[Federal Register Volume 67, Number 249 (Friday, December 27, 2002)]
[Notices]
[Pages 79109-79121]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-32197]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[CMS-9015-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--July 2002 Through September 2002

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice lists CMS manual instructions, substantive and 
interpretive regulations, and other Federal Register notices that were 
published from July 2002, through September 2002, relating to the 
Medicare and Medicaid programs. This notice also provides information 
on national coverage determinations affecting specific medical and 
health care services under Medicare. Additionally, this notice 
identifies certain devices with investigational device exemption 
numbers approved by the Food and Drug Administration that potentially 
may be covered under Medicare.
    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, we are also including all Medicaid 
issuances and Medicare and Medicaid substantive and interpretive 
regulations (proposed and final) published during this timeframe.

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

[[Page 79110]]

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 
Karen Bowman, Office of Strategic Operations and Regulatory Affairs, 
Centers for Medicare & Medicaid Services, C5-16-03, 7500 Security 
Boulevard, Baltimore, MD 21244-1850, (410) 786-5252.
    Questions concerning national coverage determinations should be 
directed to Shana Olshan, Office of Clinical Standards and Quality, 
Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security 
Boulevard, Baltimore, MD 21244-1850, (410) 786-3122.
    Questions concerning Investigational Device Exemptions items in 
Addendum VI may be addressed to Sharron Hippler, Office of Clinical 
Standards and Quality, Centers for Medicare & Medicaid Services, C5-13-
27, 7500 Security Boulevard, Baltimore, MD 21244-1850, (410) 786-4633.
    Questions concerning all other information may be addressed to 
Misty Whitaker, Office of Strategic Operations and Regulatory Affairs, 
Regulations Development and Issuances Group, Centers for Medicare & 
Medicaid Services, C5-10-24, 7500 Security Boulevard, Baltimore, MD 
21244-1850, (410) 786-3087.

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 
these 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, fiscal intermediaries and 
carriers 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, we are continuing our 
practice of including Medicare substantive and interpretive regulations 
(proposed and final) published during the 3-month timeframe.

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, national coverage determinations, and Food and Drug 
Administration-approved investigational device exemptions published 
during the timeframe to determine whether any are of particular 
interest. We expect this notice to be used in concert with previously 
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 Coverage Issues Manual may wish to review the August 21, 
1989, publication (54 FR 34555). Those interested in the procedures 
used in making national coverage determinations may review the April 
27, 1999, publication (64 FR 22619). In this publication, the 1989 
proposed rule affecting national coverage procedures and decisions (54 
FR 4302) was withdrawn, and the procedures for national coverage 
determinations established.
    To aid the reader, we have organized and divided this current 
listing into six addenda:
    [sbull] Addendum I lists the publication dates of the most recent 
quarterly listings of program issuances.
    [sbull] Addendum II identifies previous Federal Register documents 
that contain a description of all previously published CMS Medicare and 
Medicaid manuals and memoranda.
    [sbull] 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 instruction or many. Often, it is 
necessary to use information in a transmittal in conjunction with 
information currently in the manuals.
    [sbull] Addendum IV lists all substantive and interpretive Medicare 
and Medicaid regulations and general notices published in the Federal 
Register during the quarters 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.
    [sbull] Addendum V includes completed national coverage 
determinations from the quarter covered by this notice. Completed 
decisions are identified by title, a brief description, effective date, 
and section in the appropriate Federal publication.
    [sbull] Addendum VI includes listings of the Food and Drug 
Administration-approved investigational device exemption 
categorizations, using the investigational device exemption numbers the 
Food and Drug Administration 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 
investigational device exemption number.)

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

[[Page 79111]]

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.access.gpo.gov/nara/index.html, by using local WAIS client 
software, or by telnet to swais.access.gpo.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's 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, as the stock 
number is: 717-319-00000-3. The following material is on the CD-ROM 
disk:
    [sbull] Titles XI, XVIII, and XIX of the Act.
    [sbull] CMS-related regulations.
    [sbull] CMS manuals and monthly revisions.
    [sbull] 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 reports 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

    Transmittal 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 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.
    Superintendent of Documents numbers for each CMS publication are 
shown in Addendum III, along with the CMS publication and transmittal 
numbers. To help FDLs locate the materials, use the Superintendent of 
Documents number, plus the transmittal number. For example, to find the 
Part 3--Program Administration, (CMS Pub. 14-3) transmittal entitled 
``Payment Requirements,'' use the Superintendent of Documents No. HE 
22.8/7 and the transmittal number 1758.

(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: December 16, 2002.
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.

August 11, 1998 (63 FR 42857)
September 16, 1998 (63 FR 49598)
December 9, 1998 (63 FR 67899)
May 11, 1999 (64 FR 25351)
November 2, 1999 (64 FR 59185)
December 7, 1999 (64 FR 68357)
January 10, 2000 (65 FR 1400)
May 30, 2000 (65 FR 34481)
June 28, 2002 (67 FR 43762)
September 27, 2002 (67 FR 61130)

Addendum II--Description of Manuals, Memoranda, and HCFA 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 Medicare Coverage Issues 
Manual was published on August 21, 1989, at 54 FR 34555. (Please note 
that in this publication the 1989 proposed rule referred to, concerning 
the criteria for national coverage determinations, was withdrawn (64 FR 
22619)). A brief description of the various Medicaid manuals and 
memoranda that we maintain was published on October 6, 1992 (57 FR 
47468).

        Addendum III.--Medicare and Medicaid Manual Instructions
                   [July 2002 Through September 2002]
------------------------------------------------------------------------
  Transmittal No.                  Manual/Subject/Publication No.
------------------------------------------------------------------------
                           Intermediary Manual
          Part 2--Audits, Reimbursement Program Administration
                            (CMS Pub. 13-2)
              (Superintendent of Documents No. HE 22.8/6-2)
------------------------------------------------------------------------
420                 [sbull  Provider Services
                        ]
-------------------

[[Page 79112]]

 
                          Intermediary Manual
                         Part 3--Claims Process
                            (CMS Pub. 13-3)
               (Superintendent of Documents No. HE 22.8/6)
------------------------------------------------------------------------
1858                [sbull  Claims Processing Timeliness
                        ]
1859                [sbull  Coding for Adequacy of Hemodialysis
                        ]
1860                [sbull  Payment for Services Furnished by a Critical
                        ]    Access Hospital
1861                [sbull  Definitions
                        ]
1862                [sbull  ICD-9-CM Coding for Diagnostic Tests
                        ]
-------------------
                            Carriers Manual
                     Part 3--Program Administration
                             (CMS Pub. 14-2)
              (Superintendent of Documents No. HE 22.8/7-3)
------------------------------------------------------------------------
145                 [sbull  Provider Services
                        ]
-------------------
                            Carriers Manual
                     Part 3--Program Administration
                             (CMS Pub. 14-3)
               (Superintendent of Documents No. HE 22.8/7)
------------------------------------------------------------------------
1757                [sbull  Durable Medical Equipment Regional Carriers
                        ]    Mandatory Assignment for Drug Claims
1758                [sbull  Payment Requirements
                        ]
                    ......  Roster Claim Form
1759                [sbull  Splitting Claims for Processing
                        ]
1760                [sbull  Participating Physician/Supplier Report
                        ]
                    ......  Purpose and Scope
                    ......  Definitions of Columns One Through Eight
                    ......  Definitions of Lines One Through One Hundred
                             Fifteen
                    ......  Checking Reports
                    ......  Exhibits
1761                [sbull  Completing Quarterly Report on Provider
                        ]    Enrollment
                    ......  Checking Reports
                    ......  Type of Provider
                    ......  Completing Lines Twelve Through Seventeen--
                             Reason for Denial
                    ......  Completing Lines Eighteen Through Twenty-Two-
                             Reason for Return
                    ......  Exhibits
1762                [sbull  Diabetes Outpatient Self-Management Training
                        ]    Services
                    ......  General Conditions of Coverage and Diabetes
                             Training Hours
                    ......  Beneficiaries Eligible for Coverage
                    ......  Provider/Supplier Eligibility to Provide the
                             Training
                    ......  Quality Standards
                    ......  Enrollment of Entities Other Than Durable
                             Medical Equipment Prosthetic, Orthotics &
                             Supplies
                    ......  Health Common Procedure Coding System Coding
                    ......  General Payment Conditions
1763                [sbull  The ``Do Not Forward'' Initiative
                        ]
1764                [sbull  Services and Supplies
                        ]
                    ......  Incident to Physician's Professional
                             Services
                    ......  Services of Nonphysician Personnel Furnished
                             Incident to Physicians Services
1765                [sbull  Medicare Physician Fee Schedule Database
                        ]    2003 File Layout
                    ......  Medicare Physician Fee Schedule Database
                             Status Indicators
                    ......  Maintenance Process for the Medicare
                             Physician Fee Schedule Database
1766                [sbull  Anesthesia Services and Teaching Certified
                        ]    Registered Nurse Anesthetist
1767                [sbull  Entitlement and Enrollment
                        ]
1768                [sbull  Identifying a Screening Mammography Claim
                        ]    and a Diagnostic
                    ......  Mammography Claim
1769                [sbull  Method for Computing Fee Schedule Amounts
                        ]
                    ......  Coding for Diagnostic Tests
1770                [sbull  General Resolution of Common Working File
                        ]    5232 Rejects
1771                [sbull  Mandatory Assignment and Other Requirements
                        ]    for Home Dialysis Supplies and Equipment
                             Paid Under Method II
-------------------
                           Program Memorandum
                     Intermediaries (CMS Pub. 60A)
              Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
A-02-057            [sbull  Medicare Part A Skilled Nursing Facility
                        ]    Prospective Payment System Update
A-02-058            [sbull  Inpatient Rehabilitation Facility Annual
                        ]    Update: Prospective Payment System Pricer
                             Changes for FY 2003
A-02-059            [sbull  Medicare Program--Update to the Hospice
                        ]    Payment Rates, Hospice Cap, Hospice Wage
                             Index and the Hospice Pricer for FY 2003

[[Page 79113]]

 
A-02-060            [sbull  Revision to Billing for Swing Bed Services
                        ]    Under Skilled Nursing Facility Prospective
                             Payment System
A-02-061            [sbull  Medicare Program--Update to the Prospective
                        ]    Payment System for Home Health Agencies for
                             Fiscal Year 2003
A-02-062            [sbull  Applicable Bill Type for Ambulance Services
                        ]    (Revenue Code 540)
A-02-063            [sbull  Scheduled Release for October Updates to
                        ]    Software Programs and Pricing/Coding Files
A-02-064            [sbull  Excluding Hospitals that Provide Part B Only
                        ]    Services to Their Inpatients from the
                             Outpatient Prospective Payment System
A-02-065-           [sbull  Implementation of the Transmission Control
                        ]    Protocol/Internet Protocol for the Health
                             Insurance Portability and Accountability
                             Act Health Care Eligibility Benefit Inquiry
                             And Response Transaction (270/271) Standard
A-02-066-           [sbull  Department of Veterans Affairs Claims
                        ]    Adjudication Services Project: Systems
                             Changes Needed
A-02-067            [sbull  Production of Flat Files to Enable Centers
                        ]    for Medicare and Medicaid Services to
                             Populate the Online Survey, Certification
                             and Reporting Online Survey, Certification
                             and Reporting System with the Provider
                             Taxpayer Identification Number
A-02-068            [sbull  Enhancements to Home Health Prospective
                        ]    Payment System Claims Processing
A-02-069-           [sbull  Health Insurance Protability and
                        ]    Accountability Act Institutional 837 Health
                             Care Claim Additional Implementation
                             Direction
A-02-070            [sbull  Health Insurance Portability and
                        ]    Accountability Act Transaction 835v4010
                             Completion Update
A-02-071            [sbull  Updated Instruction on Receipt and
                        ]    Processing of Non-Covered Charges on Other
                             Than Part A Inpatient Claims
A-02-072            [sbull  Implementation of the Provider Enrollment,
                        ]    Chain and Ownership System
A-02-073            [sbull  Financial Report Instructions for the Fiscal
                        ]    Intermediary Shared System Recovery
                             Tracking System
A-02-074            [sbull  Hospital Outpatient Prospective Payment
                        ]    System Implementation Instructions
A-02-075            [sbull  Admitting Diagnosis for Observation for the
                        ]    Outpatient Prospective Payment System
A-02-076            [sbull  October 2002 Update to the Hospital
                        ]    Outpatient Prospective Payment System
A-02-077            [sbull  Intermediaries Must Adjust Their Translators
                        ]    for Reporting Line Item Dates, and
                             Healthcare Common Procedure Coding System
                             Codes for Part A Outpatient Claims
A-02-078            [sbull  Health Insurance Portability and
                        ]    Accountability Act Institutional 837 Health
                             Care Claim--Direct Data Entry Updates
A-02-079            [sbull  Data Fields that the Fiscal Intermediaries
                        ]    are Required to Enter into the Provider
                             Enrollment, Chain and Ownership System
A-02-080            [sbull  October Medicare Outpatient Code Editor
                        ]    Specifications Version 18.0 for Bills From
                             Hospitals That Are Not Paid Under the
                             Outpatient Prospective Payment System
A-02-081            [sbull  Modification of Audit and Cost Report
                        ]    Settlement Expectations in Change Request
                             1468
A-02-082            [sbull  October Outpatient Code Editor
                        ]    Specifications Version (V3.2)
A-02-083            [sbull  System Tracking for Audit and Reimbursement
                        ]    Instructions: End Stage Renal Disease
                             Audits and Hospice Cost Reports
A-02-084            [sbull  Fiscal Year 2003 Prospective Payment System
                        ]    Hospital, Skilled Nursing Facility and
                             Other
A-02-085            [sbull  Applicable Bill Types for Ambulance Services
                        ]    (Revenue Code 540)
A-02-086            [sbull  The Supplemental Income/Medicare Beneficiary
                        ]    Data for Fiscal Year 2001 For Inpatient
                             Prospective Payment System Hospitals
A-02-087            [sbull  Clarification of Provider Billing
                        ]    Requirements Under the Outpatient
                             Prospecitve Payment System
A-02-088            [sbull  Installation of Version 28.0 of the Provider
                        ]    Statistical and Reimbursement Report
A-02-089            [sbull  Temporary Procedures for Cost-Based Payments
                        ]    for Certified Registered Nurse Anesthetists
                             Services Furnished by Outpatient
                             Prosepctive Payment System Hospitals
A-02-090            [sbull  File Descriptions and Instructions for
                        ]    Retrieving the 2003 Physician, Clinical
                             Lab, Durable Medical Equipment, Prosthetics/
                             Orthotics and Supplies, and Therapy Fee
                             Schedule Payment Amounts through CMS's
                             Mainframe Telecommunications Systems
A-02-091            [sbull  Modifications to the Health Care Eligibility
                        ]    Benefit Response (271) and Direct Data
                             Entry Screens for Home Health Agencies and
                             Hospice Providers
A-02-092            [sbull  Corrections to: Changes to the Hospital
                        ]    Inpatient Prospective Payment Systems and
                             Rates and Costs of Graduate Medical
                             Education, etc.; as Published in the
                             Federal Register, FY 2002 (66 FR 39828,
                             August 1, 2001) and FY 2003 (67 FR 49982,
                             August 1, 2002)
A-02-093            [sbull  Instructions for Implementing the Long-Term
                        ]    Care Hospital Prospective Payment System
-------------------
 Program Memorandum Carriers (CMS Pub. 60B) (Superintendent of Documents
                            No. HE 22.8/6-5)
------------------------------------------------------------------------
B-02-039            [sbull  Common Working File Category Changes
                        ]
B-02-040            [sbull  Common Working File Category Changes
                        ]
B-02-041            [sbull  Billing for Implanted Durabale Medical
                        ]    Equipment, Prosthetic Devices, Replacement
                             Parts, Accessories and Supplies
B-02-042            [sbull  Transmittal B-02-042 was resscinded and will
                        ]    not be used in the future
B-02-043            [sbull  Acceptance of Special Characters in the
                        ]    Common Working File and the Durable Medical
                             Equipment Regional Carrier Standard System
B-02-044            [sbull  Change in Jurisdiction for Topical
                        ]    Hyperbaric Oxygen Chamber
B-02-045            [sbull  VIPS Medicare System Implemntation to
                        ]    Process ICD-9-CM Codes Using Date of
                             Service and Not Date of Receipt
B-02-046            [sbull  Updating the Carrier Locality Edit at the
                        ]    Common Working File
B-02-047            [sbull  Durable Medical Equipment Regional Carrier--
                        ]    Appeal Messages on Medicare Summary Notice
                             and Medicare Remit Notice
B-02-048            [sbull  Reasonable Charge Data Disclosure
                        ]    Requirements for Ambulance Services
B-02-049            [sbull  Common Working File Change for Billing for
                        ]    Glucose Test Strips and Supplies--Follow-up
                             to Change Request 1612
B-02-050            [sbull  Additional Remark Code for Claims of Therapy
                        ]    Services Possibly Subject to Home Health
                             Conslidated Billing
B-02-051            [sbull  Implementation of the Health Insurance
                        ]    Portability and Accountability Act Health
                             Care Eligiblity Benefit Inquiry/Response
                             Transaction (270/271) Standard
B-02-052            [sbull  Implementation of the National Council for
                        ]    Prescription Drug Programs
                             Telecommunications Standard Version 5.1 and
                             the Equivalent Batch Standard Version for
                             Retail Pharmacy Drug Transactions
B-02-053            [sbull  Implementation of the ASC X12N 278 Version
                        ]    4010 Implmentation Guide for Electronic
                             Referral Certification and Authorization
B-02-054            [sbull  Sending Copies of Appeal Notices to
                        ]    Appointed Representatives, Including the
                             Amount in Controversy Remaining in Review
                             Determination Letters, and Using Bullets in
                             Appeals Correspondence
B-02-055            [sbull  Updates to the Place of Service Code Set
                        ]

[[Page 79114]]

 
B-02-056            [sbull  Furlong Lawsuit Settlement Payments
                        ]
B-02-057            [sbull  Addition to Two ``WW'' Codes to Identify a
                        ]    New Source for Etoposide
B-02-058            [sbull  Changes to Correct Coding Edits, Version
                        ]    9.0, Effective January 1, 2003
B-02-059            [sbull  Activation of the Automated Unsolicited
                        ]    Response for Skilled Nursing Facility
                             Consolidated Billing and Global Payment
                             Demonstrations
B-02-060            [sbull  Payment Policy When More Than One Patient is
                        ]    Onboard an Ambulance
B-02-061            [sbull  Schedule for Completing the Calendar year
                        ]    2003 Fee Schedule Updates and the
                             Participating Physician Enrollment
                             Procedures
-------------------
                           Program Memorandum
                        Intermediaries/Carriers
                            (CMS Pub. 60A/B)
              (Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
AB-02-091           [sbull  New Waived Tests--June 17, 2002
                        ]
AB-02-092           [sbull  Procedures Subject to Home Health
                        ]    Consolidated Billing
AB-02-093           [sbull  Coverage and Billing for Intravenous Immune
                        ]    Globulin (IVIg) for the Treatment of
                             Autoimmune Muccocutaneous Blistering
                             Diseases
AB-02-094           [sbull  Disclosure Desk Reference for Call Centers
                        ]
AB-02-095           [sbull  Prohibition on New Trading Partner
                        ]    Agreements with Certain Entities For the
                             Purpose of Coordination of Benefits
AB-02-096           [sbull  Coverage and Billing of the Diagnosis and
                        ]    Treatment of Peripheral Neuropathy With
                             Loss of Protective Senation in People with
                             Diabetes
AB-02-097           [sbull  Carrier, Durable Medical Equipment Regional
                        ]    Carrier Intermediary and Regional Home
                             Health Intermediary Processing Requirements
                             for Claims Edited by Common Working File
                             for Medicare Beneficiaries in State or
                             Local Custody Under a Penal Authority
AB-02-098           [sbull  Process for Entering Local Medical Review
                        ]    Policies and Certain Articles and
                             Frequently Asked Questions into the
                             Medicare Coverage Database
AB-02-099           [sbull  Standardize the CICS Level, CICS Transaction
                        ]    Server 1.3 to be Utilized by All Medicare
                             Contractors
AB-02-100           [sbull  Modification of Medicare Policy for
                        ]    Erythropoietin
AB-02-101           [sbull  Changes to Common Working File Edits for
                        ]    Skilled Nursing Facility Consolidated
                             Billing
AB-02-102           [sbull  Medicare Secondary Payer Debt Referral and
                        ]    Write Off Closed Instructions; (1)
                             Expansion and Clarification of Medicare
                             Secondary Payer Debt Collections
                             Improvement Act of 1996 Activities; (2)
                             Additional ``Write--Off--Closed
                             Instructions'' (Supplemental Instructions
                             for PM AB-01-24)
AB-02-103           [sbull  Expand Standard Date Format and Review
                        ]    Common Working File Y2K Wrapper Logic for
                             Beneficiary Cross Reference Internal Files
                             and Satellite File Header and Response
                             Records
AB-02-104           [sbull  October Quarterly Update for 2002 Durable
                        ]    Medical Equipment, Prosthetics, Orthotics,
                             and Supplies Fee Schedule
AB-02-105           [sbull  Medical Review of Medicare Payments for Nail
                        ]    Debridgement Services
AB-02-106           [sbull  Medicare Summary Notice--Inclusion of
                        ]    Appeals Information, Removal of Fraud
                             References and Office of Inspector
                             General's Hotline Number
AB-02-107           [sbull  Modify Application of ``I'' Validity
                        ]    Medicare Secondary Payor Records to the
                             Common Working File by Medicare Contractors
AB-02-108           [sbull  Clarification of Medicare Contractor
                        ]    Financial Reporting Instructions Outlined
                             in Section 1900--Section 19602.21 of the
                             Medicare Intermediary Manual and Section
                             4900--Section 4960.14 of the Medicare
                             Carriers Manual (Issued May 2001)
AB-02-109           [sbull  Common Working File, Fiscal Intermediary and
                        ]    Carrier Edits and Policy Clarification for
                             Peripheral Neuropathy With Loss of
                             Protective Sensation in People with
                             Diabetes
AB-02-110           [sbull  Implementation of National Coverage
                        ]    Determinations Regarding Clinical
                             Determinations Regarding Clinical
                             Diagnostic Laboratory Services
AB-02-111           [sbull  Implementation of Certain Initial
                        ]    Determination and Appeal Provisions Within
                             Sec.   521 of the Medicare, Medicaid and
                             State Child Health Insurance Program
                             Benefits Improvement and Protection Act of
                             2000
AB-02-112           [sbull  Final Update to the 2002 Medicare Physician
                        ]    Fee Schedule Database
AB-02-113           [sbull  Elimination of Official Level III Healthcare
                        ]    Common Procedure Coding System Codes/
                             Modifiers and Unapproved Local Codes/
                             Modifiers and Unapproved Local Codes/
                             Modifiers
AB-02-114           [sbull  Advanced Beneficiary Notice and Durable
                        ]    Medical Equipment Prosthetics, Orthotics &
                             Supplies Refund Requirements--
                             Implementation of Form CMS-R-131 Advance
                             Beneficiary Notice, and of Limits on
                             Beneficiary Liability for Medicare
                             Equipment and Supplies
AB-02-115           [sbull  Expanded Coverage of Position Emission
                        ]    Tomography Scans and Related Claims
                             Processing Changes
AB-02-116           [sbull  Data Center Testing and Production--
                        ]    Electronic Correspondence Referral System
                             User Manual 5.0
AB-02-117           [sbull  Transition Schedule for Implementation of
                        ]    the Ambulance Fee Schedule
AB-02-118           [sbull  Notice of Interest Rate for Medicare
                        ]    Overpayment and Underpayments
AB-02-119           [sbull  Medicare Coordinated Care Demonstration
                        ]    Payment for Railroad Retirement
                             Beneficiaries
AB-02-120           [sbull  Coding Instructions for IN-111 Zevalin and Y-
                        ]    90 Zevalin
AB-02-121           [sbull  Provider/Supplier Plan Quarterly Report
                        ]    Format
AB-02-122           [sbull  Appeals Quality Improvement and Data
                        ]    Analysis Activities
AB-02-123           [sbull  Information on Medicare+Choice Private Fee-
                        ]    for-Service Plans--Information Only
AB-02-124           [sbull  Updates of Rates and Wage Index for
                        ]    Ambulatory Surgical Center Payment
                             Effective October 1, 2002
AB-02-125           [sbull  Provider Education Article: Durable Medical
                        ]    Equipment Ordered With Surrogate Unique
                             Physician Identification Number
AB-02-126           [sbull  Establishing a Uniform Process for the
                        ]    Preparation and Mailing of Case Files From
                             The Contractor, the Office of Hearings and
                             Appeals, of the Social Security
                             Administration
AB-02-127           [sbull  Program Management Provider/Supplier
                        ]    Education and Training
AB-02-128           [sbull  Coverage and Billing for Percutaneous Image-
                        ]    Guided Breast Biopsy
AB-02-129           [sbull  Claims Processing Requirements for Clinical
                        ]    Diagnostic Laboratory Services Based on the
                             Negotiated Rulemaking

[[Page 79115]]

 
AB-02-130           [sbull  Definitions of Ambulance Services
                        ]
AB-02-131           [sbull  Clarification of Medicare Policy Regarding
                        ]    the Implementation of the Ambulance Fee
                             Schedule
AB-02-132           [sbull  Year 2003 Healthcare Common Procedure Coding
                        ]    System Annual Update Reminder
AB-02-133           [sbull  Publication and Maintenance of a Directory
                        ]    of Electronic Billing Ventors
-------------------
                            Hospital Manual
                              (CMS Pub. 10)
               (Superintendent of Documents No. HE 22.8/2)
------------------------------------------------------------------------
787                 [sbull  Coding for Adequacy of Hemodialysis
                        ]
788                 [sbull  Payment for Services Furnished by a Critical
                        ]    Access Hospital
789                 [sbull  General Information About the Program
                        ]
790                 [sbull  ICD-9-CM Coding for Diagnostic Tests
                        ]
-------------------
                       Home Health Agency Manual
                             (CMS--Pub. 11)
               (Superintendent of Documents No. HE 22.8/5)
------------------------------------------------------------------------
302                 [sbull  Combined to the Home
                        ]
303                 [sbull  General Information About the Program
                        ]
-------------------
                    Skilled Nursing Facility Manual
                             (CMS--Pub. 12)
               (Superintendent of Documents No. HE 22.8/3)
------------------------------------------------------------------------
373                 [sbull  Coverage and Patient Classification
                        ]
374                 [sbull  General Information About the Program
                        ]
-------------------
                             Hospice Manual
                             (CMS--Pub. 21)
              (Superintendent of Documents No. HE 22.8/18)
------------------------------------------------------------------------
65                  [sbull  General Information About the Program
                        ]
-------------------
              Outpatient Physical Therapy and Comprehensive
                Outpatient Rehabilitation Facility Manual
                             (CMS--Pub. 9)
               (Superintendent of Documents No. HE 22.8/9)
------------------------------------------------------------------------
16                  [sbull  General Information About the Program
                        ]
-------------------
                         Coverage Issues Manual
                             (CMS--Pub. 6)
              (Superintendent of Documents No. HE 22.8/14)
------------------------------------------------------------------------
157                 [sbull  Photodynamic Therapy
                        ]
                    [sbull  Photosensitive Drugs
                        ]
158                 [sbull  Speech Generating Devices
                        ]
159                 [sbull  Percutaneous Image-Guided Breast Biopsy
                        ]
-------------------
            Rural Health Clinic Manual & Federally Qualified
                         Health Centers Manual
                             (CMS--Pub. 27)
            (Superintendent of Documents No. HE 22.8/19:985)
------------------------------------------------------------------------
37                  [sbull  General Information About the Program
                        ]
-------------------
                     Rural Dialysis Facility Manual
                        (Non-Hospital Operated)
                             (CMS--Pub. 29)
              (Superintendent of Documents No. HE 22.8/13)
------------------------------------------------------------------------
93                  [sbull  Coding for Adequacy of Hemodialysis
                        ]
-------------------
                 Provider Reimbursement Manual--Part 2
             Provider Cost Reporting Forms and Instructions
                      Chapter 36/Form CMS-2552-96
                           (CMS Pub. 15-2-36)
------------------------------------------------------------------------
9                   [sbull  Hospital and Hospital Healthcare Complex
                        ]    Cost Report
-------------------

[[Page 79116]]

 
                   Medicare Program Integrity Manual
                            (CMS--Pub. 100-8)
------------------------------------------------------------------------
27                  [sbull  Contractor must review Local Medical Review
                        ]    Policy
28                  [sbull  Local Medical Review Policies
                        ]    Reconsideration Process
29                  [sbull  Introduction
                        ]
                    ......  Definitions Related to Enrollment
                    ......  Applicant versus Provider/Supplier
                    ......  General Instructions
                    ......  Forms
                    ......  Contractors
                    ......  Forms Disposition
                    ......  Application Sectional Instructions for
                             Carriers
                    ......  Processing the Application
                    ......  Identification
                    ......  Adverse Legal Actions
                    ......  Practice Location
                    ......  Ownership and Managing Control Information
                             (Organizations)
                    ......  Ownership and Managing Control Information
                             (Individuals)
                    ......  Chain Home Office Information
                    ......  Billing Agency
                    ......  Electronic Claims Submission Information
                    ......  Staffing Company
                    ......  Surety Bond Information
                    ......  Capitalization Requirement for Home Health
                             Agencies
                    ......  Contact Person
                    ......  Penalties for Falsifying Information on This
                             Enrollment Application
                    ......  Certification Statement
                    ......  Delegate Official
                    ......  Attachment
                    ......  Ambulance Services Suppliers--Attachment 1
                    ......  State License Information
                    ......  Description of Vehicle
                    ......  Qualification of Crew
                    ......  Certified Basic Life Support
                    ......  Certified Advanced Life Support
                    ......  Medical Director Information
                    ......  Independent Diagnostic Testing Facilities--
                             Attachment 2
                    ......  Entities That Must Enroll as Independent
                             Diagnostic Testing Facilities
                    ......  Review of Attachment 2, Independent
                             Diagnostic Testing Facility
                    ......  Enrollment Checks
                    ......  Special Considerations
                    ......  Reassignment of Benefits--Form CMS-855R
                    ......  Individual Reassignment of Medicare Benefits
                    ......  Supplier Identification
                    ......  Individual Practitioner Identification
                    ......  Practice Location
                    ......  Statement of Termination
                    ......  Reassignment of Benefits Statement
                    ......  Attestation Statement
                    ......  Enrolling Certified Suppliers Who Enroll
                             With Carrier
                    ......  Managed Care Organization
                    ......  Application Sectional Instructions for
                             Intermediaries
                    ......  Processing the Application
                    ......  Provider Identification
                    ......  Adverse Legal Actions
                    ......  Practice Location
                    ......  Special Processing Situations
                    ......  Community Metal Health Centers
                    ......  Benefit Improvement and Protection Act of
                             2000 Provisions
                    ......  Community Mental Health Centers Enrollment
                             and Change of Ownership Site
                    ......  Visits
                    ......  Process
                    ......  Deactivation of Billing Numbers of Inactive
                             Community Mental Health Centers
                    ......  State Survey/Regional Offices Process
                    ......  Changes in Requested Information--New Form
                             CMS-855 Data
                    ......  Change Requirement
                    ......  Procedures for Request for Additional
                             Information, Approval, Denial, or
                             Transmission of Recommendations
                    ......  Request for Additional Information
                    ......  Approval

[[Page 79117]]

 
                    ......  Denials
                    ......  Failure to Sign and/or Date the Application
                             Processing
                    ......  Matrix
                    ......  Verification and Validation of Information
                    ......  Fraud Investigation Database
                    ......  Healthcare Integrity and Protection Data
                             Bank
                    ......  Social Security Death Index
                    ......  Uncovering Fraud and Abuse
                    ......  General Services Administration Debarment
                    ......  Special Processing Situations
                    ......  Mass Immunizers Who Roster Bill
                    ......  Opt-Out Physicians
                    ......  Enrollment of Hospitals, Assignment of
                             Billing Numbers
                    ......  Railroad Retirement Board
                    ......  Mass Immunization and Roster Billers
                    ......  Site Visits
                    ......  Administrative Appeals
                    ......  Tracking Requirements
                    ......  Retention of Records
                    ......  Provider/Suppliers Education
                    ......  Web Site
                    ......  Security Safeguards
                    ......  Documentation
-------------------
                          Managed Care Manual
                           (CMS-Pub. 100-16)
                 (Superintendent of Documents No. HE 22)
------------------------------------------------------------------------
10                  [sbull  Quality Assessment and Performance
                        ]    Improvement Projects
                    ......  General
                    ......  Non-Clinical Focus Areas-Non-Clinical Focus
                             Areas Applicable Enrollees Quality
                    ......  Improvement System for Managed Care Document
                             Standard
                    ......  Quality Assessment and Performance
                             Improvement Projects
                    ......  Phase In Requirements
                    ......  Ongoing Requirements Document Standard
                    ......  Focus Areas
                    ......  Clinical Focus Area Applicable to All
                             Enrollees
                    ......  Attributes of Quality Assessment and
                             Performance Improvement
                    ......  Selection of Topics for Medicare+Choice
                             Selected Projects and Local
                    ......  Marketplace Initiatives
                    ......  Sources of Information
                    ......  Medicare+Choice Using Physician Incentive
                             Plans
                    ......  Quality Indicators
                    ......  Significant, Sustained Improvements
                    ......  Sustained Improvement Over Time
                    ......  Types of Quality Assurance Program
                             Improvement Projects
                    ......  National Quality Assurance Program
                             Improvement Projects
                    ......  Medicare+Choice Organization Selected
                             Quality Assurance Program
                    ......  Improvement Projects
                    ......  Other Quality Assurance Program Improvement
                             Projects
                    ......  Process for Centers for Medicare and
                             Medicaid Services Multi-Year Quality
                    ......  Assurance
                    ......  Program Improvement Projects Approval
                    ......  Evaluation of Quality Assurance Program
                             Improvement Projects
                    ......  Terminology
                    ......  Deeming Requirements
                    ......  General Rule
                    ......  Obligations of Deemed Medicare+Choice
                             Organizations
                    ......  Deemed Status and Center for Medicare and
                             Medicaid Services Surveys
                    ......  Removals of a Medicare+Choice Organization's
                             Deemed Status
                    ......  Centers for Medicare and Medicaid Services
                             Role
                    ......  Oversight of Accrediting Organizations
                    ......  Obligations of Accrediting Organizations
                             with Deeming Authority
                    ......  Application Requirements
                    ......  Reporting Requirement
                    ......  Reconsideration of Application Denials,
                             Removal of All Approval of Deeming
                             Authority, or Non-Renewals of Deeming
                             Authority
                    ......  Informal Hearing Procedures
                    ......  Informal Hearing Findings
                    ......  Final Reconsideration Determinations

[[Page 79118]]

 
                    ......  Background
                    ......  Specifics Applicable to Consumer Assessment
                             of Health Plans Study and Health Plan
                    ......  Employer Data and Information Set
                    ......  Healthplan Employer Data Information Sets
                             Submission Requirements
                    ......  The Medicare Health Outcomes Survey
                             Requirements
                    ......  Medicare Consumer Assessment of Health Plan
                             Survey Requirements for Enrollees And
                             Disenrollees
11                  [sbull  Lock-in Requirements/Selecting a Primary
                        ]    Care Physician--How to Access Care in a
                             Health Maintenance Organization's Emergency
                             Care Cross Reference to Quality Improvement
                             System for Managed Care 2.3.1.7
                    ......  Appeal Rights
                    ......  Benefits and Plan Premium Information
                    ......  Final Verifications Review Process
                    ......  Guidelines for Outreach Program
                    ......  Submission Requirements
                    ......  Center for Medicare and Medicaid Services
                             Review/Approval Process
                    ......  Model Direct Mail Letter
                    ......  Answers to Frequently Asked Questions About
                             Promotional Activities
                    ......  Relationship of Value-Added Items and
                             Services to Benefits and Other Operational
                             Considerations
                    ......  Non Benefit Providing Third Party Marketing
                             Materials
                    ......  Marketing Material Requirements for Non-
                             English Speaking Populations Standard
                             2.3.3.2
12                  [sbull  Definitions
                        ]
                    ......  Eligibility for Enrollment in
                             Medicare+Choice Plans
                    ......  Completion of Enrollment Form
                    ......  Election Periods and Effective Dates
                    ......  Annual Election Period
                    ......  Open Enrollment Period
                    ......  Open Enrollment Period Through 2004
                    ......  Open Enrollment Period Through 2005
                    ......  Open Enrollment Period in 2006 and Beyond
                    ......  Open Enrollment for Newly Eligible
                             Individuals in 2005 and Beyond
                    ......  Special Election Period
                    ......  Special Election Period for Exceptional
                             Conditions
                    ......  Special Election Period for Beneficiaries
                             Aged 65
                    ......  Effective Date of Coverage
                    ......  Effective Date of Voluntary Disenrollment
                    ......  Enrollment Procedures
                    ......  Format of Enrollment Forms
                    ......  Medicare+Choice Organizational Denial of
                             Enrollment
                    ......  After the Effective Date of Coverage
                    ......  Procedures After Reaching Capacity
                    ......  Disenrollment Procedures
                    ......  Voluntary Disenrollment by Member
                    ......  Medigap Guaranteed Issue Notification
                             Requirements
                    ......  Members Who Change Residence
                    ......  Failure to Pay Premiums
                    ......  Disenrollment Procedure for Employer Group
                             Health Plans
                    ......  Multiple Transactions
                    ......  Cancellation of Enrollment
                    ......  Reinstatement Due to Mistaken Disenrollment
                             Made By Member
-------------------
                            Medicare/Medicaid
                     Sanction--Reinstatement Report
                              (CMS Pub. 69)
------------------------------------------------------------------------
06-02               [sbull  Report of Physicians/Practitioners,
                        ]    Providers and/or Other Health Care
                             Suppliers Excluded/Reinstated--June 2002
07-02               [sbull  Report of Physicians/Practitioners,
                        ]    Providers and/or Other Health Care
                             Suppliers Excluded/Reinstated--July 2002
09-02               [sbull  Report of Physicians/Practitioners,
                        ]    Providers and/or Other Health Care
                             Suppliers Excluded/Reinstated--August 2002
------------------------------------------------------------------------


                      Addendum IV.--Regulation Documents Published in the Federal Register
                                       (July 2002 through September 2002)
----------------------------------------------------------------------------------------------------------------
                                FR Vol. 67
      Publication date             page           CFR part(s)           File code*          Regulation title
----------------------------------------------------------------------------------------------------------------
07/01/2002..................           44073  42 CFR 412, and 413  CMS-1069-F2........  Medicare Program;
                                                                                         Prospective Payment
                                                                                         System for Inpatient
                                                                                         Rehabilitation
                                                                                         Facilities; Correcting
                                                                                         Amendment.
07/17/2002..................           46949  42 CFR Chap. IV....  CMS-1227-N.........  Medicare Program; Town
                                                                                         Hall Meeting on the
                                                                                         Outcome Assessment
                                                                                         Information Set
                                                                                         (OASIS).

[[Page 79119]]

 
07/26/2002..................           48800  42 CFR 405.........  CMS-3074-F2........  Medicare Program; End-
                                                                                         Stage Renal Disease:
                                                                                         Removing of Waiver
                                                                                         Conditions for Coverage
                                                                                         Under a State of
                                                                                         Emergency in the
                                                                                         Houston, Texas Area.
07/26/2002..................           48801  42 CFR 413.........  CMS-1883-F3........  Medicare Program;
                                                                                         Revision of the
                                                                                         Procedures for
                                                                                         Requesting Exceptions
                                                                                         to Cost Limits for
                                                                                         Skilled Nursing
                                                                                         Facilities and
                                                                                         Elimination of
                                                                                         Reclassifications;
                                                                                         Technical Correction.
07/26/2002..................           48802  42 CFR 146.........  CMS-2033-IFC.......  Technical Change to
                                                                                         Requirements for the
                                                                                         Group Health Insurance
                                                                                         Market; Non-Federal
                                                                                         Governmental Plans
                                                                                         Exempt From HIPPA Title
                                                                                         I Requirements.
07/26/2002..................           48839  42 CFR Chap. IV....  CMS-6012-N2........  Medicare Program;
                                                                                         Establishment of The
                                                                                         Negotiated Rulemaking
                                                                                         Committee on Special
                                                                                         Payment Provisions and
                                                                                         Requirements for
                                                                                         Prosthetics and Certain
                                                                                         Custom-Fabricate
                                                                                         Orthotics; Meeting
                                                                                         Announcement.
07/26/2002..................           48840  42 CFR 413.........  CMS-1199-P.........  Medicare Program;
                                                                                         Electronic Submission
                                                                                         of Cost Reports.
07/26/2002..................           48905  ...................  CMS-4037-N.........  Medicare Program;
                                                                                         Meeting of the Advisory
                                                                                         Panel on Medicare
                                                                                         Education--September
                                                                                         26, 2002.
07/31/2002..................           49798  ...................  CMS-1202-N.........  Medicare Program;
                                                                                         Prospective Payment
                                                                                         System and Consolidated
                                                                                         Billing for Skilled
                                                                                         Nursing Facilities--
                                                                                         Update.
08/01/2002..................           49928  ...................  CMS-1205-N.........  Medicare Program;
                                                                                         Inpatient
                                                                                         Rehabilitation Facility
                                                                                         Prospective Payment
                                                                                         System for FY 2003
                                                                                         Rates.
08/01/2002..................           49982  42 CFR 405, 412,     CMS-1203-F.........  Medicare Program;
                                               413, and 485.                             Changes to the Hospital
                                                                                         Inpatient Prospective
                                                                                         Payment Systems and
                                                                                         Fiscal Year 2003 Rates.
08/09/2002..................           52092  42 CFR 405, 410,     CMS-1206-P.........  Medicare Program;
                                               and 419.                                  Changes to the Hospital
                                                                                         Outpatient Prospective
                                                                                         Payment System and
                                                                                         Calendar Year 2003
                                                                                         Payment Rates; and
                                                                                         Changes to Payment
                                                                                         Suspension for Unfiled
                                                                                         Cost Reports.
08/16/2002..................           53644  42 CFR 405, 410 and  CMS-1206-P (OFR      Medicare Program;
                                               419.                 correction).         Changes to the Hospital
                                                                                         Outpatient Prospective
                                                                                         Payment System and
                                                                                         Calendar Year 2003
                                                                                         Payment Rates; and
                                                                                         Changes to Payment
                                                                                         Suspension for Unfiled
                                                                                         Cost Reports;
                                                                                         Correction.
08/22/2002..................           54532  42 CFR 438.........  CMS-2104-F.........  Medicare Program;
                                                                                         Medicaid Managed Care:
                                                                                         New Provisions.
08/22/2002..................           54534  42 CFR 400, 405,     CMS-3063-P.........  Medicare Program; Review
                                               and 426.                                  of National Coverage
                                                                                         Determinations and
                                                                                         Local Coverage
                                                                                         Determinations.
08/23/2002..................           54660  ...................  CMS-1216-N.........  Medicare Program;
                                                                                         September 23 and 24,
                                                                                         2002, Meeting of the
                                                                                         Practicing Physicians
                                                                                         Advisory Council and
                                                                                         Request for
                                                                                         Nominations.
08/23/2002..................           54657  ...................  CMS-2140-FN........  Medicare and Medicaid
                                                                                         Programs; Approval of
                                                                                         Deeming Authority for
                                                                                         Critical Access
                                                                                         Hospitals by the Joint
                                                                                         Commission on
                                                                                         Accreditation of
                                                                                         Healthcare
                                                                                         Organizations (JCAHO).
08/23/2002..................           54659  ...................  CMS-3098-N.........  Medicare Program;
                                                                                         Meeting of the
                                                                                         Executive Committee of
                                                                                         the Medicare Coverage
                                                                                         Advisory Committee--
                                                                                         September 25, 2002.
08/30/2002..................           55851  ...................  CMS-2136-PN........  Medicare Program; State
                                                                                         Allotments for Payment
                                                                                         of Medicare Part B
                                                                                         Premiums for Qualifying
                                                                                         Individuals: Federal
                                                                                         Fiscal Year 2002.
08/30/2002..................           55954  42 CFR 412, 413 and  CMS-1177-F.........  Medicare Program;
                                               476.                                      Prospective Payment
                                                                                         System for Long-Term
                                                                                         Care Hospitals:
                                                                                         Implementation and FY
                                                                                         2003 Rates.
08/30/2002..................           56092  ...................  CMS-1211-N.........  Medicare Program;
                                                                                         Hospital Wage Index for
                                                                                         Fiscal Year 2003.
09/04/2002..................           56618  42 CFR 403.........  CMS-4027-F.........  Medicare Program;
                                                                                         Medicare-Endorsed
                                                                                         Prescription Drug Card
                                                                                         Assistance Initiative.
09/27/2002..................           60993  42 CFR 408.........  CMS-1221-F.........  Medicare Program;
                                                                                         Supplementary Medical
                                                                                         Insurance Premium
                                                                                         Surcharge Agreements.
09/27/2002..................           61116  ...................  CMS-4043-N.........  Medicare Program;
                                                                                         Solicitation for
                                                                                         Proposals for the
                                                                                         Physician Group
                                                                                         Practice Demonstration.

[[Page 79120]]

 
09/27/2002..................           61130  ...................  CMS-9014-N.........  Medicare and Medicaid
                                                                                         Programs: Quarterly
                                                                                         Listing of Program
                                                                                         Issuances--April 2002
                                                                                         Through June 2002.
----------------------------------------------------------------------------------------------------------------
*N=General Notice; PN=Proposed Notice; NC=Notice with Comment Period; FN=Final Notice; P=Notice of Proposed
  Rulemaking (NPRM); F=Final Rule; FC=Final Rule with Comment Period; CN=Correction Notice; IFC=Interim FInal
  Rule with Comment Period; GNC=General Notice with Comment Period.


Addendum V--National Coverage Determinations (April 2002 Through June 
2002)

    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 became effective 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 impending decisions or, in some cases, explain 
why it was not appropriate to issue a NCD. We identify completed 
decisions by title, effective date, and section of the publication 
where the decision can be found. Also, please note that in some 
cases more than one NCD was made affecting single procedure. 
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 Decisions for Quarterly Notice
                                      [Coverage Issues Manual--CMS Pub. 06]
----------------------------------------------------------------------------------------------------------------
                 Section                                Title                          Effective date
----------------------------------------------------------------------------------------------------------------
45-30...................................  Photosensitive Drugs............  January 1, 2003.
45-32...................................  Levocarnitine for the Treatment   January 1, 2003.
                                           of Carnitine Deficiency in ESRD
                                           Patients.
35-77...................................  Neuromuscular Electrical........  April 1, 2003.
35-102..................................  Electrical Stimulation for Wound  April 1, 2003.
                                           Healing.
----------------------------------------------------------------------------------------------------------------


                            Program Memoranda
------------------------------------------------------------------------
            PM number                    Title          Effective date
------------------------------------------------------------------------
No items for this quarterly
 notice.
------------------------------------------------------------------------


              Joint Letter and Federal Register Publication
------------------------------------------------------------------------
              Date                       Title          Effective date
------------------------------------------------------------------------
No items for this quarterly
 notice.
------------------------------------------------------------------------

Decision Memoranda Announcing Maintenance of Existing National Coverage 
Determination

    The following decision memoranda announce the agency's intention 
to issue NCDs or they announce the agency's determination that NCDs 
are inappropriate and thus reasonable and necessary determinations 
are left to contractor discretion. The relevant sections of the 
Coverage Issues Manual, however, have not yet been revised. The 
revisions will occur at a later date.


 
------------------------------------------------------------------------
          Date of memo                   Title            CIM section
------------------------------------------------------------------------
No items for this quarterly
 notice.
------------------------------------------------------------------------

Addendum VI--Categorization of Food and Drug Administration-Allowed 
Investigational Device Exemptions

    Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c), devices 
fall into one of three classes. Also, under the new categorization 
process to assist CMS, the Food and Drug Administration assigns each 
device with a Food and Drug Administration-approved investigational 
device exemption to one of two categories. 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 information presents the device number and category 
(A or B).

Investigational Device Exemption Numbers, 2nd Quarter 2002

IDE/Category
G010013 B

[[Page 79121]]

G010134 B
G010188 B
G010328 B
G020002 B
G020025 A
G020030 B
G020046 B
G020048 B
G020050 B
G020051 B
G020052 B
G020054 B
G020056 A
G020057 B
G020061 B
G020062 B
G020063 B
G020064 B
G020065 B
G020068 B
G020070 B
G020072 B
G020073 B
G020075 B
G020079 B
G020080 B
G020082 B
G020085 B
G020087 B
G020090 B
G020092 B
G020094 B
G020096 B
G020097 B
G020098 B
G020099 B
G020100 B
G020106 B
G020107 B
G020108 B
G020109 B
G020112 B
G020113 B
G020114 B
G020116 A
G020119 B
G020121 B
G020122 B
G020126 B
G020127 A
G020130 B
G020132 B
G020133 B
G020135 B
G020165 B

[FR Doc. 02-32197 Filed 12-26-02; 8:45 am]
BILLING CODE 4120-01-M