PCORI Help Center

Can PCORI assist with coverage with evidence development with Centers for Medicare & Medicaid Services (CMS) for large simple trials?

PCORI is interested in receiving applications that propose to use coverage with evidence development (CED) as a mechanism for paying for patient care costs. However, PCORI will not assist applicants in obtaining a determination from a health plan that a particular drug, device, or procedure is eligible for CED. To obtain this determination through Medicare, you may wish to consult this policy statement: https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=27

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