Pending Medicare National Coverage Determination (NCD) for HIV PrEP: What It Could Mean for PrEP Access – Health Care in Motion

Under federal law, the Centers for Medicare and Medicaid Services (CMS), the agency that oversees the Medicare program, can ensure coverage of preventive services under Medicare Part A and Part B through a process called a National Coverage Determination (NCD).

CMS has started this process for HIV Pre-Exposure Prophylaxis (PrEP), with a few unexpected twists and turns along the way. Read on to learn more about what NCD is, what an NCD would mean for PrEP availability in Medicare, why the NCD process for PrEP has been particularly complex, and what to expect going forward.

Read our latest Health Care in Motion: https://chlpi.org/projects-and-resources/health-care-in-motion/