Frequently Asked Questions

What is the timeline for obtaining a National Coverage Decision (“NCD”) for an item/service which is part of a Coverage with Evidence Development (“CED”) study? Once a request for Coverage with Evidence Development (“CED”) is submitted to CMS, the following timeline applies: A tracking sheet is posted on the CMS website that allows interested parties to participate in and monitor the progress of the review. A proposed decision is issued for public comment within 6 months of opening the National Coverage Decision review. The proposed decision is open for public comment for 30 days. A final National Coverage Decision (“NCD”) is issued by CMS no later than 60 days following the close of the 30-days public comment period.

Once a request for Coverage with Evidence Development (“CED”) is submitted to CMS, the following timeline applies:

A tracking sheet is posted on the CMS website that allows interested parties to participate in and monitor the progress of the review.
A proposed decision is issued for public comment within 6 months of opening the National Coverage Decision review.
The proposed decision is open for public comment for 30 days.
A final National Coverage Decision (“NCD”) is issued by CMS no later than 60 days following the close of the 30-days public comment period.