Archived Local Coverage Determinations (LCD) and Policy Articles are viewable within the CMS Medicare Coverage Database (MCD) Archive.

For LCDs, visit the CMS Archived Versions of Active LCDs by Contractor Index Criteria webpage.

For Articles, visit the CMS Archived Versions of Articles by Contractor Index Criteria webpage.

Once the page above loads, select the appropriate contractor(s) and click submit:

• Noridian Healthcare Solutions, LLC (DME MAC, 19003, Jurisdiction D)

An alphabetical list of all archived LCDs for the selected contract will open. Click the "LCD ID" or "Article ID" number to open desired document.

• If looking for an older version, scroll to bottom of LCD/Article and select the version based on effective dates listed

Standard Documentation Requirements for All Claims Submitted to DME MACs

The Standard Documentation Requirements for All Claims Submitted to DME MACs (A55426) Local Coverage Article has gone through a series of changes since its creation. With the Standard Written Order (SWO) requirement in affect for dates of service January 1, 2020 and after, more changes are anticipated. To assist suppliers in tracking the changes as they occur, the historical versions of the article are listed below:

• Updated on 03/27/2020 with effective dates 04/06/2020 - N/A
• Updated on 12/27/2019 with effective dates 01/01/2020 - N/A
• Updated on 08/02/2019 with effective dates 01/01/2019 - N/A
• Updated on 03/29/2019 with effective dates 01/01/2019 - N/A
• Updated on 01/25/2019 with effective dates 01/01/2019 - N/A
• Some older versions have been archived. Please visit the MCD Archive Site to retrieve them.