The national coverage determination process must be used
What the document says“In making determinations under paragraph (1)(C) regarding the coverage of a new test, the Secretary shall use the process for making national coverage determinations (as defined in section 1869(f)(1)(B)) under this title.”
The new subsection requires the Secretary to use the national coverage determination process, as defined in section 1869(f)(1)(B) of the Social Security Act, when deciding whether a new test is reasonable and necessary and appropriate.
What the document actually says“In making determinations under paragraph (1)(C) regarding the coverage of a new test, the Secretary shall use the process for making national coverage determinations (as defined in section 1869(f)(1)(B)) under this title.”
When the health chief decides on a new test, one set process must be used. It is the one for national coverage rulings.
That process has set steps, open comment and a written ruling. It applies across the whole country. It is slower than a one-off call.
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