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Posting Date: 06/10/2019
Opt Out Affidavits Database
Opt Out Affidavits Database Need to verify if a provider has opted out of Medicare? A resource for a list of opt out providers is located on the Medicare Opt Out Affidavits Database, verify status with effective date range. Instructions for [...]
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Posting Date: 08/14/2019
October 2019 Release Dark Days for the Common Working File Hosts
October 2019 Release Dark Days for the Common Working File Hosts For the upcoming October 2019 Release, CWF will be observing dark days starting Friday, 10/4/2019 through Sunday, 10/6/2019 to accommodate the anticipated duration of this [...]
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Posting Date: 09/13/2019
October 2019 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
October 2019 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The following updates will be made to existing screens and implemented on 10/1/2019. Entry added for new Bone Density HCPCS 0508T eligibility dates to MAP175M. [...]
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Posting Date: 06/18/2019
New Version of PC-ACE: July 2019
New Version of PC-ACE: July 2019 PC-ACE Version 4.3 contains several CMS mandates and product enhancements including but not limited to the items listed below. CR11132 ‒ Update to Mammography Editing CR11192 ‒ April 2019 Integrated [...]
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Posting Date: 09/27/2019
New Version of PC-ACE: October 2019
New Version of PC-ACE: October 2019 PC-ACE Version 4.4 contains several CMS mandates and product enhancements including but not limited to the items listed below. CR11321 - Implement Operating Rules - Phase III Electronic Remittance Advice [...]
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Posting Date: 06/18/2019
New Version of PC Print: July 2019
New Version of PC Print: July 2019 PC Print version 7.1.0 will soon be available on our website. This version contains the following enhancement: Change Request 11204 contains the RARC and CARC published by WPC through March 2019 [...]
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Posting Date: 09/27/2019
New Version of PC Print: October 2019
New Version of PC Print: October 2019 PC Print version 7.1.1 will soon be available on our website. This version contains the following enhancements: CR11252 contains the RARC and CARC published by WPC through July 2019 [...]
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Posting Date: 06/18/2019
Travel Allowance for Laboratory Services
Travel Allowance for Laboratory Services We have seen an increase in incorrect billing for laboratory service travel allowances. Please see below helpful HCPCS billing information and a link to the CMS IOM on appropriate billing for [...]
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Posting Date: 06/28/2019
Revised Fee for Indium In 111 Capromab Pendetide
Revised Fee for Indium In 111 Capromab Pendetide Effective 1/1/2019, National Government Services is updating the fee for A9507 to $1,5804.00 based on the published price for the kit of this radiopharmaceutical agent. Posted 6/28/2019
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Posting Date: 06/25/2019
Reminder: Use Anesthesia Modifiers Appropriately
Reminder: Use Anesthesia Modifiers Appropriately National Government Services requires placement of pricing modifiers in the first modifier position to process your anesthesia claims correctly. Modifiers for anesthesia pricing must be [...]
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Posting Date: 06/10/2019
Reminder: Important Notice Regarding Handwriting on Claims Submitted to Medicare
Reminder: Important Notice Regarding Handwriting on Claims Submitted to Medicare As a reminder, National Government Services will return to the provider any paper claim submitted with handwriting on the face of the claim that is not a [...]
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Posting Date: 10/31/2019
RAP Overpayment Demand Letters Sent in Error
RAP Overpayment Demand Letters Sent in Error Attention Home Health Agencies As of 10/1/2019, due to the implementation of CR10776, HHAs may have received a demand letter for a RAP overpayment. This letter instructed HHAs to either write [...]
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Posting Date: 12/30/2019
Provider Enrollment Application Fee Amount for CY 2020
Provider Enrollment Application Fee Amount for CY 2020 On November 12, CMS issued a notice: Provider Enrollment Application Fee Amount for Calendar Year 2020 [CMS–6089–N (https://go.usa.gov/xppFM)]. Effective January 1, 2020, the application [...]
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Posting Date: 09/03/2019
Part A East Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration
Part A East Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration C2C Innovative Solutions, Inc., the Part A East QIC, is currently offering providers telephone discussions and reopenings under this [...]
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Posting Date: 05/05/2022
MLN Connects® Newsletter for Thursday, May 5, 2022
MLN Connects® Newsletter for Thursday, May 5, 2022 COVID-19 Patients Can Get Free Over-the-Counter Tests from Participating Providers News COVID-19: Patients Can Get Free Over-the-Counter Tests from Participating Providers [...]
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Posting Date: 04/08/2022
MLN Connects® Special Edition for Thursday, April 7, 2022
MLN Connects® Special Edition for Thursday, April 7, 2022 Returning to Certain Pre-COVID-19 Policies & Coverage of Monoclonal Antibodies for Alzheimer's Disease Stakeholder Call CMS Returning to Certain Pre-COVID-19 Policies in [...]
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Posting Date: 09/23/2021
MLN Connects® Newsletter for Thursday, September 23, 2021
MLN Connects® Newsletter for Thursday, September 23, 2021 COVID-19: Compare Nursing Homes by Vaccination Rate View this edition as a: Webpage | PDF News CMS Launches New Medicare.gov Feature to Compare Nursing Homes by [...]
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Posting Date: 10/14/2021
MLN Connects® Newsletter for Thursday, October 14, 2021
MLN Connects® Newsletter for Thursday, October 14, 2021 Pneumococcal Conjugate Vaccine, 20 Valent View this edition as a: Webpage | PDF News Pneumococcal Conjugate Vaccine, 20 Valent DATA 2000 Waiver Training Payments Still [...]
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Posting Date: 12/09/2021
MLN Connects® Newsletter for Thursday, December 9, 2021
MLN Connects® Newsletter for Thursday, December 9, 2021 CY 2022 Medicare Deductible, Coinsurance, & Premium Rates News PECOS: Multi-Factor Authentication Requirement Delayed HHS Seeks Public Comments to Advance Equity & [...]
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Posting Date: 12/16/2021
MLN Connects® Newsletter for Thursday, December 16, 2021
MLN Connects® Newsletter for Thursday, December 16, 2021 2% Payment Adjustment (Sequestration) Changes News Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Changes Flu Shot Disparities Opioid Treatment Programs: New [...]
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Posting Date: 12/23/2021
MLN Connects® Newsletter for Thursday, December 23, 2021
MLN Connects® Newsletter for Thursday, December 23, 2021 COVID-19 Vaccine Access in Long-Term Care Settings News COVID-19 Vaccine Access in Long-Term Care Settings DMEPOS Final Rule NPPES: Public Reporting of Digital Contact [...]
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Posting Date: 01/06/2022
MLN Connects® Newsletter for Thursday, January 6, 2022
MLN Connects® Newsletter for Thursday, January 6, 2022 Provider Compliance Product List Updated News COVID-19 Vaccine Access in Long-term Care Settings SNF VBP: Nominate Technical Expert Panel Members by January 16 COVID-19 [...]
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Posting Date: 01/13/2022
MLN Connects® Newsletter for Thursday, January 13, 2022
MLN Connects® Newsletter for Thursday, January 13, 2022 COVID-19: Long-term Care, Remdesivir, & Booster Doses News COVID-19: Updated Materials for Visiting Nursing Homes During Omicron Surge COVID-19: Vaccine Access in [...]
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Posting Date: 01/27/2022
MLN Connects® Newsletter for Thursday, January 27, 2022
MLN Connects® Newsletter for Thursday, January 27, 2022 COVID-19: Tools to Determine if Vaccine Requirements Apply News COVID-19: Tools to Determine if Vaccine Requirements Apply COVID-19 Vaccine Codes: Pfizer Pre-Diluted Vaccine [...]
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Posting Date: 03/10/2022
MLN Connects® Newsletter for Thursday, March 10, 2022
MLN Connects® Newsletter for Thursday, March 10, 2022 COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD News COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD Program for [...]
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Posting Date: 03/31/2022
MLN Connects® Newsletter for Thursday, March 31, 2022
MLN Connects® Newsletter for Thursday, March 31, 2022 Continuous Glucose Monitor: Provide Supplies for a Calendar Month News Home Health Providers: Services Provided Data for April 2022 Refresh Continuous Glucose Monitor: Provide [...]
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Posting Date: 04/07/2022
MLN Connects® Newsletter for Thursday, April 7, 2022
MLN Connects® Newsletter for Thursday, April 7, 2022 Improve the Health of Minority Populations with Covered Preventive Services News Fiscal Year 2021 Program for Evaluating Payment Patterns Electronic Reports Preventive Services & [...]
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Posting Date: 04/12/2022
MLN Connects® Special Edition for Monday, April 11, 2022
MLN Connects® Special Edition for Monday, April 11, 2022 HHS Takes Actions to Promote Safety & Quality in Nursing Homes On April 11, CMS issued its FY 2023 SNF PPS proposed rule, which includes asking for public feedback on how staffing [...]
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Posting Date: 04/14/2022
MLN Connects® Newsletter for Thursday, April 14, 2022
MLN Connects® Newsletter for Thursday, April 14, 2022 COVID-19: New Codes for Moderna Vaccine Booster Doses News Launch of the Cross-Cutting Initiatives Value-Based Insurance Design Model: Medicare Advantage Organizations Pay for [...]
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Posting Date: 04/21/2022
MLN Connects® Newsletter for Thursday, April 21, 2022
MLN Connects® Newsletter for Thursday, April 21, 2022 Medicare Provider Compliance News News Hospice Quality Reporting Program: Key Dates & Measure Change Ambulance Ground Transport: Comparative Billing Report in April Hospices: [...]
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Posting Date: 04/28/2022
MLN Connects® Newsletter for Thursday, April 28, 2022
MLN Connects® Newsletter for Thursday, April 28, 2022 Get Patient Eligibility Information for Additional Services News Patient Eligibility Information for Additional Services — Now Available Physicians, Teaching Hospitals, Physician [...]
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Posting Date: 09/09/2021
MLN Connects® Special Edition for Thursday, September 9, 2021
MLN Connects® Special Edition for Thursday, September 9, 2021 Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings New action will protect patients of the 50,000 providers and over 17 million health care [...]
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Posting Date: 08/09/2021
Important Information on How to Resolve NGSConnex Account Suspensions
Important Information on How to Resolve NGSConnex Account Suspensions If you are an NGSConnex user and not the LSO for your provider organization and your NGSConnex account has been suspended for one of the following reasons, you must contact [...]
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Posting Date: 07/25/2022
New Medical Review Frequently Asked Questions
New Medical Review Frequently Asked Questions We’ve added Medical Review Frequently Asked Questions to our website. Visit our Help and FAQs web page for common questions and answers related to Medical Review and other topics including: EDI, [...]
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Posting Date: 09/30/2021
Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference!
Registration is Open for the National Government Services Medicare Fall 2021 Virtual Conference! The National Government Services POE Team is holding our latest bi-annual virtual conference on Tuesday, 11/9/2021 and Wednesday, 11/10/2021. This [...]
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Posting Date: 10/18/2021
National Government Services Medicare Fall 2021 Virtual Conference
National Government Services Medicare Fall 2021 Virtual Conference The National Government Services POE Team's biannual virtual conference is scheduled for Tuesday, 11/9/2021 and Wednesday, 11/10/2021. This two full-day virtual conference [...]
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Posting Date: 11/30/2021
Save Time and Money by Submitting your Appeals (Reopenings & Redeterminations) Electronically
Save Time and Money by Submitting your Appeals (Reopenings & Redeterminations) Electronically Two easy ways to submit. National Government Services will now allow Medicare Part A and Part B providers to submit claim appeal requests, [...]
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Posting Date: 12/27/2021
Improving Customer Experience in 2021
Improving Customer Experience in 2021 We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how [...]
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Posting Date: 04/07/2022
Provider Action To Be Taken Following the Provider-Based Mid-Build Audit
Provider Action To Be Taken Following the Provider-Based Mid-Build Audit The off-campus PBDs that were “mid-build” prior to 11/2/2015 received mid-build determination letters in January 2021 from the CMS mid-build audit contractor, Cahaba [...]
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Posting Date: 12/03/2021
National Influenza Vaccination Week
National Influenza Vaccination Week National Influenza Vaccination Week is Observed 12/5/2021–12/11/2021 Influenza (flu) is a contagious respiratory illness caused by the influenza virus and causes mild to severe illness. Millions of people [...]
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Posting Date: 01/23/2020
Change Request 10484, Pub.100-20, Rev2357: Additional Instructions to Hospitals on the Election of a Medicare SSI Component of the DSH Payment Adjustment for Cost Reports FY 2004 and Earlier
Change Request 10484, Pub.100-20, Rev2357: Additional Instructions to Hospitals on the Election of a Medicare SSI Component of the DSH Payment Adjustment for Cost Reports FY 2004 and Earlier Please click on the following link to read the [...]
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Posting Date: 01/21/2020
Appeal Submission Process for Claims with Multiple Line Items
Appeal Submission Process for Claims with Multiple Line Items We have identified instances where providers are submitting several appeals for one claim internal control number. If you need to appeal (redetermination) a claim with multiple [...]
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Posting Date: 01/16/2020
MLN Connects® for Thursday, January 16, 2020
MLN Connects® for Thursday, January 16, 2020 Quality Payment Program: Learn About the MIPS 2020 Performance Period MLN Connects® for Thursday, January 16, 2020 View this edition as a PDF News CMS Reduces Psychiatric Hospital Burden [...]
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Posting Date: 01/09/2020
MLN Connects® for Thursday, January 9, 2020
MLN Connects® for Thursday, January 9, 2020 Read the Latest Quality Payment Program Updates MLN Connects® for Thursday, January 9, 2020 View this edition as a PDF News Quality Payment Program: 2018 Performance Data Quality [...]
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Posting Date: 02/27/2020
MLN Connects® for Thursday, February 27, 2020
MLN Connects® for Thursday, February 27, 2020 COVID-19 Coding Guidance MLN Connects® for Thursday, February 27, 2020 View this edition as a PDF News Quality Payment Program: MIPS 2019 Data Submission Period Open through March 31 [...]
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Posting Date: 02/27/2020
Make Today the Day - Sign Up for Medicare Diabetic and Prevention Program Email Updates
Make Today the Day ‒ Sign Up for Medicare Diabetic and Prevention Program Email Updates The MDPP supplier Email Updates are the mechanism by which MDPP suppliers will receive important information and reminders, such as upcoming due [...]
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Posting Date: 02/26/2020
Amending Medical Records
Amending Medical Records Amendments, Corrections and Delayed Entries in Medical Documentation All services provided to beneficiaries are expected to be documented in the medical record at the time they are rendered. [...]
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Posting Date: 02/24/2020
Did You Know that the Medicare Part B Overpayment Form Has Been Retired?
Did You Know that the Medicare Part B Overpayment Form Has Been Retired? Our records indicate some providers are still using the retired Medicare Part B Overpayment Form. The new process for provider-initiated non MSP overpayments is as [...]
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Posting Date: 02/24/2020
Article Revisions: February 2020
Article Revisions: February 2020 The medical policies and related articles can be found in our Medical Policy Center. Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy (A57826) The [...]
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Posting Date: 02/20/2020
MLN Connects® for Thursday, February 20, 2020
MLN Connects® for Thursday, February 20, 2020 Bill Correctly for Medicare Telehealth Services MLN Connects® for Thursday, February 20, 2020 View this edition as a PDF News CMS Develops New Code for Coronavirus Lab Test [...]
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Posting Date: 02/13/2020
MLN Connects® for Thursday, February 13, 2020
MLN Connects® for Thursday, February 13, 2020 Protect Your Patients from Influenza MLN Connects® for Thursday, February 13, 2020 View this edition as a PDF News DMEPOS Items Subject to Prior Authorization Influenza Activity [...]
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Posting Date: 02/07/2020
Reassignment of Medicare Benefits: Revised CMS-855R Required May 1
Reassignment of Medicare Benefits: Revised CMS-855R Required May 1 Physicians and non-physician practitioners: Use the revised CMS-855R (Reassignment of Benefits) application once it is posted on the CMS Forms List (go.usa.gov/cuu5Y) in early [...]
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Posting Date: 02/06/2020
MLN Connects® for Thursday, February 6, 2020
MLN Connects® for Thursday, February 6, 2020 New Medicare Provider Enrollment Educational Tool MLN Connects® for Thursday, February 6, 2020 View this edition as a PDF News Open Payments Registration Promoting Interoperability [...]
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Posting Date: 01/30/2020
MLN Connects® for Thursday, January 30, 2020
MLN Connects® for Thursday, January 30, 2020 Genetic Testing and Innovative Antibiotics MLN Connects® for Thursday, January 30, 2020 View this edition as a PDF News CMS Expands Coverage of NGS as Diagnostic Tool for Patients with [...]
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Posting Date: 01/30/2020
Calendar Year 2019 1099 Form Information
Calendar Year 2019 1099 Form Information National Government Services will mail all 1099 Forms for CY 2019 by 1/31/2020. Medicare providers and beneficiaries who are serviced by NGS, regardless of their location, will receive a single Part A [...]
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Posting Date: 01/24/2020
LCD and Article Revisions: January–February 2020
LCD and Article Revisions: January–February 2020 The medical policies and related articles can be found in our Medical Policy Center LCD Revisions Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture [...]
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Posting Date: 01/23/2020
MLN Connects® for Thursday, January 23, 2020
MLN Connects® for Thursday, January 23, 2020 Medicare Learning Network Celebrates 20 Years MLN Connects® for Thursday, January 23, 2020 View this edition as a PDF News Medicare Learning Network Celebrates 20 Years CMS Updates [...]
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Posting Date: 03/23/2020
MLN Connects® Special Edition for Monday, March 23, 2020
MLN Connects® Special Edition for Monday, March 23, 2020 COVID-19: Relief for Quality Reporting Programs and Provider Enrollment Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in [...]
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Posting Date: 03/20/2020
Provider Enrollment Hot Line for Matters Related to COVID-19
Provider Enrollment Hot Line for Matters Related to COVID-19 As a result of the effects of 2019 Novel Coronavirus (COVID-19), a national emergency exists nationwide. On 3/13/2020, the Administrator of CMS authorized nationwide waivers under [...]
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Posting Date: 03/20/2020
National Government Services LCD Open Meeting
National Government Services LCD Open Meeting The transcript and recording of the 2/26/2020 LCD Open Meeting are now available on our website at Open Meeting Records. Posted 3/20/2020
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