Draft Policies

CMS and WPS Medicare develop policies to help ensure proper Medicare payments. Providers use the policies to verify coverage of a procedure or service.

WPS Medicare has a staff of physicians and registered nurses responsible for developing, monitoring, and updating policies. The policy staff is dedicated to helping Medicare beneficiaries as well as providing Medicare providers medical necessity reimbursement guidance.

The policy staff works closely with Provider Outreach and Education (POE) to ensure timely and accurate policy education is provided. Sign up for our eNews by selecting the eNews link in the top right corner to receive the most current policy changes. Please check the Live Training schedule for educational opportunities on a specific policy or topic.

Comment on the Draft LCDs

Your input is important to Local Coverage Determination (LCD) development. To comment electronically on the policies listed above, please send an email to the following address:
policycomments@wpsic.com.

The official Local Coverage Determination (LCD) is the version on the Medicare Coverage Database at http://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx

Status of Draft LCDs

*Current Status Indicators are as follows:
D = draft under development; not yet released for comment
C = draft LCD released for comment
E = formal comment period has ended; comments now being considered
F = final LCD has been issued (this is not the local coverage determination effective date)
A = active policy; notice period complete and the policy is in effect
Actual date of release of the final LCD is the date the policy is published in our newsletter/Website.

The effective date is 45 days after the release/publication of the final LCD.

Title
Bariatric Surgery for Morbid Obesity (GSURG-042)
Illinois ¦ Minnesota ¦ Wisconsin
CMS ID# Date of Release for Comment Comment Period End Date Current Status* Release to Final Date
DL32904 10/12/12

Dr. Cheryl Ray
WPS Medicare
1717 W. Broadway
Madison, WI 53701-1787
11/25/12 A 01/01/2013
Final LCD Final Comments
L32904
Illinois ¦ Minnesota ¦ Wisconsin
Final CommentsAdobe Portable Document Format
Title
Dysphagia (PHYSMED-017)
Illinois ¦ Minnesota ¦ Wisconsin
CMS ID# Date of Release for Comment Comment Period End Date Current Status* Release to Final Date
DL33065 02/07/2013

Dr. Olatokunbo Awodele
WPS Medicare
3333 Farnam Street
Omaha, NE. 68131
03/25/2013 E Not Yet Available
Final LCD Final Comments
Not Yet Available Not Yet Available
Title
Somatosensory Testing (NEURO-013)
Illinois ¦ Minnesota ¦ Wisconsin
CMS ID# Date of Release for Comment Comment Period End Date Current Status* Release to Final Date
DL32902 10/12/12

Dr. Cheryl Ray
WPS Medicare
1717 W. Broadway
Madison, WI 53701-1787
11/25/12 A 01/01/2013
Final LCD Final Comments
L32902
Illinois ¦ Minnesota ¦ Wisconsin
Final CommentsAdobe Portable Document Format
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Page Last Updated: Friday, 10-May-2013 09:46:40 CDT