[Federal Register Volume 68, Number 187 (Friday, September 26, 2003)]
[Notices]
[Pages 55618-55634]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-24069]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9018-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--April 2003 Through June 2003

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 April 2003 through June 2003, relating to the Medicare 
and Medicaid programs. This notice provides information on national 
coverage determinations affecting specific medical and health care

[[Page 55619]]

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. 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 
Karen Bowman, Office of Strategic Operations and Regulatory Affairs, 
Centers for Medicare & Medicaid Services, C5-16-03, 7500 Security 
Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-5252.
    Questions concerning national coverage determinations 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 Investigational Device Exemptions items in 
Addendum VI may be addressed to Sharon Hippler, Office of Clinical 
Standards and Quality, Centers for Medicare & Medicaid Services, C5-13-
27, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call 
(410) 786-4633.
    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 
Margie Teeters, Office of Strategic Operations and Regulatory Affairs, 
Regulations Development and Issuances 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, national coverage determinations (NCDs), and Food and Drug 
Administration (FDA)-approved investigational device exemptions (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 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 (CIM) may wish to 
review the August 21, 1989 publication (54 FR 34555). Those interested 
in the procedures used in making NCDs under the Medicare program may 
review the April 27, 1999 publication (64 FR 22619).
    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 or multiple instruction(s). 
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 quarter covered by this notice. For each item, we 
list the--
    [sbull] Date published;
    [sbull] Federal Register citation;
    [sbull] Parts of the Code of Federal Regulations (CFR) that have 
changed (if applicable);
    [sbull] Agency file code number; and
    [sbull] Title of the regulation.
    [sbull] 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 CIM in which the 
decision appears, the title, the date the publication was issued, and 
the effective date of the decision.
    [sbull] 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

[[Page 55620]]

numbers are assigned (that is, Category A or Category B), and 
identified by the IDE number.
    [sbull] 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'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, and the stock 
number is 717-139-00000-3. 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 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 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 
Carriers Manual, Part 3--Program Administration (CMS Pub. 14-3) 
transmittal entitled ``Incident to Physician's Professional Services 
(Subsection A--Commonly Furnished in Physicians' Offices),'' use the 
Superintendent of Documents No. HE 22.8/7 and the transmittal number 
1793.

(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: September 8, 2003.
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.

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)
December 27, 2002 (67 FR 79109)
March 28, 2003 (68 FR 15196)
June 27, 2003 (68 FR 38359)

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 Medicare 
Coverage Issues Manual (CIM) 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.

[[Page 55621]]



        Addendum III.--Medicare and Medicaid Manual Instructions
                     [April 2003 Through June 2003]
------------------------------------------------------------------------
  Transmittal No.                   Manual/Subject/Publication No.
------------------------------------------------------------------------
                           Intermediary Manual
          Part 3--Audits, Reimbursement Program Administration
                             (CMS Pub. 13-3)
               (Superintendent of Documents No. HE 22.8/6)
------------------------------------------------------------------------
1879                 [sbull  Clinical Diagnostic Laboratory Services
                         ]    Other Than To Inpatients Screening Pap
                              Smears and Pelvic Examinations
1880                 [sbull  Autologous Stem Cell Transplantation
                         ]
1881                 [sbull  Review of Form HCFA-1450 for Inpatient and
                         ]    Outpatient Bills
1882                 [sbull  Frequency of Billing
                         ]
1883                 [sbull  Magnetic Resonance Angiography
                         ]
1884                 [sbull  Telehealth Services
                         ]
1885                 [sbull  Medicare Payment for Telehealth Services
                         ]
1886                 [sbull  Payment Without Common Working File
                         ]    Approval
1887                 [sbull  Filing a Request for Payment
                         ]
                     ......  Request for Payment
                     ......  Filing Claims for Payment
                     ......  Time Limits for Requests and Claims for
                              Payment for Services Reimbursed
                     ......  Effects on Beneficiary and Provider of
                              Beneficiary's Refusal to File a Request
                              for Payment
                     ......  Filing Claims Where Usual Time Limit Has
                              Expired
                     ......  Claims for Payment for Emergency Hospital
                              Services and Services Outside the United
                              States
                     ......  Appeals
                     ......  Time Limits for Filing Part B Reasonable
                              Charge Claims
                     ......  Claims Processing Timeliness
                     ......  Time Limitations for Filing Provider Claims
                     ......  Incomplete or Invalid Claims
                     ......  Addendum L Paper and Electronic Data
                              Element Requirements
                     ......  Bill Type Codes and Allowable Provider
                              Numbers
1888                 [sbull  Screening Pap Smears and Screening Pelvic
                         ]    Examinations
1889                 [sbull  Billing of the Diagnosis and Treatment of
                         ]    Peripheral Neuropathy With Loss of
                              Protective Sensation in People With
                              Diabetes
1890                 [sbull  Coverage and Billing of Sacral Nerve
                         ]    Stimulation
                     ......  Deep Brain Stimulation for Essential Tremor
                              and Parkinson's Disease
1891                 [sbull  International Classification of Diseases
                         ]    9th Edition
                     ......  Clinical Modification Coding for Diagnostic
                              Tests
--------------------
                             Carriers Manual
                     Part 3--Program Administration
                             (CMS Pub. 14-3)
               (Superintendent of Documents No. HE 22.8/7)
------------------------------------------------------------------------
1793                 [sbull  Incident to Physician's Professional
                         ]    Services (Subsection A--Commonly Furnished
                              in Physicians' Offices)
1794                 [sbull  The ``Do Not Forward'' Initiative
                         ]    (Subsection C--Internal Revenue Services--
                              1099 Reporting)
1795                 [sbull  Magnetic Resonance Angiography Coverage
                         ]    Summary Coding Requirements
1796                 [sbull  Skilled Nursing Facility Consolidated
                         ]    Billing
                     ......  Determining the End of a Skilled Nursing
                              Facility Stay
                     ......  Types of Facilities Included in and
                              Excluded From Consolidated Billing
                     ......  Types of Services Included in and Excluded
                              From Consolidated Billing
                     ......  Risk-Based Health Maintenance Organization
                              Beneficiaries
                     ......  Clarification of Ambulance Services
                     ......  Information on a Skilled Nursing Facility
                              Contracting With Outside Entities for
                              Services
                     ......  Carrier Claims Processing
                     ......  Special Requirements for Claims for Durable
                              Medical Equipment, Prosthetics, Orthotics,
                              and Supplies
                     ......  Revisions to Common Working File Edits To
                              Permit Payment for Certain Diagnostic
                              Services Furnished To Beneficiaries
                              Receiving Treatment for End-Stage Renal
                              Disease at an Independent or Provider-
                              Based Dialysis Facility
1797                 [sbull  Telehealth Claims
                         ]
1798                 [sbull  Medicare Payment for Telehealth Services
                         ]
1799                 [sbull  Payment Limit for Certain Drugs and
                         ]    Biologicals
                     ......  Procedures for Determining Payment Limit
                     ......  Injection Services
                     ......  Mandatory Assignment for Drugs and
                              Biologicals
1800                 [sbull  Drugs and Biologicals
                         ]
                     ......  Definition of Drug or Biological
                     ......  Determining Self-Administration of Drugs or
                              Biologicals Incident-To Requirements
1801                 [sbull  Healthcare Common Procedure Coding System
                         ]    Coding
                     ......  Common Working File Edits for Flu and
                              Pneumonia Claims
                     ......  Administrative Bulletin Crossover Edit
                     ......  Payment Requirements
                     ......  No Legal Obligation To Pay
                     ......  Roster Billing
                     ......  Health Maintenance Organization Processing

[[Page 55622]]

 
                     ......  Specialty Code/Place of Service Processing
1802                 [sbull  Foot Care and Supportive Devices for Feet
                         ]    Foot Care
                     ......  Peripheral Neuropathy With Loss of
                              Protective Sensation in People With
                              Diabetes
                     ......  Coverage
                     ......  Applicable Codes
                     ......  Payment Requirements
                     ......  Standard System Edits
                     ......  Common Working File Edits
1803                 [sbull  End-Stage Renal Disease Bill Procedures
                         ]    1804
1804                 [sbull  Durable Medical Equipment Regional
                         ]    Carriers--Pre-Discharge Delivery of
                              Durable Medical Equipment, Prosthetics,
                              Orthotics, and Supplies for Fitting and
                              Training
1805                 [sbull  Necessity for Treatment
                         ]
1806                 [sbull  Intestinal and Multi-Visceral
                         ]    Transplantation
                     ......  Approved Transplant Facilities
                     ......  Payment Procedures for Intestinal and Multi-
                              Visceral Transplants
1807                 [sbull  International Classification of Diseases
                         ]    9th Edition Clinical Modification
                     ......  Coding for Diagnostic Tests
--------------------
                    Program Memorandum Intermediaries
                             (CMS Pub. 60A)
              (Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
A-03-020             [sbull  April 2003 Update of the Hospital
                         ]    Outpatient Prospective Payment System
A-03-021             [sbull  Announcement of Medicare Rural Health
                         ]    Clinics and Federally Qualified
                     ......  Health Centers Payment Rate Increases,
                              Clarification on Coverage and Payment of
                              Diabetes Self-Management Training Services
                              and Medical Nutrition Therapy Services
A-03-022             [sbull  Installation of Version 29.0 of the
                         ]    Provider Statistical and Reimbursement
                              Reporting System--Modification A-03-023
A-03-023             [sbull  Implementation of the Temporary
                         ]    Equalization of Urban and Rural
                              Standardized Payment Amounts Under the
                              Medicare Inpatient Hospital Prospective
                              Payment System as Required By Section
                              402(b) of Public Law 108-7
A-03-024             [sbull  Advance Beneficiary Notices Must Be Given
                         ]    To Beneficiaries and Demands Bills Must Be
                              Submitted By Home Health Agencies
A-03-025             [sbull  Advance Beneficiary Notices Must Be Given
                         ]    To Beneficiaries and Demands Bills Must Be
                              Submitted By Home Health Agencies
A-03-026             [sbull  April Outpatient Code Editor Specifications
                         ]    Version (V4.1)
A-03-027             [sbull  Updated Outpatient Prospective Payment
                         ]    System: Requirements for Provider
                              Education and Training
A-03-028             [sbull  January Medicare Outpatient Code Editor
                         ]    Specifications Version 18.1R1 for Bills
                              From Hospitals That Are Not Paid Under the
                              Outpatient Prospective Payment System
A-03-029             [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, Fiscal Year 2003 (67 FR
                              49982, August 1, 2002)
A-03-030             [sbull  Provider-Based Status On or After October
                         ]    1, 2002
A-03-031             [sbull  Medicare Secondary Payer Information
                         ]    Collection Policies Changed for Hospitals
A-03-032             [sbull  Addition of Patient Status Code 43,
                         ]    Deletion of Patient Status Codes 71 and
                              72, and Information on New Patient Status
                              Code 65
A-03-033             [sbull  End-Stage Renal Disease Reimbursement for
                         ]    Automated Multi-Channel Chemistry Tests
A-03-034             [sbull  Modification to Medicare Timely Filing Edit
                         ]    for Claims Paid Under Certain Prospective
                              Payment Systems
A-03-035             [sbull  Reporting of Revenue Codes Under the
                         ]    Outpatient Prospective Payment System
A-03-036             [sbull  Installation of Version 30.0 of the
                         ]    Provider Statistical and Reimbursement
                              Reporting System--Modification
A-03-037             [sbull  Contractor Reporting of Operational and
                         ]    Workload Data for Electronic Data
                              Interchange and Manual Transactions
A-03-038             [sbull  Program Integrity Management Reporting
                         ]    System for Part A Phase 2
A-03-039             [sbull  Clarification to Corrections to Updated
                         ]    Instruction on Receipt and Processing of
                              Non-Covered Changes on Other Than Part A
                              Inpatient Claims (Transmittals A-02-071, A-
                              02-117)--Change In Effective and
                              Implementation Date Only
A-03-040             [sbull  Clarification of Bill Types 22x and 23x
                         ]    Submitted by Skilled Nursing Facilities
A-03-041             [sbull  Health Insurance Portability and
                         ]    Accountability Act Version 4010A1
                     ......  Institutional 837 Health Care Claim
                              Additional Implementation Direction
A-03-042             [sbull  Updated Revision to Change Request 2508,
                         ]    Suspension, Offset, and Recoupment of
                              Medicare Payment to Providers and
                              Suppliers of Services
A-03-043             [sbull  Changes to Fiscal Year 2001 Nursing and
                         ]    Allied Health Education Payment Policies
A-03-044             [sbull  Audit Guidance Pertaining To Write-Offs of
                         ]    Small Debit Balances in Patients' Accounts
                              Receivable
A-03-045             [sbull  Payment to Hospitals and Units Excluded
                         ]    From the Acute Inpatient Prospective
                              Payment System for Direct Graduate Medical
                              Education and Nursing and Allied Health
                              Education for Medicare+Choice Enrollees
A-03-046             [sbull  Demonstration--Settlement of Payment for
                         ]    Home Health Services to Beneficiaries
                              Eligible for Both Medicare and Medicaid in
                              Connecticut, and Massachusetts. Regional
                              Home Health Intermediaries Only.
A-03-047             [sbull  Medicare's Coordination of Benefits
                         ]    Contractor Shall Discontinue the
                              Dissemination of the Right of Recovery
                              Letter to Intermediaries
A-03-048             [sbull  July Outpatient Code Editor Specifications
                         ]    Version (V4.2)
A-03-049             [sbull  Fiscal Intermediaries Must Install and Use
                         ]    Super Op With the Fiscal Intermediary
                              Standard System
A-03-050             [sbull  July Medicare Outpatient Code Editor
                         ]    Specifications Version 18.2 for Bills From
                              Hospitals That Are Not Paid Under the
                              Outpatient Prospective Payment System
A-03-051             [sbull  July 2003 Update of the Hospital Outpatient
                         ]    Prospective System
A-03-052             [sbull  Revision to Billing for Swing-Bed Services
                         ]    Under the Skilled Nursing Facility
                              Prospective Payment System

[[Page 55623]]

 
A-03-053             [sbull  Nurse Practitioner Services Under Medicare
                         ]    Hospice
A-03-054             [sbull  Revision to Change Request 2573,
                         ]    Transmittal A-03-013, dated February 14,
                              2003: 3-Day Payment Window Refinements
                              Under the Short-Term Hospital Inpatient
                              Prospective Payment System
A-03-055             [sbull  Disclosure of Information Requirements
                         ]    Related to Hospice Claims
A-03-056             [sbull  Payment Update for Long-Term Care Hospital
                         ]    Prospective Payment System Rate Year 2004
--------------------
                       Program Memorandum Carriers
                             (CMS Pub. 60B)
              (Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
B-03-023             [sbull  Correct Payment of January and February
                         ]    2003 Physician Services
B-03-024             [sbull  Follow-Up to Implementation of the National
                         ]    Council for Prescription Drug Programs
                              Telecommunications Standard Version 5.1
                              and the Equivalents
                     ......  Batch Standard Version 1.1 for Retail
                              Pharmacy Drug Transactions
B-03-025             [sbull  Durable Medical Equipment Regional
                         ]    Carriers--DeWall Posture Protector
                              Orthotic Body Jacket (L0430)
B-03-026             [sbull  Standard System Acceptance of Primary Payer
                         ]    Information at the Line Level
B-03-027             [sbull  Implementation of Carriers Jurisdiction
                         ]    Manual Instructions Based on the Medicare
                              Carriers Manual Part 3, Section 3101 for
                              the Multi-Carrier System
                     ......  Standard System and Associated Medicare
                              Carriers
B-03-028             [sbull  Durable Medical Equipment Regional
                         ]    Carriers--Internal Classification of
                              Diseases--9--Classification of Diseases
                              Coding
B-03-029             [sbull  Manager Care Reasonable Charge Data
                         ]    Disclosure Requirements for Ambulance
                              Services
B-03-030             [sbull  Types of Services Corrections
                         ]
B-03-031             [sbull  Multi-Carriers System Reporting of 2003
                         ]    Participating Data to the Contractor
                     ......  Reporting of Operational and Workload Data
                              System
B-03-032             [sbull  Continuation of April and July 2003 Change
                         ]    Requests (2423 and 2524): Create Import/
                              Export Functionality Between the Unique
                              Provider Identification Number System and
                              the Provider Enrollment Chain Ownership
                              System
B-03-033             [sbull  Continuation of April and July 2003 Change
                         ]    Requests (2425 and 2525): Create Import/
                              Export Functionality Between the Medicare
                              Claims System and the Provider Enrollment
                              Chain Ownership System
B-03-034             [sbull  Continuation of April and July 2003 Change
                         ]    Requests (2426 and 2526): Process All
                              Medicare Part B Provider Enrollments in
                              the Provider Enrollment Chain Ownership
                              System. Modify the Medicare Claims System
                              To Incorporate All Claim Payment and
                              Provider Correspondence Functionality That
                              Is Included in the Provider Enrollment
                              System But Will Not Be a Part of Provider
                              Enrollment Chain Ownership System
B-03-035             [sbull  Continuation of April and July 2003 Change
                         ]    Requests (2427 and 2527): Process All
                              Medicare Part B Provider Enrollments in
                              the Provider Enrollment Chain Ownership
                              System. Create Import/Export Functionality
                              Between the Viable Information Processing
                              Systems Medicare System and Provider
                              Enrollment Chain Ownership System
B-03-036             [sbull  Expansion of Beneficiary History and Claims
                         ]    In Process Files in the Viable Information
                              Processing System Phase 1--Beneficiary
                              History File Expansion
B-03-037             [sbull  Excluding From Home Health Consolidated
                         ]    Billing Edits Claims for Therapy Services
                              Rendered by Physicians
B-03-038             [sbull  Oral Anti-Cancer Drugs
                         ]
B-03-039             [sbull  Common Working File Skilled Nursing
                         ]    Facility Consolidated Billing Bypass To
                              Allow Separate Payment for Drugs
B-03-040             [sbull  Update of the Place of Services Code Set
                         ]
B-03-041             [sbull  National Council for Prescription Drug
                         ]    Program Batch Transaction Standard 1.1
                              Billing Request Companion Document
B-03-042             [sbull  Bi-Annual Updates to the Health Care
                         ]    Provider Taxonomy Code
B-03-043             [sbull  Diabetes Outpatient Self-Management
                         ]    Training and the ``Incident To'' Provision
B-03-044             [sbull  Correction to Business Requirements 2
                         ]
B-03-045             [sbull  International Classification of Diseases
                         ]    9th Edition Clinical Modification Coding
                     ......  Requirements for Claims Submitted to
                              Medicare Carriers
B-03-046             [sbull  Provider Education: Establishing New
                         ]    Requirements for ICD-9-CM Coding on Claims
                              Submitted to Medicare Carriers--Increased
                              Role for Physicians/Practitioners
B-03-047             [sbull  Changes To Correct Coding Edits, Version
                         ]    9.3, Effective October 1, 2003
B-03-048             [sbull  Addition of Temporary Codes Q4052 and Q4053
                         ]
B-03-049             [sbull  Additional Instructions To Assist in the
                         ]    Implementation of Program Memorandum B-02-
                              075--Carrier Review of Payment Amounts for
                              Portable X-Ray Transportation Services
                              Health Care Procedure Coding System
--------------------
                           Program Memorandum
                         Intermediaries/Carriers
                            (CMS Pub. 60A/B)
              (Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
AB-03-041            [sbull  Common Working File Reject and Utilization
                         ]    Edits and Carriers Resolution for
                              Consolidated Billing for Skilled Nursing
                              Facility Residents
AB-03-042            [sbull  Coverage and Billing for Percutaneous Image-
                         ]    Guided Breast Biopsy
AB-03-043            [sbull  Addition of ``K'' Codes for Surgical
                         ]    Dressings
AB-03-044            [sbull  Addition of Temporary ``K'' Codes
                         ]
AB-03-045            [sbull  Addition of Temporary ``K'' Codes
                         ]
AB-03-046            [sbull  Expanding the Number of Source Identifiers
                         ]    for Common Working File Medicare Secondary
                              Payor
AB-03-047            [sbull  Single Drug Pricer Clarifications
                         ]
AB-03-048            [sbull  End-Stage Renal Disease Coordination Period
                         ]
AB-03-049            [sbull  Clarification of Payment Responsibilities
                         ]    of Fee-for-Service Contractors as They
                              Relate to Hospice Members Enrolled in
                              Managed Care Organizations and Claims
                              Processing Instructions for Processing
                              Rejected Claims

[[Page 55624]]

 
AB-03-050            [sbull  Data Center Testing and Production--
                         ]    Electronic Correspondence Referral System
                              User Manual 5.1 and Quick Reference Guide
                              Replacement
AB-03-051            [sbull  Notice of Interest Rate for Medicare
                         ]    Overpayments and Underpayments
AB-03-052            [sbull  Managing Medicare Appeals Workloads in
                         ]    Fiscal Year 2003
AB-03-053            [sbull  Availability of Online Screens for the
                         ]    Laboratory National Coverage
                              Determinations
AB-03-054            [sbull  Diagnosis Code for Screening Pap Smear and
                         ]    Pelvic Examination Services
AB-03-055            [sbull  Shared System Maintainer Hours for
                         ]    Resolution of Problems Detected During
                              Health Insurance Portability and
                              Accountability Act Transaction Release
                              Testing
AB-03-056            [sbull  New Waived Test--March 21, 2003
                         ]
AB-03-057            [sbull  Implementation of the Financial Limitation
                         ]    for Outpatient Rehabilitation Services
AB-03-058            [sbull  Collection of Fee-for-Service Payments Made
                         ]    During Periods of Managed Care Enrollment
AB-03-059            [sbull  Shared Systems Changes for Name Change From
                         ]    Health Care Financing Administration to
                              Centers for Medicare & Medicaid Services
                              (Fiscal Intermediary Standard and VIPS
                              Medicare System External Changes Only)
AB-03-060            [sbull  Flat File Changes in the Health Care Claim
                         ]    Professional (837 Professional) Version
                              4010A1, Health Care Claim Payment/Advice
                              (835) Version 4010 and 4010A1 and 3051.4A,
                              and Health Care Claim Status Inquiry and
                              Response (276/277) Version 4010A1
                              Transactions
AB-03-061            [sbull  Program Memorandum on Written Statements of
                         ]    Intent To Claim Medicare Benefits
AB-03-062            [sbull  New Common Working File Edits and Standard
                         ]    System Responses on Skilled Nursing
                              Facility Claims
AB-03-063            [sbull  New Common Working File Medicare Secondary
                         ]    Payer Edit to Reject Medicare Secondary
                              Edit Records for Medicare Beneficiaries
                              Who Are Only Entitled To Medicare Part B,
                              and Are Covered by a Group Health Plan
AB-03-064            [sbull  System Networking Electronic Correspondence
                         ]    Referral System User Guide
AB-03-065            [sbull  Schedule Release for July Updates to
                         ]    Software Programs and Pricing/Coding Files
AB-03-066            [sbull  Issuance of the Eligibility File-Based
                         ]    Standard Trading Partner Agreement for the
                              Purpose of Coordination of Benefits
AB-03-067            [sbull  Revision to Change Request 2170: Appeals
                         ]    Quality Improvement and Data Analysis
                              Activities
AB-03-068            [sbull  Common Working File Change for the 270/271
                         ]    Eligibility Transaction
AB-03-069            [sbull  Clarification of the Criteria for a Valid
                         ]    Written Statement of Intent To File a
                              Medicare Claim
AB-03-070            [sbull  Second Update to the 2003 Medicare
                         ]    Physician Fee Schedule Database
AB-03-071            [sbull  July Quarterly Update for 2003 Durable
                         ]    Medical Equipment, Prosthetics, Orthotics,
                              and Supplies Fee Schedule
AB-03-072            [sbull  Mammography Computer-Aided Detection
                         ]    Equipment
AB-03-073            [sbull  Provider Education Article: Financial
                         ]    Limitation of Claims for Outpatient
                              Rehabilitation Services
AB-03-074            [sbull  Instructions for Fiscal Intermediary
                         ]    Standard System and Multi-Carrier System
                              Healthcare Integrated General Ledger
                              Accounting System Changes
AB-03-075            [sbull  Provider Education Article: Quarterly
                         ]    Provider Update
AB-03-076            [sbull  Remittance Advice Message for Denial of
                         ]    Clinical Diagnostic Laboratory Services
                              Denied Due to Frequency Edits
AB-03-077            [sbull  Revised Disclosure Desk Reference for Call
                         ]    Centers
AB-03-078            [sbull  Medicare Fee-for-Service Contractor
                         ]    Guidance of the Health Insurance
                              Portability and Accountability Act Privacy
                              Rule Business Associate Provisions
AB-03-079            [sbull  Claims Processing Instructions for the Utah
                         ]    Graduate Medical Education Demonstration
AB-03-080            [sbull  Single Drug Pricer Clarification for Code
                         ]    J7342
AB-03-081            [sbull  Data Center Testing and Production--
                         ]    Electronic Correspondence Referral System
                              User Manual 6.0
AB-03-082            [sbull  Medicare Secondary Payer Prepayment and
                         ]    Postpayment Workload Reporting--Activity
                              Code Definitions
AB-03-083            [sbull  Screening of Complaints Alleging Fraud and
                         ]    Abuse
AB-03-084            [sbull  Changes to the Laboratory National Coverage
                         ]    Determination Edit Software for July 1,
                              2003
AB-03-085            [sbull  Beneficiary Notice of Implementation of
                         ]    Outpatient Therapy Service Limitations
AB-03-086            [sbull  New Automatic Notice of Change to Medicare
                         ]    Secondary Payer Auxiliary File
AB-03-087            [sbull  Common Working File Edits With Unsolicited
                         ]    Responses for Skilled Nursing Facility
                              Consolidated Billing
AB-03-088            [sbull  Prohibition on New Trading Partner
                         ]    Agreements With Certain Entities for the
                              Purpose of Coordination of Benefits
AB-03-089            [sbull  Coverage and Billing for Home Prothrombin
                         ]    Time International Normalized Ratio
                              Monitoring for Anticoagulation Management
AB-03-090            [sbull  Coverage of Compression Garments in the
                         ]    Treatment of Venous Stasis Ulcers
AB-03-091            [sbull  Medicare Contractor Annual Update of the
                         ]    International Classification of Diseases,
                              Ninth Revision, Clinical Modification
AB-03-092            [sbull  Expanded Coverage of Positron Emission
                         ]    Tomography Scans and Related Claims
                              Processing Requirements for Thyroid Cancer
                              and Perfusion of the Heart Using Ammonia N-
                              13
AB-03-093            [sbull  Correction: Coverage and Billing
                         ]    Requirements for Electrical Stimulation
                              for the Treatment of Wounds
--------------------
                             Hospice Manual
                              (CMS Pub. 10)
               (Superintendent of Documents No. HE 22.8/2)
------------------------------------------------------------------------
800                  [sbull  Screening Pap Smears and Screening Pelvic
                         ]    Examinations
801                  [sbull  Notice to Beneficiaries
                         ]
                     ......  Peer Review Organization Monitoring of
                              Hospital Admission Notice to Beneficiaries
802                  [sbull  Frequency of Billing
                         ]
803                  [sbull  Magnetic Resonance Angiography
                         ]
804                  [sbull  Screening Pap Smears and Screening Pelvic
                         ]    Examinations
805                  [sbull  International Classification of Diseases
                         ]    9th Edition Clinical Modification
--------------------

[[Page 55625]]

 
                        Home Health Agency Manual
                              (CMS Pub. 11)
               (Superintendent of Documents No. HE 22.8/5)
------------------------------------------------------------------------
304                  [sbull  Frequency of Billing
                         ]
--------------------
                         Coverage Issues Manual
                              (CMS Pub. 6)
              (Superintendent of Documents No. HE 22.8/14)
------------------------------------------------------------------------
169                  [sbull  Stem Cell Transplantation
                         ]
170                  [sbull  Magnetic Resonance Angiography
                         ]
171                  [sbull  Positron Emission Tomography Scans
                         ]
172                  [sbull  Intestinal and Multi-Visceral
                         ]    Transplantation
--------------------
                        Peer Review Organization
                              (CMS Pub. 19)
               (Superintendent of Documents No. 22.8/8-15)
------------------------------------------------------------------------
90                   [sbull  Eligibility--has been moved to the Pub. 100-
                         ]    10, Medicare Quality Improvement
                              Organizations Manual, Chapter 2, which can
                              be found at http://www.cms.hhs.gov/manuals manuals.
                     ......  Data Management--has been moved to the Pub.
                              100-10, Medicare Quality Improvement
                              Organizations Manual, Chapter 8, which can
                              be found at http://www.cms.hhs.gov/manuals manuals.
                     ......  Management--has been moved to the Pub. 100-
                              10, Medicare Quality Improvement
                              Organizations Manual, Chapter 13, which
                              can be found at http://www.cms.hhs.gov/manuals manuals.
                     ......  Performance Evaluation--has been moved to
                              the Pub. 100-10, Medicare Quality
                              Improvement Organizations Manual, Chapter
                              15, which can be found at http://www.cms.hhs.gov/manuals.
--------------------
                             Hospice Manual
                              (CMS Pub. 21)
              (Superintendent of Documents No. HE 22. 8/18)
------------------------------------------------------------------------
67                   [sbull  Frequency of Billing
                         ]
--------------------
 Rural Health Clinic Manual & Federally Qualified Health Centers Manual
                              (CMS Pub. 27)
            (Superintendent of Documents No. He 22. 8/19:985)
------------------------------------------------------------------------
38                   [sbull  Magnetic Resonance Angiography
                         ]
--------------------
         Rural Dialysis Facility Manual (Non-Hospital Operated)
                              (CMS Pub. 29)
                (Superintendent of Documents No. 22.8/13)
------------------------------------------------------------------------
95                   [sbull  Frequency of Billing
                         ]
--------------------
             Provider Cost Reporting Forms and Instructions
                  Provider Reimbursement Manual--Part 2
------------------------------------------------------------------------
                       Chapter 36/Form CMS-2552-96
                           (CMS Pub. 15-2-36)
               (Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
10                   [sbull  Hospital Healthcare Complex Cost Report
                         ]
--------------------
                        Program Integrity Manual
                            (CMS Pub. 100-08)
------------------------------------------------------------------------
40                   [sbull  Local Provider Education and Training
                         ]    Program
41                   [sbull  Definitions Related To Enrollment
                         ]
                     ......  Benefit Integrity/Payment Safeguard
                              Contractor vs. Provider Enrollment
                              Contractors
                     ......  Forms Disposition
                     ......  Processing the Application
                     ......  Identification
                     ......  Adverse Legal Actions
                     ......  Practice Location
                     ......  Ownership and Managing Control Information
                              (Organizations)
                     ......  Ownership and Managing Control Information
                              (Individuals)
                     ......  Delegated Official
                     ......  Ambulance Services Suppliers
                     ......  Certified Basic Life Support
                     ......  Independent Diagnostic Testing Facilities--
                              Attachment 1
                     ......  Entities That Must Enroll as Independent
                              Diagnostic Testing Facilities

[[Page 55626]]

 
                     ......  Review of Attachment 2, Independent
                              Diagnostic Testing Facility
                     ......  Enrollment Checks
                     ......  Special Consideration
                     ......  Reassignment of Benefits--Form CMS-855R
                     ......  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
                     ......  Ownership and Managing Control Information
                              (Organizations)
                     ......  Chain Home Office Information
                     ......  Billing Agency
                     ......  Staffing Company
                     ......  Capitalization Requirements for Home Health
                              Agencies
                     ......  Contact Person
                     ......  Certification Statement
                     ......  Delegated Official
                     ......  Special Processing Situation
                     ......  Community Mental Health Centers
                     ......  Benefit Improvement and Protection Act of
                              2000 Provisions
                     ......  Community Mental Health Centers Enrollment
                              and Change of Ownership
                     ......  Site Visit
                     ......  Process
                     ......  Deactivation of Billing Numbers for
                              Inactive Community Mental Health Centers
                     ......  State Survey Regional Office Process
                     ......  Changes of 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 and Recommendations for Approval
                     ......  Denials
                     ......  Failure to Sign and/or Date the Application
                     ......  Revocations
                     ......  Time Frame for Application Processing
                     ......  Matrix
                     ......  Verification and Validation of Information
                     ......  Fraud Investigation Database
                     ......  Healthcare Integrity and Protection Data
                              Bank
                     ......  Excluded Parties List System
                     ......  Enrollment of Hospitals, Assignment of
                              Billing Numbers
                     ......  Provider-Based Processing and Changes in
                              Status
                     ......  Web Site
                     ......  File Maintenance and Review
42                   [sbull  Effectuating Favorable Final Appellate
                         ]    Decisions That a Beneficiary Is Confined
                              To Home
43                   [sbull  Medical Records Information Reported
                         ]    Electronically
                     ......  Electronic Media Claim Flat File Record for
                              End-Stage Renal Disease
                     ......  Argus Filed Descriptions and Formats
--------------------
                           Managed Care Manual
                              (Pub. 100-16)
------------------------------------------------------------------------
23                   [sbull  Introduction
                         ]
                     ......  General Requirements
                     ......  Basic Rule
                     ......  Services of Noncontracting Providers and
                              Suppliers
                     ......  Types of Benefits
                     ......  Availability and Structure of Plans
                     ......  Terms of Medicare+Choice Plans
                     ......  Multiple Plans in One Service Area
                     ......  Centers for Medicare & Medicaid Services
                              Review and Approval of Medicare+Choice
                              Benefits
                     ......  Requirements Relating To Medicare
                              Conditions of Participation
                     ......  Provider Networks
                     ......  Requirements Relating To Benefits
                     ......  Basic Benefits
                     ......  Additional Benefits
                     ......  Supplemental Benefits--Mandatory
                              Supplemental and Optional Supplemental

[[Page 55627]]

 
                     ......  Basic Versus Supplemental Benefits
                     ......  Medicare Covered Benefits
                     ......  Medicare+Choice Medical Savings Account
                              Plan Benefits
                     ......  General Rule
                     ......  Countable Expenses
                     ......  Services After the Deductible
                     ......  Balance Billing
                     ......  The Annual Deductible
                     ......  Special Rules on Supplemental Benefits for
                              Medicare+Choice Medical Savings Account
                              Plans
                     ......  Point of Service Option
                     ......  General Rule
                     ......  Accessing Plan Contracting Providers
                     ......  Financial Cap
                     ......  Enrollee Information and Disclosure
                     ......  Prompt Payment
                     ......  Point of Services Related Data
                     ......  Services Area
                     ......  Definition
                     ......  Factors That Influence Service Area
                              Approvals
                     ......  The ``County Integrity Rule''
                     ......  Coordination of Benefits With Employer
                              Group Health Plans and Medicaid
                     ......  General Rule
                     ......  Requirements, Rights, and Beneficiary
                              Protection
                     ......  Medicare Secondary Payer Procedures
                     ......  Basic Rule
                     ......  Responsibilities of the Medicare+Choice
                              Organization
                     ......  Medicare Benefits Secondary to Group Health
                              Plans and Large Group Health Plans
                     ......  Collecting From Other Entities
                     ......  Collecting From Other Insurers or the
                              Enrollee
                     ......  Collecting From Group Health Plans and
                              Large Group Health Plans
                     ......  Medicare Secondary Payor
                     ......  National Coverage Determinations and
                              Legislative Changes in Benefits
                     ......  Definitions
                     ......  General Rules
                     ......  Sources for Obtaining Information
                     ......  Discrimination Against Beneficiaries
                              Prohibited
                     ......  General Prohibition
                     ......  Additional Requirements
                     ......  A Medicare+Choice Organization's
                              Responsibility
                     ......  Disclosure Requirements
                     ......  Introduction
                     ......  Disclosure Requirements at Enrollment (and
                              Annually Thereafter)
                     ......  Disclosure Upon Request
                     ......  Information Pertaining to a Medicare+Choice
                              Organization Changing Its Rules or
                              Provider Network
                     ......  Other Information That Is Disclosable
                     ......  Access to (and Availability of ) Service
                     ......  Introduction
                     ......  Access and Availability Rule for
                              Coordinated Care Plans
                     ......  Rules for All Medicare+Choice Organizations
                              to Ensure Continuity of Care
                     ......  Ambulance, Emergency, and Urgently Needed,
                              and Post-Stabilization Care Services
                              Ambulance
                     ......  Emergency and Urgently Needed Services
                     ......  Post-Stabilization Care Services
                     ......  Confidentiality and Accuracy of Enrollee
                              Records
                     ......  General Rule
                     ......  Private Fee-for-Service Plans
                     ......  Information on Advance Directives
                     ......  Definition
                             Basic Rule
                             State Law Primary
                             Content of Enrollee Information and Other
                              Medicare+Choice Obligations
                             Incapacitated Enrollees
                             Community Education Requirements
                             Medicare+Choice Organization Rights
                             Appeal and Anti-Discrimination Rights

[[Page 55628]]

 
24                   [sbull  Introduction
                         ]   Provider Involvement in Policy-Making
                             Physician Consultation in Medical Policies
                             Consultation in Development of
                              Credentialing Policies
                             Written Information on Physician
                              Participation
                             Interference With Health Care
                              Professionals' Advice to Enrollees
                              Prohibited
                             Provider Anti-Discrimination
                             Provider Participation
                             Notice of Reason for Not Granting
                              Participation
                             Confirmation of Eligibility for
                              Participation in Medicare Excluded and
                              Outpatient Physical Therapy and Opt-Out
                              Provider Checks
                             Credentialing, Monitoring, and
                              Recredentialing
                             Suspension, Termination, or Nonrenewal of
                              Physician Contract
                             Institutional Provider and Supplier
                              Certification
                             Physician Incentive Plans
                             Requirements and Limitations
                             Disclosure of Physician Incentive Plans
                             Provider Indemnification of Medicare+Choice
                              Organization Prohibited
                             Special Rules for Services Furnished by Non-
                              Contract Provider
25                   [sbull  Introduction
                         ]   Terminology
                             Rules Governing Premiums and Cost Sharing
                             Monthly Premiums
                             Uniformity of Premiums
                             Segmented Services Area Option
                     ......  Timing of Payments
                             Monetary Inducements Prohibited
                             Submission of Proposed Premiums and Related
                              Information
                             General Rule
                             Information Required for Coordinated Care
                              Plans and Private Fee-For-Service Plans
                             Average Payment Rate
                             Centers for Medicare & Medicaid Services
                              Review
                             Limits on Premiums and Cost-Sharing Amounts
                             Rules for Coordinated Care Plans
                             Rules for Medicare+Choice Private Fee-for-
                              Service Plans
                             Special Rules for Mid-Year (Benefit)
                              Enhancement
                             General Rule
                             Incorrect Collections of Premiums and Cost
                              Sharing Definitions
                             Refund Methods
                             Reduction by Centers for Medicare &
                              Medicaid Services
                             Adjusted Community Rate Process
                             General Information
                             Standard Method
                             Initial Rate Calculation
                             Initial Rate Adjustment by Medicare+Choice
                              Organization
                             Initial Rate Adjustment by Centers for
                              Medicare & Medicaid Services
                             Other Methods for Computing Adjusted
                              Community Rate
                             Special Rule for Centers for Medicare &
                              Medicaid Services Average Payment
                             Rate or Adjusted Community Rate Calculation
                             Centers for Medicare and Medicaid Services
                              Review
                             Sufficiency of Documentation and Periodic
                              Audits
                             Requirement for Additional Benefits--42
                              Code of Federal Regulations 422.312
                             Definitions
                             General Information
                             Stabilization Fund
                             Establishment of a Stabilization Fund
                             Limit Per Contract Period
                             Exception to the Limit Per Contract Period
                             Cumulative Limit
                             Interest on and Accounting of Reserved
                              Funds
                             Withdrawal From a Stabilization Fund
                             Criteria for Centers for Medicare &
                              Medicaid Services Approval
                     ......  Basis for Denial
                     ......  Form of Payment
                     ......  Additional Benefits
                     ......  Part B Premium Reduction As an Additional
                              Benefit
                     ......  Additional Health Care Benefits
                     ......  Reduction of Charges to Enrollees for Basic
                              Benefits
                     ......  Additional Supplemental Health Care
                              Benefits and Related Premiums

[[Page 55629]]

 
                     ......  Detailed Instructions
                     ......  Enrollees Who Elect Hospice While Remaining
                              Enrolled in a Medicare+Choice Plan
                     ......  Hospice Benefits
                     ......  Medicare+Choice Non-Medicare-Covered
                              Benefits
                     ......  Medicare+Choice Medicare-Covered Benefits
                              (Except Hospice)
                     ......  Medicare+Choice Non-Medicare-Covered
                              Benefits
                     ......  Enrollees with End-Stage Renal Stage
                              Disease User Fees
                     ......  End-Stage Renal Disease Network Fee
                     ......  Information Campaign User Fee
                     ......  Waivers for Medicare+Choice Organization
                              Contracts With Employer or Union Groups
                     ......  Background
                     ......  Section 617 Waiver Categories Approved
                     ......  Service Areas
                     ......  Adjusted Community Rate Filings
                     ......  Coordination of Benefits
                     ......  Effect on Medicare+Choice Plan Cash Flow
                     ......  Effect on Adjusted Community Rate
                              Calculations
------------------------------------------------------------------------


                      Addendum IV.--Regulation Documents Published in the Federal Register
                                         [April 2003 Through June 2003]
----------------------------------------------------------------------------------------------------------------
                            FR vol. 68
     Publication date        page No.   CFR parts affected       File code             Title of regulation
----------------------------------------------------------------------------------------------------------------
April 2, 2003............        15973  42 CFR Part 440...  CMS-2132-P........  Medicaid Program; Provider
                                                                                 Qualifications for
                                                                                 Audiologists.
April 4, 2003............        16652  42 CFR Parts 422    CMS-4024-FC.......  Medicare Program; Improvements
                                         and 489.                                to the Medicare+Choice Appeal
                                                                                 and Grievance Procedures.
April 16, 2003...........        18654                      CMS-1256-N........  Medicare Program; Notice of
                                                                                 Ambulance Fee Schedule in
                                                                                 Accordance With Federal
                                                                                 District Court Order.
April 17, 2003...........        18895  45 CFR Part 160...  CMS-0010-IFC......  Civil Money Penalties:
                                                                                 Procedures for Investigations,
                                                                                 Imposition of Penalties, and
                                                                                 Hearings.
April 25, 2003...........        22268  42 CFR Parts 405,   CMS-1203-CN.......  Medicare Program; Changes to the
                                         412, 413, and 485.                      Hospital Inpatient Prospective
                                                                                 Payment Systems and Fiscal Year
                                                                                 2003 Rates; Correction.
April 25, 2003...........        22064  42 CFR Parts 420,   CMS-6002-P........  Medicare Program; Requirements
                                         424, 489, and 498.                      for Establishing and
                                                                                 Maintaining Medicare Billing
                                                                                 Privileges.
April 25, 2003...........        20394  ..................  CMS-1251-N........  Medicare Program; Meeting of the
                                                                                 Practicing Physicians Advisory
                                                                                 Council--May 19, 2003.
April 25, 2003...........        20393  ..................  CMS-4052-N........  Medicare Program: Meeting of the
                                                                                 Advisory Panel on Medicare
                                                                                 Education--May 21, 2003.
April 25, 2003...........        20391  ..................  CMS-2182-PN.......  Medicare and Medicaid Programs;
                                                                                 Application by the Community
                                                                                 Health Accreditation Program
                                                                                 (CHAP) for Continued Approval
                                                                                 of Deeming Authority for
                                                                                 Hospices.
April 25, 2003...........        20349  42 CFR Parts 422    CMS-4024-CN.......  Medicare Program; Improvements
                                         and 489.                                to the Medicare+Choice Appeal
                                                                                 and Grievance Procedures;
                                                                                 Correction.
April 25, 2003...........        20347  42 CFR Part 411...  CMS-1809-F3.......  Medicare and Medicaid Programs;
                                                                                 Physicians' Referrals to Health
                                                                                 Care Entities With Which They
                                                                                 Have Financial Relationships:
                                                                                 Extension of Partial Delay of
                                                                                 Effective Date.
April 28, 2003...........        22453  45 CFR Part 160...  CMS-0010-IFC (OFR)  Civil Money Penalties:
                                                             Correction).        Procedures for Investigations,
                                                                                 Imposition of Penalties, and
                                                                                 Hearings; Correction.
May 2, 2003..............        23410  45 CFR Part 148...  CMS-2179-FC.......  Grants to States for Operation
                                                                                 of Qualified High Risk Pools.
May 16, 2003.............        26786  42 CFR Part 412...  CMS-1474-P........  Medicare Program; Inpatient
                                                                                 Rehabilitation Facility
                                                                                 Prospective Payment System for
                                                                                 FY 2004.
May 16, 2003.............        26758  42 CFR Parts 409,   CMS-1469-P........  Medicare Program; Prospective
                                         413, 440, and 483.                      Payment System and Consolidated
                                                                                 Billing for Skilled Nursing
                                                                                 Facilities--Update.
May 16, 2003.............        26621  ..................  CMS-4060-N........  Medicare Program; Town Hall
                                                                                 Meeting on the Refinement of
                                                                                 the Minimum Data Set (MDS),
                                                                                 Version 3.0.
May 19, 2003.............        27154  42 CFR Parts 412    CMS-1470-P........  Medicare Program; Proposed
                                         and 413.                                Changes to the Hospital
                                                                                 Inpatient Prospective Payment
                                                                                 Systems and Fiscal Year 2004
                                                                                 Rates.
May 29, 2003.............        32053  ..................  CMS-2185-N........  Fiscal Year 2003 Program
                                                                                 Announcement; Availability of
                                                                                 Funds and Notice Regarding
                                                                                 Applications.
May 30, 2003.............        32528  ..................  CMS-2177-FN.......  Medicare and Medicaid Programs;
                                                                                 Approval of the Joint
                                                                                 Commission on Accreditation of
                                                                                 Healthcare Organizations
                                                                                 (JCAHO) for Deeming Authority
                                                                                 for Hospices.
May 30, 2003.............        32527  ..................  CMS-3116-N........  Medicare Program; Request for
                                                                                 Nominations for Members for the
                                                                                 Medicare Coverage Advisory
                                                                                 Committee.

[[Page 55630]]

 
May 30, 2003.............        32406  42 CFR Part 416...  CMS-1885-CN.......  Medicare Program; Update of
                                                                                 Ambulatory Surgical Center List
                                                                                 of Covered Procedures Effective
                                                                                 July 1, 2003.
May 30, 2003.............        32400  42 CFR Parts 410,   CMS-1204-CN.......  Medicare Program; Revisions to
                                         414, and 485.                           Payment Policies Under the
                                                                                 Physician Fee Schedule for
                                                                                 Calendar Year 2003 and
                                                                                 Inclusion of Registered Nurses
                                                                                 in the Personnel Provision of
                                                                                 the Critical Access Hospital
                                                                                 Emergency Services Requirement
                                                                                 for Frontier Areas and Remote
                                                                                 Locations.
June 4, 2003.............        33579  42 CFR Parts 412    CMS-1470-P (OFR     Medicare Program; Proposed
                                         and 413.            Correction).        Changes to the Hospital
                                                                                 Inpatient Prospective Payment
                                                                                 Systems and Fiscal Year 2004
                                                                                 Rates.
June 4, 2003.............        33495  ..................  CMS-5003-N........  Medicare Program; Demonstration:
                                                                                 End-Stage Renal Disease--
                                                                                 Disease Management.
June 6, 2003.............        34122  42 CFR Part 412...  CMS-1472-F........  Medicare Program; Prospective
                                                                                 Payment System for Long-Term
                                                                                 Care Hospitals: Annual Payment
                                                                                 Rate Updates and Policy
                                                                                 Changes.
June 9, 2003.............        34494  42 CFR Part 412...  CMS-1243-F........  Medicare Program; Change in
                                                                                 Methodology for Determining
                                                                                 Payment for Extraordinarily
                                                                                 High-Cost Cases (Cost Outliers)
                                                                                 Under the Acute Care Hospital
                                                                                 Inpatient and Long-Term Care
                                                                                 Hospital Prospective Payment
                                                                                 Systems.
June 9, 2003.............        34492  42 CFR Parts 412    CMS-1470-P (OFR     Medicare Program; Proposed
                                         and 413.            Correction).        Changes to the Hospital
                                                                                 Inpatient Prospective Payment
                                                                                 Systems and Fiscal Year 2004
                                                                                 Rates; Correction.
June 10, 2003............        34768  42 CFR Part 413...  CMS-1469-P2.......  Medicare Program; Prospective
                                                                                 Payment System and Consolidated
                                                                                 Billing for Skilled Nursing
                                                                                 Facilities--Update.
June 27, 2003............        38370  ..................  CMS-1259-N........  Medicare Program; Public Meeting
                                                                                 in Calendar Year 2003 for New
                                                                                 Clinical Laboratory Tests
                                                                                 Payment Determinations.
June 27, 2003............        38370  ..................  CMS-5003-N2.......  Medicare Program; Extension of
                                                                                 Date of Submissions and
                                                                                 Informational Meeting on the
                                                                                 Application Process for the End-
                                                                                 Stage Renal Disease--Disease
                                                                                 Management Demonstration.
June 27, 2003............        38359  ..................  CMS-9017-N........  Medicare and Medicaid Programs;
                                                                                 Quarterly Listing of Program
                                                                                 Issuances--January 2003 Through
                                                                                 March 2003.
June 27, 2003............        38346  ..................  CMS-4062-N........  Medicare and Medicaid Programs;
                                                                                 Solicitation for Information on
                                                                                 the Hospital CAHPS.
June 27, 2003............        38345  ..................  CMS-1257-N........  Medicare Program: Notice of the
                                                                                 Practicing Physicians Advisory
                                                                                 Council Rechartering.
June 27, 2003............        38269  ..................  CMS-6012-N6.......  Medicare Program; Negotiated
                                                                                 Rulemaking Committee on Special
                                                                                 Payment Provisions and
                                                                                 Requirements for Prosthetics
                                                                                 and Certain Custom-Fabricated
                                                                                 Orthotics; Meeting
                                                                                 Announcement.
June 27, 2003............        38206  45 CFR Part 146...  CMS-2152-F........  Amendment to the Interim Final
                                                                                 Regulation for Mental Health
                                                                                 Parity.
----------------------------------------------------------------------------------------------------------------

Addendum V.--National Coverage Determinations, April 2003 Through June 
2003

    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 an NCD. We identify completed 
decisions by section of the Coverage Issues Manual (CIM) 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 Decisions
                                         [April 2003 Through June 2003]
----------------------------------------------------------------------------------------------------------------
           CIM section                                 Title                        Issue date    Effective date
----------------------------------------------------------------------------------------------------------------
                                   Coverage Issues Manual (CIM) (CMS Pub. 06)
----------------------------------------------------------------------------------------------------------------
50-14............................  Magnetic Resonance Angiography of the Abdomen        05/09/03        07/01/03
                                    and Pelvis.
35.85.1..........................  Implantable Automatic Defibrillators.........        06/06/03        10/01/03
50-36............................  PET for Thyroid Cancer.......................        06/20/03        10/01/03
50-36............................  PET for Soft Tissue Sarcoma..................        06/20/03        10/01/03
50-36............................  PET for Alzheimer's Disease/Dementia.........        06/20/03        10/01/03

[[Page 55631]]

 
50-36............................  PET for Myocardial Perfusion of the Heart            06/20/03        10/01/03
                                    Using Ammonia N-13.
----------------------------------------------------------------------------------------------------------------


----------------------------------------------------------------------------------------------------------------
              PM No.                                   Title                        Issue date    Effective date
                                             Program Memorandum (PM)
----------------------------------------------------------------------------------------------------------------
AB-03-084........................  Changes to the Laboratory NCD Edit Software          06/06/03        07/01/03
                                    For 07/03 (Blood Counts, Blood Glucose
                                    Testing, HIV Testing).
----------------------------------
----------------------------------------------------------------------------------------------------------------

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 (FDA) 
assigns each device with an FDA-approved investigational device 
exemption (IDE) to one of two categories. Category A refers to 
experimental/investigational device exemptions, and Category B 
refers to nonexperimental/investigational device exemptions. 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) for the second quarter, April through June 2003.

       Investigational Device Exemption Numbers, 2nd Quarter 2003
------------------------------------------------------------------------
                             IDE                               Category
------------------------------------------------------------------------
G010175.....................................................           B
G010354.....................................................           B
G020083.....................................................           B
G020115.....................................................           A
G020230.....................................................           B
G020231.....................................................           B
G020244.....................................................           B
G020273.....................................................           B
G020307.....................................................           B
G020319.....................................................           B
G020323.....................................................           B
G030001.....................................................           B
G030007.....................................................           B
G030034.....................................................           B
G030044.....................................................           B
G030045.....................................................           B
G030051.....................................................           B
G030054.....................................................           B
G030055.....................................................           B
G030056.....................................................           B
G030058.....................................................           B
G030061.....................................................           B
G030062.....................................................           B
G030063.....................................................           B
G030064.....................................................           B
G030065.....................................................           B
G030073.....................................................           B
G030074.....................................................           B
G030075.....................................................           B
G030078.....................................................           B
G030080.....................................................           B
G030082.....................................................           B
G030088.....................................................           B
G030089.....................................................           B
G030090.....................................................           B
G030091.....................................................           B
G030095.....................................................           B
G030096.....................................................           B
G030097.....................................................           B
G030101.....................................................           B
G030103.....................................................           B
G030104.....................................................           B
G030105.....................................................           A
G030106.....................................................           B
G030108.....................................................           B
G030109.....................................................           B
G030110.....................................................           B
G030113.....................................................           B
G030114.....................................................           B
G030115.....................................................           B
G030117.....................................................           B
G030118.....................................................           B
G030120.....................................................           B
G030122.....................................................           B
G030124.....................................................           B
G030126.....................................................           B
G030128.....................................................           B
------------------------------------------------------------------------

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
      OMB control Nos.       45 are preceded 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.
0938-0034..................  405.821.
0938-0035..................  407.4.
0938-0037..................  413.20, 413.24.
0938-0041..................  408.6.
0938-0042..................  410.40, 424.124.
0938-0045..................  405.711.
0938-0046..................  405.2133.
0938-0050..................  413.20, 413.24.
0938-0062..................  431.151, 435.1009, 440.250, 440.220, 442.1,
                              442.10-442.16, 442.30, 442.40, 442.42,
                              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.
0938-0080..................  406.7, 406.13.
0938-0086..................  420.200-420.206 and 455.100-455.106.

[[Page 55632]]

 
0938-0101..................  430.3.
0938-0102..................  413.20, 413.24.
0938-0107..................  413.20, 413.24.
0938-0146..................  431.800-431.865.
0938-0147..................  431.800-431.865.
0938-0151..................  493.1405, 493.1411, 493.1417, 493.1423,
                              493.1443, 493.1449, 493.1455, 493.1461,
                              493.1469, 493.1483, 493.1489.
0938-0155..................  405.247.
0938-0170..................  493.1269-493.1285.
0938-0193..................  430.10-430.20 and 440.167.
0938-0202..................  413.17, 413.20.
0938-0214..................  411.25, 489.2, 489.20.
0938-0236..................  413.20, 413.24.
0938-0242..................  416.44, 418.100, 482.41, 483.270, 483.470.
0938-0245..................  407.10, 407.11.
0938-0251..................  406.7.
0938-0266..................  416.41, 416.83, 416.47, 416.48.
0938-0267..................  485.56, 485.58, 485.60, 485.64, 485.66,
                              410.65.
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..................  413.17.
0938-0300..................  431.8.
0938-0301..................  413.20, 413.24.
0938-0313..................  418.1-418.405.
0938-0328..................  482.12, 482.22, 482.27, 482.30,
                              482.41,482.43,482.53,482.56, 482.57,
                              482.60, 482.61, 482.62, 482.66.
0938-0334..................  491.9 Subpart A.
0938-0338..................  486.104, 486.106, 486.110.
0938-0354..................  441.6.
0938-0355..................  484.10-484.52.
0938-0357..................  409.40-409.50, 410.36, 410.170, 411.4-
                              411.15, 421.100, 424.22, 484.18 and
                              489.21.
0938-0358..................  412.20-412.30.
0938-0359..................  412.40-412.52.
0938-0360..................  405.2100-405.2184.
0938-0365..................  484.10, .11, .12, .14, .16, .18, .20, .36,
                              .48, .52.
0938-0372..................  414.33.
0938-0378..................  482.60-482.62.
0938-0379..................  418.1-418.405.
0938-0380..................  482.1-482.66.
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.
0938-0449..................  440.180, 441.300-441.310.
0938-0454..................  424.2.
0938-0456..................  412.105.
0938-0463..................  413.20, 413.24.
0938-0465..................  411.404, 411.406, 411.408.
0938-0467..................  431.17, 431.306, 435.910, 435.920, 435.940-
                              435.960.
0938-0469..................  417.107, 417.478.
0938-0470..................  417.143 and 417.408.
0938-0477..................  412.92.
0938-0484..................  424.123.
0938-0486..................  498.40-498.95.
0938-0501..................  406.15.
0938-0502..................  433.138.
0938-0512..................  486.301-486.325.
0938-0526..................  475.100 Subpart C, 475.106 and 475.107,
                              462.102, 462.103.
0938-0534..................  410.38, 424.5.
0938-0544..................  493.1-493.2001.
0938-0565..................  411.20-411.206.
0938-0566..................  411.404(b)(c), 411.406(d), 411.408(d)(2)
                              and (f).
0938-0567..................  Part 498 Subpart H, Part 498 Subparts D and
                              E, and 20 CFR 404.933.
0938-0573..................  412.256 and 412.230.
0938-0581..................  493.1-493.2001.
0938-0599..................  493.1-493.2001.
0938-0600..................  405.371, 405.378 and 413.20.

[[Page 55633]]

 
0938-0610..................  417.436, 417.801, 417.436(d), 422.128,
                              430.12(c)(1)(ii), 431.20, 31.107, 434.28,
                              483.10, 484.10(c)(ii), 489.102.
0938-0612..................  493.1-493.2001.
0938-0618..................  433.68, 433.74, 447.272.
0938-0653..................  493.
0938-0655..................  493.184.
0938-0657..................  405.2110, 405.2112.
0938-0658..................  405.2110, 405.2112.
0938-0667..................  482.12, 488.18, 489.20 and 489.24.
0938-0673..................  430.1.
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..................  486.301-486.325.
0938-0690..................  488.4-488.9, 488.201.
0938-0691..................  412.106.
0938-0692..................  466.78, 489.20, and 489.27.
0938-0700..................  417.479, 417.500; 422.208, 422.210; 434.44,
                              434.67, 434.70; 1003.100, 1003.101,
                              1003.103 & 1003.106.
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, and
                              148.128.
0938-0714..................  411.370-411.389.
0938-0717..................  424.57.
0938-0721..................  410.33.
0938-0722..................  422.370-422.378.
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 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..................  441.152.
0938-0758..................  413.20, 413.24.
0938-0760..................  Part 484 Subpart E, 484.55.
0938-0761..................  484.11, 484.20.
0938-0763..................  422.1-422.10, 422.50-422.80, 422.100-
                              422.132, 422.300-422.312, 422.400-422.404,
                              and 422.560-422.622.
0938-0768..................  417.800-417.840.
0938-0770..................  410.2.
0938-0778..................  422.64, 422.111, 422.560-422.622.
0938-0779..................  417.470, 417.126(a), 422.210(h),
                              422.64(10).
0938-0781..................  411.404-411.406, 484.10.
0938-0786..................  438.352, 438.360, 438.362, 438.364.
0938-0787..................  406.28, 407.27.
0938-0790..................  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, 460.208,
                              460.210.
0938-0792..................  491.3, 491.8, 491.11.
0938-0798..................  413.65, 419.42.
0938-0802..................  419.43.
0938-0810..................  482.45.
0938-0819..................  45 CFR 146.121.
0938-0823..................  420.41.
0938-0824..................  482.13(f)(7), 440.10(1)(3)(iii).
0938-0827..................  45 CFR 146.141.
0938-0829..................  422.568.
0938-0832..................  489.
0938-0833..................  483.350-483.376.
0938-0840..................  422.152(b)(2).
0938-0841..................  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, 457.1005, 457.1015, and 457.1180.
0938-0842..................  412 and 413.
0938-0846..................  411.1, 411.350-411.357 and 424.22.
0938-0857..................  419.
0938-0860..................  419.
0938-0866..................  45 CFR Part 162.
0938-0872..................  483.20, 413.337.
0938-0873..................  422.152.
0938-0874..................  45 CFR Parts 160 and 162.
0938-0878..................  Part 422 Subparts F and G.
0938-0883..................  45 CFR Parts 160 and 164.
0938-0887..................  45 CFR 148.316, 148.318, 148.320.

[[Page 55634]]

 
0938-0897..................  412.22, 412.533.
------------------------------------------------------------------------

[FR Doc. 03-24069 Filed 9-25-03; 8:45 am]
BILLING CODE 4120-03-P