are not furnishing proprietary and
privileged data as part of the public record, but the seal will be
maintained on that information for use by a court in relation to an NCD
review. In the event that a court seeks to obtain or requires
disclosure of proprietary data or privileged information, CMS or the
Department will seek to have a protective order applied to that
information, to prohibit any recipients of the information from further
disclosing the information or from using it for any purpose other than
the challenge. The statutory protection accorded this data ensures the
availability of the best relevant information whether proprietary or
not, and maximizes flexibility in developing coverage determinations.
Consulting Scientific and Clinical Experts
Comment: We received two comments requesting a clearer definition
of who could be considered a scientific or
[[Page 63703]]
clinical expert, and requesting that those with conflicts of interest
not be considered as experts. A related comment stated that the ALJs/
Board may solicit testimony from any expert on issues relevant to the
LCD/NCD provision(s) in question.
Response: We agree with these comments. We are clarifying that
scientific and clinical experts consulted by the ALJ/Board must be
independent and impartial and have significant experience and published
work pertaining to the subject of the review to be considered experts.
Comment: A commenter objected to the rule allowing the Board to
call its own witnesses. The commenter suggested that the rule would
compromise the role of the Board by placing it in an advocacy position.
Response: While we appreciate the commenter's concern regarding the
appropriate role of the Board, we are obligated to comply with
statutory requirements, and section 1869(f)(1)(A)(iii)(II) of the Act
specifically provides that the Board ``may, as appropriate, consult
with appropriate scientific and clinical experts.'' Therefore, we
believe it proper to interpret this statutory provision to permit
adjudicators to call their own witnesses when reviewing LCDs or NCDs.
Moreover, similar provisions exist in many administrative procedures,
especially those involving public health or safety.
Witness and Legal Fees
Comment: One commenter referred to Sec. 426.445 and questioned
whether or not we would pay for witness fees for contractors' witnesses
and legal fees incurred in connection with LCD review.
Response: The compensation of Medicare contractors and their
witnesses is an internal policy matter, which need not be resolved in
this final rule.
Role of CAC/MCAC
Comment: Two commenters suggested that members of the Contractor
Advisory Committee (CAC) and members of the Medicare Coverage Advisory
Committee (MCAC) should have substantial input into the LCD/NCD review
process.
Response: The CAC/MCAC members already serve an important role in
developing certain Medicare policies. We believe it would be
inappropriate for these individuals to serve as expert witnesses in
these proceedings. Therefore, we are not revising the final rule in
response to this comment.
Burden of Proof
Comment: We received several comments regarding the proper burden
of proof in the adjudicatory proceedings when an LCD or NCD is
challenged. One commenter believed we should make it clearer that the
burden of proof was on the challenger to show that an item or service
is safe and effective for the proposed indication. Two commenters
believed we should stop requiring proponents to show that Medicare
coverage is appropriate. These commenters suggest that the Social
Security Act places the burden of proof on us if it wishes to deny
Medicare coverage and suggested that the contractor/CMS should have the
burden of showing why evidence supports retention of an LCD or NCD.
Response: We disagree with the commenters who suggest that the
burden of proof should rest on the government. The Social Security Act
contains no ``presumption that services are covered.'' Rather, the Act
expressly provides that ``[n]otwithstanding any other provision of this
title, no payment may be made * * * for expenses incurred for items or
services * * * not reasonable and necessary * * *.'' (Section
1862(a)(1)(A) of the Act (42 U.S.C. 1395y(a)(1)(A)). Courts have
recognized that this language ``which bars benefits for services `not
reasonable and necessary' for diagnosis or treatment, is not reasonably
interpreted as an affirmative mandate to extend coverage to all
necessary services.'' Goodman v. Sullivan, 891 F.2d 449, 450 (2d Cir.
1989). Moreover, section 205(a) of the Social Security Act, 42 U.S.C.
405(a), expressly incorporated in title XVIII by section 1872, 42
U.S.C. 1395ii, permits the Secretary to adopt ``reasonable and proper
rules and regulations to regulate and provide for the nature and extent
of proofs and evidence'' and the method of furnishing that evidence. In
light of this authority, we are clarifying our final rule at Sec.
426.330 to more clearly place the burden of production and persuasion
on the individual challenging an LCD or NCD.
Reasonableness Standard
In the proposed rule, we adopted a reasonableness standard
requiring the adjudicator to determine whether the findings of fact,
interpretations of law, and applications of fact to law by CMS or the
contractor were reasonable. Comments on this issue follow.
Comment: One commenter supported the approach we had taken to
define reasonableness. One commenter suggested that we need a better
definition of reasonableness. Two commenters stated that the
reasonableness standard is too ``soft'' or ``lax'' for a meaningful
review, and instead, a substantial evidence or ``de novo'' standard
should be used. One commenter suggested that a ``totality of the
circumstances test'' should be used.
Response: We proposed a standard of review that was consistent with
the specific language of the statute. Therefore, we believe it would
not be appropriate to use any other standard. We use the
``reasonableness standard'' as the standard that an ALJ or the Board
must apply when conducting an LCD or an NCD review. In determining
whether LCDs or NCDs are valid, the adjudicator must uphold a
challenged policy (or a provision or provisions of a challenged policy)
if the findings of fact, interpretations of law, and applications of
fact to law by the contractor or us are reasonable based on the LCD or
NCD record and the record developed before the ALJ/Board. We are using
the statutory language from sections 1869(f)(1)(A)(iii) and
(f)(2)(A)(i) of the Act, which instructs adjudicators to defer only to
the reasonable findings of fact, reasonable interpretations of law, and
reasonable applications of fact to law by the Secretary.
The logical corollary is that the ALJs and the Board must accord
deference if the contractor's or CMS's findings of fact,
interpretations of law, and application of fact to law are reasonable.
The concept of deference is one that is generally applied by courts to
administrative decisionmaking, in recognition of the expertise of a
program agency. Thus, we view the statute as setting out a
reasonableness standard that recognizes the expertise of the
contractors and CMS in the Medicare program--specifically, in the area
of coverage requiring the exercise of clinical or scientific judgment.
So long as the outcome is one that could be reached by a rational
person, based on the evidence in the record as a whole (including
logical inferences drawn from that evidence), the determination must be
upheld. This is not simply based on the quantity of the evidence
submitted, but also includes an evaluation of the persuasiveness of the
material. If the contractor or CMS has a logical reason as to why some
evidence is given more weight than other evidence, the ALJs and the
Board may not overturn the determination simply because they would have
accorded more weight to the evidence in support of coverage. In some
situations, different judgments by different contractors may be
supportable, especially if explained by differences
[[Page 63704]]
such as the ready availability of qualified medical professionals in
one contractor's area, but not in another. Moreover, an ALJ or the
Board may not determine that an LCD is unreasonable solely on the basis
that another Medicare contractor has issued an LCD that permits
coverage of the service at issue, under the clinical circumstances
presented by the complaint.
For legal interpretations, the reasonableness standard would not be
met if an interpretation is in direct conflict with the plain language
of the statute or regulation being interpreted. Moreover, an
interpretation in an LCD would not meet the reasonableness standard if
it directly conflicts with an NCD or with a CMS Ruling. So long as an
interpretation is one of the readings permitted by the plain language
of the law and can be reconciled with relevant policy, however, it must
be upheld, even if the ALJ or the Board might have reached a different
result if interpreting the statute or regulation in the first instance.
Authority of ALJs and the Board
Comment: Some comments supported the limited authority granted to
the ALJs/Board in issuing decisions, and many comments requested that
the ALJ/Board be granted greater authority in issuing decisions. A
number of comments suggested that the proposed rule restricted ALJ/
Board authority so that the main outcome of a decision of
unreasonableness would be contractor/CMS reconsideration, and that a
decision of unreasonableness should result in the policy being null and
void. Furthermore, numerous comments suggested that authority is not
granted to the ALJ or the Board in the way that the Congress intended,
and that the contractor/CMS retains too much authority over the
process.
Response: We have revised the final regulation to allow for greater
authority for the adjudicators in several respects. In appropriate
cases, the ALJ/Board may find a provision(s) of the LCD/NCD invalid and
may limit that holding to a beneficiary's clinical indication (or
similar condition). Furthermore, the contractor or CMS would effectuate
the ALJ/Board decision within 30 days (if not sooner), by either
retiring or withdrawing the policy or revising the policy that would be
applied prospectively. This means that neither the contractor nor CMS
will apply a policy that has been held invalid to a claim of the
aggrieved party or to any other similar Medicare claim with date(s) of
service beginning on or after 30 days of the adjudicatory decision.
Even though we are giving broader effect to the ALJ/Board decision by
extending the decision to others on a prospective basis, we continue to
believe that the Congress intended that CMS or its contractors would
have the authority to develop clinical policies. Thus, we will maintain
in the final rule the prohibition against adjudicators developing new
language for LCDs and NCDs.
After a policy has been held invalid, it will not be applied to the
beneficiary who raised the challenge or to others who receive services
after the effective date of the invalidation. CMS or the contractor may
issue a new or revised LCD/NCD that does not include the invalid
provision(s). The new or revised LCD/NCD would be applied
prospectively. The new/revised LCD/NCD would also be subject to
challenge under this review process.
Please note that whenever we discuss claim relief or dates of
service in the context of an ALJ or DAB decision holding invalid an LCD
or NCD, the references should be read to include pre-service requests
denied by an M+C organization and the dates of pre-service requests.
The application of this regulation in the M+C context is discussed
further below.
Effective Dates
Comment: Several commenters stated that timeframes should be set in
this process to reflect the timeframes set in the NCD process notice.
Response: We agree with the concept of timeframes, but do not
reference the ``NCD process notice'' since that notice does not speak
to this issue, and we have added language to Sec. 426.460 and Sec.
426.560 requiring that contractors/CMS either--
1. Retire/withdraw the LCD/NCD in its entirety within 30 days of
the ALJ/Board decision; or
2. Issue a revised LCD/NCD removing the invalid provisions,
effective for claims with dates of service after the 30th day of the
ALJ/Board decision.
If the Board issues a decision finding an NCD provision invalid and
the NCD is revised to reflect the Board's decision, all contractors
must review and appropriately revise any related LCDs so as not to be
in conflict with the revised NCD. If we choose to withdraw the entire
NCD, the contractors must review and appropriately revise any LCDs so
as not to rely on the withdrawn NCD as the basis for the LCD.
Precedential Value of ALJ/Board Decisions
Comment: One commenter stated that previous ALJ/Board decisions
should be controlling precedent. Another commenter recommended that
ALJs/Board be bound by previous ALJ decisions on local policies in
other jurisdictions.
Response: We have revised the final rule at Sec. 426.431(a) to
require ALJs to treat as precedential Board LCD and NCD decisions, and
to require the Board to follow its own applicable precedents. We
believe this will improve the efficiency of the review process. Because
of differences in the local practice of medicine, we do not believe it
would be prudent for ALJs to treat as precedential other ALJ decisions
on an LCD challenge.
Appeals of Decisions Involving Joint Complaints and Consolidated
Reviews
Comment: One commenter requested that for joint appeals, aggrieved
parties should be prohibited from appealing decisions to higher levels
unless all parties to the initial appeal agree to appeal.
Response: We will not require in this final rule that all parties
must agree to appeal an ALJ decision as a prerequisite for the appeal
to continue. Even if some individuals decide not to pursue an appeal,
other parties in the case may exercise their appeal rights. Section
426.470 of the regulation allows the Board to consolidate similar
appeals.
Appeal of ALJ Decision/Board Review of ALJ Decisions
Comment: One commenter suggested that we should not be allowed to
appeal ALJ decisions to the Board due to conflicts of interest. Another
commenter objected to having the Board overturn ALJ decisions that were
favorable to the aggrieved party due to potential burdens on the
beneficiary. Another commenter felt that the regulation should not
require the Board to affirm or reverse the ALJ decision in its entirety
and suggested that the Board should have the discretion to reverse a
decision in part. We received one comment suggesting the Board should
not support a policy based on a rationale that is not stated in the
supporting documents that were submitted. We also received three
comments requesting that the Board not be limited to fundamental rules
of procedures, and that it have broader discretion in reviewing ALJ
decisions.
Response: Nothing in the statutory language of section 522 suggests
that the Congress intended to bar the government from appealing an
adverse decision of an ALJ. We believe that such an appeal is warranted
as a mechanism to ensure that ALJs are applying the statute and
regulations correctly, even if we rarely employ this strategy. Because
the statute provides that ALJ decisions
[[Page 63705]]
may be reviewed by the Board, we have retained the language allowing
either the contractor or CMS to seek Board review of ALJ decisions.
Furthermore, our final rule provides flexibility in the Board's review
of ALJ decisions.
We have modified the final rule at Sec. 426.476(b) to provide that
the Board will review an ALJ decision on appeal to determine whether it
contains any material error, including any failure to properly apply
the reasonableness standard. The Board will not reverse a decision for
harmless error, but may remand if a prejudicial procedural error was
made. Further, if the ALJ erred in determining that the LCD record was
complete and adequate to support the validity of the LCD, the Board
will reverse and remand the case to the ALJ to complete discovery and
the taking of evidence. We believe that this standard of review
provides appropriate discretion for Board review of ALJ decisions.
Impact on Medicare+Choice (M+C)
Comment: One commenter suggested that we should clarify an M+C
organization's obligations when a complaint is under review by both the
section 522 process and the M+C organization's existing appeals
process.
Response: If an M+C enrollee files both an LCD/NCD review request
and a request for reconsideration of an adverse organization
determination for the same item or service, the M+C organization should
adjudicate the reconsideration using the coverage policies in place on
the date the service or item was requested (in the case of a pre-
service determination) or provided (in the case of a payment
determination). If the LCD/NCD under review is subsequently found to be
unreasonable, then the aggrieved party who sought review of the LCD/NCD
is entitled to have the previously adjudicated organization
determinations or reconsidered determinations reopened and adjudicated
without consideration of the invalid LCD/NCD provision(s). M+C
organizations would be responsible for reopening and adjudicating
organization determinations, and the independent review entity (IRE)
would be responsible for reopening and adjudicating reconsidered
determinations.
Comment: One commenter requested that we clarify the obligations of
M+C organizations when an enrollee has an appeal pending at the time
the revised LCD/NCD becomes effective.
Response: The type of organization determination being reconsidered
(payment or pre-service) will determine an M+C organization's
obligations when an enrollee has a reconsideration pending at the time
a revised LCD/NCD becomes effective. Consistent with original Medicare,
LCD/NCD changes may only be applied prospectively to requests for
payment. Therefore, when an enrollee requests reconsideration of a
payment determination and the reconsideration is pending at the time a
revised LCD/NCD becomes effective, the M+C organization should apply
the LCD/NCD in place at the time the item or service was provided. In
responding to a request for reconsideration of a pre-service
determination that would be affected by a revised LCD/NCD, an M+C
organization should dismiss the appeal and reopen the adverse
organization determination on the basis of new and material evidence.
The M+C organization should then apply the revised LCD/NCD in effect
and issue a revised organization determination.
We recognize the importance of ensuring timely transmission of ALJ/
Board decisions and intend to work closely with the Medicare managed
care industry to make certain that an effective method of communicating
LCD/NCD changes is in place.
Comment: Another M+C-related comment stated that claims that were
adjudicated using the invalidated LCD/NCD should be eligible for a new
decision (so long as the appeals timeframes have not passed).
Response: As noted in the comment above, LCD/NCD changes can only
be applied prospectively to requests for payment, as was the case under
original Medicare. Therefore, regardless of subsequent policy changes,
for purposes of reconsidering a payment determination, the relevant
LCD/NCD is the policy in effect at the time the item or service was
provided.
Comment: One commenter requested that we clarify whether a decision
made under individual claim review is considered an ``organization
determination,'' as defined under parts 417 and 422, giving rise to
appeal rights.
Response: When an M+C organization reopens and adjudicates an
organization determination under Sec. 426.460(b)(1), the M+C
organization must issue a revised organization determination, which
gives rise to appeal rights under parts 417 and 422. An enrollee could
benefit from a revised LCD/NCD by filing a new request for an
organization determination.
Comment: One commenter requested clarification as to whether our
statutory obligation, under section 1852(a)(5) of the Act, to make fee-
for-service payments for a significant cost, midyear change in benefits
would apply if a significant cost threshold for an NCD is met as a
result of a decision by the Board to revise an NCD.
Response: Section 1852(a)(5) of the Act provides that if an NCD or
legislative change in benefits effective in the middle of an M+C
contract year generates a significant change in the costs to a M+C
organization of providing benefits that are the subject of the NCD, and
if this significant change in costs was not incorporated into the M+C
payment rates at the time the NCD becomes effective, the NCD does not
apply to the M+C contracts until the first contract year after new M+C
rates are published. Moreover, section 1853(c)(7) of the Act provides
that, if there is a change in benefits resulting in a significant
increase in costs to the M+C organization, we will adjust appropriately
the M+C payment rates to reflect this change. The M+C organization must
provide coverage of the NCD or legislative change in benefits by
furnishing or arranging for the NCD service or legislative change in
benefits. However, the M+C organization is not required to pay or
assume risk for the costs of that service or benefit until the contract
year for which payments are adjusted to take into account the cost of
the NCD service or legislative change in benefits. Section 422.109 has
been revised to define ``significant cost'' thresholds, and notes that,
if the costs for new coverage or a change in benefits is significant,
CMS will pay on a fee-for-service basis on behalf of the M+C
organization for the new benefit until the M+C rates are appropriately
adjusted. (These provisions do not apply if the change in benefits does
not meet either significant cost threshold described at Sec. 422.109.)
Automatic Stay Upon Appeal
Comment: Three commenters disagreed with the automatic stay of an
ALJ decision when the contractor/CMS appeals a decision to the Board.
Response: We disagree. We believe it would be disruptive to
beneficiaries overall to have ALJ decisions implement policies only to
have these policies reversed by the Board. This would create both an
inefficient and confusing process. Furthermore, a contrary ruling would
require the expenditure of significant resources to implement an ALJ
decision only to have to change the decision if the Board reverses.
Dual Track Process
Comment: We received one comment for and one comment against
allowing aggrieved parties the option to pursue both a reconsideration
and a review under these rules.
[[Page 63706]]
Response: We believe that both options should be available to
aggrieved parties, in order to allow for the parties to seek a decision
in the most appropriate way possible, and to allow the most flexibility
to these parties.
Expedited Judicial Review
Comment: Several commenters suggested that the final regulations
should address section 1869(f)(3) of the Act, which relates to
circumstances where a challenger may seek expedited judicial review
when there are no material issues of fact in dispute.
Response: We are not adopting these comments. This section of the
statute does not require regulatory action by CMS because it is related
to the jurisdiction of the judicial branch of the government. The
statute is self-implementing and does not require additional rulemaking
by the Secretary.
IV. Provisions of the Final Rule
A. Overview
We are establishing that a Medicare beneficiary who qualifies as an
aggrieved party may challenge an LCD or an NCD (or specific provisions
therein) by filing a complaint concerning an LCD with the office
designated by CMS on the Medicare Web site, http://www.medicare.gov/coverage/static/appeals.asp
(information on the designated office will
be available by calling 1-800-Medicare) or by filing a complaint
concerning an NCD with the Board of HHS. After a complaint is filed,
the adjudicator determines whether the complaint is acceptable.
In this final rule, we are adding in Sec. 400.202 a definition of
``Local coverage determination (LCD)'' and revising the definition of
``National coverage determination (NCD).'' The definitions are specific
to Medicare and reflect the definitions for these terms found in
section 522 of BIPA. With one exception described below, this final
rule makes clear that a determination of the code assigned to a
service, if any, or a determination with respect to the amount of
payment to be made for the service is not included in the definition of
an LCD or an NCD. We have clarified that diagnosis codes used in an
LMRP to describe when a service is considered medically necessary are
also part of the LCD. We use the term ``Services'' as defined in Sec.
400.202 to include both ``items and services.''
In Sec. 405.732, ``Review of a national coverage decision (NCD),''
we revise paragraph (a) regarding appeals of Part A cases, to state
that an NCD is a determination by the Secretary with respect to whether
or not a particular item or service is covered nationally under title
XVIII. An NCD does not include a determination of what code, if any, is
assigned to a particular item or service covered under title XVIII or a
determination with respect to the amount of payment made for a
particular item or service. NCDs are made under section 1862(a)(1) of
the Act or other applicable provisions of the Act. An NCD is binding on
all Medicare carriers, fiscal intermediaries, QIOs, HMOs, CMPs, HCPPs,
the Medicare Appeals Council, and ALJs.
This final rule revises Sec. 405.732(b) to specify that an ALJ may
not disregard, set aside, or otherwise review an NCD. An ALJ may review
the facts of a particular case to determine whether an NCD applies to a
specific claim for benefits and, if so, whether the NCD has been
applied correctly to the claim.
We are revising Sec. 405.732(c) to specify that for initial
determinations and NCD challenges under section 1862(a)(1) of the Act,
arising before October 1, 2002, a court's review of an NCD is limited
to whether the record is incomplete or otherwise lacks adequate
information to support the validity of the decision, unless the case
has been remanded to the Secretary to supplement the record regarding
the NCD. In such cases, the court may not invalidate an NCD except upon
review of the supplemental record. For Part B appeals, we are making
similar changes.
In Sec. 405.860, ``Review of a national coverage decision (NCD),''
we revise paragraph (a) regarding appeals of Part B cases to specify
that an NCD is a determination by the Secretary with respect to whether
or not a particular item or service is covered nationally under title
XVIII. An NCD does not include a determination of what code, if any, is
assigned to a particular item or service covered under title XVIII or a
determination with respect to the amount of payment made for a
particular item or service. NCDs are made under section 1862(a)(1) of
the Act or other applicable provisions of the Act. An NCD is binding on
all Medicare carriers, fiscal intermediaries, QIOs, HMOs, CMPs, HCPPs,
Medicare Appeals Council, and ALJs.
We are revising Sec. 405.860(b) to specify that an ALJ may not
disregard, set aside, or otherwise review an NCD. An ALJ may review the
facts of a particular case to determine whether an NCD applies to a
specific claim for benefits and, if so, whether the NCD has been
applied correctly to the claim.
In Sec. 405.860(c), we specify that for initial determinations and
NCD challenges under section 1862(a)(1) of the Act, arising before
October 1, 2002, a court's review of an NCD is limited to whether the
record is incomplete or otherwise lacks adequate information to support
the validity of the decision, unless the case has been remanded to the
Secretary to supplement the record regarding the NCD. The court may not
determine that an item or service is covered except upon review of the
supplemental record.
We are also adding a new part 426, titled ``Reviews of Local and
National Coverage Determinations,'' to title 42 of the CFR to include
the following subparts:
[sbull] Subpart A contains general provisions applicable to the
entire part.
[sbull] Subpart B is reserved.
[sbull] Subpart C contains the general provisions applicable to the
review of LCDs and NCDs.
[sbull] Subpart D contains the provisions specific to the review of
LCDs
[sbull] Subpart E contains the provisions specific to the review of
NCDs.
B. Subpart A (General Provisions)
Subpart A of part 426 specifies the general provisions applicable
to the entire part. Section 426.100, ``Basis and scope,'' sets forth
the basis (under sections 1869(f)(1) and (f)(2) of the Act), and the
scope specifies the requirements and procedures for the review of LCDs
and NCDs. In Sec. 426.110, we define the terms used in part 426 whose
definitions may not otherwise be implicit.
Under section 522 of BIPA, only an ``aggrieved party'' may file a
complaint to initiate the review of an LCD or an NCD. In this final
rule, we define ``aggrieved party'' as a Medicare beneficiary who is
entitled to benefits under Part A, enrolled under Part B, or both
(including an individual enrolled in fee-for-service Medicare, in a
Medicare+Choice plan, or in another Medicare managed care plan), and is
in need of coverage for a service that is the subject of an applicable
LCD (in the relevant jurisdiction) or an NCD as documented by the
beneficiary's treating physician. We revised the final rule to include
also as an aggrieved party a beneficiary who has already received the
service and is in need of coverage, or the estate of a deceased
beneficiary in need of coverage.
Based on comments on our proposed rule, in this final rule we allow
an aggrieved party's estate to pursue an LCD/NCD challenge if the
aggrieved party died after filing a proper complaint and the aggrieved
party received the service for which coverage is sought. We also allow
the aggrieved
[[Page 63707]]
party's estate to file a complaint within 120 days of receipt of the
denial notice.
In Sec. 426.110 we define the following:
[sbull] ``Board'' to mean the Departmental Appeals Board.
[sbull] Clinical and scientific experts that are consulted by the
ALJ or the Board as independent and impartial individuals, with
significant experience and/or published work pertaining to the subject
of the review.
[sbull] ``Contractor'' as a carrier (including a DMERC) or a fiscal
intermediary (FI) (including an RHHI) that has jurisdiction for the LCD
at issue.
[sbull] ``Deemed NCD'' as a determination that the Secretary makes
in response to a request for an NCD by an aggrieved party under section
1869(f)(4)(B) and (C) of the Act, that no national coverage or
noncoverage determination is appropriate, or the Secretary's failure to
meet the deadline under section 1869(f)(4)(A)(iv) of the Act. Section
1869(f)(4)(C) of the Act deems certain decisions of the Secretary to be
NCDs for purposes of administrative review. Please see our proposed
rule for further discussion of deemed NCDs (67 FR 5434).
[sbull] ``New evidence'' is clinical or scientific evidence that
was not previously considered by the contractor or by us before the LCD
or NCD was issued.
[sbull] ``Party'' as an aggrieved party, which is an individual or
estate who has the right to participate in the LCD or NCD review
process, and, as appropriate, a contractor or CMS. In the case of an
LCD review, we may choose whether to be a party in the review along
with or instead of the contractor. These reviews involve challenges to
important CMS policies that may impact many beneficiaries. We note that
we are always a party to an NCD review and contractors would not
participate in an NCD review.
[sbull] ``Proprietary data'' and ``privileged information'' are
information from a source external to CMS or a contractor, or protected
health information that meets the following criteria: (1) It is
ordinarily protected from disclosure pursuant to 45 CFR Part 164, under
the Trade Secrets Act (18 U.S.C. 1905), or under Exemption 4 or 5 of
the Freedom of Information Act (5 U.S.C. 552) as specifically
interpreted in our Departmental regulations at 45 CFR 5.65, and (2) the
party who possesses the right to protection of the information from
public release or disclosure has not provided its consent to the public
release or disclosure of that information. Members of the public that
send us proprietary data must mark these documents as such, and include
the legal basis for any such assertion. Any information received from
the public that is not designated as ``proprietary data'' will not be
considered ``proprietary.''
[sbull] ``Reasonableness standard'' is the standard that an ALJ or
the Board must apply when conducting an LCD or an NCD review. In
determining whether LCDs or NCDs are valid, the adjudicator must uphold
a challenged policy (or a provision or provisions of a challenged
policy) if the findings of fact, interpretations of law, and
applications of fact to law by the contractor or CMS are reasonable
based on the LCD or NCD record and the relevant record developed before
the ALJ/Board.
[sbull] ``Supplemental LCD/NCD record'' is a record that the
contractor/CMS provides to the ALJ/Board and any aggrieved party and
consists of all materials received and considered during a
reconsideration. Materials that are already in the record before the
ALJ/Board (for example, new evidence presented in the taking of
evidence or hearing) need not be provided but may be incorporated by
reference in the supplement to the LCD/NCD record. The contractor/CMS
may provide statements, evidence, or other submissions to the ALJ/Board
during the proceedings, as provided elsewhere in these regulations, but
such submissions are not considered as supplementing the LCD/NCD
record.
[sbull] ``Treating physician'' is the physician who is the
beneficiary's primary clinician with responsibility for overseeing the
beneficiary's care and either approving or providing the service at
issue in the challenge.
In Sec. 426.120, we explain how deadlines are calculated. In Sec.
426.130, we explain that any documents submitted to the ALJ/Board after
the initial challenge, excluding privileged or proprietary data, must
also be served on all other parties simultaneously. These sections have
been added to provide additional guidance in implementing the
requirements of this final rule.
C. Subpart B (Reserved)
We are reserving subpart B.
D. Subpart C (General Provisions for the Review of LCDs and NCDs)
The general provisions common to both the review of LCDs and NCDs
are established in subpart C. In Sec. 426.300(a), we state that the
review of a challenged provision (or provisions) of an LCD is conducted
by an ALJ only upon the receipt of an acceptable complaint as described
in Sec. 426.400. We also state in Sec. 426.300(b) that the review of
a challenged provision (or provisions) of an NCD is conducted by the
Board only upon the receipt of an acceptable complaint as described in
Sec. 426.500. An acceptable complaint must be filed with the
applicable adjudicator by an aggrieved party. Additionally, Sec.
426.300(c) would allow for the review of deemed NCDs, a process that
would parallel the review of NCDs.
In Sec. 426.310(a), we explain that LCD and NCD reviews are
largely independent of the claims appeal processes set forth in part
405, subparts F and G; part 417, subpart Q; and part 422, subpart M. In
Sec. 426.310(b), we require the aggrieved party to notify the ALJ/
Board of any pending claim or appeal related to the LCD/NCD appeal.
In Sec. 426.320(a), we explain that only an aggrieved party may
initiate a review to challenge an LCD or NCD (including a deemed NCD),
or an existing specific provision or provisions of an LCD or an NCD by
filing an acceptable complaint. In Sec. 426.320(b), we explain that
neither an ALJ nor the Board will recognize as valid any attempt to
assign rights under section 1869(f) of the Act.
In Sec. 426.325, we describe the policies that are, and are not,
subject to this review. Under this requirement, an aggrieved party
would be allowed only to challenge an LCD or NCD. Conversely, an
aggrieved party may not use this process to challenge anything that
does not meet the definition of an LCD or an NCD (see Sec. 426.325).
For example, draft LCDs or NCDs, and coverage decision memos would be
excluded from review as they are predecisional. LCD and NCD provisions
that are no longer in effect are excluded from review. Other
interpretive policies that are not LCDs or NCDs would also not be
subject to review under this process. Provisions of contractor policies
that are based on things other than the reasonable and necessary
provision of section 1862(a)(1)(A) of the Act, such as benefit category
determinations, statutory exclusion determinations, and HCPCS/Revenue
Code coding determinations, would not be subject to review under this
part. In addition, any M+C or other managed care plan policy, rule, or
procedure is not subject to review under this process. Individual claim
determinations by adjudicators are also not subject to review under
this process.
In Sec. 426.330, we state that the aggrieved party filing the
complaint bears the burden of proof and the burden of persuasion for
the issue or issues raised in the complaint. The burden of persuasion
will be judged by a preponderance of the evidence.
[[Page 63708]]
Section 426.340 provides procedures to be followed after discovery
and the taking of evidence are complete. If an aggrieved party has
submitted new evidence pertaining to an LCD or NCD which the ALJ or the
Board finds admissible, the ALJ/Board must review the new evidence and
decide if the new evidence has the potential to significantly affect
the evaluation of the LCD/NCD provision(s) in question under the
reasonableness standard. If the ALJ or the Board determines that the
new evidence does not have the potential to significantly affect the
ALJ's or the Board's evaluation of LCD/NCD provisions, the review shall
go forward to a decision on the merits. If the ALJ or the Board decides
that the new evidence has the potential to significantly affect the
evaluation of the policy, the ALJ or the Board must stay the
proceedings and send the new evidence to the contractor or CMS. The
contractor or CMS has 10 days upon receiving the evidence from the ALJ
or the Board to provide a statement indicating whether a revision/
reconsideration will be initiated. If the contractor or CMS informs the
ALJ or the Board that a revision/ reconsideration has been or will be
initiated, then the stay shall continue and the ALJ or the Board shall
set appropriate timeframes (not more than 90 days) by which the
revision/reconsideration will be completed. If the contractor or CMS
chooses not to initiate a revision/reconsideration and does not retire/
withdraw the LCD/NCD, the ALJ or the Board proceedings will continue on
the original LCD/NCD.
E. Subpart D (The Review of an LCD) and Subpart E (The Review of an
NCD)
In subparts D and E, we set forth the procedures for the review of
LCDs and NCDs, respectively. The process for LCD and NCD reviews is
largely the same with the exception of the following:
[sbull] LCDs are based on section 1862(a)(1)(A) of the Act; NCDs
may also be based on other statutory provisions.
[sbull] LCD reviews are conducted by an ALJ; NCD reviews are
conducted by the Board.
[sbull] ALJs and contractors participate in an LCD review; there is
no role for ALJs or contractors in an NCD review.
[sbull] We are not always a party to an LCD review, but are always
a party to an NCD review.
[sbull] Amicus participation is not allowed when reviewing an LCD,
but may be allowed when reviewing an NCD.
[sbull] Board decisions regarding NCDs will be made available on
the Medicare Internet site, without beneficiary-identifying
information.
For the purpose of this preamble, we consolidate the discussion of
the requirements and policy decisions when possible. Sections 426.400
and 426.500 contain the requirements for filing an acceptable complaint
regarding a provision or provisions of an LCD and an NCD, respectively.
In both cases, a complaint must be in writing and must be from an
aggrieved party. In Sec. 426.400(a), we require that complaints
regarding LCDs be submitted to the office designated by CMS on the
Medicare Web site, http://www.medicare.gov/coverage/static/appeals.asp
(information on the designated office will be available by calling 1-
800-Medicare) or by filing a complaint concerning an NCD with the Board
of HHS (see Sec. 426.500(a)). Should the appropriate office change in
the future, this regulation shall be read to conform to that change,
and the information will be made publicly available. We have simplified
and clarified the complaint-filing procedures.
In Sec. 426.400(b) and Sec. 426.500(b), we explain the
circumstances under which a complaint will be considered timely
received. A complaint will not be considered timely unless it is
received by the office designated by CMS/Board of HHS within--(1) 6
months of the written statement from each aggrieved party's treating
physician for aggrieved parties who choose to file an LCD/NCD challenge
before receiving the service; or (2) 120 days of the initial denial
notice for aggrieved parties who choose to file an LCD/NCD challenge
after receiving the service.
In Sec. 426.400(c)(1) and Sec. 426.500(c)(1), we require a valid
complaint to contain beneficiary-identifying information and a written
statement from the treating physician indicating that the beneficiary
needs the service that is the subject of the LCD/NCD. We also require
the information in Sec. 426.400(c)(2) and (c)(3) and Sec.
426.500(c)(2) and (c)(3), which is necessary to identify the LCD or NCD
(or the specific provision or provisions of the LCD or NCD) that is
(are) adversely affecting the aggrieved party. In addition, we require
a statement from the aggrieved party that explains the rationale for
the complaint.
In Sec. 426.400(c)(4) and Sec. 426.500(c)(4), we also allow the
aggrieved party to submit copies of material clinical or scientific
evidence that supports the complaint. We require that any proprietary
data submitted be marked as ``proprietary data'' and include the legal
basis for so identifying it. In addition, in Sec. 426.400(c)(4) and
Sec. 426.500(c)(4), we require that, in order to be considered and
given weight in LCD or NCD reviews, any such proprietary data submitted
by a manufacturer of a drug or device must include an affidavit that
the data consists of true and correct copies of all data submitted by
the manufacturer to the Food and Drug Administration in relation to
that drug or device. In Sec. 426.400(d), we state that two or more
aggrieved parties may initiate the review of an LCD by filing a single
written complaint with the ALJ if the conditions in Sec.
426.400(d)(1)(i) and (ii) are met. Similarly, in Sec. 426.500(d), we
state that two or more aggrieved parties may initiate the review of an
NCD by filing a single complaint with the Board if the conditions in
Sec. 426.500(d)(1)(i) and (ii) are met.
Based on public comments, we have added Sec. 426.403 and Sec.
426.503 to allow the aggrieved party to submit new evidence without
withdrawing the complaint.
Section 426.405 specifies the authority of the ALJ during an LCD
review, including authority during a hearing, if applicable. Similarly,
in Sec. 426.505, we set forth the specific authority of the Board
during an NCD review, if applicable.
Sections 426.406 and 426.506 prohibit ex parte contacts so that no
party or person (except employees or consultants of the ALJ/Board's
office) may communicate in any way with the ALJ/Board on any
substantive matter at issue in a case, unless on notice and opportunity
for all parties to participate. This provision does not prohibit a
person or party from inquiring about the status of a case or asking
routine questions concerning administrative functions or procedures.
In Sec. 426.410, we establish the ALJ's role in docketing and
evaluating the acceptability of LCD complaints. These procedures are
very similar to the Board's role in docketing and evaluating the
acceptability of NCD complaints in Sec. 426.510. Under the procedures,
the adjudicatory body receives and dockets the complaint, evaluates the
acceptability of the complaint, and resolves any consolidation issues.
The appeal will be docketed under the name of the LCD or NCD rather
than the aggrieved party or parties to protect the privacy of the
party/parties.
In Sec. 426.410 and Sec. 426.510, we establish the criteria that
a complaint must meet to be considered as an acceptable complaint by an
ALJ or the Board. An aggrieved party must file the complaint; the
complaint must meet all of the requirements of a valid complaint
regarding an LCD in Sec. 426.400, or regarding an NCD in Sec.
426.500, and may only challenge a policy that meets the definition of
an LCD or an NCD.
[[Page 63709]]
If a complaint is deemed to be unacceptable after being evaluated
under Sec. 426.410(b) or Sec. 426.510(b), the applicable adjudicator
will provide the aggrieved party (or parties) one opportunity to amend
the unacceptable complaint within a timeframe set forth by the
adjudicator (see Sec. 426.410(c) and Sec. 426.510(c)). If the
aggrieved party (or parties) does not submit an acceptable amended
complaint within this timeframe, the adjudicator will issue a decision
dismissing the unacceptable complaint. The aggrieved party will be
precluded from filing another complaint on the same issue for 6 months.
If, after having been evaluated under Sec. 426.410(b) or Sec.
426.510(b), a complaint is accepted, the adjudicator will send a letter
to the aggrieved party (or parties) acknowledging the complaint and
informing them of the docket number (see Sec. 426.410(d)). The
adjudicator will also forward a copy of the complaint and the
acknowledgement letter to the applicable contractor and to us, and
request that we or the contractor send a copy of the LCD record to the
ALJ and all parties to the LCD review. The corresponding section in
Sec. 426.510(d) will require the adjudicator to follow the same
process for NCDs, with the exception that the Board will make available
to the public information concerning the complaint on its Web site (see
Sec. 426.510(f)) and specify a time period for affected parties to
request amicus participation.
In Sec. 426.410(e) and Sec. 426.510(e), we allow for adjudicators
to consolidate complaints regarding LCDs and NCDs, respectively. Under
this provision, several complaints may be consolidated into one review
if the complaints are appropriately similar. The review processes are
not changed by a decision to consolidate complaints into one review.
In Sec. 426.510(f) and Sec. 426.513, we describe the opportunity
and extent to which interested parties may participate in the NCD
review process as amicus curiae.
In Sec. 426.415, we explain that we may provide information to the
ALJ, and all parties to the LCD review, identifying the person who
would represent the contractor or CMS in the LCD review process. We can
determine whether the contractor or CMS will participate in the review.
Under the corresponding section in Sec. 426.515, we provide a copy of
the NCD record (as described in Sec. 426.518) to the Board and all
parties to the NCD review within 30 days of receiving the Board's
order.
In Sec. 426.416 and Sec. 426.516, we describe the role of
Medicare managed care organizations and Medicaid State agencies in the
LCD and NCD review process. In Sec. 426.417 and Sec. 426.517, we
describe the role of contractors and CMS in reviewing any new evidence.
Sections 426.418 and 426.518 describe, respectively, the elements
of a contractor's LCD record and our NCD record, furnished to the
aggrieved party. Sections 426.419 and 426.519 describe, respectively,
the elements of a contractor's LCD record and our NCD record furnished
to the ALJ or Board. These sections have been added in response to
comments, and to facilitate the review process when privileged or
proprietary data is submitted. Generally, an LCD or NCD record is
composed of documents and materials that the contractor or we
considered during the development of the LCD or NCD. Any MCAC
transcripts would also be considered part of an NCD record. In the
cases where comments are submitted, a ``comment and response'' summary
document is sufficient for inclusion in the LCD record. In Sec.
426.418(b) and Sec. 426.518(b), we do not include privileged
information or proprietary data, or any new evidence, as part of the
record furnished to the aggrieved party. In Sec. 426.419 and Sec.
426.519, we state that official records presented to the Board may
contain proprietary data or privileged information, if the information
was considered in reaching the LCD or NCD under review. In these
instances, the proprietary data and privileged information is filed
under seal and is protected from inappropriate disclosure according to
all applicable statutes and regulations, or common law privileges.
In Sec. 426.420(a) and (b), we allow a contractor to retire the
LCD under review or revise the LCD to remove or amend the provision in
question before the date the ALJ issues a decision regarding the LCD.
Retiring an LCD (or provision of the LCD) means that the contractor may
no longer use that LCD in the adjudication of claims on a prospective
basis. We also provide the aggrieved party individual claim review
under Sec. 426.460(b). Thus, in most cases, there would no longer be a
need for an LCD review because relief would be provided. In Sec.
426.520(a), we may withdraw an NCD under review or revise an NCD to
remove or amend the provision in question before the date the Board
issues a decision regarding that NCD. Withdrawing an NCD (or provision
of the NCD) means this policy is no longer a controlling authority for
our contractors and certain adjudicators. Thus, there no longer would
be a need for an NCD review. In Sec. 426.420(b), Sec. 426.420(c),
Sec. 426.420(d), Sec. 426.420(e) and Sec. 426.520(b), Sec.
426.520(c), Sec. 426.520(d), Sec. 426.520(e), we describe the process
for LCDs and NCDs that are revised or reconsidered while under review.
In cases where an LCD/NCD provision(s) has been revised, but not
completely removed, the review continues because relief may not have
been provided. This responds to comments received, and will ensure that
aggrieved parties receive coverage relief when they prevail.
Under Sec. 426.423 and Sec. 426.523, we are permitting aggrieved
parties who filed the complaint to withdraw complaints regarding LCDs
and NCDs, respectively. We allow an aggrieved party to withdraw a
complaint before the applicable adjudicator issues a decision regarding
the complaint by simply sending a written notice to the ALJ, to the
applicable contractor, and to us (if applicable) for LCDs, or to the
Board and to us for NCDs (see Sec. 426.423(b) and Sec. 426.523(b)).
Under this process, the adjudicator issues a decision (discussed later
in this section of the preamble) dismissing the complaint, and the
aggrieved party may not file another complaint to the same coverage
determination for 6 months.
In the case of a joint complaint, one or more aggrieved parties may
withdraw from the review without affecting the status of any remaining
aggrieved party or parties named in the complaint. The adjudicator
would issue a decision dismissing the complaint for the aggrieved party
or parties who wish to withdraw, and the review would continue until
the adjudicator issued a decision on the merits, or until each
aggrieved party withdrew its complaint. Similarly, if the adjudicator
had decided to hold a consolidated review, an aggrieved party or
parties who are part of the consolidated review may withdraw without
affecting the status of the other aggrieved party or parties who are
part of the consolidated review (See Sec. 426.423(c) and Sec.
426.523(c)).
Sections 426.425(a) and 426.525(a) contain the processes for LCD
and NCD reviews, respectively, that take place once the record has been
filed. Section 522 of the BIPA added sections 1869(f)(1)(A)(iii) and
1869(f)(2)(A)(i) of the Act, which specify that the adjudicators of NCD
and LCD reviews, respectively, `` * * * shall review the record and
shall permit discovery and the taking of evidence to evaluate the
reasonableness of the determination, if the [adjudicator] determines
that the record is incomplete or lacks adequate information to support
the validity of the determination.'' Therefore, we allow the aggrieved
party who submitted the complaint to file a statement alleging that the
LCD record (or the NCD record
[[Page 63710]]
in the case of an NCD review) is not complete, or not adequate to
support the validity of the coverage determination, under the
reasonableness standard. This statement will be filed after the
aggrieved party has had adequate time to review the record (30 days
after receipt of the record, with a possible extension for good cause
shown). The statement will be submitted to the adjudicator, to the
contractor (if an LCD review), and to us (if applicable). In Sec.
426.425(b) and Sec. 426.525(b), we explain that the contractor/CMS has
30 days to respond.
In Sec. 426.425(c) and Sec. 426.525(c), we explain that, after
the time for filing has expired, the ALJ or the Board will evaluate
whether the record is complete and adequate to support the validity of
the policy by applying the reasonableness standard. If the adjudicator
determines that the record is not complete, not adequate to support the
validity of the coverage determination, or both, the adjudicator will
notify all parties to the review of this decision and allow discovery
(as proposed in Sec. 426.432 and Sec. 426.532 and discussed later in
this section of the preamble). If the adjudicator determines that the
record is complete and adequate to support the validity of the coverage
determination, the adjudicator will issue a decision finding the LCD/
NCD record complete and adequate to support the validity of the LCD/NCD
and the review process ends. In Sec. 426.425(d) and Sec. 426.525(d),
we state that the process described in (a), (b), and (c) applies
whenever an LCD/NCD record is supplemented.
Under Sec. 426.431 and Sec. 426.531, we describe the process that
adjudicators will use to review the provision(s) named in a complaint
based on the reasonableness standard. The actions of this process
include the following:
[sbull] Confining the LCD/NCD review to the provision(s) of the
LCD/NCD raised in the aggrieved party's complaint;
[sbull] Conducting a hearing, unless the matter can be decided on
the written record;
[sbull] Closing the LCD/NCD review record to the taking of
evidence;
[sbull] Issuing a decision as described in Sec. 426.447 and Sec.
426.547. We further state that ALJs may consider previous ALJ decisions
regarding the LCD provisions with the same issues and facts and the
same clinical conditions. We also provide that ALJs must treat as
precedential any previous Board decision that involves the same LCD
provision(s), same specific issues and facts in question, and same
clinical conditions. We also provide that the Board will follow
applicable Board precedent regarding the same NCD provisions and the
same clinical conditions.
In addition, the adjudicator has the option, under Sec. 426.431(b)
and 426.531(b), to consult with appropriate scientific or clinical
experts, and to consider previous ALJ decisions (discussed in the
section of the preamble on Sec. 426.440 and Sec. 426.540).
In Sec. 426.431(c) and Sec. 426.531(c), we explain that ALJs and
the Board must follow all applicable laws and regulations, and NCDs,
with the exception that the Board is not bound by the NCD that is
before it.
Under Sec. 426.432 and Sec. 426.532, paragraph (a), if the ALJ or
the Board orders discovery, the ALJ or the Board will establish a
reasonable timeframe for discovery and ensure that a party to the LCD
or NCD review who receives a discovery request has certain rights. In
paragraph (b), we state that any party receiving a discovery request
may file a motion for a protective order before the date of production
of the discovery.
Under Sec. 426.432 and Sec. 426.532, we also set forth the rules
for discovery during an LCD or NCD review, respectively.
We have eliminated proposed Sec. 426.432(a)(3) and Sec.
426.532(a)(3) because we do not expect any non-parties to be required
to submit evidence in these proceedings.
In Sec. 426.432(c) and Sec. 426.532(c), we list the types of
discovery that are available. In Sec. 426.432(d) and Sec. 426.532(d),
we explain what the term discovery includes and state that discovery
does not require the creation of any document. In Sec. 426.432(e) and
Sec. 426.532(e), we identify forms of discovery that are not
available. We believe that this is consistent with normal practice and
will avoid unnecessary delays in the coverage determination reviews.
For proprietary data or privileged information, Sec. 426.432(f)
and Sec. 426.532(f), we have clarified that the ALJ/Board may not,
under any circumstances, disclose this material to the public without
consent from the party who possesses the right to protection of the
information.
In Sec. 426.432(g) and Sec. 426.532(g), we state that the ALJ/
Board will notify all parties in writing of the date when the discovery
period will close.
While reviewing a provision of an LCD or NCD, the adjudicator may,
if necessary, issue subpoenas. In Sec. 426.435 and Sec. 426.535, we
describe the process for obtaining and responding to subpoenas during a
coverage determination review. A request for a subpoena to require the
attendance of an individual at a hearing (or provide evidence at a
hearing) must be filed with the adjudicator by a party to the coverage
determination review at least 30 days before the date of a hearing. In
addition to designating the witnesses (and their locations) and the
evidence to be produced by those witnesses, the subpoena must state the
facts that the party expects the witness to establish, and state
whether these facts could be established by other evidence or without
the use of a subpoena.
The subpoena sections also detail the role of adjudicators in
granting subpoenas, the role of a party in serving a subpoena, and the
role and rights of the individual receiving a subpoena (including the
right to file a motion to quash a subpoena). In addition, in Sec.
426.435(h) and Sec. 426.535(h), we also set forth the remedy afforded
under section 205(e) of the Act, if a subpoena is not obeyed.
We describe the rules relating to evidence in coverage
determination reviews in Sec. 426.440 and Sec. 426.540. In Sec.
426.440(a) and Sec. 426.540(a), we state the ALJ or the Board is not
bound by the Federal Rules of Evidence, but may apply the rules, if
appropriate. In Sec. 426.440(b) and Sec. 426.540(b), we provide that
the ALJ or the Board must exclude evidence that is clearly irrelevant,
immaterial, or unduly repetitive. Sections 426.440(c) and Sec.
426.540(c) provide admission of, and protection for the submission of
proprietary/privileged information under seal. Sections 426.440(d) and
Sec. 426.540(d) address the authority of the ALJ/Board over the use of
expert witnesses. Under Sec. 426.440(e) and Sec. 426.540(e), we
require experts submitting reports to be available for cross-
examination at an evidentiary hearing. Under Sec. 426.440(f) and Sec.
426.540(f), we require that, unless otherwise ordered by the
adjudicator for good cause shown, all documents and other evidence be
open to examination by all parties to the review, except as set forth
in Sec. 426.440(c) and Sec. 426.540(c).
Under Sec. 426.444 and Sec. 426.544, we describe an adjudicator's
dismissal for cause of a complaint regarding an LCD or an NCD,
respectively. A dismissal is effectuated by the issuance of a decision
dismissing a complaint. In general, an adjudicator may dismiss a
complaint if an aggrieved party fails to attend or participate in a
pre-hearing conference (the pre-hearing may be conducted by telephone)
or hearing without good cause shown or fails to comply with a lawful
order from an adjudicator (see Sec. 426.444(a) and Sec. 426.544(a)).
Under Sec. 426.444(b) and Sec. 426.544(b), we require that the
adjudicator dismiss
[[Page 63711]]
complaints that fail to meet the requirements for acceptable
complaints, including complaints regarding inapplicable policies or
determinations. We also require the adjudicator to dismiss a complaint
if the aggrieved party withdraws the complaint, or if the complaint
seeks review of a matter beyond the adjudicator's authority.
Under Sec. 426.444(b)(6), we also require an ALJ to dismiss a
complaint if the applicable contractor notifies the ALJ that the LCD is
being retired or revised to remove the provision in question.
Similarly, in Sec. 426.544(b)(6), the complaint must be dismissed when
we notify the Board that the NCD (or provision of the NCD) is no longer
in effect.
In Sec. 426.445 and Sec. 426.545, we require that witness fees,
for appearances during a hearing, be paid by the party seeking to
present the witness.
Under Sec. 426.446 and Sec. 426.546, we require that an ALJ and
the Board, respectively, ensure that any hearing conducted regarding a
LCD or NCD review is open to the public and electronically,
mechanically, or stenographically recorded. These sections require
that, except for privileged information and proprietary data, all
evidence upon which the adjudicator relies for a decision be contained
in the public record, and that any pertinent document or record be
incorporated into the record of the LCD/NCD hearing.
Under Sec. 426.447 and Sec. 426.547, we set forth the procedures
for the issuance and notification of ALJ and Board decisions,
respectively. Within 90 days from closing the review record to the
taking of evidence, the applicable adjudicator is required either to
issue a decision, including a description of appeal rights, or to
provide notice that the decision is pending, and an approximate date a
decision will be issued. In Sec. 426.547(b), we explain that Board
decisions regarding NCDs will be available on the Medicare Web site of
the Department of Health and Human Services and that steps will be
taken to ensure the privacy of the parties to the review.
Under Sec. 426.450, we describe the required elements of an ALJ's
decision regarding an LCD. In Sec. 426.550, we describe the required
elements of the Board's decision regarding an NCD. Since Board
decisions will be published, identifying information about
beneficiaries may be placed in an accompanying cover letter giving
notice of the decision. This cover letter, however, will not be
published, in order to preserve beneficiaries' privacy. As discussed
earlier in this section of the preamble, a decision may include the
dismissal of a complaint or a finding that the LCD/NCD record is
complete and adequate to support the validity of the LCD/NCD under the
reasonableness standard. If the ALJ/Board decision neither dismisses
the complaint nor finds that record complete and adequate, the decision
must contain a statement pertaining to each provision listed in the
complaint and state whether the provision is valid or invalid under the
reasonableness standard. We also require that the decision include the
information in Sec. 426.450(b) and Sec. 426.550(b), which include LCD
review or NCD review identifying information, claim information (if
known), the basis for the decision (including findings of fact,
interpretations of laws, and application of facts to the law), a
summary of the evidence reviewed during the review, and a statement
about appeal rights. We provide that the materiality of any proprietary
data or privileged information in the validity determination should be
discussed in the decision without disclosing the substance or contents
of the sealed evidence. In addition, a separate statement prepared and
maintained under seal will explain the rationale for the treatment of
the proprietary data or privileged information, including any necessary
discussion of the data themselves. This statement will accompany the
proprietary data or privileged information under seal if the decision
is appealed to the next level of review.
In Sec. 426.455 and Sec. 426.555, we require that an ALJ or the
Board decision be prohibited from doing any of the following:
[sbull] Ordering us or our contractors to add any language to an
LCD or NCD or to pay a specific claim.
[sbull] Establishing a time limit for the creation of a new or
revised LCD or NCD.
[sbull] Reviewing or evaluating an LCD or NCD other than the LCD or
NCD under review.
[sbull] Including a requirement for us or our contractors that
specifies payment, coding, or systems changes for an LCD or NCD, or
deadlines for implementing these changes.
[sbull] Ordering or addressing how we or our contractors should
implement an LCD or NCD.
As a result of comments we received on our proposed rule, we
revised the requirements concerning ALJ or the Board decisions to allow
such a decision to direct us or our contractors to delete language from
a provision of an LCD or NCD, when the adjudicator finds provision(s)
unreasonable with respect to the aggrieved party's clinical
indications, and for same or similar conditions. While we have revised
the rule accordingly, we continue to believe that ALJs or the Board
should be prohibited from ordering us or our contractors to add
language to a LCD or NCD provision and have maintained the prohibition
in this final rule. The ALJ/Board decision requiring a contractor or
CMS to strike an LCD/NCD provision may be written narrowly. In one
example, an aggrieved party with condition X challenges an LCD stating
that a particular service is covered for conditions Y and Z and
contains the following sentence: ``This procedure is considered not
reasonable or necessary for all other conditions.'' The ALJ may find
that this sentence is invalid for condition X. The contractor would
have several options for effectuating this decision. First, the
contractor could remove the sentence altogether leaving coverage of all
conditions other than Y and Z to individual consideration. Second, the
contractor could add condition X to the list of covered conditions.
Third, the contractor could revise the LCD to state that the service is
covered for conditions Y and Z, individual consideration will determine
coverage for condition X, and that the service is not covered for all
other conditions.
In Sec. 426.457 and Sec. 426.557, we explain that ALJ or the
Board decisions may be written narrowly to hold specific provision(s)
invalid as applied to specific clinical indications and for similar
conditions.
In Sec. 426.458, we describe the ALJ's review record furnished to
the public, and to the Board, and specify that proprietary data or
privileged information must be under seal.
In Sec. 426.460 and Sec. 426.560, we describe the effect of ALJ
or the Board decisions issued under Sec. 426.447 and Sec. 426.547.
Although an ALJ or the Board will now be allowed to order us or our
contractors to strike down a LCD or NCD provision, we continue to
believe that the exact wording of a new coverage determination should
be made by the contractor or by us. These policies affect other
beneficiaries and, thus, these determinations must be made by
clinicians and scientific experts who have the necessary specialized
training. Thus, we and the contractor will remain the entities
responsible for ensuring that the clinical and scientific policies are
sound, in order to ensure the best quality of care for beneficiaries.
The effect of an ALJ or Board decision will depend on the outcome
of the coverage determination review. If the
[[Page 63712]]
adjudicator finds that the provision(s) named in the complaint was
(were) valid under the reasonableness standard, the aggrieved party or
parties (in the case of an LCD review) could appeal that decision to
the Board or (in the case of NCD review) may challenge the final
Departmental action in Federal court.
If the adjudicator found that the provision(s) listed in the
complaint was (were) invalid under the reasonableness standard and the
contractor or we do not appeal this decision to the Board in a timely
manner, the contractor must or we will do several things. First, there
would be individual claim review for the aggrieved party or parties
named in the complaint(s).
[sbull] If the aggrieved party received a (fee-for-service or
managed care) service that was the subject of the challenged coverage
determination, then the contractor (if applicable) or Medicare managed
care organization will not use the provision(s) of the coverage
determination that was (were) found invalid in the adjudication of that
claim.
[sbull] If the aggrieved party has not received the service, the
individual may obtain the service and file a claim, which could be
reviewed by the contractor, without using the provision that has been
found invalid.
Neither the first level appeal reviewer nor the hearing officer is
bound by the invalid provision. Specifically, we will instruct the
contractor to make a claim determination without using the LCD or NCD
provision(s) that has been found invalid in each of the following
situations: (1) The claim has not been adjudicated or; (2) the claim
was denied. It is important to note that individual claim review can
only be provided to an aggrieved party if his or her individual claim
or appeal has not been paid during the individual claims adjudication
process. Furthermore, the contractor/CMS will not use the invalid
provision as guidance to deny claims.
Second, there would be coverage policy relief. Within 30 days of
the issuance of an ALJ or the Board decision, the contractor or CMS
must either retire/withdraw the LCD/NCD or revise the LCD/NCD to remove
the provisions found to be invalid by the ALJ or the Board. The
effective date of the retirement/withdrawal or revision must be for
dates of service no later than the 30th day following issuance of the
ALJ or Board decision. As discussed earlier, the retirement of a
coverage determination or removal of a provision of a coverage
determination means that it can no longer be used in the adjudication
of claims with dates of service after the effective date of the ALJ/
Board decision.
Under Sec. 426.462 and Sec. 426.562, ``Notice of an ALJ's
decision,'' and ``Notice of the Board's decision,'' we require that,
after the ALJ or the Board, respectively, has made a decision regarding
an LCD or NCD complaint, the ALJ or the Board send a written notice of
the decision to each party. The notice must state the outcome of the
review and inform each party to the determination of his or her rights
to seek further review if he or she is dissatisfied with the
determination, and the time limit under which an appeal must be
requested.
Under Sec. 426.463 and Sec. 426.563, ``Future New/Revised LCDs/
NCDs,'' we state that the contractor and CMS may not reinstitute an
LCD/NCD provision found to be unreasonable by an ALJ/Board unless the
contractor/CMS has a different basis (such as additional evidence).
However, nothing in this regulation shall be construed to prevent
contractors or CMS from developing new or revised/reconsidered LCD/NCD
provisions, as long as these provisions are developed using a different
basis and evidence.
In the remainder of the sections proposed in subpart D, we set
forth the procedure for appealing an ALJ's decision regarding an LCD
review. In Sec. 426.465(a), we state that an aggrieved party may
appeal part or all of an ALJ's decision that states that a provision of
the LCD listed in the complaint is valid under the reasonableness
standard or that dismisses a complaint (with certain exceptions). We
also allow an aggrieved party who was part of a joint complaint or a
consolidated LCD review to appeal an ALJ's decision either
independently or as a group.
In Sec. 426.465(b), we state that a contractor or CMS may appeal
to the Board an ALJ decision that an LCD was unreasonable. Because we
allow Board consolidation of similar appeals, we believe that it is not
necessary to prohibit aggrieved parties from appealing to higher levels
if one or more parties to a joint complaint withdraw from that
complaint.
In Sec. 426.465(c), we require that the implementation of the ALJ
decision will be stayed pending review by the Board.
In Sec. 426.465(d), we establish that we do not allow an aggrieved
party to appeal a dismissal in certain circumstances, namely, if the
aggrieved party who filed the complaint withdraws the complaint, or
because the contractor retired the LCD or revised the LCD to remove the
provision in question.
Under Sec. 426.465(e), we require that an appeal would have to be
submitted to the Board within 30 days of the date the ALJ's decision
was issued. We believe this is a reasonable timeframe to allow a party
to make a decision on whether to appeal and to prepare the necessary
documents, but we permit the Board to consider a late appeal if good
cause is shown by the party.
Section 426.465(f) lists the necessary components of an appeal to
identify the relevant parties and issues.
In Sec. 426.565, ``Board's role in making an LCD or NCD review
record available,'' we require that upon a request from a Federal
Court, the Board must provide to the Federal Court, a copy of the
Board's LCD or NCD review record (as described in Sec. 426.567).
In Sec. 426.566, we state that a Board decision is subject to
judicial review.
In Sec. 426.468, we explain that an aggrieved party who initiates
an LCD review, but does not appeal any part or parts of an ALJ's
decision to the Board in a timely manner, waives his or her right to
any further review of that part or those parts.
In Sec. 426.470, we state that the Board's role in docketing and
evaluating the acceptability of appeals of ALJ decisions is similar to
the process that an ALJ would use in docketing and evaluating the
acceptability of a complaint. The Board assigns a number to the appeal
and determines if it meets all of the requirements of an acceptable
appeal proposed in Sec. 426.465. Unlike the evaluation of an initial
complaint, however, we require, in Sec. 426.470(c), that the Board
issue a decision dismissing an unacceptable appeal, instead of allowing
an opportunity to amend an unacceptable appeal.
Upon the request from the Board to provide copies of the LCD review
record under Sec. 426.470, we require that an ALJ send a copy of the
LCD review record to the Board.
Once the Board has accepted an appeal to an ALJ's decision and
received the ALJ's LCD review record, we describe in Sec. 426.476 the
steps that the Board will take in reviewing the ALJ's decision. In
addition to reviewing the ALJ's LCD review record and the ALJ's
decision, the Board must allow the contractor or, if applicable, allow
us, to submit a statement to the Board and the aggrieved party
responding to the appeal. The final required step in the Board review
of an ALJ's decision is to issue a Board decision. We require that the
Board must evaluate the ALJ's application of the reasonableness
standard to determine if the ALJ's decision was erroneous.
[[Page 63713]]
We believe that the Board review of an appeal of an ALJ's decision
should remain a paper review of existing materials. Accordingly, we
establish, in Sec. 426.476(b), that the Board will determine whether
the ALJ decision contains any material error, and prohibit the Board
from considering any evidence that is not a part of the ALJ's LCD
review record. We establish that the Board will remand the case for
discovery and the taking of evidence if the ALJ erroneously determined
that the contractor's record was complete, or if the ALJ permitted a
prejudicial procedural error. In Sec. 426.476(c), we establish the
Board's scope of review and that the Board is bound by applicable laws,
regulations, and NCDs when reviewing appeals of ALJ decisions. These
include the applicable provisions of the Act, our regulations and
rulings, and NCDs.
In Sec. 426.476(d), we require the Board to dismiss an appeal of
an ALJ's decision if the contractor retired the LCD or revised the LCD
to remove the provision(s) in question during the appeal.
In Sec. 426.478, we allow the contractor to retire an LCD or
revise the LCD to remove the provision(s) in question during the
Board's review of the ALJ's decision. As stated in the previous
paragraph, this would lead to the Board dismissing the appeal.
In Sec. 426.480, we allow a party to withdraw an appeal of an
ALJ's decision. The provisions proposed in this section, for a party
acting alone or as part of a joint or consolidated appeal, would be the
same as the provisions for withdrawing a complaint in Sec. 426.423.
In Sec. 426.482, we require the issuance and notification of a
Board decision regarding an appealed ALJ decision. These provisions are
the same as the provisions we described for the issuance and
notification of an ALJ decision.
In Sec. 426.484, we set forth the mandatory provisions of a Board
decision regarding an appealed ALJ decision. We require the Board to
either dismiss the appeal or, for each part of the ALJ's decision named
in the appeal, to uphold, modify or reverse that part or all of the
ALJ's decision. Because the Board is conducting a review of the ALJ's
decision using the ALJ's LCD review record, and is not conducting a de
novo review of the LCD itself, a Board decision upholding, modifying or
reversing each part, or all of the ALJ's decision is the proper
outcome. The Board's decision must include the information necessary to
identify the appeal, and the rationale for the Board's decision.
In Sec. 426.486, we prohibit the Board's decision from including
those provisions that we exclude from the ALJ's decision, for the
reasons discussed earlier in this preamble. In Sec. 426.487, ``Board's
Record on Appeal of an ALJ Decision,'' we state in paragraph (a) that
except as provided in paragraph (b) of this section, the Board's LCD
review record furnished to the public consists of any document or
material that the Board compiled or considered during an LCD review.
Paragraph (b) states that the LCD review record furnished to the
Court under appeal includes, under seal, material that is privileged or
proprietary.
Paragraph (c) states that in any instance where proprietary data or
privileged information is contained in the LCD record and the
information goes to court, CMS or the Department will seek to have a
protective order issued for that information, as appropriate.
In Sec. 426.587, ``Record for Appeal of a Board/NCD decision,'' we
set forth in paragraph (a) that, except as provided in paragraph (b) of
this section, the Board's NCD review record furnished to the court
consists of any document or material that the Board compiled or
considered during an NCD review. CMS or the Department may seek to have
a protective order issued with respect to proprietary data or
privileged information.
We describe in paragraph (b) that the NCD review record furnished
the court maintain the seal on material that is privileged or
proprietary. CMS or the Department may seek to have a protective order
issued with respect to those documents.
In Sec. 426.488, we set forth the effect of a Board decision.
Section 426.488(a) explains the relief that is provided to a successful
challenger. Moreover, there may be coverage relief for the aggrieved
party. We also describe the effect of the Board reversing an ALJ
decision.
We permit the Board to remand cases to the ALJ in a limited number
of circumstances. In Sec. 426.489(a), we explain the process the Board
must follow to remand a case to the ALJ. In Sec. 426.489(b), we
explain required action by an ALJ upon a Board remand. In Sec.
426.490, a decision by the Board would constitute a final Agency action
and would be subject to judicial review. Neither the contractor nor we
may appeal a Board decision.
V. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995, we are required to
provide 30-day notice in the Federal Register and solicit public
comment before a collection of information requirement is submitted to
the Office of Management and Budget (OMB) for review and approval. In
order to fairly evaluate whether an information collection should be
approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act
of 1995 required that we solicit comment on the following issues:
[sbull] The need for the information collection and its usefulness
in carrying out the proper functions of our agency.
[sbull] The accuracy of our estimate of the information collection
burden.
[sbull] The quality, utility, and clarity of the information to be
collected.
[sbull] Recommendations to minimize the information collection
burden on the affected public, including automated collection
techniques.
We have solicited public comment on each of these issues for the
following sections of this document that contain information collection
requirements:
Sections 426.400 and 426.500
Sections 426.400, Procedure for filing an acceptable complaint to a
provision (or provisions) of an LCD, and 426.500, Procedure for filing
an acceptable complaint to a provision or provisions of an NCD, state
that an aggrieved party may initiate a review of an LCD or NCD,
respectively, by filing a written complaint. These sections also
identify the information required in the complaint to qualify as an
aggrieved party as defined in Sec. 426.110, as well as the process and
information needed for an aggrieved party to withdraw a complaint. The
required documentation includes a copy of the written authorization to
represent the beneficiary, if the beneficiary has a representative, and
a copy of a written statement from the treating physician that the
beneficiary needs a service that is the subject of the LCD.
Based on the lack of public comments, we continue to estimate that
there will be 1,000 LCD complaints per year and that it will take the
aggrieved party 4 hours to draft the complaint and gather the
information to send to us. The national burden would be 4,000 hours
annually. We estimate that there will be 15 to 20 NCD complaints per
year. It will take 4 hours, maximum, to gather the information and to
write each complaint. Thus, we estimate a total of 80 hours per year to
comply with the requirement.
The estimate of 4 hours is based on previous experience in both the
local and national coverage development processes, and the estimated
time to submit beneficiary and policy-specific information (for
example, name,
[[Page 63714]]
address, and policy challenged) and collect and photocopy scientific
and clinical evidence. It should actually take less than that amount of
time in NCD challenges, since the aggrieved party has already sent us
the information and merely has to send it again.
If you comment on these information collection and recordkeeping
requirements, please mail copies directly to the following:
Centers for Medicare & Medicaid Services, Office of Strategic
Operations and Regulatory Affairs, Regulations Development and
Issuances Group, Attn.: Dawn Willinghan, Attn: CMS-3063-F, Room C5-14-
03, 7500 Security Boulevard, Baltimore, MD 21244-1850.
Office of Information and Regulatory Affairs, Office of Management and
Budget, Room 10235, New Executive Office Building, Washington, DC
20503, Attn: Brenda Aguilar, CMS Desk Officer.
VI. Regulatory Impact Statement
A. Overall Impact
We have examined the impacts of this rule as required by Executive
Order 12866 (September 1993, Regulatory Planning and Review), as
amended by Executive Order 13258, and the Regulatory Flexibility Act
(RFA) (September 19, 1980, Pub. L. 96-354), as amended. Executive Order
12866 directs agencies to assess all costs and benefits of available
regulatory alternatives and, if regulation is necessary, to select
regulatory approaches that maximize net benefits (including potential
economic, environmental, public health and safety effects, distributive
impacts, and equity). A regulatory impact analysis (RIA) must be
prepared for major rules with economically significant effects ($100
million or more annually). Based on provider, beneficiary, and Agency
costs, our analysis indicates that the costs involved with the
implementation of this rule will not exceed $100 million annually.
Therefore, this rule is not considered a major rule.
The RFA requires agencies to analyze options for regulatory relief
of small businesses. For purposes of the RFA, small entities include
small businesses, nonprofit organizations, and government agencies.
Most hospitals and most other providers and suppliers are small
entities, either by nonprofit status or by having revenues of $5
million or less annually. Individuals and States are not included in
the definition of a small entity.
In addition, section 1102(b) of the Act requires us to prepare a
regulatory impact analysis if a rule may have a significant impact on
the operations of a substantial number of small rural hospitals. This
analysis must conform to the provisions of section 603 of the RFA. For
purposes of section 1102(b) of the Act, we define a small rural
hospital as a hospital that is located outside of a Metropolitan
Statistical Area and has fewer than 100 beds.
For these reasons, we are not preparing analyses for either the RFA
or section 1102(b) of the Act because we have determined that this rule
would not have a significant economic impact on a substantial number of
small entities or a significant impact on the operations of a
substantial number of small rural hospitals.
Section 202 of the Unfunded Mandates Reform Act of 1995 also
requires that agencies assess anticipated costs and benefits before
issuing any rule that may result in expenditures in any one year by
State, local, or tribal governments, in the aggregate, or by the
private sector, of $110 million. We do not believe that this rule would
have an effect on the governments mentioned, nor would the private
sector costs associated with the rule be greater than $110 million.
B. Federalism
Executive Order 13132 establishes certain requirements that an
agency must meet when it promulgates a proposed rule (and subsequent
final rule) that imposes substantial direct requirement costs on State
and local governments, preempts State law, or otherwise has Federalism
implications. This final rule will not have a substantial effect on
State or local governments.
C. Anticipated Effects
1. Effects on Medicare Beneficiaries
In developing this rule, we considered how to make it user-friendly
for the individual beneficiaries who qualify as aggrieved parties to
initiate the review of an LCD or an NCD. Possible access obstacles for
some aggrieved parties include limited financial resources, limited
mobility, various disabilities, absence of legal representation, and
difficulty in compiling and presenting scientific and clinical
materials. We have sought to include means to alleviate these obstacles
as much as possible through this rule, but would also expect the ALJs
and the Board to use the flexibility in this rule to respond to
obstacles that may confront individual aggrieved parties in particular
cases.
Some concerns may remain about how to facilitate participation,
especially when evidence is taken in person, by aggrieved parties with
limited mobility or resources. This final rule seeks to address this by
providing for most evidence to be submitted in written form and by
allowing use of a variety of electronic means for remote attendance at
any oral proceeding, if one is needed. In addition, the rule provides
flexibility for ALJs and the Board to tailor proceedings in each case
to best reflect the needs of the parties, the appropriate scope of
participation, and the nature of the issues presented.
While we require some documentation to support a complainant's
assertions of being an aggrieved party (see Sec. 426.400 and Sec.
426.500), we will accept that documentation as sufficient to show
standing to challenge an LCD or an NCD. By limiting this documentation,
we seek to simplify the process for the beneficiary, to alleviate
privacy concerns about confidential medical records and other patient-
specific information, and to reduce any intrusive discovery burden on
beneficiaries.
Our intent is to ensure that beneficiaries fully understand these
rights. When this final rule is published, we expect to produce a user-
friendly guide that beneficiaries may use to assist them in accessing
this process.
We have also provided for appropriate measures to be taken to
address confidentiality and privilege issues relating to privileged or
confidential trade secrets, commercial information, or financial
information.
2. Effects on Providers
We do not believe that the provisions of this rule will have a
significant effect on providers, since the Congress developed the BIPA
522 process for beneficiaries. Providers may be requested, however, to
supply documentation that an aggrieved party is in need of a specific
service, and to assist in representing an aggrieved party. In addition,
we have clarified in the final rule that this document may be in the
form of an order or other existing language from the beneficiary's
medical record and need not be newly created material. It is also
possible for a provider to be subpoenaed under Sec. 426.435 and Sec.
426.535, but Sec. 426.445 and Sec. 426.545 will allow for
compensation under this circumstance. While there may be time
requirements placed on providers and expert witnesses in this respect,
there will be no additional monetary expenses. As a
[[Page 63715]]
result, we believe that the rule will have an insignificant economic
impact on health care providers or the health care industry as a whole.
3. Effects on the Medicare Program
The Medicare program would incur certain significant administrative
costs associated with coverage determination reviews, the cost of being
a party to coverage determination reviews, the cost of reevaluating
policies, and the cost of changes to the claim review and appeals
procedures.
D. Alternatives Considered
We considered various alternative approaches for implementing the
ALJ or the Board decisions with respect to an LCD and NCD. One
alternative we considered was to allow an ALJ or the Board to specify
the type of relief that would be afforded to the aggrieved party in
those instances in which an ALJ or the Board issued a finding of
unreasonable under the reasonableness standard. We contemplated whether
it would be feasible based on the record developed in this proceeding
for an ALJ or the Board to order us to make payment for a particular
claim for the individual. We determined, however, that because the
record in a policy challenge adjudication focuses on the challenged
policy, and not on the beneficiary's particular medical circumstances
or entitlement to Medicare benefits, it is not possible to allow an ALJ
or the Board to order payment in those circumstances. In some cases,
other statutory restrictions may apply for a particular claim that
would prevent Medicare from making payment even if the LCD or NCD were
found unreasonable. For instance, if care were furnished by an excluded
physician in other than an emergency situation, section 1862(e)(1) of
the Act would bar Medicare payment. There are other examples where
rules other than an NCD may lead to the denial of a claim (such as
statutory exclusion). To avoid redundant claims/appeals processes,
individual review is performed through our existing claims appeals
procedures, but the LCD or NCD that was found unreasonable by the ALJ
or the Board will not be applied.
Further, we do not believe that it is appropriate for an ALJ or the
Board to add language to coverage determinations. LCDs and NCDs are
based on clinical and scientific evidence to develop policies that are
both sound and effective, and continue to ensure the highest quality of
covered care for Medicare recipients. For the sake of continuing to
ensure that aggrieved parties receive the same quality care as all
other Medicare recipients, and for the sake of efficiently
administering this process, we believe that clinicians and scientific
experts are best suited to continue to develop these policies.
In accordance with the provisions of Executive Order 12866, as
amended by Executive Order 13258, this regulation was reviewed by the
Office of Management and Budget.
List of Subjects
42 CFR Part 400
Grant programs-health, Health facilities, Health maintenance
organizations (HMO), Medicaid, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 405
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR Part 426
Administrative practice and procedure, Medicare, Reporting and
recordkeeping requirements.
0
For the reasons set forth in the preamble, Centers for Medicare &
Medicaid Services amends 42 CFR chapter IV as follows:
PART 400--INTRODUCTION; DEFINITIONS
0
1. The authority citation for part 400 continues to read as follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh) and 44 U.S.C. Chapter 35.
0
2. Amend Sec. 400.202 by adding the definitions of ``Departmental
Appeals Board,'' and ``Local coverage determination (LCD),'' and by
revising the definition of ``National coverage determination (NCD)'' to
read as follows:
Sec. 400.202 Definitions specific to Medicare.
* * * * *
Departmental Appeals Board means: (1) Except as provided in
paragraphs (2) and (3) of this definition, a Board established in the
office of the Secretary, whose members act in panels to provide
impartial review of disputed decisions made by operating components of
the Department or by ALJs.
(2) For purposes of review of ALJ decisions under part 405,
subparts G and H; part 417, subpart Q; part 422, subpart M; and part
478, subpart B of this chapter, the Medicare Appeals Council designated
by the Board Chair.
(3) For purposes of part 426 of this chapter, a Member of the Board
and, at the discretion of the Board Chair, any other Board staff
appointed by the Board Chair to perform a review under that part.
* * * * *
Local coverage determination (LCD) means a decision by a fiscal
intermediary or a carrier under Medicare Part A or Part B, as
applicable, whether to cover a particular service on an intermediary-
wide or carrier-wide basis in accordance with section 1862(a)(1)(A) of
the Act. An LCD may provide that a service is not reasonable and
necessary for certain diagnoses and/or for certain diagnosis codes. An
LCD does not include a determination of which procedure code, if any,
is assigned to a service or a determination with respect to the amount
of payment to be made for the service.
* * * * *
National coverage determination (NCD) means a decision that CMS
makes regarding whether to cover a particular service nationally under
title XVIII of the Act. An NCD does not include a determination of what
code, if any, is assigned to a service or a determination with respect
to the amount of payment to be made for the service.
* * * * *
PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
0
3. The authority citation for part 405 continues to read as follows:
Authority: Secs. 1102, 1861, 1862(a), 1871, 1874, 1881, and
1888(k) of the Social Security Act (42 U.S.C. 1302, 1395x, 1395y(a),
1395hh, 1395kk, 1395rr and 1395ww(k)), and sec. 353 of the Public
Health Service Act (42 U.S.C. 263a).
0
4. Revise Sec. 405.732 to read follows:
Sec. 405.732 Review of a national coverage determination (NCD).
(a) General rule. (1) An NCD is a determination by the Secretary
for whether or not a particular item or service is covered nationally
under title XVIII of the Act.
(2) An NCD does not include a determination of what code, if any,
is assigned to a particular item or service covered under title XVIII
or a determination for the amount of payment made for a particular item
or service.
(3) NCDs are made under section 1862(a)(1) of the Act or other
applicable provisions of the Act.
(4) An NCD is binding on all Medicare carriers, fiscal
intermediaries, QIOs, HMOs, CMPs, HCPPs, the Medicare Appeals Council,
and ALJs.
[[Page 63716]]
(b) Review by ALJ. (1) An ALJ may not disregard, set aside, or
otherwise review an NCD.
(2) An ALJ may review the facts of a particular case to determine
whether an NCD applies to a specific claim for benefits and, if so,
whether the NCD has been applied correctly to the claim.
(c) Review by Court. For initial determinations and NCD challenges
under section 1862(a)(1) of the Act, arising before October 1, 2002, a
court's review of an NCD is limited to whether the record is incomplete
or otherwise lacks adequate information to support the validity of the
decision, unless the case has been remanded to the Secretary to
supplement the record regarding the NCD. In these cases, the court may
not invalidate an NCD except upon review of the supplemental record.
0
5. Revise Sec. 405.860 to read as follows:
Sec. 405.860 Review of a national coverage determination (NCD).
(a) General rule. (1) An NCD is a determination by the Secretary
for whether or not a particular item or service is covered nationally
under title XVIII of the Act.
(2) An NCD does not include a determination of what code, if any,
is assigned to a particular item or service covered under title XVIII
or a determination for the amount of payment made for a particular item
or service.
(3) NCDs are made under section 1862(a)(1) of the Act or other
applicable provisions of the Act.
(4) An NCD is binding on all Medicare carriers, fiscal
intermediaries, QIOs, HMOs, CMPs, HCPPs, the Medicare Appeals Council,
and ALJs.
(b) Review by ALJ. (1) An ALJ may not disregard, set aside, or
otherwise review an NCD.
(2) An ALJ may review the facts of a particular case to determine
whether an NCD applies to a specific claim for benefits and, if so,
whether the NCD is applied correctly to the claim.
(c) Review by Court. For initial determinations and NCD challenges
under section 1862(a)(1) of the Act, arising before October 1, 2002, a
court's review of an NCD is limited to whether the record is incomplete
or otherwise lacks adequate information to support the validity of the
decision, unless the case is remanded to the Secretary to supplement
the record regarding the NCD. In these cases, the court may not
invalidate an NCD except upon review of the supplemental record.
0
6. Add part 426 to subchapter B to read as follows:
PART 426--REVIEWS OF LOCAL AND NATIONAL COVERAGE DETERMINATIONS
Subpart A--General Provisions
Sec.
426.100 Basis and scope.
426.110 Definitions.
426.120 Calculation of deadlines.
426.130 Party submissions.
Subpart B--[Reserved]
Subpart C--General Provisions for the Review of LCDs and NCDs
426.300 Review of LCDs, NCDs, and deemed NCDs.
426.310 LCD and NCD reviews and individual claim appeals.
426.320 Who may challenge an LCD or NCD.
426.325 What may be challenged.
426.330 Burden of proof.
426.340 Procedures for review of new evidence.
Subpart D--Review of an LCD
426.400 Procedure for filing an acceptable complaint concerning a
provision (or provisions) of an LCD.
426.403 Submitting new evidence once an acceptable complaint is
filed.
426.405 Authority of the ALJ.
426.406 Ex parte contacts.
426.410 Docketing and evaluating the acceptability of LCD
complaints.
426.415 CMS' role in the LCD review.
426.416 Role of Medicare Managed Care Organizations (MCOs) and State
agencies in the LCD review.
426.417 Contractor's statement regarding new evidence.
426.418 LCD record furnished to the aggrieved party.
426.419 LCD record furnished to the ALJ.
426.420 Retiring or revising an LCD under review.
426.423 Withdrawing a complaint regarding an LCD under review.
426.425 LCD review.
426.431 ALJ's review of the LCD to apply the reasonableness
standard.
426.432 Discovery.
426.435 Subpoenas.
426.440 Evidence.
426.444 Dismissals for cause.
426.445 Witness fees.
426.446 Record of hearing.
426.447 Issuance and notification of an ALJ's decision.
426.450 Mandatory provisions of an ALJ's decision.
426.455 Prohibited provisions of an ALJ's decision.
426.457 Optional provisions of an ALJ's decision.
426.458 ALJ's LCD review record.
426.460 Effect of an ALJ's decision.
426.462 Notice of an ALJ's decision.
426.463 Future new or revised LCDs.
426.465 Appealing part or all of an ALJ's decision.
426.468 Decision to not appeal an ALJ's decision.
426.470 Board's role in docketing and evaluating the acceptability
of appeals of ALJ decisions.
426.476 Board review of an ALJ's decision.
426.478 Retiring or revising an LCD during the Board's review of an
ALJ's decision.
426.480 Withdrawing an appeal of an ALJ's decision.
426.482 Issuance and notification of a Board decision.
426.484 Mandatory provisions of a Board decision.
426.486 Prohibited provisions of a Board decision.
426.487 Board's record on appeal of an ALJ's decision.
426.488 Effect of a Board decision.
426.489 Board remands.
426.490 Board decision.
Subpart E--Review of an NCD
426.500 Procedure for filing an acceptable complaint concerning a
provision (or provisions) of an NCD.
426.503 Submitting new evidence once an acceptable complaint is
filed.
426.505 Authority of the Board.
426.506 Ex parte contacts.
426.510 Docketing and evaluating the acceptability of NCD
complaints.
426.513 Participation as amicus curiae.
426.515 CMS' role in making the NCD record available.
426.516 Role of Medicare Managed Care Organizations (MCOs) and State
agencies in the NCD review process.
426.517 CMS' statement regarding new evidence.
426.518 NCD record furnished to the aggrieved party.
426.519 NCD record furnished to the Board.
426.520 Withdrawing an NCD under review or issuing a revised or
reconsidered NCD.
426.523 Withdrawing a complaint regarding an NCD under review.
426.525 NCD review.
426.531 Board's review of the NCD to apply the reasonableness
standard.
426.532 Discovery.
426.535 Subpoenas.
426.540 Evidence.
426.544 Dismissals for cause.
426.545 Witness fees.
426.546 Record of hearing.
426.547 Issuance, notification, and posting of a Board's decision.
426.550 Mandatory provisions of the Board's decision.
426.555 Prohibited provisions of the Board's decision.
426.557 Optional provisions of the Board's decision.
426.560 Effect of the Board's decision.
426.562 Notice of the Board's decision.
426.563 Future new or revised or reconsidered NCDs.
426.565 Board's role in making an LCD or NCD review record
available.
426.566 Board decision.
426.587 Record for appeal of a Board NCD decision.
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh)
[[Page 63717]]
Subpart A--General Provisions
Sec. 426.100 Basis and scope.
(a) Basis. This part implements sections 1869(f)(1) and (f)(2) of
the Act, which provide for the review of LCDs, NCDs, and certain
determinations that are deemed to be NCDs by statute.
(b) Scope. This subpart establishes the requirements and procedures
for the review of LCDs and NCDs.
Sec. 426.110 Definitions.
For the purposes of this part, the following definitions apply:
Aggrieved party means a Medicare beneficiary, or the estate of a
Medicare beneficiary, who--
(1) Is entitled to benefits under Part A, enrolled under Part B, or
both (including an individual enrolled in fee-for-service Medicare, in
a Medicare+Choice plan, or in another Medicare managed care plan);
(2) Is in need of coverage for a service that is denied based on an
applicable LCD (in the relevant jurisdiction) or an NCD, regardless of
whether the service was received; and
(3) Has obtained documentation of the need by the beneficiary's
treating physician.
Board means the Departmental Appeals Board.
Clinical and scientific experts mean experts that are consulted by
the ALJ or Board as independent and impartial individuals, with
significant experience and/or published work, pertaining to the subject
of the review.
Contractor means a carrier (including a Durable Medical Equipment
Regional Carrier), or a fiscal intermediary (including a Regional Home
Health Intermediary) that has jurisdiction for the LCD at issue.
Deemed NCD means a determination that the Secretary makes, in
response to a request for an NCD under section 1869(f)(4)(B) and (C) of
the Act, that no national coverage or noncoverage determination is
appropriate, or the Secretary's failure to meet the deadline under
section 1869(f)(4)(A)(iv) of the Act.
New evidence means clinical or scientific evidence that was not
previously considered by the contractor or CMS before the LCD or NCD
was issued.
Party means an aggrieved party, which is an individual, or estate
who has a right to participate in the LCD or NCD review process, and,
as appropriate, a contractor or CMS.
Proprietary data and Privileged information means information from
a source external to CMS or a contractor, or protected health
information, that meets the following criteria:
(1) It is ordinarily protected from disclosure in accordance with
45 CFR part 164, under the Trade Secrets Act (18 U.S.C. 1905) or under
Exemptions 4 or 5 of the Freedom of Information Act (5 U.S.C. 552) as
specified in 45 CFR 5.65.
(2) The party who possesses the right to protection of the
information from public release or disclosure has not provided its
consent to the public release or disclosure of the information. Any
information submitted by the public that is not marked proprietary is
not considered proprietary.
Reasonableness standard means the standard that an ALJ or the Board
must apply when conducting an LCD or an NCD review. In determining
whether LCDs or NCDs are valid, the adjudicator must uphold a
challenged policy (or a provision or provisions of a challenged policy)
if the findings of fact, interpretations of law, and applications of
fact to law by the contractor or CMS are reasonable based on the LCD or
NCD record and the relevant record developed before the ALJ or the
Board.
Supplemental LCD/NCD record is a record that the contractor/CMS
provides to the ALJ/Board and any aggrieved party and consists of all
materials received and considered during a reconsideration. Materials
that are already in the record before the ALJ/Board (for example, new
evidence presented in the taking of evidence or hearing) need not be
provided but may be incorporated by reference in the supplement to the
LCD/NCD record. The contractor/CMS may provide statements, evidence, or
other submissions to the ALJ/Board during the proceedings, as provided
elsewhere in these regulations, but these submissions are not
considered as supplementing the LCD/NCD record.
Treating physician means the physician who is the beneficiary's
primary clinician with responsibility for overseeing the beneficiary's
care and either approving or providing the service at issue in the
challenge.
Sec. 426.120 Calculation of deadlines.
In counting days, Saturdays, Sundays, and Federal holidays are
included. If a due date falls on a Saturday, Sunday, or Federal
holiday, the due date is the next Federal working day.
Sec. 426.130 Party submissions.
Any party submitting material, except for material for which a
privilege is asserted, or proprietary data, to the ALJ or the Board
after that party's initial challenge must serve the material on all
other parties at the same time.
Subpart B--[Reserved]
Subpart C--General Provisions for the Review of LCDs and NCDs
Sec. 426.300 Review of LCDs, NCDs, and deemed NCDs.
(a) Upon the receipt of an acceptable LCD complaint as described in
Sec. 426.400, an ALJ conducts a review of a challenged provision (or
provisions) of an LCD using the reasonableness standard.
(b) Upon the receipt of an acceptable NCD complaint as described in
Sec. 426.500, the Board conducts an NCD review of a challenged
provision (or provisions) of an NCD using the reasonableness standard.
(c) The procedures established in this part governing the review of
NCDs also apply in cases in which a deemed NCD is challenged.
Sec. 426.310 LCD and NCD reviews and individual claim appeals.
(a) LCD and NCD reviews are distinct from the claims appeal
processes set forth in part 405, subparts G and H; part 417, subpart Q;
and part 422, subpart M of this chapter.
(b) An aggrieved party must notify the ALJ or the Board, as
appropriate, regarding the submission and disposition of any pending
claim or appeal relating to the subject of the aggrieved party's LCD or
NCD complaint. This reporting obligation continues through the entire
LCD or NCD review process.
Sec. 426.320 Who may challenge an LCD or NCD.
(a) Only an aggrieved party may initiate a review of an LCD or NCD
(including a deemed NCD), or provisions of an LCD or NCD by filing an
acceptable complaint.
(b) Neither an ALJ nor the Board recognizes as valid any attempt to
assign rights to request review under section 1869(f) of the Act.
Sec. 426. 325 What may be challenged.
(a) Only LCDs or NCDs (including deemed NCDs) that are currently
effective may be challenged.
(b) Some items are not reviewable under this part, including the
following:
(1) Pre-decisional materials, including--
(i) Draft LCDs;
(ii) Template LCDs or suggested LCDs; and
(iii) Draft NCDs, including national coverage decision memoranda.
(2) Retired LCDs or withdrawn NCDs.
(3) LCD or NCD provisions that are no longer in effect due to
revisions or reconsiderations.
[[Page 63718]]
(4) Interpretive policies that are not an LCD or NCD.
(5) Contractor decisions that are not based on section
1862(a)(1)(A) of the Act.
(6) Contractor claims processing edits.
(7) Payment amounts or methodologies.
(8) Procedure coding issues, including determinations,
methodologies, definitions, or provisions.
(9) Contractor bulletin articles, educational materials, or Web
site frequently asked questions.
(10) Any M+C organization or managed care plan policy, rule, or
procedure.
(11) An individual claim determination.
(12) Any other policy that is not an LCD or an NCD as set forth in
Sec. 400.202 of this chapter.
Sec. 426.330 Burden of proof.
During an LCD or NCD review, an aggrieved party bears the burden of
proof and the burden of persuasion for the issue(s) raised in a
complaint. The burden of persuasion is judged by a preponderance of the
evidence.
Sec. 426.340 Procedures for review of new evidence.
(a) The process for review of new evidence is initiated once the
ALJ/Board completes the taking of evidence.
(b) If an aggrieved party has submitted new evidence pertaining to
the LCD/NCD provision(s) in question, and the ALJ or the Board finds
that evidence admissible, the ALJ or the Board reviews the record as a
whole and decide whether the new evidence has the potential to
significantly affect the ALJ's or the Board's evaluation of the LCD/NCD
provision(s) in question under the reasonableness standard.
(c) If the ALJ or the Board determines that the new evidence does
not have the potential to significantly affect the ALJ's or the Board's
evaluation of the LCD/NCD provision(s) in question under the
reasonableness standard, this evidence is included in the review
record, and the review goes forward to a decision on the merits.
(d) If the ALJ or the Board determines that the new evidence has
the potential to significantly affect the ALJ's or the Board's
evaluation of the LCD or NCD provision(s) in question under the
reasonableness standard, then the ALJ or the Board--
(1) Stays the proceedings and ensures that the contractor or CMS,
whichever is appropriate, has a copy of the new evidence for its
examination; and
(2) Allows the contractor/CMS 10 days, generally, to examine the
new evidence, and to decide whether the contractor or CMS initiates a
reconsideration.
(e) If the contractor or CMS informs the ALJ or the Board by the
end of the 10 days that a reconsideration is initiated, and then the
ALJ or the Board--
(1) Continues the stay in proceedings; and
(2) Sets a reasonable timeframe, not more than 90 days, by which
the contractor or CMS completes the reconsideration.
(f) The ALJ or Board lifts the stay in proceedings and continues
the review on the challenged provision(s) of the original LCD or NCD,
including the new evidence in the review record, if the contractor or
CMS--
(1) Informs the ALJ or Board that a reconsideration is not
initiated; or
(2) The 90-day reconsideration timeframe is not met.
(g) If an LCD or NCD is reconsidered and revised within the
timeframe allotted by the ALJ or Board, then the revised LCD or NCD and
any supplement to the LCD or NCD record is forwarded to the ALJ or the
Board and all parties and the review proceeds on the LCD or NCD.
Subpart D--Review of an LCD
Sec. 426.400 Procedure for filing an acceptable complaint concerning
a provision (or provisions) of an LCD.
(a) The complaint. An aggrieved party may initiate a review of an
LCD by filing a written complaint with the office designated by CMS on
the Medicare Web site, http://www.medicare.gov/coverage/static/appeals.asp
.
(b) Timeliness of a complaint. An LCD complaint is not considered
timely unless it is filed with the office designated by CMS within--
(1) 6 months of the issuance of a written statement from each
aggrieved party's treating practitioner, in the case of aggrieved
parties who choose to file an LCD challenge before receiving the
service; or
(2) 120 days of the initial denial notice, in the case of aggrieved
parties who choose to file an LCD challenge after receiving the
service.
(c) Components of a valid complaint. A complaint must include the
following:
(1) Beneficiary-identifying information:
(i) Name.
(ii) Mailing address.
(iii) State of residence, if different from mailing address.
(iv) Telephone number, if any.
(v) Health Insurance Claim number, if applicable.
(vi) E-mail address, if applicable.
(2) If the beneficiary has a representative, the representative-
identifying information must include the following:
(i) Name.
(ii) Mailing address.
(iii) Telephone number.
(iv) E-mail address, if any.
(v) Copy of the written authorization to represent the beneficiary.
(3) Treating physician written statement. A copy of a written
statement from the treating physician that the beneficiary needs the
service that is the subject of the LCD. This statement may be in the
form of a written order for the service or other documentation from the
beneficiary's medical record (such as progress notes or discharge
summary) indicating that the beneficiary needs the service.
(4) LCD-identifying information:
(i) Name of the contractor using the LCD.
(ii) Title of LCD being challenged.
(iii) The specific provision (or provisions) of the LCD adversely
affecting the aggrieved party.
(5) Aggrieved party statement. A statement from the aggrieved party
explaining what service is needed and why the aggrieved party thinks
that the provision(s) of the LCD is (are) not valid under the
reasonableness standard.
(6) Clinical or scientific evidence. (i) Copies of clinical or
scientific evidence that support the complaint and an explanation for
why the aggrieved party thinks that this evidence shows that the LCD is
not reasonable.
(ii) Any documents or portions of documents that include
proprietary data must be marked ``proprietary data,'' and include a
legal basis for that assertion.
(iii) Proprietary data submitted by a manufacturer concerning a
drug or device for which the manufacturer has submitted information to
the Food and Drug Administration, must be considered and given
substantive weight only when supported by an affidavit certifying that
the submission contains true and correct copies of all data submitted
by the manufacturer to the Food and Drug Administration in relation to
that drug or device.
(d) Joint complaints--(1) Conditions for a joint complaint. Two or
more aggrieved parties may initiate the review of an LCD by filing a
single written complaint with the ALJ if all of the following
conditions are met:
(i) Each aggrieved party named in the joint complaint has a similar
medical condition or there are other bases for combining the
complaints.
(ii) Each aggrieved party named in the joint complaint is filing
the complaint
[[Page 63719]]
in regard to the same provision(s) of the same LCD.
(2) Components of a valid joint complaint. A joint complaint must
contain the following information:
(i) The beneficiary-identifying information described in paragraph
(c)(1) of this section for each aggrieved party named in the joint
complaint.
(ii) The LCD-identifying information described in paragraph (c)(2)
of this section.
(iii) The documentation described in paragraphs (c)(3) and (c)(4)
of this section.
(3) Timeliness of a joint complaint. Aggrieved parties, who choose
to seek review of an LCD--
(i) Before receiving the service, must file with the ALJ a joint
complaint within 6 months of the written statement from each aggrieved
party's treating physician.
(ii) After receiving the service, must file with the ALJ a
complaint within 120 days of each aggrieved party's initial denial
notice.
Sec. 426.403 Submitting new evidence once an acceptable complaint is
filed.
Once an acceptable complaint is filed, the aggrieved party may
submit additional new evidence without withdrawing the complaint until
the ALJ closes the record.
Sec. 426.405 Authority of the ALJ.
(a) An ALJ conducts a fair and impartial hearing, avoids
unnecessary delay, maintains order, and ensures that all proceedings
are recorded.
(b) An ALJ defers only to reasonable findings of fact, reasonable
interpretations of law, and reasonable applications of fact to law by
the Secretary.
(c) The ALJ has the authority to do any of the following:
(1) Review complaints by an aggrieved party (or aggrieved parties).
(2) Dismiss complaints that fail to comply with Sec. 426.400.
(3) Set and change the date, time, and place of a hearing upon
reasonable notice to the parties.
(4) Continue or recess a hearing for a reasonable period of time.
(5) Hold conferences to identify or simplify the issues, or to
consider other matters that may aid in the expeditious disposition of
the proceeding.
(6) Consult with scientific and clinical experts on his or her own
motion concerning clinical or scientific evidence.
(7) Set schedules for submission of exhibits and written reports of
experts.
(8) Administer oaths and affirmations.
(9) Examine witnesses.
(10) Issue subpoenas requiring the attendance of witnesses at
hearings as permitted by this part.
(11) Issue subpoenas requiring the production of existing documents
before, and relating to, the hearing as permitted by this part.
(12) Rule on motions and other procedural matters.
(13) Stay the proceedings in accordance with Sec. 426.340.
(14) Regulate the scope and timing of documentary discovery as
permitted by this part.
(15) Regulate the course of a hearing and the conduct of
representatives, parties, and witnesses.
(16) Receive, rule on, exclude, or limit evidence, as provided in
Sec. 426.340.
(17) Take official notice of facts, upon motion of a party.
(18) Decide cases, upon the motion of a party, by summary judgment
when there is no disputed issue of material fact.
(19) Conduct any conference, argument, or hearing in person or,
upon agreement of the parties, by telephone, picture-tel, or any other
means.
(20) Issue decisions.
(21) Exclude a party from an LCD review for failure to comply with
an ALJ order or procedural request without good cause shown.
(22) Stay the proceedings for a reasonable time when all parties
voluntarily agree to mediation or negotiation, and provide mediation
services upon request.
(d) The ALJ does not have authority to do any of the following
under this part:
(1) Conduct an LCD review or conduct LCD hearings on his or her own
motion or on the motion of a nonaggrieved party.
(2) Issue a decision based on any new evidence without following
Sec. 426.340, regarding procedures for review of new evidence.
(3) Review any decisions by contractors to develop a new or revised
LCD.
(4) Conduct a review of any draft, retired, archived, template, or
suggested LCDs.
(5) Conduct a review of any policy that is not an LCD, as defined
in Sec. 400.202 of this chapter.
(6) Conduct a review of any NCD according to section
1869(f)(1)(A)(i) of the Act.
(7) Conduct a review of the merits of an unacceptable LCD complaint
as discussed in Sec. 426.410.
(8) Allow participation by individuals or entities other than--
(i) The aggrieved party and/or his/her representative;
(ii) CMS and/or the contractor; and
(iii) Experts called by the parties or the ALJ.
(9) Compel the parties to participate in a mediation process or to
engage in settlement negotiations.
(10) Deny a request for withdrawal of a complaint by an aggrieved
party.
(11) Compel the contractor to conduct studies, surveys, or develop
new information to support an LCD record.
(12) Deny a contractor the right to reconsider, revise or retire an
LCD.
(13) Find invalid applicable Federal statutes, regulations,
rulings, or NCDs.
(14) Enter a decision specifying terms to be included in an LCD.
Sec. 426.406 Ex parte contacts.
No party or person (except employees of the ALJ's office)
communicates in any way with the ALJ on any substantive matter at issue
in a case, unless on notice and opportunity for all parties to
participate. This provision does not prohibit a person or party from
inquiring about the status of a case or asking routine questions
concerning administrative functions or procedures.
Sec. 426.410 Docketing and evaluating the acceptability of LCD
complaints.
(a) Docketing the complaint. The office designated by CMS does the
following upon receiving a complaint regarding an LCD:
Dockets the complaint.
Determines whether the complaint is--
(i) The first challenge to a particular LCD; or
(ii) Related to a pending LCD review.
(3) Forwards the complaint to the ALJ that conducts the review. In
cases related to pending reviews, the complaint generally is forwarded
to the ALJ who is conducting the review.
(b) Evaluating the acceptability of the complaint. The ALJ assigned
to the LCD review determines if the complaint is acceptable by
confirming all of the following:
(1) The complaint is being submitted by an aggrieved party or, in
the case of a joint complaint, that each individual named in the joint
complaint is an aggrieved party. (In determining if a complaint is
acceptable, the ALJ assumes that the facts alleged by the treating
physician's documentation regarding the aggrieved party's (or parties')
clinical condition are true.)
(2) The complaint meets the requirements for a valid complaint in
Sec. 426.400 and does not challenge one of the documents in Sec.
426.325(b).
(c) Unacceptable complaint. (1) If the ALJ determines that the
complaint is unacceptable, the ALJ must provide the
[[Page 63720]]
aggrieved party (or parties) one opportunity to amend the unacceptable
complaint.
(2) If the aggrieved party (or parties) fail(s) to submit an
acceptable amended complaint within a reasonable timeframe as
determined by the ALJ, the ALJ must issue a decision dismissing the
unacceptable complaint.
(3) If a complaint is determined unacceptable after one amendment,
the beneficiary is precluded from filing again for 6 months after being
informed that it is unacceptable.
(d) Acceptable complaint. If the ALJ determines that the complaint
(or amended complaint) is acceptable, the ALJ does the following:
(1) Sends a letter to the aggrieved party (or parties)
acknowledging the complaint and informing the aggrieved party (or
parties) of the docket number and the deadline for the contractor to
produce the LCD record.
(2) Forwards a copy of the complaint, any evidence submitted in the
complaint, and the letter described in paragraph (d)(1) of this section
to the applicable contractor and CMS.
(3) Requires CMS or the contractor to send a copy of the LCD record
to the ALJ and all parties to the LCD review within 30 days of
receiving the ALJ's letter, the copy of the complaint, and any
associated evidence, subject to extension for good cause shown.
(e) Consolidation of complaints regarding an LCD--(1) Criteria for
consolidation. If a review is pending regarding a particular LCD
provision(s) and no decision has been issued ending the review, and a
new acceptable complaint is filed, the ALJ consolidates the complaints
and conducts a consolidated LCD review if all of the following criteria
are met:
(i) The complaints are in regard to the same provision(s) of the
same LCD or there are other bases for consolidating the complaints.
(ii) The complaints contain common questions of law, common
questions of fact, or both.
(iii) Consolidating the complaints does not unduly delay the ALJ's
decision.
(2) Decision to consolidate complaints. If an ALJ decides to
consolidate complaints, the ALJ does the following:
(i) Provides notification that the LCD review is consolidated and
informs all parties of the docket number of the consolidated review.
(ii) Makes a single record of the proceeding.
(iii) Considers the relevant evidence introduced in each LCD
complaint as introduced in the consolidated review.
(3) Decision not to consolidate complaints. If an ALJ decides not
to consolidate complaints, the ALJ conducts separate LCD reviews for
each complaint.
Sec. 426.415 CMS' role in the LCD review.
CMS may provide to the ALJ, and all parties to the LCD review,
information identifying the person who represents the contractor or
CMS, if necessary, in the LCD review process.
Sec. 426.416 Role of Medicare Managed Care Organizations (MCOs) and
State agencies in the LCD review.
Medicare MCOs and Medicaid State agencies have no role in the LCD
review process. However, once the ALJ has issued its decision, the
decision is made available to all Medicare MCOs and State agencies.
Sec. 426.417 Contractor's statement regarding new evidence.
(a) The contractor may review any new evidence that is submitted,
regardless of whether the ALJ has stayed the proceedings, including but
not limited to--
(1) New evidence submitted with the initial complaint;
(2) New evidence submitted with an amended complaint;
(3) New evidence produced during discovery;
(4) New evidence produced when the ALJ consults with scientific and
clinical experts; and
(5) New evidence presented during any hearing.
(b) The contractor may submit a statement regarding whether the new
evidence is significant under Sec. 426.340, within such deadline as
the ALJ may set.
Sec. 426.418 LCD record furnished to aggrieved party.
(a) Elements of a contractor's LCD record furnished to the
aggrieved party. Except as provided in paragraph (b) of this section,
the contractor's LCD record consists of any document or material that
the contractor considered during the development of the LCD, including,
but not limited to, the following:
(1) The LCD being challenged.
(2) Any medical evidence considered on or before the date the LCD
was issued, including, but not limited to, the following:
(i) Scientific articles.
(ii) Technology assessments.
(iii) Clinical guidelines.
(iv) Statements from clinical experts, medical textbooks, claims
data, or other indication of medical standard of practice.
(3) Comment and Response Document (a summary of comments received
by the contractor concerning the draft LCD).
(4) An index of documents considered that are excluded under
paragraph (b) of this section.
(b) Elements of the LCD record not furnished to the aggrieved
party. The LCD record furnished to the aggrieved party does not include
the following:
(1) Proprietary data or privileged information.
(2) Any new evidence.
Sec. 426.419 LCD record furnished to the ALJ.
The LCD record furnished to the ALJ includes the following:
(a) Documents included in Sec. 426.418(a).
(b) Privileged information and proprietary data considered that
must be filed with the ALJ under seal.
Sec. 426.420 Retiring or revising an LCD under review.
(a) A contractor may retire an LCD or LCD provision under review
before the date the ALJ issues a decision regarding that LCD. Retiring
an LCD or LCD provision under review has the same effect as a decision
under Sec. 426.460(b).
(b) A contractor may revise an LCD under review to remove or amend
the LCD provision listed in the complaint through the reconsideration
process before the date the ALJ issues a decision regarding that LCD.
Revising an LCD under review to remove the LCD provision in question
has the same effect as a decision under Sec. 426.460(b).
(c) A contractor must notify the ALJ within 48 hours of--
(1) Retiring an LCD or LCD provision that is under review; or
(2) Issuing a revised version of the LCD that is under review.
(d) If the contractor issues a revised LCD, the contractor forwards
a copy of the revised LCD to the ALJ.
(e) The ALJ must take the following actions upon receiving a notice
that the contractor has retired or revised an LCD under review:
(1) If, before the ALJ issues a decision, the ALJ receives notice
that the contractor has retired the LCD or revised the LCD to
completely remove the provision in question, the ALJ must dismiss the
complaint and inform the aggrieved party(ies) who sought the review
that he or she or they receive individual claim review without the
retired/withdrawn provision(s).
(2) If, before the ALJ issues a decision, the ALJ receives notice
that the contractor has revised the LCD provision in question but has
not removed it altogether, the ALJ must continue the review based on
the
[[Page 63721]]
revised LCD. In this case, the contractor must send a copy of the
supplemental record to the ALJ and all parties. In that circumstance,
the ALJ permits the aggrieved party to respond to the revised LCD and
supplemental record.
Sec. 426.423 Withdrawing a complaint regarding an LCD under review.
(a) Circumstance under which an aggrieved party may withdraw a
complaint regarding an LCD. An aggrieved party who filed a complaint
regarding an LCD may withdraw the complaint before the ALJ issues a
decision regarding that LCD. The aggrieved party may not file another
complaint concerning the same coverage determination for 6 months.
(b) Process for an aggrieved party withdrawing a complaint
regarding an LCD. To withdraw a complaint regarding an LCD, the
aggrieved party who filed the complaint must send a written withdrawal
notice to the ALJ (see Sec. 426.400), CMS (if applicable), and the
applicable contractor. Supplementing an acceptable complaint with new
evidence does not constitute a withdrawal of a complaint, as described
in Sec. 426.403.
(c) Actions the ALJ must take upon receiving a notice announcing
the intent to withdraw a complaint regarding an LCD--(1) LCD reviews
involving one aggrieved party. If the ALJ receives a withdrawal notice
regarding an LCD before the date the ALJ issued a decision regarding
that LCD, the ALJ issues a decision dismissing the complaint under
Sec. 426.444 and informs the aggrieved party that he or she may not
file another complaint to the same coverage determination for 6 months.
(2) LCD reviews involving joint complaints. If the ALJ receives a
notice from an aggrieved party who is named in a joint complaint
withdrawing a complaint regarding an LCD before the date the ALJ issued
a decision regarding that LCD, the ALJ issues a decision dismissing
only that aggrieved party from the complaint under Sec. 426.444. The
ALJ continues the LCD review if there is one or more aggrieved party
who does not withdraw from the joint complaint.
(3) Consolidated LCD reviews. If the ALJ receives a notice from an
aggrieved party who is part of a consolidated LCD review withdrawing a
complaint regarding an LCD before the date the ALJ issued a decision
regarding that LCD, the ALJ removes that aggrieved party from the
consolidated LCD review and issues a decision dismissing that aggrieved
party's complaint under Sec. 426.444. The ALJ continues the LCD review
if there are one or more aggrieved parties who does not withdraw from
the joint complaint.
Sec. 426.425 LCD review.
(a) Opportunity for the aggrieved party, after his or her review of
the LCD record, to state why the LCD is not valid. Upon receipt of the
contractor's LCD record, the aggrieved party files a statement
explaining why the contractor's LCD record is not complete, or not
adequate to support the validity of the LCD under the reasonableness
standard. This statement must be submitted to the ALJ and to the
contractor, or CMS, as appropriate, within 30 days (or within the
additional time as allowed by the ALJ for good cause shown) of the date
the aggrieved party receives the contractor's LCD record.
(b) Contractor response. The contractor has 30 days after receiving
the aggrieved party's statement to submit a response to the ALJ in
order to defend the LCD.
(c) ALJ evaluation. (1) After the aggrieved party files a statement
and the contractor responds, as described in Sec. 426.425(a) and Sec.
426.425(b), or the time for filing has expired, the ALJ applies the
reasonableness standard to determine whether the LCD record is complete
and adequate to support the validity of the LCD.
(2) Issuance of a decision finding the record complete and adequate
to support the validity of the LCD ends the review process.
(3) If the ALJ determines that the LCD record is not complete and
adequate to support the validity of the LCD, the ALJ permits discovery
and the taking of evidence in accordance with Sec. 426.432 and Sec.
426.440 and evaluates the LCD in accordance with Sec. 426.431.
(d) The process described in paragraphs (a), (b), and (c) of this
section applies when an LCD record has been supplemented, except that
discovery and the taking of evidence are not repeated. The period for
the aggrieved party to file a statement begins when the aggrieved party
receives the supplement.
Sec. 426.431 ALJ's review of the LCD to apply the reasonableness
standard.
(a) Required steps. To review the provision(s) listed in the
aggrieved party's complaint based on the reasonableness standard, an
ALJ must:
(1) Confine the LCD review to the provision(s) of the LCD raised in
the aggrieved party's complaint.
(2) Conduct a hearing, unless the matter can be decided on the
written record.
(3) Close the LCD review record to the taking of evidence.
(4) Treat as precedential any previous Board decision under Sec.
426.482 that involves the same LCD provison(s), same specific issue and
facts in question, and the same clinical conditions.
(5) Issue a decision as described in Sec. 426.447.
(b) Optional steps. The ALJ may do the following to apply the
reasonableness standard to the provision(s) listed in the aggrieved
party's complaint:
(1) Consult with appropriate scientific or clinical experts
concerning evidence.
(2) Consider any previous ALJ decision made under Sec. 426.447
regarding the same provision(s) of the LCD under review and for the
same clinical conditions.
(c) Authority for ALJs in LCD reviews when applying the
reasonableness standard. In applying the reasonableness standard to a
provision (or provisions) of an LCD, the ALJ must follow all applicable
laws, regulations, rulings, and NCDs.
Sec. 426.432 Discovery.
(a) General rule. If the ALJ orders discovery, the ALJ must
establish a reasonable timeframe for discovery.
(b) Protective order--(1) Request for a protective order. Any party
receiving a discovery request may file a motion for a protective order
before the date of production of the discovery.
(2) The ALJ granting of a protective order. The ALJ may grant a
motion for a protective order if (s)he finds that the discovery
sought--
(i) Is irrelevant or unduly repetitive;
(ii) Is unduly costly or burdensome; or
(iii) Unduly delays the proceeding.
(c) Types of discovery available. A party may obtain discovery via
a request for the production of documents, and/or via the submission of
up to 10 written interrogatory questions, relating to a specific LCD.
(d) Types of documents. For the purpose of this section, the term
``documents'' includes relevant information, reports, answers, records,
accounts, papers, and other data and documentary evidence. Nothing
contained in this section is interpreted to require the creation of a
document.
(e) Types of discovery not available. Requests for admissions,
depositions, or any other forms of discovery, other than those
permitted under paragraph (c) of this section, are not authorized.
(f) Privileged information and proprietary data. The ALJ must not,
under any circumstance, order the disclosure of privileged information
or proprietary data filed under seal without the consent of the party
who
[[Page 63722]]
possesses the right to protection of the information.
(g) Notification. The ALJ notifies all parties in writing when the
discovery period closes.
Sec. 426.435 Subpoenas.
(a) Purpose of a subpoena. A subpoena requires the attendance of an
individual at a hearing and may also require a party to produce
evidence authorized under Sec. 426.440 at or before the hearing.
(b) Filing a motion for a subpoena. A party seeking a subpoena must
file a written motion with the ALJ not less than 30 days before the
date fixed for the hearing. The motion must do all of the following:
(1) Designate the witnesses.
(2) Specify any evidence to be produced.
(3) Describe the address and location with sufficient particularity
to permit the witnesses to be found.
(4) State the pertinent facts that the party expects to establish
by the witnesses or documents and whether other evidence may establish
without the use of a subpoena.
(c) Response to a motion for a subpoena. Within 15 days after the
written motion requesting issuance of a subpoena is served on all
parties, any party may file an opposition to the motion or other
response.
(d) Extension for good cause shown. The ALJ may modify the
deadlines specified in paragraphs (b) and (c) of this section for good
cause shown.
(e) Motion for a subpoena granted. If the ALJ grants a motion
requesting issuance of a subpoena, the subpoena must do the following:
(1) Be issued in the name of the ALJ.
(2) Include the docket number and title of the LCD under review.
(3) Provide notice that the subpoena is issued according to
sections 1872 and 205(d) and (e) of the Act.
(4) Specify the time and place at which the witness is to appear
and any evidence the witness is to produce.
(f) Delivery of the subpoena. The party seeking the subpoena serves
it by personal delivery to the individual named, or by certified mail
return receipt requested, addressed to the individual at his or her
last dwelling place or principal place of business.
(g) Motion to quash a subpoena. The individual to whom the subpoena
is directed may file with the ALJ a motion to quash the subpoena within
10 days after service.
(h) Refusal to obey a subpoena. The exclusive remedy for contumacy
by, or refusal to obey, a subpoena duly served upon any person is
specified in section 205(e) of the Act (42 U.S.C. 405(e)) except that
any reference to the ``Commissioner of Social Security'' shall be
considered a reference to the ``Secretary.''
Sec. 426.440 Evidence.
(a) Except as provided in this part, the ALJ is not bound by the
Federal Rules of Evidence. However, the ALJ may apply the Federal Rules
of Evidence when appropriate, for example, to exclude unreliable
evidence.
(b) The ALJ must exclude evidence that (s)he determines is clearly
irrelevant, immaterial, or unduly repetitive.
(c) The ALJ may accept privileged information or proprietary data,
but must maintain it under seal.
(d) The ALJ may permit the parties to introduce the testimony of
expert witnesses on scientific and clinical issues, rebuttal witnesses,
and other relevant evidence. The ALJ may require that the testimony of
expert witnesses be submitted in the form of a written report,
accompanied by the curriculum vitae of the expert preparing the report.
(e) Experts submitting reports must be available for cross-
examination at an evidentiary hearing upon request of the ALJ or a
party to the proceeding, or the reports will be excluded from the
record.
(f) Except as set forth in paragraph (c) of this section or unless
otherwise ordered by the ALJ for good cause shown, all documents and
other evidence offered or taken for the record are open to examination
by all parties.
Sec. 426.444 Dismissals for cause.
(a) The ALJ may, at the request of any party, or on his or her own
motion, dismiss a complaint if the aggrieved party fails to do either
of the following:
(1) Attend or participate in a prehearing conference (the pre-
hearing may be conducted by telephone) or hearing without good cause
shown.
(2) Comply with a lawful order of the ALJ without good cause shown.
(b) The ALJ must dismiss any complaint concerning LCD provision(s)
if the following conditions exist:
(1) The ALJ does not have the authority to rule on that provision
under Sec. 426.405(d).
(2) The complaint is not timely. (See Sec. 426.400(b).)
(3) The complaint is not filed by an aggrieved party.
(4) The complaint is filed by an individual who fails to provide an
adequate statement of need for the service from the treating physician.
(5) The complaint challenges a provision or provisions of an NCD.
(See Sec. 426.405, regarding the authority of the ALJ.)
(6) The contractor notifies the ALJ that the LCD provision(s) is
(are) no longer in effect.
(7) The aggrieved party withdraws the complaint. (See Sec. 426.423
for requirements related to withdrawing a complaint regarding an LCD
under review.)
Sec. 426.445 Witness fees.
(a) A witness testifying at a hearing before an ALJ receives the
same fees and mileage as witnesses in Federal district courts of the
United States. If the witness qualifies as an expert, he or she is
entitled to an expert witness fee. Witness fees are paid by the party
seeking to present the witness.
(b) If an ALJ requests expert testimony, the appropriate office
overseeing the ALJ is responsible for paying all applicable fees and
mileage, unless the expert waives payment.
Sec. 426.446 Record of hearing.
The ALJ must ensure that all hearings are open to the public and
are electronically, mechanically or stenographically reported. Except
for privileged information and proprietary data that are filed under
seal, all evidence upon which the ALJ relies for decision must be
admitted into the public record. All medical reports, exhibits, and any
other pertinent document, either in whole or in material part, must be
offered, marked for identification, and retained in the case record.
Sec. 426.447 Issuance and notification of an ALJ's decision.
An ALJ must issue to all parties to the LCD review, within 90 days
of closing the LCD review record to the taking of evidence, one of the
following:
(a) A written decision, including a description of appeal rights.
(b) A written notification stating that a decision is pending, and
an approximate date of issuance for the decision.
Sec. 426.450 Mandatory provisions of an ALJ's decision.
(a) Findings. An ALJ's decision must include one of the following:
(1) A determination that the provision of the LCD is valid under
the reasonableness standard.
(2) A determination that the provision of the LCD is not valid
under the reasonableness standard.
(3) A statement dismissing the complaint regarding the LCD and a
rationale for the dismissal.
(4) A determination that the LCD record is complete and adequate to
[[Page 63723]]
support the validity of the LCD provisions under the reasonableness
standard.
(b) Other information. An ALJ's decision must include all of the
following:
(1) The date of issuance.
(2) The docket number of the LCD review.
(3) A statement as to whether the aggrieved party has filed a claim
for the service(s) named in the complaint, the date(s)-of-service, and
the disposition, if known.
(4) A basis for concluding that the LCD was or was not valid based
on the application of the reasonableness standard to the record before
the ALJ, including the contractor's:
(i) Findings of fact.
(ii) Interpretations of law.
(iii) Applications of fact to law.
(5) A summary of the evidence reviewed. If proprietary or
privileged data were submitted under seal, the decision must state
whether the data were material and what role they played in the
determination, but without disclosing the substance or contents of the
evidence under seal. A separate statement of the rationale for the
ALJ's treatment of the sealed evidence must be prepared and kept under
seal itself. If the ALJ decision is appealed to the Board, this
statement must be provided to the Board under seal.
(6) A statement regarding appeal rights.
Sec. 426.455 Prohibited provisions of an ALJ's decision.
An ALJ's decision may not do any of the following:
(a) Order CMS or its contractors to add any language to a provision
or provisions of an LCD.
(b) Order CMS or its contractors to pay a specific claim.
(c) Set a time limit for CMS or its contractors to establish a new
or revised LCD.
(d) Review or evaluate an LCD other than the LCD under review.
(e) Include a requirement for CMS or its contractors that specifies
payment, coding, or systems changes for an LCD, or deadlines for
implementing these types of changes.
(f) Order or address how a contractor(s) must implement an LCD.
Sec. 426.457 Optional provisions of an ALJ's decision.
When appropriate, the ALJ may limit a decision holding invalid a
specific provision(s) of an LCD to specific clinical indications and
for similar conditions.
Sec. 426.458 ALJ's LCD review record.
(a) Elements of the ALJ's LCD review record furnished to the
public. Except as provided in paragraph (b) of this section, the ALJ's
LCD review record consists of any document or material that the ALJ
compiled or considered during the LCD review, including, but not
limited to, the following:
(1) The LCD complaint.
(2) The LCD and LCD record.
(3) The supplemental LCD record, if applicable.
(4) Transcripts of record.
(5) Any other relevant evidence gathered under Sec. 426.440.
(6) The ALJ's decision.
(b) Elements of the ALJ's LCD review record furnished to the Board
under seal. The ALJ's review record must include, under seal, any
proprietary data or privileged information maintained under seal, and
such data or information must not be included in the review record
furnished to the public.
Sec. 426.460 Effect of an ALJ's decision.
(a) Valid under the reasonableness standard. If the ALJ finds that
the provision or provisions of the LCD named in the complaint is (are)
valid under the reasonableness standard, the aggrieved party or parties
may appeal that (those) part(s) of the ALJ decision to the Board under
Sec. 426.465.
(b) Not valid under the reasonableness standard. If the ALJ finds
that the provision or provisions of the LCD named in the complaint is
(are) invalid under the reasonableness standard, and no appeal is filed
by the contractor or CMS under Sec. 426.465(b), the contractor, the
M+C organization, or other Medicare managed care organization must
provide the following--
(1) Individual claim review. (i) If neither the contractor nor CMS
appeals the ALJ decision under Sec. 426.425(b), and if the party's
claim or appeal(s) was previously denied, the contractor, an M+C
organization or another Medicare managed care organization must reopen
the claim of the party who challenged the LCD and adjudicate the claim
without using the provision(s) of the LCD that the ALJ found invalid.
(ii) If a revised LCD is issued, the contractor, the M+C
organization, and any other Medicare managed care organization within
the contractor's jurisdiction uses the revised LCD in reviewing claim
or appeal submissions or request for services delivered or services
performed on or after the effective date of the revised LCD.
(iii) If the aggrieved party who sought the review has not yet
submitted a claim, the contractor adjudicates the claim without using
the provision(s) of the LCD that the ALJ found invalid.
(iv) In either case, the claim and any subsequent claims for the
service provided under the same circumstances is adjudicated without
using the LCD provision(s) found invalid.
(2) Coverage determination relief. If neither the contractor nor
CMS appeals the ALJ decision under Sec. 426.425(b), the contractor
implements the ALJ decision within 30 days. Any change in policy
applies prospectively to requests for service or claims filed with
dates of service after the implementation of the ALJ decision.
Sec. 426.462 Notice of an ALJ's decision.
After the ALJ has made a decision regarding an LCD complaint, the
ALJ sends a written notice of the decision to each party. The notice
must--
(a) State the outcome of the review; and
(b) Inform each party to the determination of his or her rights to
seek further review if he or she is dissatisfied with the
determination, and the time limit under which an appeal must be
requested.
Sec. 426.463 Future new or revised LCDs.
The contractor may not reinstate an LCD provision(s) found to be
unreasonable unless the contractor has a different basis (such as
additional evidence) than what the ALJ evaluated.
Sec. 426.465 Appealing part or all of an ALJ's decision.
(a) Circumstances under which an aggrieved party may appeal part or
all of an ALJ's decision. An aggrieved party (including one or more
aggrieved parties named in a joint complaint and an aggrieved party who
is part of a consolidated LCD review) may appeal to the Board any part
of an ALJ's decision that does the following:
(1) States that a provision of an LCD is valid under the
reasonableness standard; or
(2) Dismisses a complaint regarding an LCD (except as prohibited in
paragraph (b) of this section).
(b) Circumstance under which a contractor or CMS may appeal part or
all of an ALJ's decision. A contractor or CMS may appeal to the Board
any part of an ALJ's decision that states that a provision (or
provisions) of an LCD is (are) unreasonable.
(c) Stay of an implementation pending appeal. (1) If an ALJ's
decision finds a provision or provisions of an LCD unreasonable, an
appeal by a contractor or CMS stays implementation as described under
Sec. 426.460(b) until the Board issues a final decision.
[[Page 63724]]
(2) The appeal request must be submitted to the Board in accordance
with paragraph (e) of this section.
(d) Circumstances under which an ALJ's decision may not be
appealed. An ALJ's decision dismissing a complaint is not subject to
appeal in either of the following circumstances:
(1) The contractor has retired the LCD provision(s) under review.
(2) The aggrieved party who filed the complaint has withdrawn the
complaint.
(e) Receipt of the appeal by the Board. Unless there is good cause
shown, an appeal described in paragraphs (a) or (b) of this section
must be filed with the Board within 30 days of the date the ALJ's
decision was issued.
(f) Filing an appeal. (1) To file an appeal described in paragraph
(a) of this section, an aggrieved party, who sought LCD review, a
contractor, or CMS must send the following to the Board:
(i) The full names and addresses of the parties, including the name
of the LCD.
(ii) The date of issuance of the ALJ's decision.
(iii) The docket number that appears on the ALJ's decision.
(iv) A statement identifying the part(s) of the ALJ's decision that
are being appealed.
(2) If an appeal described in paragraph (a) of this section is
filed with the Board later than the date described in paragraph (c) of
this section, it must include a rationale stating why the Board must
accept the late appeal.
(3) An appeal described in paragraph (a) of this section must
include a statement explaining why the ALJ's decision should be
reversed.
Sec. 426.468 Decision to not appeal an ALJ's decision.
(a) Failure to timely appeal without good cause shown waives the
right to challenge any part(s) of the ALJ's decision under Sec.
426.465.
(b) Unless the Board finds good cause shown for late filing, an
untimely appeal is dismissed.
(c) If a party does not timely appeal any part(s) of the ALJ's
decision on an LCD review to the Board, as provided in this subpart,
then the ALJ's decision is final and not subject to further review.
Sec. 426.470 Board's role in docketing and evaluating the
acceptability of appeals of ALJ decisions.
(a) Docketing the appeal. The Board does the following upon
receiving an appeal of part or all of an ALJ's decision:
(1) Dockets the appeal either separately or with similar appeals.
(2) Assigns a docket number.
(b) Evaluating the acceptability of the appeal. The Board
determines if the appeal is acceptable by confirming that the appeal
meets all of the criteria in Sec. 426.465.
(c) Unacceptable appeal. If the Board determines that an appeal is
unacceptable, the Board must dismiss the appeal.
(d) Acceptable appeal. If the Board determines that an appeal is
acceptable, the Board does the following:
(1) Sends a letter to the appellant to acknowledge that the appeal
is acceptable, and informs them of the docket number.
(2) Forwards a copy of the appeal and the letter described in
paragraph (d)(1) of this section to all parties involved in the appeal.
(3) Requires the ALJ to send a copy of the ALJ's LCD review record
(maintaining any sealed documents) to the Board and a copy of the
public record to all parties involved in the appeal.
(e) No participation as amicus curiae. The Board may not allow
participation by amicus participants in the review of an LCD.
Sec. 426.476 Board review of an ALJ's decision.
(a) Review steps. If the Board determines that an appeal is
acceptable, the Board--
(1) Permits the party that did not file the appeal an opportunity
to respond to the appeal;
(2) Hears oral argument (which may be held by telephone) if the
Board determines that oral argument would be helpful to the Board's
review of the ALJ decision;
(3) Reviews the LCD review record and the parties' arguments; and
(4) Issues a written decision either upholding, modifying, or
reversing the ALJ decision, or remanding the case to the ALJ for
further proceedings.
(b) Standard of review. (1) In general. The Board determines
whether the ALJ decision contains any material error, including any
failure to properly apply the reasonableness standard.
(2) If the ALJ erred in determining that the contractor's record
was complete and adequate to support the validity of the LCD, the Board
remands the case to the ALJ for discovery and the taking of evidence.
(3) If a party alleges a prejudicial error of procedure, and the
Board determines that such an error was made, the Board may remand the
case to the ALJ for further proceedings consistent with the Board
decision or may take other appropriate steps to correct the procedural
error.
(4) Harmless error is not a basis for reversing an ALJ decision.
(c) Scope of review. In reaching its conclusions, the Board is
bound by applicable laws, regulations, and NCDs.
(d) Dismissal as moot. The Board dismisses an appeal by an
aggrieved party of an ALJ decision finding that an LCD was valid if the
contractor notifies the Board that it has retired the LCD or revised
the LCD to remove the LCD provision in question.
Sec. 426.478 Retiring or revising an LCD during the Board's review of
an ALJ's decision.
A contractor may retire or revise an LCD during the Board's review
of an ALJ's decision using the same process described in Sec. 426.420.
If an LCD is retired or revised to remove completely the challenged
provision(s), the aggrieved party who sought the review is entitled to
individual claim review provided at Sec. 426.488(b).
Sec. 426.480 Withdrawing an appeal of an ALJ's decision.
(a) Withdrawal of an appeal of an ALJ's decision. A party who filed
an appeal of an ALJ's decision may withdraw the appeal before the Board
issues a decision regarding the ALJ's decision.
(b) Process of withdrawing an appeal of an ALJ's decision. To
withdraw an appeal of an ALJ's decision, the party who filed the appeal
must send a written notice announcing the intent to withdraw to the
Board and to any other party.
(c) Actions the Board must take upon receiving a notice announcing
the intent to withdraw an appeal of an ALJ's decision--(1) Appeals
involving one aggrieved party, or initiated by CMS or a contractor. If
the Board receives a notice withdrawing an appeal of an ALJ's decision
before the Board has issued its decision, the Board must issue a
decision dismissing the appeal.
(2) Appeals involving joint complaints. If the Board receives a
notice withdrawing an appeal from an aggrieved party who is named in a
joint appeal before the Board issues its decision, the Board must issue
a decision dismissing only that aggrieved party from the appeal. The
Board must continue its review of the ALJ's decision for the remaining
aggrieved party or parties.
Sec. 426.482 Issuance and notification of a Board decision.
The Board must issue a written decision, including a description of
appeal rights, to all parties to the review of the ALJ decision.
[[Page 63725]]
Sec. 426.484 Mandatory provisions of a Board decision.
(a) Findings. A Board decision must include at least one of the
following:
(1) A statement upholding the part(s) of the ALJ decision named in
the appeal.
(2) A statement reversing the part(s) of the ALJ decision named in
the appeal.
(3) A statement modifying the part(s) of the ALJ decision named in
the appeal.
(4) A statement dismissing the appeal of an ALJ decision and a
rationale for the dismissal.
(b) Other information. A Board decision must include all of the
following:
(1) The date of issuance.
(2) The docket number of the review of the ALJ decision.
(3) A summary of the ALJ's decision.
(4) A rationale for the basis of the Board's decision.
Sec. 426.486 Prohibited provisions of a Board decision.
A Board decision must not do any of the following:
(a) Order CMS or its contractors to add any language to a provision
or provisions of an LCD.
(b) Order CMS or its contractors to pay a specific claim.
(c) Set a time limit to establish a new or revised LCD.
(d) Review or evaluate an LCD other than the LCD named in the ALJ's
decision.
(e) Include a requirement for CMS or its contractors that specifies
payment, coding, or system changes for an LCD or deadlines for
implementing these changes.
(f) Order CMS or its contractors to implement an LCD in a
particular manner.
Sec. 426.487 Board's record on appeal of an ALJ's decision.
(a) Elements of the Board's LCD review record furnished to the
public. Except as provided in paragraph (b) of this section, the
Board's LCD review record consists of any document or material that the
Board compiled or considered during an LCD review, including, but not
limited to, the following:
(1) The LCD complaint.
(2) The LCD and LCD record.
(3) The supplemental LCD record, if applicable.
(4) Transcripts of record.
(5) Any other relevant evidence gathered under Sec. 426.440.
(6) The ALJ's decision.
(7) The Board's decision.
(b) Elements of the Board's LCD appeal record furnished to the
court under seal. The Board's LCD review record must include, under
seal, any proprietary data or privileged information submitted and
reviewed in the LCD review process, and that data or information must
not be included in the review record furnished to the public, but the
information must be maintained, under seal, by the Board.
(c) Protective order. In any instance where proprietary data or
privileged information is used in the LCD process and a court seeks to
obtain or require disclosure of any proprietary data or privileged
information contained in the LCD record, CMS or the Department will
seek to have a protective order issued for that information, as
appropriate.
Sec. 426.488 Effect of a Board decision.
(a) The Board's decision upholds an ALJ decision that an LCD is
valid or reverses an ALJ decision that an LCD is invalid. If the
Board's decision upholds the ALJ decision that an LCD is valid under
the reasonableness standard or reverses an ALJ decision that an LCD is
invalid, the contractor or CMS is not required to take any action.
(b) The Board's decision upholds an ALJ determination that the LCD
is invalid. If the Board's decision upholds an ALJ determination that
the LCD is invalid, then the contractor, the M+C organization, or other
Medicare managed care organization implements the decision as described
in Sec. 426.460(b).
(c) The Board's decision reverses a dismissal or an ALJ decision
that the LCD is valid. If the Board reverses an ALJ decision dismissing
a complaint or holding that an LCD is valid without requiring discovery
or the taking of evidence, the Board remands to the ALJ and the LCD
review continues. If the Board reverses an ALJ decision holding that an
LCD is valid that is reached after the ALJ has completed discovery and
the taking of evidence, the Board may remand the case to the ALJ for
further proceedings, or the Board may find that the provision(s) of the
LCD named in the complaint is (are) invalid under the reasonableness
standard, and the contractor, the M+C organization, or other Medicare
managed care organization provides the relief in Sec. 426.460(b).
Sec. 426.489 Board remands.
(a) Notice when case is remanded to the ALJ. If the Board remands a
case to the ALJ, the Board--
(1) Notifies each aggrieved party who sought the LCD review,
through his or her representative or at his or her last known address,
the contractor, and CMS of the Board's remand decision; and
(2) Explains why the case is being remanded and the specific
actions ordered by the Board.
(b) Action by an ALJ on remand. An ALJ takes any action that is
ordered by the Board and may take any additional action that is not
inconsistent with the Board's remand order.
Sec. 426.490 Board decision.
A decision by the Board (other than a remand) constitutes a final
agency action and is subject to judicial review. Neither the contractor
nor CMS may appeal a Board decision.
Subpart E--Review of an NCD
Sec. 426.500 Procedure for filing an acceptable complaint concerning
a provision (or provisions) of an NCD.
(a) The complaint. An aggrieved party may initiate a review of an
NCD by filing a written complaint with the Department of Health and
Human Services Departmental Appeals Board.
(b) Timeliness of a complaint. An NCD complaint is not considered
timely unless it is filed with the Board within--
(1) 6 months of the written statement from each aggrieved party's
treating physician, in the case of aggrieved parties who choose to file
an NCD challenge before receiving the service; or
(2) 120 days of the initial denial notice, in the case of aggrieved
parties who choose to file an NCD challenge after receiving the
service.
(c) Components of a valid complaint. A complaint must include the
following:
(1) Beneficiary-identifying information:
(i) Name.
(ii) Mailing address.
(iii) State of residence, if different from mailing address.
(iv) Telephone number, if any.
(v) Health Insurance Claim number, if applicable.
(vi) Email address, if applicable.
(2) If the beneficiary has a representative, the representative's
indetifying information must include the following:
(i) Name.
(ii) Address.
(iii) Telephone number.
(iv) E-mail address (if any)
(v) Copy of the written authorization to represent the beneficiary.
(3) Treating physician written statement. A copy of a written
statement from the treating physician that the beneficiary needs the
service that is the
[[Page 63726]]
subject of the NCD. This statement may be in the form of a written
order for the service or other documentation from the beneficiary's
medical record (such as progress notes or discharge summary) indicating
that the beneficiary needs the service.
(4) NCD-identifying information:
(i) Title of NCD being challenged.
(ii) The specific provision or provisions of the NCD adversely
affecting the aggrieved party.
(5) Aggrieved party statement. A statement from the aggrieved party
explaining what service is needed and why the aggrieved party thinks
that the provision(s) of the NCD is (are) not valid under the
reasonableness standard.
(6) Clinical or scientific evidence. (i) Copies of clinical or
scientific evidence that supports the complaint and an explanation for
why the aggrieved party thinks that this evidence shows that the NCD is
not reasonable.
(ii) Any documents or portions of documents that include
proprietary data must be marked ``proprietary data,'' and include a
legal basis for that assertion.
(iii) Proprietary data submitted by a manufacturer concerning a
drug or device for which the manufacturer has submitted information to
the Food and Drug Administration, must be considered and given
substantive weight only when supported by an affidavit certifying that
the submission contains true and correct copies of all data submitted
by the manufacturer to the Food and Drug Administration in relation to
that drug or device.
(d) Joint complaints--(1) Conditions for a joint complaint. Two or
more aggrieved parties may initiate the review of an NCD by filing a
single written complaint with the Board if all of the following
conditions are met:
(i) Each aggrieved party named in the joint complaint has a similar
medical condition or there are other bases for combining the
complaints.
(ii) Each aggrieved party named in the joint complaint is filing
the complaint in regard to the same provision(s) of the same NCD.
(2) Components of a valid joint complaint. A joint complaint must
contain the following information:
(i) The beneficiary-identifying information described in paragraph
(c)(1) of this section for each aggrieved party named in the joint
complaint.
(ii) The NCD-identifying information described in paragraph (c)(2)
of this section.
(iii) The documentation described in paragraphs (c)(3) and (c)(4)
of this section.
(3) Timeliness of a joint complaint. Aggrieved parties, who choose
to seek review of an NCD--
(i) Before receiving the service, must file with the Board a joint
complaint within 6 months of the written statement from each aggrieved
party's treating physician; or
(ii) After receiving the service, must file with the Board a
complaint within 120 days of each aggrieved party's initial denial
notice.
Sec. 426.503 Submitting new evidence once an acceptable complaint has
been filed.
Once an acceptable complaint has been filed, the aggrieved party
may submit additional new evidence without withdrawing the complaint
until the Board closes the record.
Sec. 426.505 Authority of the Board.
(a) The Board conducts a fair and impartial hearing, avoids
unnecessary delay, maintains order, and ensures that all proceedings
are recorded.
(b) The Board defers only to reasonable findings of fact,
reasonable interpretations of law, and reasonable applications of fact
to law by the Secretary.
(c) The Board has the authority to do any of the following:
(1) Review complaints by an aggrieved party (or aggrieved parties).
(2) Dismiss complaints that fail to comply with Sec. 426.500.
(3) Set and change the date, time, and place of a hearing upon
reasonable notice to the parties.
(4) Continue or recess a hearing for a reasonable period of time.
(5) Hold conferences to identify or simplify the issues, or to
consider other matters that may aid in the expeditious disposition of
the proceeding.
(6) Consult with scientific and clinical experts on its own motion,
concerning clinical or scientific evidence.
(7) Set schedules for submission of exhibits and written reports of
experts.
(8) Administer oaths and affirmations.
(9) Examine witnesses.
(10) Issue subpoenas requiring the attendance of witnesses at
hearings as permitted by this part.
(11) Issue subpoenas requiring the production of existing documents
before, and relating to, the hearing as permitted by this part.
(12) Rule on motions and other procedural matters.
(13) Stay the proceeding in accordance with Sec. 426.340.
(14) Regulate the scope and timing of documentary discovery as
permitted by this part.
(15) Regulate the course of a hearing and the conduct of
representatives, parties, and witnesses.
(16) Receive, rule on, exclude, or limit evidence, as provided in
this regulation.
(17) Take official notice of facts, upon motion of a party.
(18) Decide cases, upon the motion of a party, by summary judgment
when there is no disputed issue of material fact.
(19) Conduct any conference, argument, or hearing in person or,
upon agreement of the parties, by telephone, picture-tel, or any other
means.
(20) Issue decisions.
(21) Exclude a party from an NCD review for failure to comply with
a Board order or procedural request without good cause.
(22) Stay the proceedings for a reasonable time when all parties
voluntarily agree to mediation or negotiation, and provide mediation
services upon request.
(d) The Board does not have authority to do any of the following
under this part:
(1) Conduct an LCD review or conduct LCD hearings, except as
provided by Sec. 426.465.
(2) Conduct an NCD review or conduct NCD hearings on its own motion
or on the motion of a nonaggrieved party.
(3) Issue a decision based on any new evidence without following
Sec. 426.340, regarding procedures for review of new evidence.
(4) Review any decisions by CMS to develop a new or revised NCD.
(5) Conduct a review of any draft NCDs, coverage decision
memoranda, or withdrawn NCDs.
(6) Conduct a review of the merits of an unacceptable NCD complaint
as discussed in Sec. 426.510.
(7) Conduct an NCD review of any policy that is not an NCD, as
defined in Sec. 400.202 of this chapter.
(8) Allow participation by individuals or entities other than--
(i) The aggrieved party and/or his or her representative;
(ii) CMS and/or the contractor;
(iii) Experts called by the parties or Board; or
(iv) Third parties with a clearly identifiable and substantial
interest in the outcome of the dispute who have petitioned for and been
granted permission by the Board to participate in the proceedings as
amicus curiae.
(9) Compel the parties to participate in a mediation process or to
engage in settlement negotiations.
(10) Deny a request for withdrawal of a complaint by an aggrieved
party.
(11) Compel CMS to conduct studies, surveys, or develop new
information to support an NCD record.
(12) Deny CMS the right to reconsider, revise, or withdraw an NCD.
[[Page 63727]]
(13) Subject to the timely filing requirements, deny an aggrieved
party, CMS, or its contractor the right to appeal an ALJ decision.
(14) Find invalid applicable Federal statutes, regulations, or
rulings.
(15) Enter a decision specifying terms to be included in an NCD.
Sec. 426.506 Ex parte contacts.
No party or person (except Board staff) communicates in any way
with the Board on any substantive matter at issue in a case, unless on
notice and opportunity for all parties to participate. This provision
does not prohibit a person or party from inquiring about the status of
a case or asking routine questions concerning administrative functions
or procedures.
Sec. 426.510 Docketing and evaluating the acceptability of NCD
complaints.
(a) Docketing the complaint. The Board does the following upon
receiving a complaint regarding an NCD:
(1) Dockets the complaint.
(2) Determines whether the complaint is--
(i) The first challenge to a particular NCD; or
(ii) Related to a pending NCD review.
(3) Forwards the complaint to the Board member who conducts the
review.
(b) Evaluating the acceptability of the complaint. The Board
determines if the complaint is acceptable by confirming all of the
following:
(1) The complaint is being submitted by an aggrieved party or, in
the case of a joint complaint, that each individual named in the joint
complaint is an aggrieved party. (In determining if a complaint is
acceptable, the Board assumes that the facts alleged by the treating
physician's documentation regarding the aggrieved party's (or parties')
clinical condition are true.)
(2) The complaint meets the requirements for a valid complaint in
Sec. 426.500 and is not one of the documents in Sec. 426.325(b).
(c) Unacceptable complaint. (1) If the Board determines that the
complaint is unacceptable, the Board must provide the aggrieved party
(or parties) one opportunity to amend the unacceptable complaint.
(2) If the aggrieved party (or parties) fail(s) to submit an
acceptable amended complaint within a reasonable timeframe as
determined by the Board, the Board must issue a decision dismissing the
unacceptable complaint.
(3) If a complaint is determined to be unacceptable after one
amendment, the beneficiary is precluded from filing again for 6 months
after being informed that it is unacceptable.
(d) Acceptable complaint. If the Board determines that the
complaint (or amended complaint) is acceptable, the Board does the
following:
(1) Sends a letter to the aggrieved party (or parties)
acknowledging the complaint and informing the aggrieved party (or
parties) of the docket number and the deadline for CMS to produce the
NCD record.
(2) Forwards a copy of the complaint, any evidence submitted in the
complaint, and the letter described in paragraph (d)(1) of this section
to CMS.
(3) Requires CMS to send a copy of the NCD record to the Board and
all parties to the NCD review within 30 days of receiving the Board's
letter, a copy of the complaint, and any associated evidence, subject
to extension for good cause shown.
(e) Consolidation of complaints regarding an NCD--(1) Criteria for
condideration. If a review is pending regarding a particular NCD
provision(s) and no decision has been issued ending the review, and a
new acceptable complaint is filed, the Board consolidates the
complaints and conducts a consolidated NCD review if all of the
following criteria are met:
(i) The complaints are in regard to the same provision(s) of the
same NCD, or there are other bases for consolidating the complaints.
(ii) The complaints contain common questions of law, common
questions of fact, or both.
(iii) Consolidating the complaints does not unduly delay the
Board's decision.
(2) Decision to consolidate complaint. If the Board decides to
consolidate complaints, the Board does the following:
(i) Provides notification that the NCD review is consolidated and
informs all parties of the docket number of the consolidated review.
(ii) Makes a single record of the proceeding.
(iii) Considers the relevant evidence introduced in each NCD
complaint as introduced in the consolidated review.
(3) Decision not to consolidate complaints. If the Board decides
not to consolidate complaints, the Board conducts separate NCD reviews
for each complaint.
(f) Public notice of complaint and opportunity for interested
parties to participate. (1) If an acceptable complaint is the first
complaint the Board has received challenging the particular NCD or
provision, then the Board posts notice on its Web site that it has
received the complaint, specifying a time period for requests to
participate in the review process.
(2) If an acceptable complaint challenges an NCD provision when
review is pending and no decision has been issued ending the review,
the Board may supplement the public notice on its Web site and extend
the time for participation requests if indicated.
(3) The Board may allow participation, in the manner and by the
deadlines established by the Board, when an NCD is being challenged and
the Board decides that--
(i) The amicus participant has a clearly identifiable and
substantial interest in the outcome of the dispute;
(ii) Participation would clarify the issues or otherwise be helpful
in resolution of the dispute;
(iii) Participation does not result in substantial delay; and
(iv) The petition for participation meets the criteria in Sec.
426.513.
Sec. 426.513 Participation as amicus curiae.
(a) Petition for participation. Any person or organization that
wishes to participate as amicus curiae must timely file with the Board
a petition that concisely states--
(1) The petitioner's interest in the hearing;
(2) Who will represent the petitioner; and
(3) The issues on which the petitioner intends to present argument.
(b) The nature of the proposed amicus participation. An amicus
curiae is not a party to the hearing but may participate by--
(1) Submitting a written statement of position to the Board before
the beginning of the hearing;
(2) Presenting a brief oral statement or other evidence at the
hearing, at the point in the proceedings specified by the Board; and
(3) Submitting a brief or a written statement when the parties
submit briefs.
(c) Service by amicus curiae. Serving copies of any briefs or
written statements on all parties.
Sec. 426.515 CMS' role in making the NCD record available.
CMS will provide a copy of the NCD record (as described in Sec.
426.518) to the Board and all parties to the NCD review within 30 days
of the receipt of the Board's order.
Sec. 426.516 Role of Medicare Managed Care Organizations (MCOs) and
State agencies in the NCD review process.
Medicare MCOs and Medicaid State agencies may participate in the
NCD review process only if they meet the amicus participant criteria
listed in Sec. 426.510(f)(3) and Sec. 426.513.
[[Page 63728]]
Sec. 426.517 CMS' statement regarding new evidence.
(a) CMS may review any new evidence that is submitted, regardless
of whether the Board has stayed the proceedings, including but not
limited to new evidence:
(1) Submitted with the initial complaint;
(2) Submitted with an amended complaint;
(3) Produced during discovery;
(4) Produced when the Board consults with scientific and clinical
experts; and
(5) Presented during any hearing.
(b) CMS may submit a statement regarding whether the new evidence
is significant under Sec. 426.340, by a deadline set by the Board.
Sec. 426.518 NCD record furnished to the aggrieved party.
(a) Elements of the NCD record furnished to the aggrieved party.
Except as provided in paragraph (b) of this section, the NCD record
consists of any document or material that CMS considered during the
development of the NCD, including, but not limited to, the following:
(1) The NCD being challenged.
(2) Any medical evidence considered on or before the date the NCD
was issued, including, but not limited to, the following:
(i) Scientific articles.
(ii) Technology assessments.
(iii) Clinical guidelines.
(iv) Statements from clinical experts, medical textbooks, claims
data, or other indication of medical standard of practice.
(v) MCAC transcripts.
(3) Public comments received during the notice and comment period.
(4) Coverage decision memoranda.
(5) An index of documents considered that are excluded under
paragraph (b) of this section.
(b) Elements of the NCD record not furnished to the aggrieved
party. The NCD record furnished to the aggrieved party does not include
the following:
(1) Proprietary data or privileged information.
(2) Any new evidence.
Sec. 426.519 NCD record furnished to the Board.
The NCD record furnished to the Board includes--
(a) Documents included in Sec. 426.518(a); and
(b) Privileged information and proprietary data considered that
must be filed with the Board under seal.
Sec. 426.520 Withdrawing an NCD under review or issuing a revised or
reconsidered NCD.
(a) CMS may withdraw an NCD or NCD provision under review before
the date the Board issues a decision regarding that NCD. Withdrawing an
NCD or NCD provision under review has the same effect as a decision
under Sec. 426.560(b).
(b) CMS may revise an NCD under review to remove or amend the NCD
provision listed in the complaint through the reconsideration process
before the date the Board issues a decision regarding that NCD.
Revising an NCD under review to remove the NCD provision in question
has the same effect as a decision under Sec. 426.560(b).
(c) CMS must notify the Board within 48 hours of--
(1) Withdrawing an NCD or NCD provision that is under review; or
(2) Issuing a revised or reconsidered version of the NCD that is
under review.
(d) If CMS issues a revised or reconsidered NCD, CMS forwards a
copy of the revised/reconsidered NCD to the Board.
(e) The Board must take the following actions upon receiving a
notice that CMS has withdrawn or revised/reconsidered an NCD under
review:
(1) If, before the Board issues a decision, the Board receives
notice that CMS has withdrawn the NCD or revised the NCD to completely
remove the provision in question, the Board must dismiss the complaint
and inform the aggrieved party (ies) who sought the review that he or
she or they will receive individual claim review without the retired/
withdrawn provisions.
(2) If, before the Board issues a decision, the Board receives
notice that CMS has revised the NCD provision in question but has not
removed it altogether, the Board must continue the review based on the
revised NCD. In this case, CMS must send a copy of the supplemental
record to the Board and all parties. In that circumstance, the Board
permits the aggrieved party to respond to the revised NCD and the
supplemental record.
Sec. 426.523 Withdrawing a complaint regarding an NCD under review.
(a) Circumstance under which an aggrieved party withdraws a
complaint regarding an NCD. An aggrieved party who filed a complaint
regarding an NCD may withdraw the complaint before the Board issues a
decision regarding that NCD. The aggrieved party may not file another
complaint concerning the same coverage determination for 6 months.
(b) Process for an aggrieved party withdrawing a complaint
regarding an NCD. To withdraw a complaint regarding an NCD, the
aggrieved party who filed the complaint must send a written withdrawal
notice to the Board (see Sec. 426.500) and CMS. Supplementing an
acceptable complaint with new evidence does not constitute a withdrawal
of a complaint, as described in Sec. 426.503.
(c) Actions the Board must take upon receiving a notice announcing
the intent to withdraw a complaint regarding an NCD--(1) NCD reviews
involving one aggrieved party. If the Board receives a withdrawal
notice regarding an NCD before the date the Board issued a decision
regarding that NCD, the Board issues a decision dismissing the
complaint under Sec. 426.544 and informs the aggrieved party that he
or she may not file another complaint to the same coverage
determination for 6 months.
(2) NCD reviews involving joint complaints. If the Board receives a
notice from an aggrieved party who is named in a joint complaint
withdrawing a complaint regarding an NCD before the date the Board
issued a decision regarding that NCD, the Board issues a decision
dismissing only that aggrieved party from the complaint under Sec.
426.544. The Board continues the NCD review if there is one or more
aggrieved party who does not withdraw from the joint complaint.
(3) Consolidated NCD reviews. If the Board receives a notice from
an aggrieved party who is part of a consolidated NCD review withdrawing
a complaint regarding an NCD before the date the Board issued a
decision regarding that NCD, the Board removes that aggrieved party
from the consolidated NCD review and issues a decision dismissing that
aggrieved party's complaint under Sec. 426.544. The Board continues
the NCD review if there is one or more aggrieved party who does not
withdraw from the joint complaint.
Sec. 426.525 NCD review.
(a) Opportunity for the aggrieved party after his or her review of
the NCD record to state why the NCD is not valid. Upon receipt of the
NCD record, the aggrieved party files a statement explaining why the
NCD record is not complete, or not adequate to support the validity of
the NCD under the reasonableness standard. This statement must be
submitted to the Board and CMS, within 30 days (or within additional
time as allowed by the Board for good cause shown) of the date the
aggrieved party receives the NCD record.
(b) CMS response. CMS has 30 days, after receiving the aggrieved
party's
[[Page 63729]]
statement, to submit a response to the Board in order to defend the
NCD.
(c) Board evaluation. (1) After the aggrieved party files a
statement and CMS responds as described in Sec. 426.525(a) and Sec.
426.525(b), or the time for filing has expired, the Board applies the
reasonableness standard to determine whether the NCD record is complete
and adequate to support the validity of the NCD.
(2) Issuance of a decision finding the record complete and adequate
to support the validity of the NCD ends the review process.
(3) If the Board determines that the NCD record is not complete and
adequate to support the validity of the NCD, the Board permits
discovery and the taking of evidence in accordance with Sec. 426.532
and Sec. 426.540, and evaluate the NCD in accordance with Sec.
426.531.
(d) The process described in paragraphs (a), (b), and (c) of this
section applies when an NCD record has been supplemented, except that
discovery and the taking of evidence is not repeated. The period for
the aggrieved party to file a statement begins when the aggrieved party
receives the supplement.
Sec. 426.531 Board's review of the NCD to apply the reasonableness
standard.
(a) Required steps. The Board must do the following to review the
provision(s) listed in the aggrieved party's complaint based on the
reasonableness standard:
(1) Confine the NCD review to the provision(s) of the NCD raised in
the aggrieved party's complaint.
(2) Conduct a hearing unless the matter can be decided on the
written record.
(3) Close the NCD review record to the taking of evidence.
(4) Treat as precedential any previous Board decision made under
Sec. 426.547 that involves the same NCD provision(s), same specific
issue and facts in question, and the same clinical conditions.
(5) Issue a decision as described in Sec. 426.547.
(b) Optional steps. The Board may consult with appropriate
scientific or clinical experts concerning clinical and scientific
evidence to apply the reasonableness standard to the provision(s)
listed in the aggrieved party's complaint.
(c) Authority for the Board in NCD reviews when applying the
reasonableness standard. In applying the reasonableness standard to a
provision (or provisions) of an NCD, the Board must follow all
applicable laws and regulations, as well as NCDs other than the one
under review.
Sec. 426.532 Discovery.
(a) General rule. If the Board orders discovery, the Board must
establish a reasonable timeframe for discovery.
(b) Protective order--(1) Request for a protective order. Any party
receiving a discovery request may file a motion for a protective order
before the date of production of the discovery.
(2) The Board granting of a protective order. The Board may grant a
motion for a protective order if it finds that the discovery sought--
(i) Is irrelevant or unduly repetitive;
(ii) Is unduly costly or burdensome; or
(iii) Will unduly delay the proceeding.
(c) Types of discovery available. A party may obtain discovery via
a request for the production of documents, and/or via the submission of
up to 10 written interrogatory questions, relating to a specific NCD.
(d) Types of documents. For the purpose of this section, the term
documents includes relevant information, reports, answers, records,
accounts, papers, and other data and documentary evidence. Nothing
contained in this section will be interpreted to require the creation
of a document.
(e) Types of discovery not available. Requests for admissions,
depositions, or any other forms of discovery, other than those
permitted under paragraph (c) of this section, are not authorized.
(f) Privileged information or proprietary data. The Board must not
under any circumstances order the disclosure of privileged information
or proprietary data filed under seal without the consent of the party
who possesses the right to protection of the information.
(g) Notification. The Board notifies all parties in writing when
the discovery period will be closed.
Sec. 426.535 Subpoenas.
(a) Purpose of a subpoena. A subpoena requires the attendance of an
individual at a hearing and may also require a party to produce
evidence authorized under Sec. 426.540 at or before the hearing.
(b) Filing a motion for a subpoena. A party seeking a subpoena must
file a written motion with the Board not less than 30 days before the
date fixed for the hearing. The motion must do all of the following:
(1) Designate the witnesses.
(2) Specify any evidence to be produced.
(3) Describe the address and location with sufficient particularity
to permit the witnesses to be found.
(4) State the pertinent facts that the party expects to establish
by witnesses or documents and state whether those facts could be
established by evidence other than by the use of a subpoena.
(c) Response to a motion for a subpoena. Within 15 days after the
written motion requesting issuance of a subpoena is served on all
parties, any party may file an opposition to the motion or other
response.
(d) Extension for good cause shown. The Board may modify the
deadlines specified in paragraphs (b) and (c) of this section for good
cause shown.
(e) Motion for a subpoena granted. If the Board grants a motion
requesting issuance of a subpoena, the subpoena must do the following:
(1) Be issued in the name of the presiding Board member.
(2) Include the docket number and title of the NCD under review.
(3) Provide notice that the subpoena is issued according to
sections 1872 and 205(d) and (e) of the Act.
(4) Specify the time and place at which the witness is to appear
and any evidence the witness is to produce.
(f) Delivery of the subpoena. The party seeking the subpoena serves
it by personal delivery to the individual named, or by certified mail
return receipt requested, addressed to the individual at his or her
last dwelling place or principal place of business.
(g) Motion to quash a subpoena. The individual to whom the subpoena
is directed may file with the Board a motion to quash the subpoena
within 10 days after service.
(h) Refusal to obey a subpoena. The exclusive remedy for contumacy
by, or refusal to obey, a subpoena duly served upon any person is
specified in section 205(e) of the Act (42 U.S.C. 405(e)) except that
any reference to the ``Commissioner of Social Security'' shall be
considered a reference to the ``Secretary.''
Sec. 426.540 Evidence.
(a) Except as provided in this part, the Board is not bound by the
Federal Rules of Evidence. However, the Board may apply the Federal
Rules of Evidence when appropriate, for example, to exclude unreliable
evidence.
(b) The Board must exclude evidence that it determines is clearly
irrelevant or immaterial, or unduly repetitive.
(c) The Board may accept privileged information or proprietary
data, but must maintain it under seal.
(d) The Board may permit the parties to introduce the testimony of
expert witnesses on scientific and clinical issues, rebuttal witnesses,
and other relevant evidence. The Board may require that the testimony
of expert witnesses be submitted in the form of a
[[Page 63730]]
written report, accompanied by the curriculum vitae of the expert
preparing the report.
(e) Experts submitting reports must be available for cross-
examination at an evidentiary hearing upon request of the Board or a
party to the proceeding, or the report will be excluded from the
record.
(f) Except as set forth in paragraph (c) of this section or unless
otherwise ordered by the Board for good cause shown, all documents and
other evidence offered or taken for the record is open to examination
by all parties.
Sec. 426.544 Dismissals for cause.
(a) The Board may, at the request of any party, or on its own
motion, dismiss a complaint if the aggrieved party fails to do either
of the following:
(1) Attend or participate in a prehearing conference (the
prehearing may be conducted by telephone) or hearing without good cause
shown.
(2) Comply with a lawful order of the Board without cause shown.
(b) The Board must dismiss any complaint concerning NCD
provision(s) if the following conditions exist:
(1) The Board does not have the authority to rule on that provision
under Sec. 426.505(d).
(2) The complaint is not timely. (See Sec. 426.500(b)).
(3) The complaint is not filed by an aggrieved party.
(4) The complaint is filed by an individual who fails to provide an
adequate statement of need for the service from the treating physician.
(5) The complaint challenges a provision or provisions of an LCD
except as provided in Sec. 426.476, regarding the Board's review of an
ALJ decision. (See Sec. 426.505, regarding the authority of the
Board.)
(6) CMS notifies the Board that the NCD provision(s) is (are) no
longer in effect.
(7) The aggrieved party withdraws the complaint. (See Sec.
426.523, for requirements for withdrawing a complaint regarding an NCD
under review.)
Sec. 426.545 Witness fees.
(a) A witness testifying at a hearing before the Board receives the
same fees and mileage as witnesses in Federal district courts of the
United States. If the witness qualifies as an expert, he or she is
entitled to an expert witness fee. Witness fees are paid by the party
seeking to present the witness.
(b) If the Board requests expert testimony, the Board is
responsible for paying all applicable fees and mileage, unless the
expert waives payment.
Sec. 426.546 Record of hearing.
The Board must ensure that all hearings are open to the public and
are electronically, mechanically, or stenographically reported. Except
for privileged information and proprietary data that are filed under
seal, all evidence upon which the Board relies for decision must be
admitted into the public record. All medical reports, exhibits, and any
other pertinent document, either in whole or in material part, must be
offered, marked for identification, and retained in the case record.
Sec. 426.547 Issuance, notification, and posting of a Board's
decision.
The Board must do the following:
(a) Issue to all parties to the NCD review, within 90 days of
closing the NCD review record to the taking of evidence, one of the
following:
(1) A written decision, including a description of appeal rights.
(2) A written notification stating that a decision is pending, and
an approximate date of issuance for the decision.
(b) Make the decision available at the HHS Medicare Internet site.
The posted decision does not include any information that identifies
any individual, provider of service, or supplier.
Sec. 426.550 Mandatory provisions of the Board's decision.
(a) Findings. The Board's decision must include one of the
following:
(1) A determination that the provision of the NCD is valid under
the reasonableness standard.
(2) A determination that the provision of the NCD is not valid
under the reasonableness standard.
(3) A statement dismissing the complaint regarding the NCD, and a
rationale for the dismissal.
(4) A determination that the LCD or NCD record is complete and
adequate to support the validity of the LCD or NCD provisions under the
reasonableness standard.
(b) Other information. The Board's decision must include all of the
following:
(1) The date of issuance.
(2) The docket number of the NCD review.
(3) A statement as to whether the aggrieved party has filed a claim
for the service(s) named in the complaint, the date(s)-of-service, and
the disposition, if known.
(4) A basis for concluding that the NCD was or was not valid based
on the application of the reasonableness standard to the record before
the Board, including CMS':
(i) Findings of fact.
(ii) Interpretations of law.
(iii) Applications of fact to law.
(5) A summary of the evidence reviewed. Where proprietary or
privileged data were submitted under seal, the decision must state
whether the data were material and what role they played in the
determination, but without disclosing the substance or contents of the
evidence under seal. A separate statement of the rationale for the
Board's treatment of the sealed evidence must be prepared and kept
under seal itself. If the Board decision is appealed to the court, this
statement must be provided to the court, under seal.
(6) A statement regarding the right to judicial review.
Sec. 426.555 Prohibited provisions of the Board's decision.
The Board's decision may not do any of the following:
(a) Order CMS to add any language to a provision or provisions of
an NCD.
(b) Order CMS or its contractors to pay a specific claim.
(c) Set a time limit for CMS to establish a new or revised NCD.
(d) Review or evaluate an NCD other than the NCD under review.
(e) Include a requirement for CMS or its contractors that specifies
payment, coding, or systems changes for an NCD, or deadlines for
implementing these types of changes.
(f) Order or address how CMS implements an NCD.
Sec. 426.557 Optional provisions of the Board's decision.
When appropriate, the Board may limit a decision holding invalid a
specific provision(s) of an NCD to specific clinical indications and
for similar conditions.
Sec. 426.560 Effect of the Board's decision.
(a) Valid under the reasonableness standard. If the Board finds
that the provision (or provisions) of an NCD named in the complaint is
(are) valid under the reasonableness standard, the aggrieved party may
challenge the final agency action in Federal court.
(b) Not valid under the reasonableness standard. If the Board finds
that the provision (or provisions) of an NCD named in the complaint is
(are) invalid under the reasonableness standard, then CMS instructs its
contractor, M+C organization, or other Medicare managed care
organization to provide the following--
(1) Individual claim review. (i) If the aggrieved party's claim/
appeal(s) was previously denied, the contractor, an
[[Page 63731]]
M+C organization, or another Medicare managed care organization must
reopen the claim of the party who challenged the LCD and adjudicate the
claim without using the provision(s) of the NCD that the Board found
invalid.
(ii) If a revised NCD is issued, contractors, M+C organizations,
and other Medicare managed care organizations must use the revised NCD
in reviewing claim/appeal submissions or request for services delivered
or services performed on or after the effective date of the revised
NCD.
(iii) If the aggrieved party who sought review has not yet
submitted a claim, the contractor must adjudicate the claim without
using the provision(s) of the NCD that the Board found invalid.
(iv) In either case, the claim and any subsequent claims for the
service provided under the same circumstances, must be adjudicated
without using the NCD provision(s) found invalid.
(2) Coverage determination relief. Within 30 days, CMS implements
the Board decision. Any change in policy is applied prospectively to
requests for service or claims filed with dates of service after the
implementation of the Board decision.
Sec. 426.562 Notice of the Board's decision.
After the Board has made a decision regarding an NCD complaint, the
Board sends a written notice of the decision to each party. The notice
must--
(a) State the outcome of the review; and
(b) Inform each party to the determination of his or her rights to
seek further review if he or she is dissatisfied with the
determination, and the time limit under which an appeal must be
requested.
Sec. 426.563 Future new or revised or reconsidered NCDs.
CMS may not reinstate an NCD provision(s) found to be unreasonable
unless CMS has a different basis (such as additional evidence) than
what the Board evaluated.
Sec. 426.565 Board's role in making an LCD or NCD review record
available.
Upon a request from a Federal Court, the Board must provide to the
Federal Court a copy of the Board's LCD or NCD review record (as
described in Sec. 426.587).
Sec. 426.566 Board decision.
A decision by the Board constitutes a final agency action and is
subject to judicial review. CMS may not appeal a Board decision.
Sec. 426.587 Record for appeal of a Board NCD decision.
(a) Elements of the Board's NCD review record furnished to the
public. Except as provided in paragraph (b) of this section, the
Board's NCD review record consists of any document or material that the
Board compiled or considered during an NCD review, including, but not
limited to, the following:
(1) The NCD complaint.
(2) The NCD and NCD record.
(3) The supplemental NCD record, if applicable.
(4) Transcripts of record.
(5) Any other evidence relevant gathered under Sec. 426.540.
(6) The Board's decision.
(b) Documents excluded from the NCD review record furnished to the
court. The NCD review record furnished to the court maintains the seal
on privileged information or proprietary data that is maintained under
seal by the Board. In the event a court seeks to obtain or requires
disclosure of any documents excluded from the NCD record as privileged
information or proprietary data, CMS or the Department seeks to have a
protective order issued for those documents, as appropriate.
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: July 1, 2003.
Thomas A. Scully,
Administrator, Centers for Medicare & Medicaid Services.
Approved: October 30, 2003.
Tommy G. Thompson,
Secretary.
[FR Doc. 03-27742 Filed 10-31-03; 11:58 am]
BILLING CODE 4120-01-P