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Judicial Watch • 2011 provenge-point-1

2011 provenge-point-1

2011 provenge-point-1

Page 1: 2011 provenge-point-1

Category:Obtained Document

Number of Pages:1

Date Created:March 30, 2011

Date Uploaded to the Library:July 30, 2013

Tags:elements, Hecker, Contractor, provenge, Medical, Bernice, jacques, medicare, rogers, louis, service, william, ICE

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Jaues,LouisB CMSIOCSQ 
From: Rogers. William (CMS/OEA)
Sent: Tuesday. June 08, 2010 7:40
To: Jacques. Louis (CMS/OCSQ)
Subject: RE: F/U New Tech call: Provenge discussed this the last girl tre 3;; addsfour: months life 000 atlentsa ear
$2.6 blllion dollars ear
(b, Prerlec wal
William Rogers FACEP
Director Physic Regulatory. Issues Team
Centers for Medicare and Medicaid Services
202-236- 338
edicare Contractor Medical Directors Behalf Jacques, Louis
Sent: Monday, June 07, 2010 9:05 
Subject: Re: F/U New Tech call: Provenge
Absent CMS instructions the contrary. local contractors have discretion cover noncover the various components the
Provenge autologous immunotherapy program.
Original Message--
Bernice Hecker []
Sent. 6/4/2010
Cc: Jacques, Louis (CMS/OCSQ); Syrek Jensen, Tamara (CMS/OCSQ)
Subject: F/U New Tech call: Provenge requested, had discussion with CAG regarding potential Provenge coverage with evidence development. Bottomvline: how can
anyone cover anything when are not yet sure what See below.
The (Center for Medicare, formerly CMM the Center for Medicare Management) the CMS authority bene category
detemiination, whether not item service falls within the Medicare insurance bene and so. which one(s). The
Pmvenge autologous immunotherapy program comprises multiple discrete elements includingthe collection the pmienrs blood. the
processing ofthe patient cells and the subsequent infusion the processed eells back into the patient. the current time,
trying determine the preferred bene category allocation for the elements Provenge. entirely unclear whether the
elements would treated single bundled service not, how dley should coded and priced yet. This being the case. seems that inform those seeking payment that neither nor CAG has authority pay atthis time and wont until deeida what are paying, Interested parties might directed CMS.
Bernice Hecker MD. MHA, FACC
Medicare, Contractor Medical Director
AK, ID. OR, MN, Jur. (AZ, ND, SD, UT. WY) 000209