Medicare Coverage

Name: Medicare Coverage
Author: pipeworx-io

by pipeworx-iocommunityv0.1.3

Provides MCP tools for searching and retrieving CMS Medicare coverage policy data, including National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), National Coverage Analyses (NCAs), and recent coverage changes. It also lists CMS state identifiers for scoping local coverage searches.

From the registry: MCP server for medicare-coverage

GitHub Repository Website

Install & configure

Install in your client

Paste into the AI you're chatting with — it will figure out the rest

Please install the `medicare-coverage` MCP server into my current AI client (that's you).

Canonical MCP server config (HTTP transport):
- url: `https://gateway.pipeworx.io/medicare-coverage/mcp`

Note: README provides a direct HTTP MCP endpoint for the Medicare Coverage server. It also mentions an optional full Pipeworx gateway at https://gateway.pipeworx.io/mcp, but the server-specific endpoint is the canonical configuration for this server.

Add this MCP server to my current client's config in the correct format for you. If you need secrets or credentials I haven't provided, ASK me — do not invent values or leave raw placeholders. After adding it, tell me how to verify the server is connected.

Note: README provides a direct HTTP MCP endpoint for the Medicare Coverage server. It also mentions an optional full Pipeworx gateway at https://gateway.pipeworx.io/mcp, but the server-specific endpoint is the canonical configuration for this server.

Tools (8)

medicare_ncd_search

Search current Medicare National Coverage Determinations (NCDs) by title, benefit category, or NCD number.

medicare_ncd_detail

Retrieve one official Medicare National Coverage Determination by CMS document ID and optional version, including covered indications, limitations, effective dates, benefit category, and revision text.

medicare_lcd_search

Search current final Medicare Local Coverage Determinations (LCDs), optionally restricted to a state.

medicare_lcd_detail

Retrieve one Medicare LCD by document ID and version; detailed LCD text requires a CMS license-agreement bearer token via _licenseToken.

medicare_nca_search

Search National Coverage Analyses (NCAs) and Coverage Analyses for Labs (CALs), including open and completed CMS evidence reviews.

medicare_nca_detail

Retrieve one CMS National Coverage Analysis by document ID, including request, issue, benefit category, dates, decision memo, and public-comment status.

medicare_recent_coverage_changes

List recently published or updated national Medicare coverage documents from CMS, including NCDs, NCAs, CALs, MEDCAC meetings, and technology assessments.

medicare_coverage_states

List CMS Coverage API state identifiers used to scope local Medicare coverage searches.