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CMS-1403-FC
expenditures for such service and may take into account the
results of such assessment in making such determination.”
We plan to evaluate the preventive services not
otherwise described in title XVIII of the Act and that have
been recommended with a grade A or B by the USPSTF and
determine whether to open an NCD on one or more of them.
USPSTF currently has 15 to 20 preventive services with a
Grade A or B recommendation that may be appropriate for the
Medicare population. These services can be found on its
web site at www.preventiveservices.ahrq.gov. We may
exclude reviewing any one of these services if: (1) there
is an existing Medicare screening or preventive benefit for
that particular service; (2) the service does not appear to
be appropriate for the Medicare population (for example,
pediatric services). We invite public requests on the
services on the USPSTF list that CMS should consider for an
NCD using the procedures described at
http://www.cms.hhs.gov/DeterminationProces/02_howtorequesta
nNCD.asp.
The NCD process consists of three major steps: (1)
initiation; (2) review; and (3) completion. We initiate
the NCD process by “opening” the NCD. This is announced to
the public by posting a “tracking sheet” on the CMS
Coverage Web site with an initial 30-day public comment
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