Medicare Part B LCD Reconsideration Process

Interested parties (i.e., beneficiaries, providers, suppliers) can request a revision to an existing Final LMRP or LCD by written request. This can be done by:

Mail to:
Michelle Ducote Smith
PO Box 83580
Baton Rouge, LA 70884-3580
Fax to (225) 231-2277, or
Electronically via the feedback function

Please do not confuse the LCD Reconsideration Process with claims redetermination process. Claims redetermination process is for actual re-review of individual claims that have been denied. The above address is not to be used for claim redeterminations and submitting your requests to this address will only delay your response time as your request will be re-routed to the appropriate department.

Please note that hardcopy requests transmitted by USPS or private courier are preferred. Please do not separate the information in the request, all information pertaining to the request should be sent together (i.e., fax the request and mail the documentation). Requests with documents that are illegible due to facsimile or with electronic documents that are not accompanied by appropriate copy permissions will be considered invalid.

The written request must state the request is being made as part of the Reconsideration Process. The requester must identify the Policy Name, Policy Number, Policy Section and the specific language he wants added to or deleted. Requests must include justification supported by new evidence, which may materially affect the content or basis. Copies of published evidence must be included. Requests lacking any of the required information will be considered invalid.

You will receive a response within the time frame allotted by Medicare Program Integrity Manual, Chapter 13, Section 11.F. You may obtain the requirements as well as the timeframes on the CMS Web Site.