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HCT-MDS Medicare Study

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HCT for MDS Medicare Study (CMS)

Patients with Medicare will be eligible for claims coverage from CMS if they participate in this study. View clinical, billing, and reimbursement information below.

Study Title: Assessment of Allogeneic Hematopoietic Stem Cell Transplantation in Medicare Beneficiaries with Myelodysplastic Syndrome and Related disorders - Part I. (10-CMSMDS-1)
 
Clinical trial number: NCT #01166009
 
Opened:  December 15, 2010
 
Study Objectives: 
  • The primary objective of this study is to prospectively examine outcomes of allogeneic HCT in adults >= 65 years of age with MDS to determine whether their outcomes are similar to those in younger patients. 
  • To provide a mechanism to Medicare Beneficiaries with MDS for claims coverage for allogeneic HCT.
  • To provide data requested by Medicare under its CED to make payment on claims for HCT using the existing research observational database of the CIBMTR.

 Participating Transplant Center are Required to:

  • Create a CRID in FormsNet following standard CIBMTR process
  • Complete Form 2554 (CMS Registration Form, an on-demand form) in FormsNet3 for each subject to be enrolled. Select disease option for Myelodysplastic Syndrome.
  • Complete Form 2400 (Pre-TED). Select RCI BMT as the study sponsor, and then select 10-CMSMDS-1 from the list of studies.
  • Complete Form 2402 indicating the disease is Myelodysplastic Syndrome.
  • Submit Comprehensive Report Forms (CRF) or Transplant Essential Data Froms (TED) to CIBMTR for all registered study patients.
 Patient Eligibility:
  • Diagnosis of MDS related disorders, including CMML and therapy-related MDS.
  • Age >= 65 or age <65 and Medicare beneficiary.
  • Being treated in a US transplant center.
  • Provide informed consent to participate in the study.

Consent Forms:

This study uses the existing research observational database of the CIBMTR to collect data requested by CMS as part of its payment policy. Patients enrolled on CIBMTR studies for indications under CED will sign a separate CMS consent form under the Research Database Protocol for participation in a CMS CED-approved study. These patients will be invited to participate in both the CMS CED study and the Research Database protocol. Patient participation in the CMS CED study is not dependent on their participation in the Research Database Protocol. Additional protocol or consent forms are not required for this study.

The Research Database protocol, CMS consent form and CIBMTR/NMDP IRB approvals, can be found on the Observational Database and Protocol and Consent Forms  page.


Study Contacts:

  • For clinical research questions contact:

Study Reference Materials:

For more information about Medicare Coding and Billing


Last Updated: 3/19/2018 3:29 PM
CIBMTR