[Federal Register Volume 70, Number 37 (Friday, February 25, 2005)]
[Notices]
[Pages 9338-9355]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-3551]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9025-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--October Through December 2004
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This notice lists CMS manual instructions, substantive and
interpretive regulations, and other Federal Register notices that were
published from October 2004 through December 2004, relating to the
Medicare and Medicaid programs. This notice provides information on
national coverage determinations (NCDs) affecting specific medical and
health care services under Medicare. Additionally, this notice
identifies certain devices with investigational device exemption (IDE)
numbers approved by the Food and Drug Administration (FDA) that
potentially may be covered under Medicare. Finally, this notice also
includes listings of all approval numbers from the Office of Management
and Budget for collections of information in CMS regulations.
Section 1871(c) of the Social Security Act requires that we publish
a list of Medicare issuances in the Federal Register at least every 3
months. Although we are not mandated to do so by statute, for the sake
of completeness of the listing, and to foster more open and transparent
collaboration efforts, we are also including all Medicaid issuances and
Medicare and Medicaid substantive and interpretive regulations
(proposed and final) published during this 3-month time frame.
FOR FURTHER INFORMATION CONTACT: It is possible that an interested
party may have a specific information need and not be able to determine
from the listed information whether the issuance or regulation would
fulfill that need. Consequently, we are providing information contact
persons to answer general questions concerning these items. Copies are
not available through the contact persons. (See Section III of this
notice for how to obtain listed material.)
Questions concerning items in Addendum III may be addressed to
Timothy Jennings, Office of Strategic Operations and Regulatory
Affairs, Centers for Medicare & Medicaid Services, C4-26-05, 7500
Security Boulevard, Baltimore, MD 21244-1850, or you can call (410)
786-2134.
Questions concerning Medicare NCDs in Addendum V may be addressed
to Patricia Brocato-Simons, Office of Clinical Standards and Quality,
Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security
Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-0261.
Questions concerning FDA-approved Category B IDE numbers listed in
Addendum VI may be addressed to Eileen Davidson, Office of Clinical
Standards and Quality, Centers for Medicare & Medicaid Services, S3-26-
10, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call
(410) 786-6874.
Questions concerning approval numbers for collections of
information in Addendum VII may be addressed to Dawn Willinghan, Office
of Strategic Operations and Regulatory Affairs, Regulations Development
and Issuances Group, Centers for Medicare & Medicaid Services, C5-09-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call
(410) 786-6141.
Questions concerning all other information may be addressed to
Margaret Teeters, Office of Strategic Operations and Regulatory
Affairs, Regulations Development Group, Centers for Medicare & Medicaid
Services, C5-13-18, 7500 Security Boulevard, Baltimore, MD 21244-1850,
or you can call (410) 786-4678.
SUPPLEMENTARY INFORMATION:
I. Program Issuances
The Centers for Medicare & Medicaid Services (CMS) is responsible
for administering the Medicare and Medicaid programs. These programs
pay for health care and related services for 39 million Medicare
beneficiaries and 35 million Medicaid recipients. Administration of the
two programs involves (1) furnishing information to Medicare
beneficiaries and Medicaid recipients, health care providers, and the
public and (2) maintaining effective communications with regional
offices, State governments, State Medicaid agencies, State survey
agencies, various providers of health care, all Medicare contractors
that process claims and pay bills, and others. To implement the various
statutes on which the programs are based, we issue regulations under
the authority granted to the Secretary of the Department of Health and
Human Services under sections 1102, 1871, 1902, and related provisions
of the Social Security Act (the Act). We also issue various manuals,
memoranda, and statements necessary to administer the programs
efficiently.
Section 1871(c)(1) of the Act requires that we publish a list of
all Medicare manual instructions, interpretive rules, statements of
policy, and guidelines of general applicability not issued as
regulations at least every 3 months in the Federal Register. We
published our first notice June 9, 1988 (53 FR 21730). Although we are
not mandated to do so by statute, for the sake of completeness of the
listing of operational and policy statements, and to foster more open
and transparent collaboration, we are continuing our practice of
including Medicare substantive and interpretive regulations (proposed
and final) published during the respective 3-month time frame.
II. How To Use the Addenda
This notice is organized so that a reader may review the subjects
of manual issuances, memoranda, substantive and interpretive
regulations, NCDs, and FDA-approved IDEs published during the subject
quarter to determine whether any are of particular interest. We expect
this notice to be used in concert with previously
[[Page 9339]]
published notices. Those unfamiliar with a description of our Medicare
manuals may wish to review Table I of our first three notices (53 FR
21730, 53 FR 36891, and 53 FR 50577) published in 1988, and the notice
published March 31, 1993 (58 FR 16837). Those desiring information on
the Medicare NCD Manual (NCDM, formerly the Medicare Coverage Issues
Manual (CIM)) may wish to review the August 21, 1989, publication (54
FR 34555). Those interested in the revised process used in making NCDs
under the Medicare program may review the September 26, 2003,
publication (68 FR 55634).
To aid the reader, we have organized and divided this current
listing into six addenda:
Addendum I lists the publication dates of the most recent
quarterly listings of program issuances.
Addendum II identifies previous Federal Register documents
that contain a description of all previously published CMS Medicare and
Medicaid manuals and memoranda.
Addendum III lists a unique CMS transmittal number for
each instruction in our manuals or Program Memoranda and its subject
matter. A transmittal may consist of a single or multiple
instruction(s). Often, it is necessary to use information in a
transmittal in conjunction with information currently in the manuals.
Addendum IV lists all substantive and interpretive
Medicare and Medicaid regulations and general notices published in the
Federal Register during the quarter covered by this notice. For each
item, we list the--
--Date published;
--Federal Register citation;
--Parts of the Code of Federal Regulations (CFR) that have changed (if
applicable);
--Agency file code number; and
--Title of the regulation.
Addendum V includes completed NCDs, or reconsiderations of
completed NCDs, from the quarter covered by this notice. Completed
decisions are identified by the section of the NCDM in which the
decision appears, the title, the date the publication was issued, and
the effective date of the decision.
Addendum VI includes listings of the FDA-approved IDE
categorizations, using the IDE numbers the FDA assigns. The listings
are organized according to the categories to which the device numbers
are assigned (that is, Category A or Category B), and identified by the
IDE number.
Addendum VII includes listings of all approval numbers
from the Office of Management and Budget (OMB) for collections of
information in CMS regulations in title 42; title 45, subchapter C; and
title 20 of the CFR.
III. How To Obtain Listed Material
A. Manuals
Those wishing to subscribe to program manuals should contact either
the Government Printing Office (GPO) or the National Technical
Information Service (NTIS) at the following addresses: Superintendent
of Documents, Government Printing Office, ATTN: New Orders, P.O. Box
371954, Pittsburgh, PA 15250-7954, Telephone (202) 512-1800, Fax number
(202) 512-2250 (for credit card orders); or National Technical
Information Service, Department of Commerce, 5825 Port Royal Road,
Springfield, VA 22161, Telephone (703) 487-4630.
In addition, individual manual transmittals and Program Memoranda
listed in this notice can be purchased from NTIS. Interested parties
should identify the transmittal(s) they want. GPO or NTIS can give
complete details on how to obtain the publications they sell.
Additionally, most manuals are available at the following Internet
address: http://cms.hhs.gov/manuals/default.asp.
B. Regulations and Notices
Regulations and notices are published in the daily Federal
Register. Interested individuals may purchase individual copies or
subscribe to the Federal Register by contacting the GPO at the address
given above. When ordering individual copies, it is necessary to cite
either the date of publication or the volume number and page number.
The Federal Register is also available on 24x microfiche and as an
online database through GPO Access. The online database is updated by 6
a.m. each day the Federal Register is published. The database includes
both text and graphics from Volume 59, Number 1 (January 2, 1994)
forward. Free public access is available on a Wide Area Information
Server (WAIS) through the Internet and via asynchronous dial-in.
Internet users can access the database by using the World Wide Web; the
Superintendent of Documents home page address is http://www.gpoaccess.gov/fr/index.html, by using local WAIS client software,
or by telnet to swais.gpoaccess.gov, then log in as guest (no password
required). Dial-in users should use communications software and modem
to call (202) 512-1661; type swais, then log in as guest (no password
required).
C. Rulings
We publish rulings on an infrequent basis. Interested individuals
can obtain copies from the nearest CMS Regional Office or review them
at the nearest regional depository library. We have, on occasion,
published rulings in the Federal Register. Rulings, beginning with
those released in 1995, are available online, through the CMS Home
Page. The Internet address is http://cms.hhs.gov/rulings.
D. CMS' Compact Disk-Read Only Memory (CD-ROM)
Our laws, regulations, and manuals are also available on CD-ROM and
may be purchased from GPO or NTIS on a subscription or single copy
basis. The Superintendent of Documents list ID is HCLRM, and the stock
number is 717-139-00000-3. The following material is on the CD-ROM
disk:
Titles XI, XVIII, and XIX of the Act.
CMS-related regulations.
CMS manuals and monthly revisions.
CMS program memoranda.
The titles of the Compilation of the Social Security Laws are
current as of January 1, 1999. (Updated titles of the Social Security
Laws are available on the Internet at http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.) The remaining portions of CD-ROM are updated on a
monthly basis.
Because of complaints about the unreadability of the Appendices
(Interpretive Guidelines) in the State Operations Manual (SOM), as of
March 1995, we deleted these appendices from CD-ROM. We intend to re-
visit this issue in the near future and, with the aid of newer
technology, we may again be able to include the appendices on CD-ROM.
Any cost report forms incorporated in the manuals are included on
the CD-ROM disk as LOTUS files. LOTUS software is needed to view the
reports once the files have been copied to a personal computer disk.
IV. How To Review Listed Material
Transmittals or Program Memoranda can be reviewed at a local
Federal Depository Library (FDL). Under the FDL program, government
publications are sent to approximately 1,400 designated libraries
throughout the United States. Some FDLs may have arrangements to
transfer material to a local library not designated as an FDL. Contact
any library to locate the nearest FDL.
In addition, individuals may contact regional depository libraries
that receive and retain at least one copy of most
[[Page 9340]]
Federal Government publications, either in printed or microfilm form,
for use by the general public. These libraries provide reference
services and interlibrary loans; however, they are not sales outlets.
Individuals may obtain information about the location of the nearest
regional depository library from any library. For each CMS publication
listed in Addendum III, CMS publication and transmittal numbers are
shown. To help FDLs locate the materials, use the CMS publication and
transmittal numbers. For example, to find the Medicare NCD publication
titled ``Treatment of Obesity,'' use CMS-Pub. 100-03, Transmittal No.
23.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714,
Medical Assistance Program)
Dated: February 14, 2005.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.
Addendum I
This addendum lists the publication dates of the most recent
quarterly listings of program issuances.
September 27, 2002 (67 FR 61130); December 27, 2002 (67 FR 79109);
March 28, 2003 (68 FR 15196); June 27, 2003 (68 FR 38359); September
26, 2003 (68 FR 55618); December 24, 2003 (68 FR 74590); March 26, 2004
(69 FR 15837); June 25, 2004 (69 FR 35634); September 24, 2004 (69 FR
57312); and December 30, 2004 (69 FR 78428).
Addendum II--Description of Manuals, Memoranda, and CMS Rulings
An extensive descriptive listing of Medicare manuals and memoranda
was published on June 9, 1988, at 53 FR 21730 and supplemented on
September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR
50577. Also, a complete description of the former CIM (now the NCDM)
was published on August 21, 1989, at 54 FR 34555. A brief description
of the various Medicaid manuals and memoranda that we maintain was
published on October 16, 1992, at 57 FR 47468.
Addendum III--Medicare and Medicaid Manual Instructions
[October Through December 2004]
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Transmittal No. Manual/Subject/Publication Number
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Medicare General Information (CMS-Pub. 100-01)
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11....................... Manual Revision Regarding Waiver of Annual
Deductible and Coinsurance for Both
Ambulatory Surgery Center Facility, and
Ambulatory Surgery Center/Hospital
Outpatient Department Physician Services
Exceptions to Annual Deductible and
Coinsurance.
12....................... New Policy and Refinements on Billing Non-
covered Charges to Fiscal Intermediaries.
Applications of Deductible and Coinsurance in
Liability and Indemnification Situations.
13....................... Medicare Termination of Beneficiaries With
End-Stage Renal Disease.
14....................... Scheduled Release for January Updates to
Software Programs and Coding/Files.
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Medicare Benefit Policy (CMS-Pub. 100-02)
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23....................... Revised Requirements for Chiropractic Billing
of Active/Corrective Treatment And
Maintenance Therapy Full Replacement of CR
3063
Chiropractor's Services.
Necessity of Treatment.
Treatment Parameters.
24....................... Revision of Sec. 300.5.1, Chapter 15 of the
Medicare Benefit Policy Manual to Include
22x Type of Bill for Diabetes Self-
Management Training.
Special Claims Processing Instructions for
Fiscal Intermediary.
25....................... Implementation of Coverage of Religious
Nonmedical Health Care.
Institution Items and Services Furnished in
the Home, Medicare Modernization Act Section
706.
Coverage of Religious Nonmedical Health Care
Institution Items and Services Furnished in
the Home.
Coverage and Payment of Durable Medical
Equipment aUnder the Religious Nonmedical
Health Care Institution Home Benefit.
Coverage and Payment of Home Visits Under the
Religious Nonmedical Health Care Institution
Home Benefit.
26....................... Inclusion of Forteo as a Covered Osteoporosis
Drug and Clarification of Manual.
Instructions Regarding Osteoporosis Drugs.
Medical Supplies (Except for Drugs and
Biologicals Other Than Covered Osteoporosis
Drugs) and the Use of Durable Medical
Equipment.
Covered Osteoporosis Drugs.
27....................... New End-Stage Renal Disease Composite Payment
Rates Effective January 1, 2005.
28....................... Hospice Pre-Election Evaluation and
Counseling Services.
Documentation.
Payment.
--------------------------
Medicare National Coverage Determinations (CMS-Pub. 100-03)
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22....................... This Transmittal has been rescinded and
replaced with Transmittal 25.
23....................... Treatment of Obesity.
24....................... Dementia and Neurodegenerative Diseases.
25....................... Percutaneous Transluminal Angioplasty.
26....................... Electrocardiographic Services.
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Medicare Claims Processing (CMS-Pub. 100-04)
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305...................... Disabling the Common Working File 57x3
Consistency Error Code.
306...................... Full Replacement of CR 3415, 3rd Update to
the 2004 Medicare Physician Fee Database.
307...................... This Transmittal has been rescinded and
replaced with Transmittal 314.
[[Page 9341]]
308...................... Two New Medicare Summary Notice (MSN)
Messages for Parenteral Pumps-DMERC Only.
Durable Medical Equipment.
309...................... Fiscal Year 2005 Inpatient Prospective
Payment System, Long Term Care.
Hospital and Other Bill Processing Changes
Related to the Inpatient.
Prospective Payment System Final Rule.
310...................... Billing Requirements for Positron Emission
Tomography Scans for Dementia and
Neurodegenerative Diseases.
Billing Instructions.
Positron Emission Tomography Scan Qualifying
Conditions and Healthcare.
Common Procedure Coding System Code Chart.
Coverage for Positron Emission Tomography
Scans for Dementia and Neurodegenerative
Disease.
311...................... Instructions for Completion of Form CMS-1450.
Health Insurance Portability and
Accountability Act Health Care and
Coordination of Benefits.
Coordination of Benefits.
General Instructions for Completion of Form
CMS--1450 for Billing.
312...................... Issued to a specific audience, not posted to
Internet/Intranet due to confidentiality of
instruction.
313...................... Remittance Advice Remark Code and Claim
Adjustment Reason Code Update.
314...................... Percutaneous Transluminal Angioplasty.
315...................... Temporary Change in Carrier Jurisdictional
Pricing Rules for Purchased Diagnostic
Services.
316...................... Clarification of Messages in Chapter 1,
Section 10.1.1.1 to Match Official Listing
on the WPC-Electronic Data Interchange Web
Site.
Claims Processing Instructions for Payment
Jurisdiction for Claims Received on or After
April 1, 2004.
317...................... Clarification to Chapter 26 of the Internet
Only Manual.
Patient and Insured Information.
Provider of Service or Supplier Information.
318...................... Clarification of CR 3176--Payment Amounts for
End-Stage Renal Disease Drug.
Administration Supplies: Healthcare Common
Procedure Coding System A4657 and A4913.
319...................... Comprehensive Outpatient Rehabilitation
Facility/Outpatient Physical Therapy.
Edit for Billing Inappropriate Supplies.
320...................... Reminder Notice of the Implementation of the
Ambulance Transition.
Schedule.
321...................... Instructions for Downloading the Medicare Zip
Code File.
322...................... Release Medlearn Article for Change Request
CR 2813 End-Stage Renal Disease
Reimbursement for Automated Multi-Channel
Chemistry Test(s).
323...................... Update Regarding the Use of American Dental
Association's (ADA) Current Dental
Terminology Codes on Medicare Contractor's
Web Sites and Other Electronic Media.
Displaying Material With Content Development
Team Codes.
Use of Content Development Team Nomenclature
and Descriptors.
American Dental Association Copyright Notice.
Point and Click License, and Shrink Wrap
License.
Samples of Content Development Team
Nomenclature and Descriptors.
324...................... Quarterly Update to Correct Coding Initiative
(CCI) edits, Version 11.0, Effective January
1, 2005.
325...................... New Waived Tests--January 1, 2005.
326...................... Invalid Diagnosis Code Editing--Second Phase.
327...................... This Transmittal has been rescinded and
replaced with Transmittal 374.
328...................... 2005 Annual Update for Skilled Nursing
Facility Consolidated Billing for the Common
Working File and Medicare Carriers.
329...................... Durable Medical Equipment Regional Carrier
Only--Payment to Providers/Suppliers
Qualified To Bill Medicare for Prosthetics
and Certain Custom-Fabricated Orthotics.
Provider Billing for Prosthetics and Orthotic
Services.
330...................... Durable Medical Equipment Carrier--
Beneficiary Submitted Claims, Process First
Claim.
General Billing for DME, Prosthetics,
Orthotic Devices, and Supplies.
331...................... Durable Medical Equipment Carrier--
Beneficiary Submitted Claims, Process First
Claim.
332...................... New Policy and Refinements on Billing
Noncovered Charges to Fiscal Intermediaries.
Provider Billing of Noncovered Charges to
Fiscal Intermediaries.
General Information on Institutional
Noncovered Charges Prior to Billing.
Provider-Liable Fully Noncovered Outpatient
Claims.
Summary of All Types of Institutional No
Payment Claims.
General Operational Information on
Institutional Noncovered Charges.
Noncovered Charges on Institutional Demand
Bills.
Traditional Demand Bills.
Summary of Methods for Institutional Demand
Billing.
Line-Item Modifiers Related to Reporting of
Noncovered Charges When Covered and
Noncovered Services Are on the Same
Institutional Claim.
Clarifying Institutional Instructions for
Outpatient Therapies Billed As Noncovered,
on Other Than Hold Harmless Prospective
Payment System Claims, and for Critical
Access Hospitals Billing the Same Health
Common.
Procedure Coding System Requiring Specific
Time Increments.
Instructions for Noncovered Charges on
Institutional Ambulance Claims.
Clarification on Notice Requirements Related
to Billing Noncovered Charges for
``Bundled'' Institutional Benefits:
Laboratory and Rural Health Clinic/Federally
Qualified Health Clinic.
333...................... Issued to a specific audience, not posted to
the Internet/Intranet due to the
confidentiality of instruction.
334...................... Payment of Beneficiary Submitted Flu Claims
and Flu Claims Submitted by Non-Enrolled
Providers.
335...................... This Transmittal has been rescinded and
replaced with Transmittal 400.
[[Page 9342]]
336...................... Indian Health Service or Tribal Hospitals
including Critical Access Hospital.
Payment Methodology for Inpatient Social
Admissions and Outpatient Services Occurring
During Concurrent Stays.
Indian Health Service/Tribal Hospital
Inpatient Social Admits.
337...................... Change in Hospital Type of Bill for Billing
Diagnostic and Screening Mammographies.
Mammography Services.
Computer-Aided Detection Add-On Codes.
Billing Requirements--Fiscal Intermediary
Claims.
Rural Health Clinic/Federally Qualified
Health Center Claims With Dates of Service
Prior to January 1, 2002.
Rural Health Clinic/Federally Qualified
Health Center Claims With Dates of Service
on or After January 1, 2002.
Fiscal Intermediary Requirements for
Nondigital Screening Mammographies.
Mammograms Performed With New Technologies.
338...................... Removal of the Skilled Nursing Facility No
Pay File.
339...................... Issued to a specific audience, not posted to
the Internet/Intranet due to the Sensitivity
of Instruction.
340...................... Annual Update of Healthcare Common Procedure
Coding System Codes Used for Home Health
Consolidated Billing Enforcement.
341...................... Implementation of the Medicare Physician Fee
Schedule (MPFS) National Abstract File for
Purchased Diagnostic Tests and
Interpretations.
Payment Jurisdiction Among Local Carriers for
Services Paid Under the Physician Fee
Schedule and Anesthesia Services.
Payment Jurisdiction for Purchased Services.
Payment to Physician or Other Supplier for
Purchased Diagnostic Tests--Claims Submitted
to Carriers.
Payment to Supplier of Diagnostic Tests for
Purchased Interpretations.
Abstract File for Purchased Diagnostic Tests/
Interpretations.
342...................... Change to the Common Working File Skilled
Nursing Facility Consolidated.
Edits for Ambulance Transports to or From a
Diagnostic or Therapeutic Site Ambulance
Services.
Skilled Nursing Facility Billing.
343...................... Clarification: Modifiers for Transportation
of Portable X-rays.
Transportation Component.
344...................... Update of Healthcare Common Procedure Coding
System Codes and File Names, Descriptions
and Instructions for Retrieving the 2005
Ambulatory Surgery.
Center Healthcare Common Procedure Coding
System Deletions and Master Listing.
345...................... This Transmittal is rescinded and replaced
with Transmittal 353.
346...................... This Transmittal is rescinded and replaced
with Transmittal 352.
347...................... Inpatient Rehabilitation Facility
Classification Requirements.
Medicare Inpatient Rehabilitation Facility
Classification Requirements.
Criteria That Must Be Met By Inpatient
Rehabilitation Hospitals.
Verification Process To Be Used To Determine
if the Inpatient Rehabilitation.
Facility Met the Classification Criteria.
Verification of Compliance Using
International Classification of Disease 9th
Edition Clinical Modification and Impairment
Group Codes.
348...................... January 2005 Quarterly Average Sales Price
(ASP) Medicare Part B Drug Pricing File,
Effective January 1, 2005.
349...................... This Transmittal is rescinded and replaced
with Transmittal 359.
350...................... Editing for Part B Carriers and Durable
Medical Equipment Regional Carriers for
Duplicate Claims in Process at the Same
Time.
351...................... Editing of Hospitals and Skilled Nursing
Facilities Part B Inpatient Services.
352...................... Three Places After the Decimal Point for
Application Service Provider Drug File.
353...................... Durable Medical Equipment Regional Carrier--
Revision to CR 2631.
Requirements for Durable Medical Equipment
Regional Carrier Claims.
Claims Processing Instructions for Payment
Jurisdiction for Claims Received on or After
April 1, 2004--Durable Medical Equipment
Regional Carrier Only.
354...................... DMERC--Beneficiary Submitted Claims, Process
First Claim.
355...................... This Transmittal has been rescinded and
replaced with Transmittal 375.
356...................... This Transmittal has been rescinded and
replaced with Transmittal 376.
357...................... Implementation of Coverage of Religious
Nonmedical Health Care Institution.
Items and Services Furnished in the Home, MMA
section 706.
Noncovered Charges on Outpatient Bills.
Billing and Payment of Religious Nonmedical
Health Care Institution Items and Services
Furnished in the Home.
Inclusion of Forteo As a Covered Osteoporosis
Drug and Clarification of Manual
Instructions Regarding Osteoporosis Drugs.
Osteoporosis Injections as Home Health Agency
Benefit.
358...................... This Transmittal replaces Transmittal 349.
359...................... Annual Update of Healthcare Common Procedure
Coding System Codes for Skilled Nursing
Facility Consolidated Billing.
360...................... Medicare Modernization Act Drug Pricing
Update--Payment Limit for
J0207.(Amifostine).
361...................... Update to the Prospective Payment System for
Home Health Agencies for Calendar Year 2005.
Annual Updates to the Home Health Pricer.
362...................... 2005 Annual Update for Clinical Laboratory
Fee Schedule and Laboratory Services Subject
to Reasonable Charge Payment.
363...................... Common Working File Editing for the Initial
Preventive Physical Examination.
364...................... Issued to a specific audience, not posted to
Internet/Intranet due to the confidentiality
of instruction.
365...................... Issued to a specific audience, not posted to
Internet/Intranet due to the confidentiality
of instruction.
366...................... This Transmittal has been rescinded and
replaced with Transmittal 425.
367...................... Instructions for Completion of Form CMS-1450.
368...................... Fee Schedule Update for 2005 for Durable
Medical Equipment, Prosthetics, Orthotics,
and Supplies.
369...................... New Case-Mix Adjusted End-Stage Renal Disease
(ESRD) Composite.
[[Page 9343]]
Payment Rates and New Composite Rate
Exceptions Window for Pediatric.
ESRD Facilities.
Outpatient Provider Specific File.
Calculation of Case Mix Adjusted Composite
Rate.
Required Information for In-Facility Claims
Paid Under the Composite Rate.
370...................... Updated Billing Instructions for Rural Health
Clinics and Federally Qualified.
Health Centers.
General Billing Requirements.
Special Federally Qualified Health Centers
Requirements.
Reporting of Preventive Services in the
Federally Qualified Health Centers.
Benefit by Independent Federally Qualified
Health Centers.
Reporting of Specific Healthcare Common
Procedure Coding System Codes for Hospital-
based Federally Qualified Health Centers.
General Billing Requirements for Preventive
Services.
Bills Submitted to Fiscal Intermediary.
Special Instructions for Independent and
Provider-Based Rural Health Clinics/
Federally Qualified Health Centers.
Claims Submitted to Intermediaries for Mass
Immunizations of Influenza and
Pneumococcal Pneumonia Vaccine
Payment for Computer Add-on Diagnostic and
Screening Mammograms for Fiscal Intermediary
and Carriers.
Rural Health Centers/Federally Qualified
Health Centers Claims With Dates of Service
Prior to January 1, 2002.
Rural Health Centers/Federally Qualified
Health Centers Claims With Dates of Service
on or After January 1, 2002.
Healthcare Common Procedure Coding Codes for
Billing.
Additional Coding Applicable to Claims
Submitted to Fiscal Intermediary.
Special Billing Instructions for Rural Health
Centers and Federally Qualified.
Health Centers.
Electrical Stimulation.
Electromagnetic Therapy.
371...................... Payment for Referred Laboratory Automated
Multi-Channel Chemistry Tests.
Claims Processing Requirements for Panel and
Profile Tests.
History Display.
372...................... New End-Stage Renal Disease Composite Payment
Rates Effective Lanuary 1, 2005.
Publication of Composite Rates.
Determining Individual Facility Composite
Rate.
Required Information for In-Facility Claims
Paid Under the Composite Rate.
Epoetin Alfa.
Epoetin Alfa Facility Billing Requirement
Using UB-92/Form CMS-1450.
Payment Amount for Epoetin Alfa.
Epoetin Alfa Provided in the Hospital
Outpatient Departments.
Darbepoetin Alfa for End-Stage Renal Disease
Patients.
373...................... Clarification to IOM Chapter 17, Section 80.4
Regarding Claims for Blood Clotting Factors.
Billing for Blood Clotting Factors.
374...................... This Transmittal has been rescinded and
replaced with 388.
375...................... This Transmittal has been rescinded and
replaced with 389.
376...................... Hospital Outpatient Prospective Payment
System: Misclassified Drugs and Biologicals,
Ganciclovir Long Act Implant, Beg Live
Intravesical Vac, and Gallium ga 67;
Adjustments Due to Misclassification.
377...................... Full Replacement of CR 3308, Fiscal
Intermediary Shared System Changes To Allow
for Provider Liability Days on Skilled
Nursing Facility and Swing Bed Facility
Inpatient Bills.
Billing Skilled Nursing Facility Prospective
Payment System Services.
Provider Liability Instructions.
378...................... Low Osmolar Contrast Material/Laboratory
Tests/Payment for Inpatient Servces.
Furnished by a Critical Access Hospital.
Payment for Inpatient Services Furnished by a
Critical Access Hospital.
Standard Method--Cost Based Facility
Services, With Billing of Carrier for
Professional Services.
Clinical Diagnostic Laboratory Tests
Furnished by Critical Access Hospitals.
379...................... Changes to the Laboratory National Coverage
Determination Edit Software for January
2005.
380...................... Revisions and Corrections to Chapter 29 of
the IOM, Claims Processing Manual--Appeals.
CMS Decisions Subject to the Administrative
Appeals Process.
Who May Appeal.
Provider or Supplier Appeals When the
Beneficiary Is Deceased.
Where To Appeal and Initial Determinations.
Social Security Office.
Part A Fiscal Intermediary.
Providers Right To Appeal Certain Initial
Determinations.
Part B Carrier (or Fiscal Intermediary Acting
As a Carrier).
Quality Improvement Organization.
Time Limits for Filing Appeals.
Amount in Controversy Requirements.
Limitation on Liability.
Part A Appeals Procedures.
Finding Good Cause for Late Filing of Part A
Redetermination.
General.
[[Page 9344]]
Establishment of Time Limits for Filing.
Conditions Which Establish Good Cause.
Procedures To Establish Good Cause.
Examples of Situations Where Good Cause
Exists.
Where Good Cause Is Not Found.
Redetermination of a Part A Payment
Determination.
Place and Manner of Filing Requests for
Redeterminations and What Constitutes a
Request for Redetermination.
Evaluating the Evidence and Making the
Redetermination.
Preparing the Determination.
Completing the Determination.
Notice of Further Appeal Rights.
Preventing Duplicate Payment in Reversal
Cases.
Effectuating Favorable Final Appellate
Decisions That a Beneficiary Is ``Confined
To Home''--Regional Home Health
Intermediaries Only.
Model Medicare Redetermination Notice.
Request for Hearing Under Part A.
Right to Representation Under Part A.
Reconsiderations, Hearings, and Appeals Where
a Quality Improvement.
Organization Has Review Responsibility.
Reconsiderations.
Hearings.
Appeals of Institutional Supplementary
Medical Insurance (Part B) Claim Decisions.
Appeals by Hospitals of Diagnosis Related
Group Assignments Under Prospective Payment
System--Review of Initial Diagnosis Related
Group Assignments.
Part B Appeals Procedures for Fiscal
Intermediaries and Administrative Law Judge
Instructions for Fiscal Intermediaries
Redetermination and Hearing Officer (HO)
Hearing Supplemental Medical Insurance.
Redetermination.
What Constitutes a Request for
Redetermination & Handling Beneficiary
Inquiries.
Elements of a Redetermination.
Requests for Hearing.
Preparation for the Hearing.
In-Person and Telephone Hearing Procedures.
Request for Hearing Before an Administrative
Law Judge.
Scope and Effect of Office of Hearings &
Appeals, Social Security.
Administration Administrative Law Judge
Decisions Under Part A.
Determining the Amount in Controversy for
Administrative Law Judge Hearing.
Requests Filed With Social Security
Administration.
Requests Filed With the Fiscal Intermediary.
Action on Incoming Requests for
Administrative Law Judge Hearing.
Requests for Claim File (Sent by Hearing
Office).
Examination of Claim File.
Prehearing Case Redetermination.
Routing the Administrative Law Judge Hearing
Claim File.
Effectuating Decisions.
Effectuating Favorable Final Appellate
Decisions That a Beneficiary Is ``Confined
To Home''--Regional Home Health
Intermediaries Only.Effectuation of Reversal
of Decision Where There Was Subsequent
Utilization of Benefits in the Same Benefit
Period.
Effect of Court Decisions.
Standard Exhibits Referred to in Sections
40.5-50.7.
Part B Appeals Procedures--Carriers.
Initial Determinations.
Steps in the Appeals Process: Overview.
Fiscal Intermediary and Carrier
Correspondence With Beneficiaries or Other
Parties Regarding Appeals.
Appointment of Representative--Introduction.
Who May Be a Representative.
How To Make and Revoke an Appointment.
Rights and Responsibilities of a
Representative.
Timeliness of an Appeal Request and
Completeness of Appointment.
Incapacitation of Death of Beneficiary.
Disclosure of Individually Identifiable
Beneficiary Information to Amount in
Controversy--General Requirements.
Additional Considerations for Calculation of
the Amount in Controversy.
Aggregation of Claims to Meet the Amount in
Controversy.
General Procedure To Establish Good Cause.
Good Cause Not Found for Beneficiary, or for
Provider, Physician, or Other Supplier.
General Guidelines.
Letter Format.
How To Establish Reading Level.
Required Elements in Appeals Correspondence.
Disclosure of Information to Third Parties.
Fraud and Abuse Investigations.
Medical Consultants Used.
[[Page 9345]]
Multiple Beneficiaries.
Redetermination--The First Level of Appeal.
Filing a Request for Redetermination.
Time Limit for Filing a Request for
Redetermination.
The Redetermination.
The Redetermination Determination.
Redetermination Determination.
Informing the Beneficiary and Provider
Communities About the Telephone.
Redetermination Process.
Redetermination Determination Letters.
Hearing Officer Hearing--The Second Level of
Appeal.
Time Limit for Filing a Request for a Hearing
Officer Hearing.
Request for a Hearing Officer Hearing Filed
Prior to a Redetermination.
Timely Processing Requirements.
Contractor Responsibilities--General.
Requests for Transfer of In-Person Hearing.
Acknowledgment of Request for a Hearing
Officer Hearing.
Case File Development.
In-Person Hearing.
Telephone Hearing.
Qualifications and General Responsibilities.
Preparation for the Hearing Officer Hearing.
Scheduling the Date, Time and Place of
Hearing.
Pre-Hearing Review of the Evidence.
Forwarding Copy of Case File Prior to
Telephone Hearing.
The Hearing Officer Hearing Decision
Timeliness.
Delaying Effectuation.
Hearing Officer Reply to Reopening Request.
Requests for Part B Administrative Law Judge
Hearing.
Forwarding Request to Social Security
Administration/Office of Hearings & Appeals.
Case File Preparation.
Effectuation Time Limits.
Requests for Case Files.
Part A and Part B Quality Improvement and
Data Analysis Activities.
Workload Data Analysis Program.
Quality Improvement Activities.
Submitting Summary Reports to CMS.
Managing Appeals Workloads.
Standard Operating Procedures.
Execution of Workload Prioritization.
Workload Priorities.
Reopening and Revision of Claim
Determinations and Decisions.
Development of Appeals.
How Issues May Arise.
Summary of Conditional Under Which a
Determination or Decision May Be Reopened.
Determining Date of Initial or Appeal
Determination or Decision.
Who May Reopen an Initial Appeal
Determination or Decision.
Actions to Permit Reopening Within the 1 Year
or 4 Year Period.
Good Cause for Reopening.
Definitions.
Unrestricted Reopening.
Reopening an Initial Determination.
Reopening a Redetermination or
Redetermination Determination.
Reopening a Hearing Officer Hearing Decision.
Notice of Results of Reopening.
Exception to Sending Notice of Revision to
Parties--Cases Involving Limitation of
Recovery for Beneficiary.
Refusal to Reopen Is Not an ``Initial
Determination''.
Revised Determination or Decision.
382...................... Independent Laboratory Billing for the
Technical Component (TC) of Physician
Pathology Services to Hospital Patients.
Payment for Pathology Services.
383...................... This revision rescinded Transmittal.
384...................... Inpatient Psychiatric Facility Prospective
Payment System.
385...................... January 2005 Update of the Hospital
Outpatient Prospective Payment System.
Summary of Outpatient Prospective Payment
System Outpatient Code Editor.
Data Changes and Outpatient Prospective
Payment System Pricer Logic.
Changes; Changes to Payment for Diagnostic
Mammography.
386...................... Hospice Pre-election Evaluation and
Counseling Services.
387...................... This instruction is to inform the fiscal
intermediaries that the January 2005.
Outpatient Prospective Payment System
Outpatient Code Editor Specifications have
been updated with new additions, changes,
and deletions.
388...................... Issued to a specific audience, not posted to
Internet/Intranet due to confidentiality of
instruction.
[[Page 9346]]
389...................... Issued to a specific audience, not posted to
Internet/Intranet due to confidentiality of
instruction.
390...................... Announcement of Medicare Rural Health Clinics
and Federally Qualified Health Centers
Payment Rate Increase--Skilled Nursing
Facility Consolidated.Billing As It Applies
to Rural Health Clinics and Federally
Qualified Health.Center Services.
391...................... Issued to a specific audience, not posted to
Internet/Intranet due to confidentiality of
instruction.
392...................... The Supplemental Security Income Medicare
Beneficiary Data for Fiscal Year 2003 for
Inpatient Rehabilitation Facility
Prospective Payment System.
LIP Adjustment: The Supplemental Security
Income Medicare Beneficiary Data for
Inpatient Rehabilitation Facility Paid Under
Prospective Payment System.
393...................... ZThis revision is rescinded and replaced with
revision 401.
394...................... This revision is rescinded and replaced with
revision 396.
395...................... Ambulance Fee Schedule--Medical Conditions
List.
396...................... New Dispensing/Supply Fee Codes for Oral Anti-
Cancer, Oral Anti-Emetic, Immunosuppressive,
and Inhalation Drugs.
Pharmacy Supply Fee.
397...................... Durable Medical Equipment Regional Carrier /
Local Carriers/Statistical.
Analysis Durable Medical Equipment Regional
Carrier--Drug Pricing.
Limits as of January 1, 2005.
Payment Rules for Drugs and Biologicals.
Medicare Modernization Act Drug Pricing--
Average Sales Price.
Single Drug Pricer.
Calculation of the Payment Allowance Limit
for Durable Medical Equipment.
Regional Carriers Drugs.
Calculation of the Average Wholesale Price.
Detailed Procedures for Determining Average
Wholesale Prices and the Drug.Payment
Allowable Limits.
Background.
Review of Sources for Medicare Covered Drugs
and Biologicals.
Use of Generics.
Find the Strength and Dosage.
Restrictions.
Inherent Reasonableness for Drugs and
Biologicals.
Injection Services.
Injections Furnished to End-Stage Renal
Disease Beneficiaries.
398...................... Issued to a specific audience, not posted to
Internet/Intranet due to confidentiality of
instruction.
399...................... Expansion of the Existing Interrupted Stay
Policy Under Long Term Care.
Hospital Prospective Payment System.
400...................... Incorrect Reporting of Miles Time Units
Services Indicator When Drugs are Billed
Using a National Drug Code.
Miles/Times/Units/Services.
Methodology of Coding Number of Services,
Miles Times Units Services.
Count and Miles Times Units Services
Indicator Fields.
401...................... 2005 Part B Deductible Update to the Back
Page of Medicare Summary Notices.
Back of the Medicare Summary Notices--
Carriers and Intermediaries.
402...................... January Update to the Medicare Outpatient
Code Editor Version 20.1 for Bills from
Hospitals That Are Not Paid Under the
Outpatient Prospective Payment System.
403...................... January 2005 Update of the Hospital
Outpatient Prospective Payment System:
Billing Devices That Do Not Have
Transitional Pass-Through Status, and That
Are Not Classified As New Technology
Ambulatory Payment Classification Groups.
Requirements That Hospitals Report Device
Codes on Claims on Which They Report
Specified Procedures.
Edits for Claims On Which Specified
Procedures Are To Be Reported With Device.
Codes.
404...................... January 2005 Update of the Hospital
Outpatient Prospective Payment System:
Changes to Coding and Payment for Drug
Administration.
Billing and Payment for Drugs and
Biologicals.
Coding and Payment for Drug Administration.
405...................... Emergency Change to Carrier Instructions for
the End-Stage Renal Disease.
50/50 Rule Implementation.
406...................... Update to Health Care Claims Status Category
Codes and Health Care Claim Status Codes for
Use With the Health Care Claim Status
Request and Response ASC X12N 276/277.
407...................... Hospital Billing for Repetitive Services.
Inpatient Billing From Hospitals and Skilled
Nursing Facilities.
Frequency of Billing for Outpatient Services
to Fiscal Intermediaries.
Hospital and Community Mental Health Center
Reporting Requirements for Services
Performed on the Same Day.
408...................... Cardiovascular Disease Screening.
Healthcare Common Procedure Coding System
Coding for Cardiovascular Screening.
Carrier Billing Requirements.
Fiscal Intermediary Billing Requirements.
Diagnosis Code Reporting.
Medicare Summary Notices.
Remittance Advice Remark Codes.
Claims Adjustment Reason Codes.
409...................... Diabetes Screening Tests.
410...................... Medicare Health Insurance Portability &
Accountability Act Electronic Claims.
Compliance Report--Reporting Timeframe
Extension.
411...................... Ambulance Inflation Factor.
[[Page 9347]]
412...................... Skilled Nursing Facility Consolidated Billing
Services Furnished Under an ``Arrangement''
With an Outside Entity.
``Under Arrangements'' Relationships.
Skilled Nursing Facility and Supplier
Responsibilities.
413...................... Medicare Part A Skilled Nursing Facility
Prospective Payment System Pricer.
Update Fiscal Year 2005 for 9 Metropolitan
Statistical Areas With New Wage.Index Values
Effective January 1, 2005.
Skilled Nursing Facility Prospective Payment
System Pricer Software.
414...................... Emergency Update to the 2005 Medicare
Physician Fee Schedule Database.
415...................... Temporary Change in Carrier Jurisdictional
Pricing Rules for Purchased Diagnostic
Services.
416...................... Interest Payment on Clean Claims Not Paid
Timely.
417...................... This revision rescinded and replaced revision
294.
418...................... Issued to a specific audience, not posted to
Internet/Intranet due to the confidentiality
of instruction.
419...................... This Transmittal has been rescinded and
replaced with Transmittal 423.
420...................... Good Cause Waiver of Late Claim Filing
Payment Reduction Penalty and Monitoring of
Late Claims Submissions.
Extend Time for Good Cause.
Conditions Which Establish Good Cause.
Procedure To Establish Good Cause.
Good Cause Is Not Found.
Preparing Common Working File (CWF) Claim
Records for Services Subject to 10 Percent
Payment Reduction.
Monitoring Late Claims Submission Violations.
Sample Notification Letter.
Violations That Are Not Developed for
Referral.
421...................... Correction to January 2005 Annual Update of
Healthcare Common Procedure Coding.
System Codes Used for Skilled Nursing
Facility Consolidated Billing Enforcement.
422...................... Update to Fiscal Year 2005 Wage Index for
Inpatient Prospective Payment and Outpatient
Prospective Payment System Hospitals .
--------------------------
Medicare Secondary Payer (CMS-Pub. 100-05)
------------------------------------------------------------------------
20....................... Secondary Payer (Medicare Secondary Payer)
Savings Report Redesign.
Monthly Intermediary Report (Form CMS-1563)
and Monthly Carrier Report.
(Form CMS-1564) on Medicare Secondary Payer
Savings.
Savings Calculations.
Source of Savings.
Type of Savings.
Pre-payment Savings--Cost Avoid (Unpaid
Medicare Secondary Payer Claims).
Pre-payment Savings--Full Recoveries.
Pre-payment Savings--Partial Recoveries.
Post-payment Savings--Full Recoveries.
Post-payment Savings--Partial Recoveries.
Total Post-payment Savings.
Electronic Submission.
Data Entry of the Forms CMS-1563 and CMS-
1564.
System Calculations for Forms CMS-1563 and
CMS-1564.
21....................... Instructions on Processing Certain Types of
Medicare Secondary Payer.Claims and to
Balance the Outbound Remittance Advice.
Instructions to Physicians and Suppliers on
How To Submit Claims to a Medicare Carrier
When There Are One or More Primary Payers.
22....................... Medicare Secondary Payer Debt Referral
Instructions and Debt Collection Improvement
Act of 1996 Activities.
Courtesy Copy of All Medicare Secondary Payer
Group Health Plan-Based.
Recovery Demand Packages to the Employer's
Insurer/Third Party Administrator.
Insurer/Third Party Administrator Courtesy
Copy Letter.
Medicare Secondary Payer Debt Referral,
``Write-Off--Closed'' Instructions and Debt
Collection Improvement Act of 1996
Activities.
Background.
Debt Selection, Verification of Debt, and
Updating of Interest.
``Intent to Refer'' Letter and Inquiries/
Replies Related to Debt Improvement Act of
1996 Activities
Debt Collection System, Debt Collection
System Input, Debt Transmission,
Documentation to Treasury.
Actions Subsequent to Debt Collection System
Input.
Medicare Secondary Payer Debt Collection
Improvement Act of 1996 Tracking Report for
Referral/Collection.
Monitoring Debts Excluded From the Debt
Collection Improvement Act of 1996.
Referral Process.
Financial Reporting.
Compromise Requests and Extended Repayment
Agreement Requests, and Waiver of Interest
Requests.
Miscellaneous Questions and Answers.
--------------------------
Medicare Financial Management (CMS-Pub. 100-06)
------------------------------------------------------------------------
55....................... Reporting Appeals Redetermination Information
on Forms CMS-2591 and 2590.
56....................... Revision to Balancing Requirement on Form 5,
Line 10, of the Contractor.
Reporting of Operational and Workload Data.
[[Page 9348]]
57....................... Revised Reporting Requirements for Contractor
Reporting of Operational Workload Data
Health Professional Shortage Area Quarterly
Report.
58....................... Issued to specific audience, not posted to
Internet/Intranet due to sensitivity of
instruction.
59....................... Notice of New Interest Rate for Medicare
Overpayments and Underpayments.
60....................... Revised Instructions on Contractor Procedures
for Provider Audit and the Provider
Statistical & Reimbursement Report.
Submission of Cost Report Data to CMS.
Desk Review Exceptions Resolution Process.
Definition of Field Audits.
Purpose of Field Audits.
Establishing the Objective/Scope of the Field
Audit.
Audit Confirmation Letter.
Entrance Conference.
Tests of Internal Control.
Designing Tests/Sampling.
Pre-Exit Conference.
Finalization of Audit Adjustments.
Exit Conference.
Medicare Cost Report and All Related
Documents.
Qualifications.
Internal Quality Control.
Final Settlement of the Cost Report.
Audit Responsibility When Provider Changes
Contractors.
Audits of Home Offices.
Standards for Issuance of an Audit Report for
a Home Office.
Provider Permanent File.
Contractor Responsibility in Suspected Fraud
or Abuse Cases.
61....................... New Location Code Interstate Commerce
Commission, Status Code AR and Modified
Intent Letter for Unfiled Cost Reports Only.
Recovery of Overpayment Due to Overdue Cost
Report.
Provider Overpayment Recovery System User
Manual.
List of Status Codes.
Content of Demand Letters--Fiscal
Intermediary Serviced Providers.
--------------------------
Medicare State Operations Manual (CMS-Pub. 100-07)
------------------------------------------------------------------------
3........................ Medicare Systems Acceptance of New Provider
Numbers for Federally Qualified Health
Centers.
4........................ Guidance to Surveyors for Long Term Care
Facilities.
--------------------------
5........................ Revisions to Appendix P (Survey Protocols for
Long Term Care Facilities) and Appendix PP
(Guidance to Surveyors for Long Term Care
Facilities).
--------------------------
Medicare Program Integrity (CMS-Pub. 100-08)
------------------------------------------------------------------------
84....................... This revision is rescinded and replaced by
revision 86.
85....................... This revision is rescinded and replaced by
revision 87.
86....................... Payment for Emergency Medical Treatment and
Labor Act--Mandated Screening and
Stabilization Services.
87....................... Informing Beneficiaries About Which Local
Medical Review Policy and/or Local Coverage
Determination and/or National Coverage
Determination Is Associated With Their Claim
Denial.
88....................... Timeframes for Processing 855 Enrollment
Applications.
Provider Enrollment, Chain and Ownership
System.
89....................... Updating Financial Reporting Requirements for
Medical Review and Local Provider Education
and Training.
Medical Review and Local Provider, Education,
and Training.
Medical Review Overview.
Reporting Medical Review Workload and Cost
Information and Documentation in Contractor
Administrative, Budget & Financial
Management II.
Contractor Administrative, Budget & Financial
Management II Reporting for Medical Review
Activities.
Automated Review Workload and Cost (Activity
Code 21001).
Routine Review Workload and Cost (Activity
Code 21002).
Data Analysis Cost (Activity Code 21007).
Third Party Liability or Demand Bills
Workload and Cost (Activity Code 21010).
Policy Reconsideration/Revision Activities
(Activity Code 21206).
Medical Review Program Management Costs
(Activity Code 21207).
New Policy Development Activities (Activity
Code 21208).
Complex Probe Review Workload and Cost
(Activity Code 21220).
Prepay Complex Review Workload and Cost
(Activity Code 21221).
Post-pay Complex Review Workload and Cost
(Activity Code 21222).
Medicare Integrity Program Comprehensive
Error Rate Testing Support.
Medicare Integrity Program Comprehensive
Error Rate Testing Support.(Activity Code
21901).
Reporting Internal Staff Training.
Reporting Medical Review Savings in
Contractor Reporting of Operational &
Workload Data.
Local Provider Education and Training
Overview.
[[Page 9349]]
Reporting Local Provider Education and
Training Workload and Cost Information and
Documentation in Contactor Administrative,
Budget & Financial Management II.
One-on-One Provider Education a Workload and
Cost (Activity Code 24116).
Education Delivered to Group of Providers
Workload and Cost (Activity Code 24117).
Education Delivered via Electronic or Paper
Media Workload and Cost (Activity Code
24118).
90....................... Prepayment Review of Claims for Medical
Review Purposes.
91....................... Revision of Program Integrity Manual, Section
3.11.1.4.
Requesting Additional Documentation.
92....................... Issued to a specific audience, not posted to
Internet/Intranet due to Sensitivity of
instruction.
--------------------------
Medicare Contractor Beneficiary and Provider Communications (CMS-Pub.
100-09)
------------------------------------------------------------------------
00....................... None.
--------------------------
Medicare Managed Care (CMS-Pub. 100-16)
------------------------------------------------------------------------
63....................... Home Health Services Appeals.
64....................... Surveys, Contracting Strategy, Grievances and
Appeals.
--------------------------
Medicare Business Partners Systems Security (CMS-Pub. 100-17)
------------------------------------------------------------------------
05....................... Consortium Contractor Management Officer and
CMS Project Officer.
The (Principal) Systems Security Officer.
Personnel Security/Suitability.
IT Systems Security Program Management.
System Security Plan.
Risk Assessment.
Information Technology Systems Contingency
Plan.
Annual Compliance Audit.
Corrective Action Management Process and
Plans of Action and Milestones.
Computer Security Incident Response.
Systems Security Profile.
Fraud Control.
Patch Management.
Security Management Resources.
Security Configuration Management.
National Institute of Standards and
Technology.
Information Security Levels.
Level 4: High Criticality and National
Security Interest.
Security Room.
Intrusion Detection System.
Internet Security.
--------------------------
Demonstrations (CMS-Pub. 100-19)
------------------------------------------------------------------------
07....................... Expansion of Coverage for Chiropractic
Services Demonstration.
08....................... This revision is rescinded and replaced with
Transmittal 9.
09....................... This revision is rescinded and replaced with
Transmittal 10.
10....................... Issued to a specific audience, not posted to
Internet/Intranet due to sensitivity of
instruction.
11....................... Medicare Coordinated Care Demonstration--
Override of Certain Medicare Secondary Payer
Edit Codes.
12....................... Chemotherapy Demonstration Project.
13....................... Issued to a specific audience, not posted to
Internet/Intranet due to Sensitivity of
Instruction.
--------------------------
One Time Notification (CMS-Pub. 100-20)
------------------------------------------------------------------------
118...................... Shared Systems Maintainer Hours for
Resolution of Problem Detected As a Result
of Implementation of Change Request 2525 and
Change Request 2527.
119...................... Shared System Maintainer Hours for Resolution
of Problem Detected During Health Insurance
Portability and Accountability Act
Transaction Release Testing.
120...................... Override of Common Working File Edit for
Observation Services Exceeding 48 Hours.
121...................... Modification to Fiscal Intermediary Standard
System Regarding Common Working File
Initiated Adjustments.
122...................... Shared System and Common Working File
Renovation of Override Code Process and
Recognition of Four 2-byte Modifier Fields
on the Part B Query Record--For Multi-
Carrier System Phased Implementation
Approach Only.
123...................... Instructions for Pricing Treprostinil
(Q4077).
124...................... Common Working File Duplicate Claim Edit for
Referred Clinical Diagnostic and Purchased
Diagnostic Services.
125...................... This revision is rescinded and replaced with
revision 127.
126...................... Transmittal replaced by Transmittal 27 in
Pub. 100-02, Medicare Benefit Policy.
127...................... Instructions Applicable to the Audit of
Hospitals That Are Part of an Affiliated
Group in Relation to the ``Redistribution of
Unused Resident Positions,'' Section 422 of
the Medicare Modernization Act of 2003, P.L.
108-173, for Purposes of Graduate Medical
Education Payments.
128...................... Promoting Medicare's Preventive Benefits and
Services on an Annual Basis.
[[Page 9350]]
129...................... 2005 Drug Administration Coding Revisions.
130...................... Development of a Coordination of Benefits
Agreement Auxiliary File and Modification of
the Health Insurance Portability and
Accountability Act 837 Coordination of
Benefits Flat File and National Council for
Prescription Drug Program File.
131...................... Coverage of Routine Costs of Clinical Trials
Involving Investigational Device Exemption
Category A Devices.
132...................... Issued to a specific audience, not posted to
Internet/Intranet due to Sensitivity of
instruction.
133...................... Shared System Maintainer Hours for Resolution
of Problems Detected as a Result of
Implementation of Change Request 2525 and
Change Request 2527
------------------------------------------------------------------------
Addendum IV.--Regulation Documents Published in the Federal Register
[October Through December 2004]
----------------------------------------------------------------------------------------------------------------
FR vol. 69
Publication date page number CFR parts affected File code Title of regulation
----------------------------------------------------------------------------------------------------------------
October 6, 2004................ 59929 .................. CMS-5015-N........ Medicare Program; Care
Management for High-
Cost Beneficiaries
(CMHCB) Demonstration.
October 7, 2004................ 60242 403, 412, 413, CMS-1428-CN2...... Medicare Program;
418, 460, 480, Changes to the
482, 483, 485, Hospital Inpatient
489. Prospective Payment
Systems and Fiscal
Year 2005 Rates;
Corrections.
October 7, 2004................ 60158 .................. CMS-1249-CN....... Medicare Program;
Prospective Payment
System and
Consolidated Billing
for Skilled Nursing
Facilities;
Corrections.
October 7, 2004................ 60157 .................. CMS-1360-CN....... Medicare Program;
Inpatient
Rehabilitation
Facility Prospective
Payment System for
Fiscal Year 2005;
Correction.
October 22, 2004............... 62124 484............... CMS-1265-F........ Medicare Program; Home
Health Prospective
Payment System Rate
Update for Calendar
Year 2005.
October 22, 2004............... 62057 .................. CMS-1302-N........ Medicare Program; Town
Hall Meeting on the
Medicare Provider
Feedback Group (MPFG)
November 16, 2004.
October 22, 2004............... 62056 .................. CMS-1484-N........ Medicare Program;
November 22, 2004,
Meeting of the
Practicing Physicians
Advisory Council.
October 22, 2004............... 62055 .................. CMS-4078-N........ Medicare Program;
Meeting of the
Advisory Panel on
Medicare Education--
November 30, 2004.
November 15, 2004.............. 66922 412 and 413....... CMS-1213-F........ Medicare Program;
Prospective Payment
System for Inpatient
Psychiatric
Facilities.
November 15, 2004.............. 66918 .................. CMS-1267-N........ Medicare Program;
Coverage and Payment
of Ambulance Services;
Recalibration of
Conversion Factor;
Inflation Update for
CY 2005.
November 15, 2004.............. 66236 403, 405, 410, CMS-1429-FC....... Medicare Program;
411, 414, 418, Revisions to Payment
424, 484, and 486. Policies Under the
Physician Fee Schedule
for Calendar Year
2005.
November 15, 2004.............. 65682 419............... CMS-1427-FC....... Medicare Program;
Changes to the
Hospital Outpatient
Prospective Payment
System and Calendar
Year 2005 Payment
Rates.
November 26, 2004.............. 69252 405 and 489....... CMS-4004-FC....... Medicare Program;
Expedited
Determination
Procedures for
Provider Service
Terminations.
November 26, 2004.............. 69178 416............... CMS-1478-P........ Medicare Program;
Update of Ambulatory
Surgical Center List
of Covered Procedures.
November 26, 2004.............. 68944 .................. CMS-3149-N........ Medicare Program;
Meeting of Medicare
Coverage Advisory
Committee--January 25,
2005.
November 26, 2004.............. 68935 .................. CMS-1374-GNC...... Medicare Program;
Criteria and Standards
For Evaluating
Intermediary, Carrier,
and Durable Medical
Equipment,
Prosthetics,
Orthotics, and
Supplies (DMEPOS)
Regional Carrier
Performance During
Fiscal Year 2005.
November 26, 2004.............. 68931 .................. CMS-2202-FN....... Medicare and Medicaid
Programs; Approval of
Application for
Deeming Authority for
Ambulatory Surgical
Centers by the
American Association
for Accreditation of
Ambulatory Surgery
Facilities, Inc.
November 26, 2004.............. 68931 .................. CMS-5011-WN....... Medicare and Medicaid
Programs; Notice of
Withdrawal of the
Solicitation of
Proposals for the
Private, for-Profit
Demonstration Project
for the Program of All-
Inclusive Care for the
Elderly (PACE).
[[Page 9351]]
November 26, 2004.............. 68815 447............... CMS-2175-F........ Medicaid Program; Time
Limitation on
Recordkeeping
Requirements Under the
Drug Rebate Program.
November 30, 2004.............. 69686 484............... CMS-1265-CN2...... Medicare Program; Home
Health Prospective
Payment System Rate
Update for Calendar
Year 2005; Correction.
November 30, 2004.............. 69536 403, 412, 413, CMS-1428-N........ Medicare Program;
418, 460, 480, Changes to the
482, 483, 485, Hospital Inpatient
and 489. Prospective Payment
Systems and Fiscal
Year 2005 Rates;
Extension for the
Hospital Applications
To Receive Increases
in Full Time
Equivalent Resident
Caps for Graduate
Medical Education
Payment.
December 23, 2004.............. 76947 .................. CMS-5036-N........ Medicare Program;
Solicitation for
Proposals for the
Cancer Prevention and
Treatment
Demonstration for
Ethnic and Racial
Minorities.
December 30, 2004.............. 78720 26 CFR Parts 54 CMS-2151-F........ HIPAA Program; Final
and 602, 29 CFR Regulations for Health
Part 2590, 45 CFR Coverage Portability
Parts 144 and 146. for Group Health Plans
and Group Health
Insurance Issuers
Under HIPPA Titles I
and IV.
December 30, 2004.............. 78800 26 CFR Part 54, 29 CMS-2158-P........ HIPAA Program; Notice
CFR Part 2590, 45 of Proposed Rulemaking
CFR Part 146. for Health Coverage
Portability: Tolling
Certain Time Periods
and Interaction With
the Family and Medical
Leave Act Under HIPAA
Titles I and IV.
December 30, 2004.............. 78825 26 CFR Part 54, 29 CMS-2150-NC....... HIPAA Program; Request
CFR Part 2590, 45 for Information on
CFR Part 146. Benefit-Specific
Waiting Periods Under
HIPAA Titles I and IV.
December 30, 2004.............. 78526 403, 412, 413, CMS-1428-F2....... Medicare Program;
418, 460, 480, Changes to the
482, 483, 485, Hospital Inpatient
and 489. Prospective Payment
Systems and Fiscal
2005 Rates; Correcting
Amendment.
December 30, 2004.............. 78466 .................. CMS-1292-N........ Medicare Program; Town
Hall Meeting on the
Fiscal Year 2006
Applications for New
Medical Services and
Technologies Add-on
Payments Under the
Hospital Inpatient
Prospective Payment
Systems Scheduled for
February 23, 2005.
December 30, 2004.............. 78464 .................. CMS-1285-N........ Medicare Program;
Meeting of the
Advisory Panel on
Ambulatory Payment
Classification (APC)
Groups (Panel)--
February 23, 24, and
25, 2005 and Re-
chartering of APC
Panel on November 8,
2004.
December 30, 2004.............. 78445 .................. CMS-1249-CN2...... Medicare Program;
Prospective Payment
System and
Consolidated Billing
for Skilled Nursing
Facilities;
Corrections.
December 30, 2004.............. 78444 .................. CMS-4077-FN....... Medicare Program;
Approval of the
National Committee for
Quality Assurance
Deeming Authority for
Medicare Advantage
Local Preferred
Provider
Organizations.
December 30, 2004.............. 78442 .................. CMS-9026-N........ Medicare Program;
Timeline for
Publication of
Medicare Final
Regulations After
Proposed or Interim
Final Regulations.
December 30, 2004.............. 78428 .................. CMS-9042-N........ Medicare and Medicaid
Program; Quarterly
Listing of Program
Issuances--July 2004
Through September
2004.
December 30, 2004.............. 78426 .................. CMS-2490-N........ CLIA Program; Continued
Approval of the
American Association
of Blood Banks for
Deeming Authority.
December 30, 2004.............. 78336 422............... CMS-4041-IFC...... Medicare Program;
Modifications to
Managed Care Rules.
December 30, 2004.............. 78315 419............... CMS-1427-CN....... Medicare Program;
Changes to the
Hospital Outpatient
Prospective Payment
System and Calendar
Year 2005 Payment
Rates; Wage Index
Tables and
Corrections.
----------------------------------------------------------------------------------------------------------------
[[Page 9352]]
Addendum V--National Coverage Determinations
[October Through December 2004]
A national coverage determination (NCD) is a determination by the
Secretary with respect to whether or not a particular item or service
is covered nationally under Title XVIII of the Social Security Act, but
does not include a determination of what code, if any, is assigned to a
particular item or service covered under this title, or determination
with respect to the amount of payment made for a particular item or
service so covered. We include below all of the NCDs that were issued
during the quarter covered by this notice. The entries below include
information concerning completed decisions as well as sections on
program and decision memoranda, which also announce pending decisions
or, in some cases, explain why it was not appropriate to issue an NCD.
We identify completed decisions by the section of the NCDM in which the
decision appears, the title, the date the publication was issued, and
the effective date of the decision. Information on completed decisions
as well as pending decisions has also been posted on the CMS Web site
at http://cms.hhs.gov/coverage.
National Coverage Determinations
[October Through December 2004]
----------------------------------------------------------------------------------------------------------------
NCDM Effective
Title section TN Issue date date
----------------------------------------------------------------------------------------------------------------
Treatment of Obesity...................... 40.5 R23NCD....................... 10/01/04 10/01/04
Changes to the Laboratory NCD Edit N/A R38CP........................ 11/26/04 01/03/05
Software for January 2005.
Dementia and Neurodegenerative Diseases... 220.6.13 R24NCD....................... 10/01/04 09/15/04
Percutaneous Transluminal Angioplasty..... 20.7 R25NCD....................... 10/15/04 10/12/04
Electrocardiographic Services............. 20.15 R26NCD....................... 12/10/04 08/26/04
----------------------------------------------------------------------------------------------------------------
Addendum VI--FDA-Approved Category B IDEs
Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c) devices
fall into one of three classes. To assist CMS under this categorization
process, the FDA assigns one of two categories to each FDA-approved
IDE. Category A refers to experimental IDEs, and Category B refers to
non-experimental IDEs. To obtain more information about the classes or
categories, please refer to the Federal Register notice published on
April 21, 1997 (62 FR 19328).
The following list includes all Category B IDEs approved by FDA
during the 4th quarter, October Through December 2004.
G010041
G020001
G020105
G040026
G040081
G040086
G040090
G040115
G040117
G040133
G040135
G040136
G040157
G040163
G040164
G040165
G040169
G040170
G040171
G040173
G040174
G040175
G040177
G040178
G040179
G040180
G040181
G040182
G040183
G040185
G040187
G040188
G040189
G040193
G040197
G040199
G040201
G040202
G040207
G040210
G040211
G040212
G040213
G040215
G040216
G911803
Addendum VII--Approval Numbers for Collections of Information
Below we list all approval numbers for collections of information
in the referenced sections of CMS regulations in Title 42; Title 45,
Subchapter C; and Title 20 of the Code of Federal Regulations, which
have been approved by the Office of Management and Budget:
------------------------------------------------------------------------
Approved CFR Sections in Title
42, Title 45, and Title 20 (Note:
Sections in Title 45 are preceded
OMB Control No. by ``45 CFR,'' and sections in
Title 20 are preceded by ``20
CFR'')
------------------------------------------------------------------------
0938-0008............................ 414.40, 424.32, 424.44
0938-0022............................ 413.20, 413.24, 413.106
0938-0023............................ 424.103
0938-0025............................ 406.28, 407.27
0938-0027............................ 486.100-486.110
0938-0033............................ 405.807
0938-0035............................ 407.40
0938-0037............................ 413.20, 413.24
0938-0041............................ 408.6, 408.22
0938-0042............................ 410.40, 424.124
0938-0045............................ 405.711
0938-0046............................ 405.2133
0938-0050............................ 413.20, 413.24, 431.151,
435.1009, 440.220, 440.250,
442.1, 442.10-442.16, 442.30,
442.40, 442.42,
0938-0062............................ 442.100-442.119, 483.400-483.480,
488.332, 488.400, 498.3-498.5
0938-0065............................ 485.701-485.729
0938-0074............................ 491.1-491.11
[[Page 9353]]
0938-0080............................ 406.7, 406.13
0938-0086............................ 420.200-420.206, 455.100-455.106
0938-0101............................ 430.30
0938-0102............................ 413.20, 413.24
0938-0107............................ 413.20, 413.24
0938-0146............................ 431.800-431.865
0938-0147............................ 431.800-431.865 493.1405,
493.1411, 493.1417, 493.1423,
493.1443, 493.1449, 493.1455,
493.1461
0938-0151............................ 493.1469, 493.1483, 493.1489
0938-0155............................ 405.2470
0938-0170............................ 493.1269-493.1285
0938-0193............................ 430.10-430.20, 440.167
0938-0202............................ 413.17, 413.20
0938-0214............................ 411.25, 489.2, 489.20
0938-0236............................ 413.20, 413.24
0938-0242............................ 442.30, 488.26
0938-0245............................ 407.10, 407.11
0938-0246............................ 431.800-431.865
0938-0251............................ 406.7
0938-0266............................ 416.41, 416.47, 416.48, 416.83
0938-0267............................ 410.65, 485.56, 485.58, 485.60,
485.64, 485.66
0938-0269............................ 412.116, 412.632, 413.64,
413.350, 484.245
0938-0270............................ 405.376
0938-0272............................ 440.180, 441.300-441.305
0938-0273............................ 485.701-485.729
0938-0279............................ 424.5
0938-0287............................ 447.31
0938-0296............................ 413.170, 413.184
0938-0301............................ 413.20, 413.24
0938-0302............................ 418.22, 418.24, 418.28, 418.56,
418.58, 418.70, 418.74, 418.83,
418.96, 418.100
0938-0313............................ 489.11, 489.20, 482.12, 482.13,
482.21, 482.22, 482.27, 482.30,
482.41, 482.43, 482.45, 482.53,
482.56
0938-0328............................ 482.57, 482.60, 482.61, 482.62,
482.66, 485.618, 485.631
0938-0334............................ 491.9, 491.10
0938-0338............................ 486.104, 486.106, 486.110
0938-0354............................ 441.60
0938-0355............................ 442.30, 488.26
0938-0357............................ 409.40-409.50, 410.36, 410.170,
411.4--411.15, 421.100, 424.22,
484.18, 489.21
0938-0358............................ 412.20-412.30
0938-0359............................ 412.40-412.52
0938-0360............................ 488.60
0938-0365............................ 484.10, 484.11, 484.12, 484.14,
484.16, 484.18, 484.20, 484.36,
484.48, 484.52
0938-0372............................ 414.330
0938-0378............................ 482.60-482.62
0938-0379............................ 442.30, 488.26
0938-0382............................ 442.30, 488.26
0938-0386............................ 405.2100-405.2171
0938-0391............................ 488.18, 488.26, 488.28
0938-0426............................ 476.104, 476.105, 476.116,
476.134
0938-0429............................ 447.53
0938-0443............................ 473.18, 473.34, 473.36, 473.42
0938-0444............................ 1004.40, 1004.50, 1004.60,
1004.70
0938-0445............................ 412.44, 412.46, 431.630, 456.654,
466.71, 466.73, 466.74, 466.78
0938-0447............................ 405.2133
0938-0448............................ 405.2133, 45 CFR Parts 5, 5b; 20
CFR Parts 401, 422E
0938-0449............................ 440.180, 441.300-441.310
0938-0454............................ 424.20
0938-0456............................ 412.105
0938-0463............................ 413.20, 413.24, 413.106
0938-0467............................ 431.17, 431.306, 435.910,
435.920, 435.940-435.960
0938-0469............................ 417.126, 422.502, 422.516
0938-0470............................ 417.143, 417.800-417.840, 422.6
0938-0477............................ 412.92
0938-0484............................ 424.123
0938-0501............................ 406.15
0938-0502............................ 433.138
0938-0512............................ 486.304, 486.306, 486.307
0938-0526............................ 475.102, 475.103, 475.104,
475.105, 475.106
0938-0534............................ 410.338, 424.5
0938-0544............................ 493.1-493.2001
0938-0564............................ 411.32
0938-0565............................ 411.20-411.206
0938-0566............................ 411.404, 411.406, 411.408
0938-0573............................ 412.230, 412.256
0938-0578............................ 447.534
[[Page 9354]]
0938-0581............................ 493.1-493.2001
0938-0599............................ 493.1-493.2001
0938-0600............................ 405.371, 405.378, 413.20
0938-0610............................ 417.436, 417.801, 422.128,
430.12, 431.20, 431.107, 434.28,
483.10, 484.10, 489.102,
493.801, 493.803, 493.1232,
493.1233, 493.1234, 493.1235,
493.1236, 493.1239, 493.1241,
493.1242, 493.1249, 493.1251,
493.1252, 493.1253, 493.1254,
493.1255, 493.1256, 493.1261,
493.1262, 493.1263, 493.1269,
493.1273, 493.1274, 493.1278
0938-0612............................ 493.1283, 493.1289, 493.1291,
493.1299
0938-0618............................ 433.68, 433.74, 447.272
0938-0653............................ 493.1771, 493.1773, 493.1777
0938-0657............................ 405.2110, 405.2112
0938-0658............................ 405.2110, 405.2112
0938-0667............................ 482.12, 488.18, 489.20, 489.24
0938-0679............................ 410.38
0938-0685............................ 410.32, 410.71, 413.17, 424.57,
424.73, 424.80, 440.30, 484.12
0938-0686............................ 493.551-493.557
0938-0688............................ 486.304, 486.306, 486.307,
486.310, 486.316, 486.318,
486.325
0938-0690............................ 488.4-488.9, 488.201
0938-0691............................ 412.106
0938-0692............................ 466.78, 489.20, 489.27
0938-0701............................ 422.152
0938-0702............................ 45 CFR 146.111, 146.115, 146.117,
146.150, 146.152, 146.160,
146.180
0938-0703............................ 45 CFR 148.120, 148.124, 148.126,
148.128
0938-0714............................ 411.370-411.389
0938-0717............................ 424.57
0938-0721............................ 410.33
0938-0723............................ 421.300-421.318
0938-0730............................ 405.410, 405.430, 405.435,
405.440, 405.445, 405.455,
410.61, 415.110, 424.24
0938-0732............................ 417.126, 417.470
0938-0734............................ 45 CFR Part 5b
0938-0739............................ 413.337, 413.343, 424.32, 483.20
0938-0742............................ 422.300-422.312
0938-0749............................ 424.57
0938-0753............................ 422.000-422.700
0938-0754............................ 441.151, 441.152
0938-0758............................ 413.20, 413.24
0938-0760............................ Part 484 Subpart E, 484.55
0938-0761............................ 484.11, 484.20, 422.1-422.10,
422.50-422.80, 422.100-422.132,
422.300-422.312, 422.400-
0938-0763............................ 422.404, 422.560-422.622
0938-0770............................ 410.2
0938-0778............................ 422.64, 422.111
0938-0779............................ 417.126, 417.470, 422.64, 422.210
0938-0781............................ 411.404-411.406, 484.10
0938-0786............................ 438.352, 438.360, 438.362,
438.364
0938-0787............................ 406.28, 407.27, 460.12, 460.22,
460.26, 460.30, 460.32, 460.52,
460.60, 460.70, 460.71, 460.72,
460.74, 460.80, 460.82, 460.98,
460.100, 460.102, 460.104,
460.106, 460.110, 460.112,
460.116, 460.118, 460.120,
460.122, 460.124, 460.132,
460.152, 460.154, 460.156,
460.160, 460.164, 460.168,
460.172, 460.190, 460.196,
460.200, 460.202, 460.204,
0938-0790............................ 460.208, 460.210
0938-0792............................ 491.8, 491.11
0938-0798............................ 413.24, 413.65, 419.42
0938-0802............................ 419.43
0938-0818............................ 410.141, 410.142, 410.143,
410.144, 410.145, 410.146,
414.63
0938-0829............................ 422.568
0938-0832............................ Parts 489 and 491
0938-0833............................ 483.350-483.376, 431.636, 457.50,
457.60, 457.70, 457.340,
457.350, 457.431, 457.440,
457.525, 457.560, 457.570,
457.740, 457.750, 457.810,
457.940, 457.945, 457.965,
457.985,
0938-0841............................ 457.1005, 457.1015, 457.1180
0938-0842............................ 412.23, 412.604, 412.606,
412.608, 412.610, 412.61a4,
412.618, 412.626, 413.64
0938-0846............................ 411.352-411.361
0938-0857............................ Part 419
0938-0860............................ Part 419
0938-0866............................ 45 CFR Part 162
0938-0872............................ 413.337, 483.20
0938-0873............................ 422.152
0938-0874............................ 45 CFR Parts 160 and 162
0938-0878............................ Part 422 Subpart F & G
0938-0883............................ 45 CFR Parts 160 and 164
0938-0884............................ 405.940
0938-0887............................ 45 CFR 148.316, 148.318, 148.320
0938-0897............................ 412.22, 412.533
0938-0907............................ 412.230, 412.304, 413.65
0938-0910............................ 422.620, 422.624, 422.626
0938-0911............................ 426.400, 426.500
0938-0916............................ 483.16, 438.6, 438.8, 438.10,
438.12, 438.50, 438.56, 438.102,
438.114, 438.202, 438.206,
438.207, 438.240, 438.242,
438.402, 438.404, 438.406,
438.408, 438.410, 438.414
[[Page 9355]]
0938-0920............................ 438.416, 438.710, 438.722,
438.724, 438.810
0938-0921............................ 414.804
------------------------------------------------------------------------
[FR Doc. 05-3551 Filed 2-24-05; 8:45 am]
BILLING CODE 4120-01-P