國家含保內容決定

The Centers for Medicare and Medicaid (CMS) periodically releases changes to services covered by Medicare through National Coverage Determinations (NCD). Health plans are required to notify members of these changes. A NCD is a nationwide determination by CMS on whether an item or service is medically necessary. Please check back often to review the most recent updates on Medicare covered services. The full text of these updates may be found here: national coverage annual report


Coverage Effective Date Link for more information
Anti-Cancer Chemotherapy for Colorectal Cancer  02/25/2026  NCA - Anti-Cancer Chemotherapy for Colorectal Cancer (CAG-00179R) - Decision Memo
Cardiac Contractility Modulation (CCM) for Heart Failure  10/28/2025  NCA - Cardiac Contractility Modulation (CCM) for Heart Failure (CAG-00469N) - Decision Memo
Renal Denervation for Uncontrolled Hypertension  10/28/2025  NCA - Renal Denervation for Uncontrolled Hypertension (CAG-00470N) - Decision Memo
Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER)  7/02/2025  NCA - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER) (CAG-00468N) - Decision Memo
Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)  6/9/2025  NCA - Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure consequent to COPD (CAG-00465N) - Decision Memo
Transcatheter Tricuspid Valve Replacement (TTVR)  3/19/2025  NCA - Transcatheter Tricuspid Valve Replacement (TTVR) (CAG-00467N) - Decision Memo
Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management  1/13/2025  NCA - Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management (CAG-00466N) - Decision Memo
Preexposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus (HIV) Infection  9/30/2024  NCA - Preexposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent Human Immunodeficiency Virus (HIV) Infection (CAG-00464N) - Decision Memo (cms.gov)
Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) 3/6/2024 NCA - Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) (CAG-00415R) - Decision Memo (cms.gov)