42 CFR § 426.416 - Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.

---
identifier: "/us/cfr/t42/s426.416"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 426.416 - Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review."
title_number: 42
title_name: "Public Health"
section_number: "426.416"
section_name: "Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "426"
part_name: "REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh)"
regulatory_source: "68 FR 63716, Nov. 7, 2003, unless otherwise noted."
cfr_part: "426"
---


# 426.416 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.

Medicare MCOs and Medicaid State agencies have no role in the LCD review process. However, once the ALJ has issued its decision, the decision is made available to all Medicare MCOs and State agencies.