42 CFR § 426.516 - Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process.

---
identifier: "/us/cfr/t42/s426.516"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 426.516 - Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process."
title_number: 42
title_name: "Public Health"
section_number: "426.516"
section_name: "Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process."
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"
---


# 426.516 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process.

Medicare MCOs and Medicaid State agencies may participate in the NCD review process only if they meet the *amicus* participant criteria listed in §§ 426.510(f)(3) and 426.513.