OMB control number

Medicare Program: Process for Making National Coverage Determinations (CMS-R-290)

OMB 0938-0776 · HHS/CMS.

OMB 0938-0776

These information collection requirements provide the process CMS uses to make a national coverage decision for a specific item or service under sections 1862 and 1871 of the Social Security Act. This streamlines our decision making process and increases the opportunities for public participation in making national coverage decisions.

The latest form for Medicare Program: Process for Making National Coverage Determinations (CMS-R-290) expires 2028-03-31 and can be found here.