CTSU Menu Trials Included in Medicare Pilot
On 1/28/05, the Centers for Medicare and Medicaid Services (CMS) issued a National Coverage Determination (NCD) covering the off-label use of certain anti-cancer drugs in identified clinical trials of colorectal cancer and other cancer types. Coverage is provided for clinical care associated with study participation for Medicare patients enrolled in 9 specific NCI trials, many of which are included on the CTSU menu.
The trials that are currently on, or are slated for activation on, the CTSU menu are:
NSABP R-04 (Amd. 2)
Please check under the "Miscellaneous" section of each of the above trials' protocol pages (on the Members' web site - https://members.ctsu.org) for information regarding this NCD, including general billing instructions and related protocol-specific information. Information will be posted there as it becomes available from the Groups, NCI and CMS.
Please click here to view:
CMS Physician Tools Overview
CMS Billing Overview
CMS Drug Billing Information for Pharmacists
CMS Imaging Test Billing Information.
For more information, please view the following brief slide set:
CMS-NCI Pilot Project
Or, visit this NCI web page:
Clinical Trials Covered Under the Medicare Anti-Cancer Drug National Coverage Decision