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CMS Releases Coverage Decision for CAR T-Cell Therapy

August 8, 2019—The Centers for Medicare and Medicaid Services (CMS) Aug. 8 released the coverage decision for chimeric antigen receptor (CAR) T-cell therapy. Medicare will cover all Food and Drug Administration (FDA) approved uses for CAR T-cell therapy and off-label uses recommended by CMS-approved compendia.

Medicare will provide coverage for CAR T-cell therapy when administered at health care facilities enrolled in the FDA risk evaluation and mitigation strategies. Hospitals will not be required to participate in a clinical registry or study in order to receive reimbursement. Instead, CMS will use patient information collected by the FDA through post-market surveillance.

Contact:

Mary Mullaney
Director, Hospital Payment Policies
Telephone: 202-909-2084
Email: mmullaney@aamc.org

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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.


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For More Information

Jason Kleinman
Senior Legislative Analyst, Govt. Relations
Telephone: 202-903-0806
Email: jkleinman@aamc.org