[Federal Register Volume 70, Number 121 (Friday, June 24, 2005)]
[Notices]
[Pages 36620-36640]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-12525]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9028-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--January Through March 2005

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 January 2005 through March 2005, relating to the 
Medicare and Medicaid programs. This notice provides information on 
national coverage determinations (NCDs) affecting specific medical and 
health care services under Medicare. Additionally, this notice 
identifies certain devices with investigational device exemption (IDE) 
numbers approved by the Food and Drug Administration (FDA) that 
potentially may be covered under Medicare. This notice also includes 
listings of all approval numbers from the Office of Management and 
Budget for collections of information in CMS regulations. Finally, for 
the first time, this notice includes a list of Medicare-approved 
carotid stent facilities.
    Section 1871(c) of the Social Security Act requires that we publish 
a list of Medicare issuances in the Federal Register at least every 3 
months. Although we are not mandated to do so by statute, for the sake 
of completeness of the listing, and to foster more open and transparent 
collaboration efforts, we are also including all Medicaid issuances and 
Medicare and Medicaid substantive and interpretive regulations 
(proposed and final) published during this 3-month time frame.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may have a specific information need and not be able to determine 
from the listed information whether the issuance or regulation would 
fulfill that need. Consequently, we are providing information contact 
persons to answer general questions concerning these items. Copies are 
not available through the contact persons. (See Section III of this 
notice for how to obtain listed material.)
    Questions concerning items in Addendum III may be addressed to 
Timothy Jennings, Office of Strategic Operations and Regulatory 
Affairs, Centers for Medicare & Medicaid Services, C4-26-05, 7500 
Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 
786-2134.
    Questions concerning Medicare NCDs in Addendum V may be addressed 
to Patricia Brocato-Simons, Office of Clinical Standards and Quality, 
Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security 
Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-0261.
    Questions concerning FDA-approved Category B IDE numbers listed in 
Addendum VI may be addressed to John Manlove, Office of Clinical 
Standards and Quality, Centers for Medicare & Medicaid Services, S3-26-
10, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call 
(410) 786-6877.
    Questions concerning approval numbers for collections of 
information in Addendum VII may be addressed to Jim Wickliffe, Office 
of Strategic Operations and Regulatory Affairs, Regulations Development 
and Issuances Group, Centers for Medicare & Medicaid Services, C5-14-
03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call 
(410) 786-4596.
    Questions concerning Medicare-approved carotid stent facilities may 
be addressed to Rana A. Hogarth, Office of Clinical Standards and 
Quality, Centers for Medicare & Medicaid Services, C1-

[[Page 36621]]

09-06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can 
call (410) 786-2112; or to Sarah J. McClain, 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) 786-2994.
    Questions concerning all other information may be addressed to 
Gwendolyn Johnson, Office of Strategic Operations and Regulatory 
Affairs, Regulations Development Group, Centers for Medicare & Medicaid 
Services, C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, 
or you can call (410) 786-6954.

SUPPLEMENTARY INFORMATION: 

I. Program Issuances

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs. These programs 
pay for health care and related services for 39 million Medicare 
beneficiaries and 35 million Medicaid recipients. Administration of the 
two programs involves (1) furnishing information to Medicare 
beneficiaries and Medicaid recipients, health care providers, and the 
public and (2) maintaining effective communications with regional 
offices, State governments, State Medicaid agencies, State survey 
agencies, various providers of health care, all Medicare contractors 
that process claims and pay bills, and others. To implement the various 
statutes on which the programs are based, we issue regulations under 
the authority granted to the Secretary of the Department of Health and 
Human Services under sections 1102, 1871, 1902, and related provisions 
of the Social Security Act (the Act). We also issue various manuals, 
memoranda, and statements necessary to administer the programs 
efficiently.
    Section 1871(c)(1) of the Act requires that we publish a list of 
all Medicare manual instructions, interpretive rules, statements of 
policy, and guidelines of general applicability not issued as 
regulations at least every 3 months in the Federal Register. We 
published our first notice June 9, 1988 (53 FR 21730). Although we are 
not mandated to do so by statute, for the sake of completeness of the 
listing of operational and policy statements, and to foster more open 
and transparent collaboration, we are continuing our practice of 
including Medicare substantive and interpretive regulations (proposed 
and final) published during the respective 3-month time frame.

II. How To Use the Addenda

    This notice is organized so that a reader may review the subjects 
of manual issuances, memoranda, substantive and interpretive 
regulations, NCDs, and FDA-approved IDEs published during the subject 
quarter to determine whether any are of particular interest. We expect 
this notice to be used in concert with previously published notices. 
Those unfamiliar with a description of our Medicare manuals may wish to 
review Table I of our first three notices (53 FR 21730, 53 FR 36891, 
and 53 FR 50577) published in 1988, and the notice published March 31, 
1993 (58 FR 16837). Those desiring information on the Medicare NCD 
Manual (NCDM, formerly the Medicare Coverage Issues Manual (CIM)) may 
wish to review the August 21, 1989, publication (54 FR 34555). Those 
interested in the revised process used in making NCDs under the 
Medicare program may review the September 26, 2003, publication (68 FR 
55634).
    To aid the reader, we have organized and divided this current 
listing into eight addenda:
     Addendum I lists the publication dates of the most recent 
quarterly listings of program issuances.
     Addendum II identifies previous Federal Register documents 
that contain a description of all previously published CMS Medicare and 
Medicaid manuals and memoranda.
     Addendum III lists a unique CMS transmittal number for 
each instruction in our manuals or Program Memoranda and its subject 
matter. A transmittal may consist of a single or multiple 
instruction(s). Often, it is necessary to use information in a 
transmittal in conjunction with information currently in the manuals.
     Addendum IV lists all substantive and interpretive 
Medicare and Medicaid regulations and general notices published in the 
Federal Register during the quarter covered by this notice. For each 
item, we list the--
    [cir] Date published;
    [cir] Federal Register citation;
    [cir] Parts of the Code of Federal Regulations (CFR) that have 
changed (if applicable);
    [cir] Agency file code number; and
    [cir] Title of the regulation.
     Addendum V includes completed NCDs, or reconsiderations of 
completed NCDs, from the quarter covered by this notice. Completed 
decisions are identified by the section of the NCDM in which the 
decision appears, the title, the date the publication was issued, and 
the effective date of the decision.
     Addendum VI includes listings of the FDA-approved IDE 
categorizations, using the IDE numbers the FDA assigns. The listings 
are organized according to the categories to which the device numbers 
are assigned (that is, Category A or Category B), and identified by the 
IDE number.
     Addendum VII includes listings of all approval numbers 
from the Office of Management and Budget (OMB) for collections of 
information in CMS regulations in title 42; title 45, subchapter C; and 
title 20 of the CFR.
     Addendum VIII includes listings of Medicare-approved 
carotid stent facilities. All facilities listed meet CMS's standards 
for performing carotid artery stenting for high risk patients.

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)

[[Page 36622]]

through the Internet and via asynchronous dial-in. Internet users can 
access the database by using the World Wide Web; the Superintendent of 
Documents home page address is http://www.gpoaccess.gov/fr/index.html, 
by using local WAIS client software, or by telnet to 
swais.gpoaccess.gov, then log in as guest (no password required). Dial-
in users should use communications software and modem to call (202) 
512-1661; type swais, then log in as guest (no password required).

C. Rulings

    We publish rulings on an infrequent basis. Interested individuals 
can obtain copies from the nearest CMS Regional Office or review them 
at the nearest regional depository library. We have, on occasion, 
published rulings in the Federal Register. Rulings, beginning with 
those released in 1995, are available online, through the CMS Home 
Page. The Internet address is http://cms.hhs.gov/rulings.

D. CMS' Compact Disk-Read Only Memory (CD-ROM)

    Our laws, regulations, and manuals are also available on CD-ROM and 
may be purchased from GPO or NTIS on a subscription or single copy 
basis. The Superintendent of Documents list ID is HCLRM, and the stock 
number is 717-139-00000-3. The following material is on the CD-ROM 
disk:
     Titles XI, XVIII, and XIX of the Act.
     CMS-related regulations.
     CMS manuals and monthly revisions.
     CMS program memoranda.
    The titles of the Compilation of the Social Security Laws are 
current as of January 1, 1999. (Updated titles of the Social Security 
Laws are available on the Internet at http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.) The remaining portions of CD-ROM are updated on a 
monthly basis.
    Because of complaints about the unreadability of the Appendices 
(Interpretive Guidelines) in the State Operations Manual (SOM), as of 
March 1995, we deleted these appendices from CD-ROM. We intend to re-
visit this issue in the near future and, with the aid of newer 
technology, we may again be able to include the appendices on CD-ROM.
    Any cost report forms incorporated in the manuals are included on 
the CD-ROM disk as LOTUS files. LOTUS software is needed to view the 
reports once the files have been copied to a personal computer disk.

IV. How To Review Listed Material

    Transmittals or Program Memoranda can be reviewed at a local 
Federal Depository Library (FDL). Under the FDL program, government 
publications are sent to approximately 1,400 designated libraries 
throughout the United States. Some FDLs may have arrangements to 
transfer material to a local library not designated as an FDL. Contact 
any library to locate the nearest FDL.
    In addition, individuals may contact regional depository libraries 
that receive and retain at least one copy of most Federal Government 
publications, either in printed or microfilm form, for use by the 
general public. These libraries provide reference services and 
interlibrary loans; however, they are not sales outlets. Individuals 
may obtain information about the location of the nearest regional 
depository library from any library. For each CMS publication listed in 
Addendum III, CMS publication and transmittal numbers are shown. To 
help FDLs locate the materials, use the CMS publication and transmittal 
numbers. For example, to find the Medicare NCD publication titled 
``Implantable Automatic Defibrillators,'' use CMS-Pub. 100-03, 
Transmittal No. 29.

(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: June 20, 2005.
Jacquelyn 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.

December 27, 2002 (67 FR 79109).
March 28, 2003 (68 FR 15196).
June 27, 2003 (68 FR 38359).
September 26, 2003 (68 FR 55618).
December 24, 2003 (68 FR 74590).
March 26, 2004 (69 FR 15837).
June 25, 2004 (69 FR 35634).
September 24, 2004 (69 FR 57312).
December 30, 2004 (69 FR 78428).
February 25, 2005 (70 FR 9338).

Addendum II--Description of Manuals, Memoranda, and CMS Rulings

    An extensive descriptive listing of Medicare manuals and memoranda 
was published on June 9, 1988, at 53 FR 21730 and supplemented on 
September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR 
50577. Also, a complete description of the former CIM (now the NCDM) 
was published on August 21, 1989, at 54 FR 34555. A brief description 
of the various Medicaid manuals and memoranda that we maintain was 
published on October 16, 1992, at 57 FR 47468.

        Addendum III.--Medicare and Medicaid Manual Instructions
                      [January Through March 2005]
------------------------------------------------------------------------
    Transmittal No.               Manual/subject/publication No.
------------------------------------------------------------------------
             Medicare General Information (CMS Pub. 100-01)
------------------------------------------------------------------------
 15....................  Review of Contractor Implementation of Change
                          Requests (Replacement for expired CR 944).
                         Review of Contractor Implementation of Change
                          Requests.
                         CR Implementation Report--Summary Page.
                         CR Implementation Report--Details Page.
                         CR Implementation Report--Sample Cover Letter/
                          Attestation Statement.
16.....................  Standard Terminology for Claims Processing
                          Systems.
17.....................  This Transmittal rescinded and replaced
                          Transmittal 15.
18.....................  Billing for Blood and Blood Products Under the
                          Hospital Outpatient Prospective Payment
                          System.
                         Items Subject to Blood Deductibles.
                         Blood.
19.....................  Revisions to Chapter 5, Section 50 of
                          Publication 100-01 in the Internet Only.
                         Manual to Clarify Current Policy.
                         Home Health Agency Defined.
                         Arrangements by Home Health Agencies.

[[Page 36623]]

 
                         Rehabilitation Centers.
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                Medicare Benefit Policy (CMS Pub. 100-02)
------------------------------------------------------------------------
 29....................  Telehealth Originating Site Facility Fee
                          Payment Amount Update.
30.....................  Policy for Repair and Replacement of Durable
                          Medical Equipment.
------------------------------------------------------------------------
       Medicare National Coverage Determinations (CMS Pub. 100-03)
------------------------------------------------------------------------
 27....................  Infusion Pumps: C-Peptide Levels As A Criterion
                          for Use.
28.....................  Update of Laboratory NCDs to Reference New
                          Screening Benefits.
                         Blood Glucose Testing.
                         Lipid Testing.
29.....................  Implantable Automatic Defibrillators.
30.....................  Coverage of Colorectal Anti-Cancer Drugs
                          Included in Clinical Trials.
                         Anti-Cancer Chemotherapy for Colorectal Cancer
                          (Effective January 28, 2005).
------------------------------------------------------------------------
               Medicare Claims Processing (CMS Pub. 100-04)
------------------------------------------------------------------------
 423...................  January 2005 Update of the Hospital Outpatient
                          Prospective Payment System: Summary of Payment
                          Policy Changes.
424....................  Implementation of the Annual Desk Review
                          Program for Hospital Wage Data: Cost Reporting
                          Periods Beginning on or After October 1, 2001,
                          Through September 30, 2002 (FY 2006 Wage
                          Index).
425....................  Section 630 of the Medicare Modernization Act
                          allows for the Reimbursement for Ambulance
                          Services Provided by Indian Health Service/
                          Tribal Hospitals, Including Critical Access
                          Hospitals, Which Manage and Operate Hospital-
                          Based Ambulances.
                         General Coverage and Payment Policies.
                         Indian Health Service/Tribal Billing.
426....................  Modification to Reporting of Diagnosis Codes
                          for Screening Mammography Claims.
                         Healthcare Common Procedure Coding System and
                          Diagnosis Codes for Mammography Services.
427....................  Revision of Change Request 2928: Implementation
                          of Payment Safeguards for Home Health
                          Prospective Payment System Claims Failing to
                          Report Prior Hospitalizations.
                         Adjustments of Episode Payment--Hospitalization
                          Within 14 Days of Start of Care.
428....................  Update to Billing Requirements for FDG-Positron
                          Emission Tomography Scans For Use in the
                          Differential Diagnosis of Alzheimer's Disease
                          and Fronto-Temporal Dementia and Update to the
                          Fiscal Intermediaries Billing Requirements for
                          Special Payment Procedures for All Positron
                          Emission Tomography Scan.
                         Claims for Services Performed in a Critical
                          Access Hospital.
                         Billing Instructions.
                         Coverage for Positron Emission Tomography Scans
                          for Dementia and Neurodegenerative Disease.
429....................  Change to the Common Working File Skilled
                          Nursing Facility Consolidated Billing Edits
                          for Critical Access Hospitals That Have
                          Elected Method II Payment Option and Bill
                          Physician Services to Their Fiscal
                          Intermediaries.
                         Physician's Services and Other Professional
                          Services Excluded From Part A PPS Payment and
                          the Consolidated Billing Requirement.
430....................  Mandatory Assignment for Medicare Modernization
                          Act Sec.   630 Claims.
                         Other Part B Services.
                         Durable Medical Equipment Regional Carrier
                          Drugs.
                         Claims Processing Requirements for Medicare
                          Modernization Act Sec.   630.
                         Claims Processing for Durable Medical Equipment
                          Prosthetic, Orthotics & Supplies and Durable
                          Medical Equipment Regional Carrier Drugs.
                         Enrollment for Durable Medical Equipment
                          Prosthetic, Orthotics & Supplies and Durable
                          Medical Equipment Regional Carrier Drugs.
                         Enrollment and Billing for Clinical Laboratory
                          and Ambulance Services and Part B Drugs.
                         Claims Submission and Processing for Clinical
                          Laboratory and Ambulance Services and Part B
                          Drugs.
431....................  Updated Skilled Nursing Facility No Pay File
                          for April 2005.
432....................  Adding an Indicator to the National Claims
                          History to Indicate That Durable Medical
                          Regional Carriers, Carriers, and Fiscal
                          Intermediaries Have Reviewed a Potentially
                          Duplicate Claim.
                         Detection of Duplicate Claims.
433....................  Issued to a specific audience, not posted to
                          the Internet/Intranet due to the Sensitivity
                          of Instruction.
434....................  Addition of Clinical Laboratory Improvement Act
                          Edits to Certain Health Care Procedure Coding
                          System Codes for Mohs Surgery.
435....................  This Transmittal has been rescinded and
                          replaced by Transmittal 450.
436....................  Remittance Advice Remark Code and Claim
                          Adjustment Reason Code Update.
437....................  Revisions and Corrections to the Medicare
                          Claims Processing Manual, Chapter 6, Section
                          30 and Various Sections in Chapter 15.
                         Billing Skilled Nursing Facility Prospective
                          Payment System Services General Coverage and
                          Payment Policies.
                         Air Ambulance for Deceased Beneficiary.
                         General Billing Guidelines for Intermediaries
                          and Carriers.
                         Intermediary Guidelines.
438....................  Fiscal Intermediary Standard Paper Remittance
                          Advice Changes.
439....................  Modification to the Fiscal Intermediary
                          Standard System Regarding Ambulance Services
                          Billed on 18x and 21x Types of Bill.
440....................  Updating the Common Working File Editing for
                          Pap Smear (Q0091) and Adding a New Low Risk
                          Diagnosis Code (V72.31) for Pap Smear and
                          Pelvic Examination.

[[Page 36624]]

 
                         Healthcare Common Procedure Coding System Codes
                          for Billing.
                         Diagnoses Codes.
                         Payment Method.
                         Revenue Codes and Healthcare Common Procedure
                          Coding System Codes for Billing.
                         Medicare Summary Notice Messages.
                         Remittance Advice Codes.
441....................  Viable Medicare Systems Changes to Durable
                          Medical Equipment Regional Carrier Processing
                          of Method II Home Dialysis Claims.
442....................  Hospital Outpatient Prospective Payment System:
                          Use of Modifiers -52, -73 and -74 for Reduced
                          or Discontinued Services
                         Use of Modifiers.
                         Use of Modifiers for Discontinued Services.
443....................  This Transmittal is rescinded and replaced by
                          Transmittal 505.
444....................  Further Information Related to Inpatient
                          Psychiatric Facility Prospective Payment
                          System
445....................  Payment to Providers/Suppliers Qualified to
                          Bill Medicare for Prosthetics and Certain
                          Custom-Fabricated Orthotics.
                         Provider Billing for Prosthetics and Orthotic
                          Services.
446....................  Diabetes Screening Tests.
447....................  Common Working File Editing for Method
                          Selection on Durable Medical Equipment
                          Regional Carrier Claims for EPO and Aranesp
                         Epoetin Alfa Furnished to Home Patients.
                         Darbepoetin Alfa Furnished to Home Patients.
448....................  Timeframe for Continued Execution of Crossover
                          Agreements and Update on the Transition to the
                          National Coordination of Benefits Agreement
                          Program
                         Crossover Claims Requirements.
                         Fiscal Intermediaries Requirements.
                         Durable Medical Equipment Regional Carrier
                          Requirements.
                         Consolidation of the Claims Crossover Process.
                         Electronic Transmission - General Requirements.
                         ANSI X12N 837 Coordination of Benefit
                          Transaction Fee Collection.
                         Medigap Electronic Claims Transfer Agreements.
                         Intermediary Crossover Claim Requirements.
                         Carrier/Durable Medical Equipment Regional
                          Carrier Crossover Claims Requirements.
449....................  April Quarterly Update to 2005 Annual Update of
                          Healthcare Common Procedure Coding System
                          Codes Used for Skilled Nursing Facility
                          Consolidated Billing Enforcement
450....................  Enforcement of Mandatory Electronic Submission
                          of Medicare Claims
                         Failure To Furnish Information Medicare Summary
                          Notice Message.
                         Falta De Information Sometida Medicare Summary
                          Notice Message Enforcement.
451....................  April 2005 Quarterly Fee Schedule Update for
                          Durable Medical Equipment, Prosthetics,
                          Orhtotics, and Supplies.
452....................  New Remittance Advice Message for Referred
                          Clinical Diagnostic/ Purchased Diagnostic
                          Service Duplicate Claims.
453....................  Instructions for Downloading the Medicare Zip
                          Code File.
454....................  Definitions of Electronic and Paper Claims.
                         Payment Ceiling Standards.
455....................  This transmittal is rescinded and replaced by
                          Transmittal 509.
456....................  Independent Laboratory Billing for the
                          Technical Component of Physician.
                         Pathology Services Furnished to Hospital
                          Patients (Supplemental to Change Request 3467)
457....................  Diabetes Screening Tests.
                         Healthcare Common Procedure Coding System
                          Coding for Diabetes Screening.
                         Carrier Billing Requirements.
                         Modifier Requirements for Pre-Diabetes.
                         Fiscal Intermediary Billing Requirements.
                         Diagnosis Code Reporting.
                         Medicare Summary Notices.
                         Remittance Advice Remark Codes.
                         Claims Adjustment Reason Codes.
458....................  Hospice Physician Recertification Requirements.
                         Data Required on Claim to Fiscal
                          Intermediaries.
459....................  Full Replacement of Change Request 3427,
                          Transmittal 342, Issued on October 29, 2004--
                          Change to the Common Working File Skilled
                          Nursing Facility.
                         Consolidated Billing Edits for Ambulance
                          Transports to or From a Diagnostic or
                          Therapeutic Site.
                         Ambulance Services.
                         Skilled Nursing Facility Billing.
460....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
461....................  Processing Durable Medical Equipment,
                          Orthotics, Prosthetics, Drugs, and Surgical
                          Dressings Claims for Indian Health Services
                          and Tribally Owned and Operated Hospitals or
                          Hospital Based Facilities Including Critical
                          Access.
                         Hospital.
                         Other Part B Services.
                         Prosthetics and Orthotics.
                         Prosthetic Devices.
                         Surgical Dressings and Splints and Casts.
                         Drugs Dispensed by IHS Hospital-Based or
                          Freestanding Facilities.
                         Claims Processing for Durable Medical Equipment
                          Prosthetics, Orthotics & Supplies.

[[Page 36625]]

 
                         Enrollment for Durable Medical Equipment
                          Prosthetics, Orthotics & Supplies.
                         Claims Submission for Durable Medical Equipment
                          Prosthetics, Orthotics & Supplies.
462....................  Durable Medical Equipment Regional Carrier
                          Only--Dispensing Fees for Immunosuppressive
                          Drugs.
463....................  Update to 100-04 and Therapy Code Lists.
                         Healthcare Common Procedure Coding System
                          Coding Requirement.
                         Part B Outpatient Rehabilitation and
                          Comprehensive Outpatient Rehabilitation
                          Facility Services--General.
                         Discipline Specific Outpatient Rehabilitation
                          Modifiers--All Claims.
                         The Financial Limitation.
                         Reporting of Service Units With HCPCS--Form CMS-
                          1500 and Form CMS-1450.
464....................  Implementation of the Abstract File for
                          Purchased Diagnostic.
                         Test/Interpretations (Supplemental to CR 3481).
                         Payment Jurisdiction Among Local Carriers for
                          Services Paid Under the Physician Fee Schedule
                          and Anesthesia Services.
                         Payment Jurisdiction for Purchased Services.
                         Payment to Physician or Other Supplier for
                          Purchased Diagnostic Tests--Claims Submitted
                          to Carriers.
                         Payment to Supplier of Diagnostic Tests for
                          Purchased Interpretations.
465....................  Billing Requirements for Physician Services in
                          Method II Critical Access Hospitals.
                         Payment for Inpatient Services Furnished by a
                          Critical Access Hospital.
                         Special Rules for Critical Access Hospital
                          Outpatient Billing.
                         Billing and Payment in a Physician Scarcity
                          Area.
466....................  Quarterly Update to Correct Coding Initiative
                          Edits, Version 11.1, Effective April 1, 2005.
467....................  Modifications to Duplicate Editing for
                          Dispensing/Supply Fee Codes for Oral Anti-
                          Cancer, Oral Anti-Emetic, Immunosuppressive
                          and Inhalation Drugs.
468....................  Appeals Transition--Benefits, Improvement &
                          Protection Act Section 521.
                         Appeals.
469....................  New Waived Tests--April 1, 2005.
470....................  Standardization of Fiscal Intermediary Use of
                          Group and Claim Adjustment.
                         Reason Codes and Calculation and Balancing of
                          TS2 and TS3 Segment.
                         Data Elements.
471....................  This Transmittal is rescinded and replaced by
                          Transmittal 513.
472....................  Revisions to Payment for Services Provided
                          Under a Contractual Arrangement--Carrier
                          Claims Only.
                         Exceptions to Assignment of Provider's Right to
                          Payment--Claims Submitted to Fiscal
                          Intermediaries and Carriers.
                         Payment for Services Provided Under a
                          Contractual Arrangement--Carrier Claims Only.
473....................  Use of 12X Type of Bill for Billing Vaccines
                          and Their Administration Bills Submitted to
                          Fiscal Intermediaries.
474....................  Coordination of Benefits Agreement Detailed
                          Error Report Notification Process.
475....................  1st Update to the 2005 Medicare Physician Fee
                          Schedule Database.
476....................  Type of Service Corrections.
477....................  New Case-Mix Adjusted End-Stage Renal Disease
                          Composite Payment Rates And New Composite Rate
                          Exceptions Window for Pediatric End-Stage
                          Renal Disease Facilities.
                         Outpatient Provider-Specific File.
                         Calculation of Case-Mix Adjustment Composite
                          Rate.
                         Required Information for In-Facility Claims
                          Paid Under the Composite Rate.
478....................  Clarification of the Verification Process to be
                          Used to Determine If the Inpatient
                          Rehabilitation Facility Meets the Inpatient
                          Rehabilitation Classification Criteria
                          Verification Process To Be Used To Determine
                          If the Inpatient Rehabilitation Facility Met
                          the Classification Criteria.
479....................  Update to the Healthcare Provider Taxonomy
                          Codes Version 5.0.
480....................  April 2005 Quarterly Average Sale Price
                          Medicare Part B Drug Pricing File, Effective
                          April 1, 2005, and New January 2005 Quarterly
                          Average Sale Price File.
481....................  Updated Manual Instructions for the Medicare
                          Claims Processing Manual, Chapter 10.
                         General Guidelines for Processing Home Health
                          Agency Claims.
                         Effect of Election of Medicare Advantage
                          Organization and Eligibility Changes on Home
                          Health Prospective Payment System Episodes.
                         General Guidance on Line Item Billing Under the
                          Home Health Prospective Payment System.
                         Request for Anticipated Payment.
                         Home Health Prospective Payment System Claims.
                         Special Billing Situations Involving Outcome &
                          Assessment Information Set Assessments.
                         Medical and Other Health Services Not Covered
                          Under the Plan of Care (Bill Type 34X).
482....................  Manualization of Payment Change for Diagnostic
                          Mammography and Diagnostic Computer Aided
                          Detection.
                         Screening Mammography Services.
                         Computer Aided Design Billing Charts.
                         Payment for Screening Mammography Services
                          Provided Prior to January 1, 2002.
                         Payment for Screening Mammography Services
                          Provided On and After January 1, 2002.
                         Outpatient Hospital Mammography Payment Table.
                         Payment for Computer Add-On Diagnostic and
                          Screening Mammograms for Fiscal Intermediaries
                          and Carriers.
                         Mammograms Performed With New Technologies.
483....................  Hospital Partial Hospitalization Services
                          Billing Requirements.
                         Special Partial Hospitalization Billing
                          Requirements for Hospitals, Community Mental
                          Health Centers, and Critical Access Hospitals.
                         Bill Review for Partial Hospitalization
                          Services Provided in Community Mental Health
                          Centers.
484....................  New Remittance Advice Message for Referred
                          Clinical Diagnostic/Purchased Diagnostic
                          Service Duplicate Claims.

[[Page 36626]]

 
485....................  Calculating Payment-to-Cost Ratios for Purposes
                          of Determining Transitional Corridor Payments
                          Under the Outpatient Prospective Payment
                          System.
486....................  Manualization of Carrier Claims Processing
                          Instructions for Stem Cell Transplantation.
                         Stem Cell Transplantation.
                         General.
                         Healthcare Common Procedure Coding System and
                          Diagnosis Coding.
                         Non-Covered Conditions.
                         Edits.
                         Suggested Medicare Summary Notice and
                          Remittance Advice Messages.
487....................  Medicare Qualifying Clinical Trials.
                         Chapter 32, Section 69.0--Qualifying Clinical
                          Trials.
488....................  This Transmittal has been rescinded and
                          replaced by Transmittal 497.
489....................  Correction to Healthcare Common Procedure
                          Coding System Code A4217.
                         Payment of Durable Medical Equipment
                          Prosthetics, Orthotics & Supplies Items Based
                          on Modifiers.
490....................  Claims Status Code/Claims Status Category Code
                          Update.
                         Health Care Claims Status Category Codes and
                          Health Care Claims Status Codes for Use With
                          Health Care Claims Status Request and Response
                          ASC X12N 276/277.
491....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
492....................  Adding an Indicator to the National Claims
                          History to Indicate That Durable Medical
                          Equipment Regional Carrier, Carriers and
                          Fiscal Intermediaries Have Reviewed a
                          Potentially Duplicate Claim.
                         Detection of Duplicate Claims.
493....................  Revision to Chapter 1, and Removal of Section
                          70 from Chapter 25 of the Medicare Claims
                          Processing Manual.
                         Inpatient Billing From Hospitals and Skilled
                          Nursing Facilities.
                         Submitting Bills in Sequence for a Continuous
                          Inpatient Stay or Course of Treatment.
                         Intermediary Processing of No-Payment Bills.
                         Time Limitations for Filing Provider Claims to
                          Fiscal Intermediaries.
                         Statement of Intent.
                         Filing Request for Payment to Carriers--
                          Medicare Part B.
                         Fiscal Intermediary Consistency Edits.
                         Patient is a Member of a Medicare Advantage
                          Organization for Only a Portion of the Billing
                          Period.
                         Late Charges.
                         Inpatient Part A Hospital Adjustment Bills.
494....................  April 2005 Outpatient Prospective Payment
                          System Code Editor Specifications Version 6.1.
495....................  Inpatient Psychiatric Facility Prospective
                          Payment System--Further Clarifications.
496....................  Billing for Blood and Blood Products Under the
                          Hospital Outpatient Prospective Payment
                          System.
                         When a Provider Paid Under the Outpatient
                          Prospective Payment System Does Not Purchase
                          the Blood or Blood Products That It Procures
                          From a Community Blood Bank, or When a
                          Provider Paid Under the Outpatient Prospective
                          Payment System Does Not Assess a Charge for
                          Blood or Blood Products Supplied by the
                          Provider's Own Blood Bank Other Than Blood
                          Processing and Storage.
                         When a Provider Paid Under the Outpatient
                          Prospective Payment System Purchases Blood or
                          Blood Products from a Community Blood Bank or
                          When a Provider Paid Under the Outpatient
                          Prospective Payment System Assesses a Charge
                          for Blood or Blood Products Collected by Its
                          Own Blood Bank That Reflects More Than Blood
                          Processing and Storage.
                         Billing for Autologous Blood (Including
                          Salvaged Blood) and Directed Donor Blood.
                         Billing for Split Unit of Blood.
                         Billing for Irradiation of Blood Products.
                         Billing for Frozen and Thawed Blood and Blood
                          Products.
                         Billing for Unused Blood.
                         Billing for Transfusion Services.
                         Billing for Pheresis and Apheresis Services.
                         Correct Coding Initiative Edits.
                         Blood Products and Drugs Classified in Separate
                          Average Projected Costs for Hospital
                          Outpatients.
497....................  Billing for Implantable Automatic
                          Defibrillators for Beneficiaries in a Medicare
                          Advantage Plan and Use of the Quarterly Refund
                          Modifier to Identify Patient Registry
                          Participation.
498....................  Billing of the Diagnosis and Treatment of
                          Peripheral Neuropathy With Loss of Protective
                          Sensation in People With Diabetes.
                         General Billing Requirements.
                         Applicable Healthcare Common Procedure Coding
                          System Codes.
                         Diagnosis Codes.
                         Payment.
                         Applicable Revenue Codes.
                         Editing Instructions for Fiscal Intermediaries.
                         Common Working File General Information.
                         Common Working File Utilization Edits.
499....................  2005 Scheduled Release for April Updates to
                          Software Programs and Pricing/Coding Files.
500....................  Changes to the Laboratory National Coverage
                          Determination Edit.
                         Software for April 2005.
501....................  Bone Mass Measurements--Procedure Coding.
502....................  New Contrast Agents Healthcare Common Procedure
                          Coding System Codes.
503....................  April Update to the Medicare Non-Outpatient
                          Prospective Payment Systems.
                         Outpatient Code Editor Specification Version
                          20.2.
504....................  Update to Pub 100-04, Chapter 12, Section 200
                          of the Internet Only Manual.

[[Page 36627]]

 
                         Allergy Testing and Immunotherapy.
505....................  Unprocessable Unassigned Form CMS-1500 Claims.
                         Incomplete or Invalid Claims Processing
                          Terminology.
506....................  Updated Manual Instructions for Item 24G (Days
                          or Units), Chapter 26.
507....................  New Healthcare Common Procedure Coding System
                          for Intravenous Immune Globulin.
508....................  This Transmittal is rescinded and replaced by
                          Transmittal 514.
509....................  Number of Drug Pricing Files That Must Be
                          Maintained Online for Medicare--Durable
                          Medical Equipment Regional Carriers Only.
                         Online Pricing Files for Average Sales Price.
510....................  Update to Fiscal Year 2005 Pricer for IPPS
                          Hospitals.
511....................  Type of Service Corrections.
512....................  Coverage of Colorectal Anti-Cancer Drugs
                          Included in Clinical Trials.
513....................  Infusion Pumps: C-Peptide Levels As a Criterion
                          for Use.
514....................  April 2005 Update of the Hospital Outpatient
                          Prospective Payment System: Summary of Payment
                          Policy Changes.
------------------------------------------------------------------------
                Medicare Secondary Payer (CMS Pub. 100-05)
------------------------------------------------------------------------
 23....................  Modification to Online Medicare Secondary Payer
                          Questionnaire.
                         Admission Questions to Ask Medicare
                          Beneficiaries.
24.....................  Issued to a specific audience, not posted to
                          Internet/Intranet, due to Sensitivity of
                          Instruction.
25.....................  Update Medicare Secondary Payer Manual
                          Publication 100-05 to reflect Statutory
                          Changes included in the Medicare Modernization
                          Act.
                         General Provisions.
                         Conditional Primary Medicare Benefits.
                         When Conditional Primary Medicare Benefits May
                          Be Paid.
                         When Medicare Secondary Benefits Are Payable
                          and Not Payable.
                         Definitions.
                         Beneficiary's Rights and Responsibility.
                         Statutory Provisions.
                         No-Fault Insurance.
                         Situations in Which Medicare Secondary Payer
                          Billing Applies.
                         Incorrect Group Health Plan Primary Payments.
                         General Policy.
                         Conditional Primary Medicare Benefits.
                         Conditional Medicare Payment.
                         Medicare Right of Recovery.
                         Conflicting Claims by Medicare and Medicaid.
                         Third Party Payer Refund Requests Served on
                          Medicare.
                         General Operational Instructions.
                         Conditional Primary Medicare Benefits.
                         Existence of Overpayment.
26.....................  Clarification for Change Request (CR) 3267.
                         General Policy.
27.....................  Updates to the Electronic Correspondence
                          Referral System User Guide v8.0 and Quick
                          Reference Card v8.0.
                         Coordination of Benefits Contractor Electronic
                          Correspondence Referral System.
                         Providing Written Documents to the Coordination
                          of Benefits Contractor.
------------------------------------------------------------------------
             Medicare Financial Management (CMS Pub. 100-06)
------------------------------------------------------------------------
 55....................  Reporting Appeals Redetermination Information
                          on Forms CMS-2591 and 2590.
56.....................  Revision to Balancing Requirement on Form 5,
                          Line 10, of the Contractor.
                         Reporting of Operational and Workload Data.
57.....................  Revised Reporting Requirements for Contractor
                          Reporting of Operational Workload Data Health
                          Professional Shortage Area Quarterly Report.
58.....................  Issued to specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.
59.....................  Notice of New Interest Rate for Medicare
                          Overpayments and Underpayments.
60.....................  Revised instructions on contractor procedures
                          for provider audit and the Provider.
                         Statistical & Reimbursement Report.
                         Submission of Cost Report Data to CMS.
                         Desk Review Exceptions Resolution Process.
                         Definition of Field Audits.
                         Purpose of Field Audits.
                         Establishing the Objective/Scope of the Field
                          Audit.
                         Audit Confirmation Letter.
                         Entrance Conference.
                         Tests of Internal Control.
                         Designing Tests/Sampling.
                         Pre-Exit Conference.
                         Finalization of Audit Adjustments.
                         Exit Conference.

[[Page 36628]]

 
                         Medicare Cost Report and All Related Documents.
                         Qualifications.
                         Internal Quality Control.
                         Final Settlement of the Cost Report.
                         Audit Responsibility When Provider Changes
                          Contractors.
                         Audits of Home Offices.
                         Standards for Issuance of an Audit Report for a
                          Home Office.
                         Provider Permanent File.
                         Contractor Responsibility in Suspected Fraud or
                          Abuse Cases.
61.....................  New Location Code Interstate Commerce
                          Commission, Status Code AR and Modified Intent
                          Letter for Unfiled Cost Reports Only.
                         Recovery of Overpayment Due to Overdue Cost
                          Report.
                         Provider Overpayment Recovery System User
                          Manual.
                         List of Status Codes.
                         Content of Demand Letters-Fiscal Intermediary
                          Serviced Providers.
62.....................  Timeframe for Continued Execution of Crossover
                          Agreements and Updated on the Transition to
                          the National Coordination of Benefits
                          Agreement Program.
                         Coordination of Medicare and Complementary
                          Insurance Programs.
63.....................  Notice of New Interest Rate for Medicare
                          Overpayments and Underpayments.
64.....................  For Fiscal Intermediaries, a New Provider Type
                          80, Status Code CH, and Method of Recoupment
                          Codes. For Carriers and Durable Medical
                          Equipment.
                         Regional Carriers Status Code 2.
                         Provider Overpayment Reporting System User
                          Manual.
                         List of Status Codes.
                         Physician/Supplier Overpayment Reporting System
                          User Manual.
65.....................  Revised Reporting Requirements for Contractor
                          Reporting of Operational Workload Data
                          Physician Scarcity Area Quarterly Report (CMS
                          Form--1565F, CROWD Form6).
                         Completing Physician Scarcity Area Quarterly
                          Report Form CMS 1565F, CROWD Form 6.
                         Physician Scarcity Area Quarterly Report, Line
                          Descriptors.
                         Error Descriptors.
                         Checking Reports.
66.....................  Chapter 7, Internal Control Requirements
                          Update.
                         Federal Managers' Financial Integrity Act of
                          1982.
                         Federal Managers Financial Integrity Act and
                          the CMS Medicare Contractor Contract.
                         Chief Financial Officers Act of 1990.
                         Office of Management & Budget Circular A-123.
                         General Accounting Office Standards for
                          Internal Controls in the Federal Government.
                         Fundamental Concepts.
                         Control Activities.
                         Monitoring.
                         Risk Assessment.
                         Internal Control Objectives.
                         Fiscal Year 2005 Medicare Control Objectives.
                         Policies and Procedures.
                         Control Activities.
                         Testing Methods.
                         Documentation and Working Papers.
                         Requirements.
                         Certification Statement.
                         Executive Summary.
                         Certification Package for Internal Controls
                          Report of Material Weaknesses.
                         Certification Package for Internal Controls
                          Report of Reportable Conditions.
                         Definitions and Examples of Reportable
                          Conditions and Material Weaknesses.
                         Material Weaknesses Identified During the
                          Fiscal Year.
                         Corrective Action Plans.
                         Submission, Review, and Approval of Corrective
                          Action Plans.
                         Corrective Action Plan Reports.
                         CMS Finding Numbers.
                         Initial Corrective Action Plan Report.
                         Quarterly Corrective Action Plan Report.
                         Entering Data: Initial or Quarterly Corrective
                          Action Plan Report.
------------------------------------------------------------------------
            Medicare State Operations Manual (CMS Pub. 100-07)
------------------------------------------------------------------------
 00....................  None
------------------------------------------------------------------------
              Medicare Program Integrity (CMS Pub. 100-08))
------------------------------------------------------------------------
 93....................  This Transmittal has been rescinded and
                          replaced by Transmittal 102.
------------------------------------------------------------------------

[[Page 36629]]

 
94.....................  Informing Beneficiaries About Which Local
                          Medical Review Policy and/or Local Coverage
                          Determination and/or National Coverage.
                         Determination Is Associated With Their Claim
                          Denial.
                         Prepayment Edits.
95.....................  Change in Provider Enrollment Appeals Process.
                         Administrative Appeals.
96.....................  Consent Settlements.
                         Postpayment Review Case Selection.
                         Location of Postpayment Reviews.
                         Re-adjudication of Claims.
                         Calculation of the Correct Payment Amount and
                          Subsequent Over/Underpayment.
                         Notification of Provider(s) or Supplier(s) and
                          Beneficiaries of the Postpayment Review
                          Results.
                         Provider(s) or Supplier(s) Rebuttal(s) of
                          Findings.
                         Evaluation of the Effectiveness of Postpayment
                          Review and Next Steps.
                         Consent Settlement Instructions.
                         Background on Consent Settlement.
                         Opportunity to Submit Additional Information
                          Before Consent Settlement Offer.
                         Consent Settlement Offer.
                         Election to Proceed to Statistical Sampling for
                          Overpayment Estimation.
                         Acceptance of Consent Settlement Offer.
                         Consent Settlement Budget and Performance
                          Requirements for Medicare Contractors.
97.....................  Provider Enrollment and Inpatient
                          Rehabilitation Facility (IRF) Compliance
                          Reviews.
98.....................  Psychotherapy Notes.
                         Additional Documentation Requests During
                          Prepayment or Postpayment Medical Review.
99.....................  Program Integrity Manual Modification--Changes
                          Waivers Approved by the Regional Office by
                          Replacing Regional Office With Central Office.
                         Contractor Medical Director.
                         Benefit Integrity Security Requirements.
                         The Carrier Advisory Committee.
100....................  Review of Documentation During Medical Review.
                         Additional Documentation Requests During
                          Prepayment or Postpayment Medical Review.
                         Documentation in the Patient's Medical Records.
101....................  Benefit Integrity Personal Information Manager
                          Revisions.
                         Sources of Data for Program Safeguard
                          Contractors.
                         Procedural Requirements.
                         Benefit Integrity Security Requirements.
                         Requests for Information From Outside
                          Organizations.
                         Program Safeguard Contractor and Medicare
                          Contractor Coordination With Other Program.
                         Safeguard Contractors and Medicare Contractors.
                         Complaint Screening.
                         Types of Fraud Alerts.
                         Alert Specifications.
                         Editorial Requirements.
                         Coordination.
                         Distribution of Alerts.
                         Information Not Captured in the Fraud
                          Investigation Database.
                         Initial Entry Requirements for Investigations.
                         Designated Program Safe Guard and Medicare
                          Contractor Background Investigation.
                         Unit Staff and the Fraud Investigation
                          Database.
                         Affiliated Contractor and Program Safeguard
                          Contractor Coordination on Voluntary Refunds.
                         Referral of Cases to the Office of the
                          Inspector General/Office of Investigations.
                         Referral to State Agencies or Other
                          Organizations.
                         Civil Monetary Penalties Delegated to Office of
                          the Inspector General.
                         Annual Deceased-Beneficiary Postpayment Review.
                         Vulnerability Report.
102....................  Medical Review of Rural Air Ambulance Services.
                         ``Reasonable'' Requests.
                         Emergency Medical Services Protocols.
                         Prohibited Air Ambulance Relationships.
                         Reasonable and Necessary Services.
                         Definition of Rural Air Ambulance Services.
103....................  Discontinuation of Medical Review Reports--The
                          Medicare Status Report.
                         Report of Benefit Savings, Medicare Focused
                          Medical Review Status Report, and Focused
                          Medical Review Report.
104....................  Requirement that Medicare Carrier System Not
                          Allow the Re-review of Previously Denied
                          Claims.
                         Contractor Administrative Budget & Financial
                          Management II Reporting for Medical Review
                          Activities.
105....................  The Medically Unbelievable Edits.
106....................  Inclusion of Interventional Pain Management
                          Specialists on Carrier Advisory Committee
                          Membership Physicians.
------------------------------------------------------------------------
 
[[Page 36630]]

 
  Medicare Contractor Beneficiary and Provider Communications (CMS Pub.
                                 100-09)
------------------------------------------------------------------------
 08....................  Medicare Beneficiary Call Centers Will Begin
                          Offering Preventive Services Information.
                         Promote Medicare Preventive Services.
------------------------------------------------------------------------
                 Medicare Managed Care (CMS Pub. 100-16)
------------------------------------------------------------------------
 65....................  Surveys, Contracting Strategy, and Appeals.
------------------------------------------------------------------------
      Medicare Business Partners Systems Security (CMS Pub. 100-17)
------------------------------------------------------------------------
 00....................  None.
                    Demonstrations (CMS Pub. 100-19)
------------------------------------------------------------------------
 15....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to the Confidentiality
                          of Instruction
16.....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to the Sensitivity of
                          Instruction.
17.....................  Demonstration Project for Medical Adult Day-
                          Care Services.
18.....................  Demonstration Project to Clarify the Definition
                          of Homebound, the Home Health Independence
                          Demonstration.
19.....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.
20.....................  Full Replacement of CR 3220, Method of
                          Reimbursement for Inpatient Services for Rural
                          Hospital Participating Under Demonstration
                          Authorized by Section 410A of the Medicard
                          Modernization Act, CR 3220 Is Rescinded.
21.....................  Full Replacement of CR 3639, Expansion of
                          Coverage for Chiropractic Services
                          Demonstration.
------------------------------------------------------------------------
                 One Time Notification (CMS Pub. 100-20)
------------------------------------------------------------------------
 134...................  Revisions to January 2005 Quarterly Average
                          Sales Price Medicare Part B Drug Pricing File.
135....................  Shared System Maintainer Hours for Resolution
                          of Problems Detected During Health Insurance
                          Portability and Accountability Act Transaction
                          Release Testing.
136....................  Medlearn Matters Article Related to the Flu
                          Demonstration.
137....................  Instruction to Contractors Regarding Aged, Pre-
                          settlement Cases and Inter-Contractor Notices.
138....................  Production of Provider Flat Files, Including
                          Taxpayer Identification Numbers, From the
                          Fiscal Intermediary Standard System, Financial
                          Master Files.
139....................  Update to the Evaluation Plan for the CD-Rom
                          Initiative Used in the Mailing of 2005 Annual
                          Participation Enrollment Material.
140....................  Revisions to January 2005 Quarterly Average
                          Sales Price Medicare Part B Drug Pricing File.
141....................  Shared System and Common Working File
                          Renovation of Override Code Process (Phase 3).
142....................  This Transmittal Is Rescinded and Will Not Be
                          Replaced at this Time.
143....................  Shared System Maintainer Hours to Begin Work
                          and Analysis on the Implementation of the
                          National Provider Identifier--FOR ANALYSIS
                          ONLY.
144....................  Debt Collection Improvement Act Backlog Non-
                          Medicare Secondary Payor Collections From
                          February 1998 to September 2004.
145....................  Frequent Hemodialysis Network Payment Changes
                          for Approved Clinical Trial Costs.
146....................  Appeals Transition--BIPA Section 521 Appeals.
------------------------------------------------------------------------


                             Addendum IV.--Regulation Documents Published in the Federal Register January Through March 2005
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                     FR Vol. 70
         Publication date             page No.               CFR parts affected                        File code                 Title of regulation
--------------------------------------------------------------------------------------------------------------------------------------------------------
January 19, 2005..................         3036  .........................................  CMS-2230-NC....................  State Children's Health
                                                                                                                              Insurance Program (SCHIP);
                                                                                                                              Redistribution of
                                                                                                                              Unexpended SCHIP Funds
                                                                                                                              From the Appropriation for
                                                                                                                              Fiscal Year 2002.
January 28, 2005..................         4588  417 and 422..............................  CMS-4069-F.....................  Medicare Program;
                                                                                                                              Establishment of the
                                                                                                                              Medicare Advantage
                                                                                                                              Program.
January 28, 2005..................         4194  400, 403, 411, 417, and 423..............  CMS-4068-F.....................  Medicare Program; Medicare
                                                                                                                              Prescription Drug Benefit.
January 28, 2005..................         4133  .........................................  CMS-3150-N.....................  Medicare Program; Meeting
                                                                                                                              of the Medicare Coverage
                                                                                                                              Advisory Committee--March
                                                                                                                              29, 2005.
January 28, 2005..................         4132  .........................................  CMS-5033-N2....................  Medicare Program; Meeting
                                                                                                                              of the Advisory Board on
                                                                                                                              the Demonstration of a
                                                                                                                              Bundled Case-Mix Adjusted
                                                                                                                              Payment System for End-
                                                                                                                              Stage Renal Disease
                                                                                                                              Services.
January 28, 2005..................         4130  .........................................  CMS-5037-N.....................  Medicare Program;
                                                                                                                              Demonstration of Coverage
                                                                                                                              of Chiropractic Services
                                                                                                                              Under Medicare.
January 28, 2005..................         4129  .........................................  CMS-4079-N.....................  Medicare Program; Re-
                                                                                                                              Chartering of the Advisory
                                                                                                                              Panel on Medicare
                                                                                                                              Education (APME) and
                                                                                                                              Notice of the APME
                                                                                                                              Meeting--February 24,
                                                                                                                              2005.
February 3, 2005..................         5724  412......................................  CMS-1483-P.....................  Medicare Program;
                                                                                                                              Prospective Payment System
                                                                                                                              for Long-Term Care
                                                                                                                              Hospitals: Proposed Annual
                                                                                                                              Payment Rate Updates,
                                                                                                                              Policy Changes, and
                                                                                                                              Clarification.

[[Page 36631]]

 
February 4, 2005..................         6526  423......................................  CMS-0011-P.....................  Medicare Program; E-
                                                                                                                              Prescribing and the
                                                                                                                              Prescription Drug Program.
February 4, 2005..................         6184  400, 405, 410, 412, 413, 414, 488, and     CMS-3818-P.....................  Medicare Program;
                                                  494.                                                                        Conditions for Coverage
                                                                                                                              for End-Stage Renal
                                                                                                                              Disease Facilities
February 4, 2005..................         6140  405, 482, and 488........................  CMS-3835-P.....................  Medicare Program; Hospital
                                                                                                                              Conditions of
                                                                                                                              Participation:
                                                                                                                              Requirements for Approval
                                                                                                                              and Re-Approval of
                                                                                                                              Transplant Centers To
                                                                                                                              Perform Organ Transplants.
February 4, 2005..................         6086  413, 441, 486, and 498...................  CMS-3064-P.....................  Medicare and Medicaid
                                                                                                                              Programs; Conditions for
                                                                                                                              Coverage for Organ
                                                                                                                              Procurement Organizations
                                                                                                                              (OPOs).
February 4, 2005..................         6014  .........................................  CMS-1366-N.....................  Medicare Program; Meeting
                                                                                                                              of the Practicing
                                                                                                                              Physicians Advisory
                                                                                                                              Council--March 7, 2005.
February 4, 2005..................         6013  .........................................  CMS-1299-N.....................  Medicare Program; Monthly
                                                                                                                              Payment Amounts for Oxygen
                                                                                                                              and Oxygen Equipment for
                                                                                                                              2005, in Accordance with
                                                                                                                              Section 302(c) of the
                                                                                                                              Medicare Prescription
                                                                                                                              Drug, Improvement, and
                                                                                                                              Modernization Act of 2003.
February 4, 2005..................         6012  .........................................  CMS-3155--N....................  Medicare Program; Quality
                                                                                                                              Improvement Organization
                                                                                                                              Contracts: Solicitation of
                                                                                                                              Statements of Interest
                                                                                                                              From In-State
                                                                                                                              Organizations--Alaska,
                                                                                                                              Hawaii, Idaho, Maine,
                                                                                                                              South Carolina, Vermont,
                                                                                                                              and Wyoming.
February 25, 2005.................         9362  .........................................  CMS-4089-N.....................  Medicare Program; Meeting
                                                                                                                              of the Advisory Panel on
                                                                                                                              Medicare Education--March
                                                                                                                              22, 2005.
February 25, 2005.................         9360  .........................................  CMS-4088-N.....................  Medicare Program; Part D
                                                                                                                              Reinsurance Payment
                                                                                                                              Demonstration.
February 25, 2005.................         9358  .........................................  CMS-1219-N.....................  Medicare Program; Changes
                                                                                                                              in Geographical Boundaries
                                                                                                                              of Durable Medical
                                                                                                                              Equipment Regional Service
                                                                                                                              Areas.
February 25, 2005.................         9355  .........................................  CMS-3119-FN....................  Medicare Program;
                                                                                                                              Procedures for Maintaining
                                                                                                                              Code Lists in the
                                                                                                                              Negotiated National
                                                                                                                              Coverage Determinations
                                                                                                                              for Clinical Diagnostic
                                                                                                                              Laboratory Services.
February 25, 2005.................         9338  .........................................  CMS-9025-N.....................  Medicare and Medicaid
                                                                                                                              Programs; Quarterly
                                                                                                                              Listing of Program
                                                                                                                              Issuances--October Through
                                                                                                                              December 2004.
February 25, 2005.................         9337  .........................................  CMS-5011-WN2...................  Medicare and Medicaid
                                                                                                                              Programs; Solicitation of
                                                                                                                              Proposals for the Private,
                                                                                                                              For-Profit Demonstration
                                                                                                                              Project for the Program of
                                                                                                                              All-Inclusive Care for the
                                                                                                                              Elderly (PACE);
                                                                                                                              Cancellation of
                                                                                                                              Withdrawal.
February 25, 2005.................         9336  .........................................  CMS-1296-N.....................  Medicare Program; Request
                                                                                                                              for Nominations to the
                                                                                                                              Advisory Panel on
                                                                                                                              Ambulatory Payment
                                                                                                                              Classification Groups.
February 25, 2005.................         9232  421......................................  CMS-1219-F.....................  Medicare Program; Durable
                                                                                                                              Medical Equipment Regional
                                                                                                                              Carrier Service Areas and
                                                                                                                              Related Matters.
March 4, 2005.....................        10746  414......................................  CMS-1325-P.....................  Medicare Program;
                                                                                                                              Competitive Acquisition of
                                                                                                                              Outpatient Drugs and
                                                                                                                              Biologicals Under Part B.
March 4, 2005.....................        10645  .........................................  CMS-4089-N2....................  Medicare Program; Meeting
                                                                                                                              of Advisory Panel on
                                                                                                                              Medicare Education--March
                                                                                                                              22, 2005: Location Change.
March 8, 2005.....................        11420  401 and 405..............................  CMS-4064-IFC...................  Medicare Program; Changes
                                                                                                                              to the Medicare Claims
                                                                                                                              Appeal Procedures.
March 11, 2005....................        12691  .........................................  CMS-1269-N3....................  Medicare Program; Emergency
                                                                                                                              Medical Treatment and
                                                                                                                              Labor Act (EMTALA)
                                                                                                                              Technical Advisory Group
                                                                                                                              (TAG) Meeting and
                                                                                                                              Announcement of Members.
March 21, 2005....................        13401  417 and 422..............................  CMS-4069-F2....................  Medicare Program;
                                                                                                                              Establishment of the
                                                                                                                              Medicare Advantage
                                                                                                                              Program; Interpretation.
March 21, 2005....................        13397  400, 403, 411, 417, and 423..............  CMS-4068-F2....................  Medicare Program; Medicare
                                                                                                                              Prescription Drug Benefit;
                                                                                                                              Interpretation.
March 25, 2005....................        15394  .........................................  CMS-4080-N.....................  Medicare Program;
                                                                                                                              Recognition of NAIC Model
                                                                                                                              Standards for Regulation
                                                                                                                              of Medicare Supplemental
                                                                                                                              Insurance.
March 5, 2005.....................        15343  .........................................  CMS-5033-N3....................  Medicare Program; Meeting
                                                                                                                              of the Advisory Board on
                                                                                                                              the Demonstration of a
                                                                                                                              Bundled Case-Mix Adjusted
                                                                                                                              Payment System for End-
                                                                                                                              Stage Renal Disease
                                                                                                                              Services.

[[Page 36632]]

 
March 25, 2005....................        15341  .........................................  CMS-3151-N.....................  Medicare Program; Meeting
                                                                                                                              of the Medicare Coverage
                                                                                                                              Advisory Committee--May
                                                                                                                              24, 2005.
March 25, 2005....................        15340  .........................................  CMS-1297-N.....................  Medicare Program; Public
                                                                                                                              Meetings in Calendar Year
                                                                                                                              2005 for All New Public
                                                                                                                              Requests for Revisions to
                                                                                                                              the Healthcare Common
                                                                                                                              Procedures Coding System
                                                                                                                              (HCPS) Coding and Payment
                                                                                                                              Determinations.
March 25, 2005....................        15337  .........................................  CMS-3112-FN....................  Medicare Program;
                                                                                                                              Disapproval of Adjustment
                                                                                                                              in Payment Amounts for New
                                                                                                                              Technology Intraocular
                                                                                                                              Lenses Furnished by
                                                                                                                              Ambulatory Surgical
                                                                                                                              Centers.
March 25, 2005....................        15335  .........................................  CMS-2256-FN....................  Medicare and Medicaid
                                                                                                                              Programs; Reapproval of
                                                                                                                              the Deeming Authority of
                                                                                                                              the Community Health
                                                                                                                              Accreditation Program
                                                                                                                              (CHAP) for Home Health
                                                                                                                              Agencies.
March 25, 2005....................        15333  .........................................  CMS-2208--FN...................  Medicare and Medicaid
                                                                                                                              Programs; Recognition of
                                                                                                                              the American Osteopathic
                                                                                                                              Association (AOA) for
                                                                                                                              Continued Approval of
                                                                                                                              Deeming Authority for
                                                                                                                              Hospitals.
March 25, 2005....................        15331  .........................................  CMS-2204-FN....................  Medicare and Medicaid
                                                                                                                              Programs; Reapproval of
                                                                                                                              the Deeming Authority of
                                                                                                                              the Joint Commission on
                                                                                                                              Accreditation of
                                                                                                                              Healthcare Organizations
                                                                                                                              (JCAHO) for Home Health
                                                                                                                              Agencies.
March 25, 2005....................        15329  .........................................  CMS-0014-N.....................  Procedures for Non-Privacy
                                                                                                                              Administrative
                                                                                                                              Simplification Complaints
                                                                                                                              Under the Health Insurance
                                                                                                                              Portability and
                                                                                                                              Accountability Act of
                                                                                                                              1996.
March 25, 2005....................        15324  .........................................  CMS-2211-N.....................  Medicare, Medicaid, and
                                                                                                                              CLIA Programs; Continuance
                                                                                                                              of the Approval of the
                                                                                                                              American Society for
                                                                                                                              Histocompatibility and
                                                                                                                              Immunogentics as a CLIA
                                                                                                                              Accreditation
                                                                                                                              Organization.
March 25, 2005....................        15266  482......................................  CMS-3122-P.....................  Medicare and Medicaid
                                                                                                                              Programs; Hospital
                                                                                                                              Conditions of
                                                                                                                              Participation:
                                                                                                                              Requirements for History
                                                                                                                              and Physical Examinations;
                                                                                                                              Authentication of Verbal
                                                                                                                              Orders; Securing
                                                                                                                              Medications; and
                                                                                                                              Postanesthesia
                                                                                                                              Evaluations.
March 25, 2005....................        15265  413, 441, 486, and 498...................  CMS-3064-N.....................  Medicare and Medicaid
                                                                                                                              Programs; Conditions for
                                                                                                                              Coverage for Organ
                                                                                                                              Procurement Organizations
                                                                                                                              (OPOs); Extension of
                                                                                                                              Comment Period.
March 25, 2005....................        15264  405, 482, and 488........................  CMS-3835-N.....................  Medicare Program; Hospital
                                                                                                                              Conditions of
                                                                                                                              Participation:
                                                                                                                              Requirements for Approval
                                                                                                                              and Re-Approval of
                                                                                                                              Transplant Centers To
                                                                                                                              Perform Organ Transplants;
                                                                                                                              Extension of Comment
                                                                                                                              Period.
March 25, 2005....................        15229  403, 416, 418, 460, 482, 483, and 485....  CMS-3145-IFC...................  Medicare and Medicaid
                                                                                                                              Programs; Fire Safety
                                                                                                                              Requirements for Certain
                                                                                                                              Health Care Facilities;
                                                                                                                              Amendment.
--------------------------------------------------------------------------------------------------------------------------------------------------------

Addendum V.--National Coverage Determinations [January Through March 
2005]

    A national coverage determination (NCD) is a determination by the 
Secretary with respect to whether or not a particular item or service 
is covered nationally under Title XVIII of the Social Security Act, but 
does not include a determination of what code, if any, is assigned to a 
particular item or service covered under this title, or determination 
with respect to the amount of payment made for a particular item or 
service so covered. We include below all of the NCDs that were issued 
during the quarter covered by this notice. The entries below include 
information concerning completed decisions as well as sections on 
program and decision memoranda, which also announce pending decisions 
or, in some cases, explain why it was not appropriate to issue an NCD. 
We identify completed decisions by the section of the NCDM in which the 
decision appears, the title, the date the publication was issued, and 
the effective date of the decision. Information on completed decisions 
as well as pending decisions has also been posted on the CMS Web site 
at http://cms.hhs.gov/coverage.

                                        National Coverage Determinations
                                          [January Through March 2005]
----------------------------------------------------------------------------------------------------------------
              Title                     NCDM section               TN No.           Issue date    Effective date
----------------------------------------------------------------------------------------------------------------
Infusion Pumps: C-Peptide Levels  280.14..................  R27NCD..............        02/04/05        12/17/04
 as a Criterion for Use.
Update of Laboratory NCDs to      190.20/190.23...........  R28NCD..............        02/11/05        01/01/05
 Reference New Screening
 Benefits.
Implantable Automatic             20.4....................  R29NCD..............        03/04/05        01/27/05
 Defibrillators.

[[Page 36633]]

 
Anti-Cancer Chemotherapy for      110.17..................  R30NCD..............        03/29/05        01/28/05
 Colorectal Cancer.
----------------------------------------------------------------------------------------------------------------

Addendum VI. FDA-Approved Category B IDEs [January Through March 2005]

    Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c) devices 
fall into one of three classes. To assist CMS under this categorization 
process, the FDA assigns one of two categories to each FDA-approved 
IDE. Category A refers to experimental IDEs, and Category B refers to 
non-experimental IDEs. To obtain more information about the classes or 
categories, please refer to the Federal Register notice published on 
April 21, 1997 (62 FR 19328).
    The following list includes all Category B IDEs approved by FDA 
during the first quarter, January through March 2005.

------------------------------------------------------------------------
                    IDE                               Category
------------------------------------------------------------------------
G030069...................................
G040051...................................
G040161...................................
G040166...................................
G040195...................................
G040196...................................
G040218...................................
G040219...................................
G040224...................................
G040227...................................
G040228...................................
G040230...................................
G040232...................................
G040233...................................
G050001...................................
G050004...................................
G050009...................................
G050011...................................
G050018...................................
G050019...................................
G050021...................................
G050022...................................
G050024...................................
G050026...................................
G050029...................................
G050034...................................
G050038...................................
G050043...................................
G050045...................................
------------------------------------------------------------------------

Addendum VII.--Approval Numbers for Collections of Information

    Below we list all approval numbers for collections of information 
in the referenced sections of CMS regulations in Title 42; Title 45, 
Subchapter C; and Title 20 of the Code of Federal Regulations, which 
have been approved by the Office of Management and Budget:

------------------------------------------------------------------------
                           Approved CFR Sections in Title 42, Title 45,
                           and Title 20 (Note: Sections in Title 45 are
    OMB control Nos.      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
0938-0033..............  405.807
0938-0035..............  407.40
0938-0037..............  413.20, 413.24
0938-0041..............  408.6, 408.22
0938-0042..............  410.40, 424.124
0938-0045..............  405.711
0938-0046..............  405.2133
0938-0050..............  413.20, 413.24
0938-0062..............  431.151, 435.1009, 440.220, 440.250, 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, 455.100-455.106
0938-0101..............  430.30
0938-0102..............  413.20, 413.24
0938-0107..............  413.20, 413.24
0938-0146..............  431.800-431.865
0938-0147..............  431.800-431.865, 493.1405, 493.1411, 493.1417,
                          493.1423, 493.1443, 493.1449, 493.1455
0938-0151..............  493.1461, 493.1469, 493.1483, 493.1489
0938-0155..............  405.2470
0938-0170..............  493.1269-493.1285
0938-0193..............  430.10-430.20, 440.167
0938-0202..............  413.17, 413.20
0938-0214..............  411.25, 489.2, 489.20
0938-0236..............  413.20, 413.24
0938-0242..............  442.30, 488.26
0938-0245..............  407.10, 407.11
0938-0246..............  431.800-431.865
0938-0251..............  406.7
0938-0266..............  416.41, 416.47, 416.48, 416.83
0938-0267..............  410.65, 485.56, 485.58, 485.60, 485.64, 485.66
0938-0269..............  412.116, 412.632, 413.64, 413.350, 484.245
0938-0270..............  405.376
0938-0272..............  440.180, 441.300-441.305

[[Page 36634]]

 
0938-0273..............  485.701-485.729
0938-0279..............  424.5
0938-0287..............  447.31
0938-0296..............  413.170, 413.184
0938-0301..............  413.20, 413.24
0938-0302..............  418.22, 418.24, 418.28, 418.56, 418.58, 418.70,
                          418.74, 418.83, 418.96, 418.100
0938-0313..............  489.11, 489.20
0938-0328..............  482.12, 482.13, 482.21, 482.22, 482.27, 482.30,
                          482.41, 482.43, 482.45, 482.53, 482.56,
                          482.57, 482.60, 482.61, 482.62, 482.66,
                          485.618, 485.631
0938-0334..............  491.9, 491.10
0938-0338..............  486.104, 486.106, 486.110
0938-0354..............  441.60
0938-0355..............  442.30, 488.26
0938-0357..............  409.40-409.50, 410.36, 410.170, 411.4-411.15,
                          421.100, 424.22, 484.18, 489.21
0938-0358..............  412.20-412.30
0938-0359..............  412.40-412.52
0938-0360..............  488.60
0938-0365..............  484.10, 484.11, 484.12, 484.14, 484.16, 484.18,
                          484.20, 484.36, 484.48, 484.52
0938-0372..............  414.330
0938-0378..............  482.60-482.62
0938-0379..............  442.30, 488.26
0938-0382..............  442.30, 488.26
0938-0386..............  405.2100-405.2171
0938-0391..............  488.18, 488.26, 488.28
0938-0426..............  476.104, 476.105, 476.116, 476.134
0938-0429..............  447.53
0938-0443..............  473.18, 473.34, 473.36, 473.42
0938-0444..............  1004.40, 1004.50, 1004.60, 1004.70
0938-0445..............  412.44, 412.46, 431.630, 456.654, 466.71,
                          466.73, 466.74, 466.78
0938-0447..............  405.2133
0938-0448..............  405.2133, 45 CFR 5, 5b; 20 CFR parts 401, 422E
0938-0449..............  440.180, 441.300-441.310
0938-0454..............  424.20
0938-0456..............  412.105
0938-0463..............  413.20, 413.24, 413.106
0938-0467..............  431.17, 431.306, 435.910, 435.920, 435.940-
                          435.960
0938-0469..............  417.126, 422.502, 422.516
0938-0470..............  417.143, 417.800-417.840, 422.6
0938-0477..............  412.92
0938-0484..............  424.123
0938-0501..............  406.15
0938-0502..............  433.138
0938-0512..............  486.304, 486.306, 486.307
0938-0526..............  475.102, 475.103, 475.104, 475.105, 475.106
0938-0534..............  410.38, 424.5
0938-0544..............  493.1-493.2001
0938-0564..............  411.32
0938-0565..............  411.20-411.206
0938-0566..............  411.404, 411.406, 411.408
0938-0573..............  412.230, 412.256
0938-0578..............  447.534
0938-0581..............  493.1-493.2001
0938-0599..............  493.1-493.2001
0938-0600..............  405.371, 405.378, 413.20
0938-0610..............  417.436, 417.801, 422.128, 430.12, 431.20,
                          431.107, 434.28, 483.10, 484.10, 489.102
0938-0612..............  493.801, 493.803, 493.1232, 493.1233, 493.1234,
                          493.1235, 493.1236, 493.1239, 493.1241,
                          493.1242, 493.1249, 493.1251, 493.1252,
                          493.1253, 493.1254, 493.1255, 493.1256,
                          493.1261, 493.1262, 493.1263, 493.1269,
                          493.1273, 493.1274, 493.1278, 493.1283,
                          493.1289, 493.1291, 493.1299
0938-0618..............  433.68, 433.74, 447.272
0938-0653..............  493.1771, 493.1773, 493.1777
0938-0657..............  405.2110, 405.2112
0938-0658..............  405.2110, 405.2112
0938-0667..............  482.12, 488.18, 489.20, 489.24
0938-0679..............  410.38
0938-0685..............  410.32, 410.71, 413.17, 424.57, 424.73, 424.80,
                          440.30, 484.12
0938-0686..............  493.551-493.557
0938-0688..............  486.304, 486.306, 486.307, 486.310, 486.316,
                          486.318, 486.325
0938-0690..............  488.4-488.9, 488.201
0938-0691..............  412.106
0938-0692..............  466.78, 489.20, 489.27
0938-0701..............  422.152
0938-0702..............  45 CFR 146.111, 146.115, 146.117, 146.150,
                          146.152, 146.160, 146.180
0938-0703..............  45 CFR 148.120, 148.124, 148.126, 148.128

[[Page 36635]]

 
0938-0714..............  411.370-411.389
0938-0717..............  424.57
0938-0721..............  410.33
0938-0723..............  421.300-421.318
0938-0730..............  405.410, 405.430, 405.435, 405.440, 405.445,
                          405.455, 410.61, 415.110, 424.24
0938-0732..............  417.126, 417.470
0938-0734..............  45 CFR 5b
0938-0739..............  413.337, 413.343, 424.32, 483.20
0938-0742..............  422.300-422.312
0938-0749..............  424.57
0938-0753..............  422.000-422.700
0938-0754..............  441.151, 441.152
0938-0758..............  413.20, 413.24
0938-0760..............  Part 484 subpart E, 484.55
0938-0761..............  484.11, 484.20
0938-0763..............  422.1-422.10, 422.50-422.80, 422.100-422.132,
                          422.300-422.312, 422.400-422.404, 422.560-
                          422.622
0938-0770..............  410.2
0938-0778..............  422.64, 422.111
0938-0779..............  417.126, 417.470, 422.64, 422.210
0938-0781..............  411.404-411.406, 484.10
0938-0786..............  438.352, 438.360, 438.362, 438.364
0938-0787..............  406.28, 407.27
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..............  491.8, 491.11
0938-0798..............  413.24, 413.65, 419.42
0938-0802..............  419.43
0938-0818..............  410.141, 410.142, 410.143, 410.144, 410.145,
                          410.146, 414.63
0938-0829..............  422.568
0938-0832..............  Parts 489 and 491
0938-0833..............  483.350-483.376
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,
                          457.1180
0938-0842..............  412.23, 412.604, 412.606, 412.608, 412.610,
                          412.614, 412.618, 412.626, 413.64
0938-0846..............  411.352-411.361
0938-0857..............  Part 419
0938-0860..............  Part 419
0938-0866..............  45 CFR part 162
0938-0872..............  413.337, 483.20
0938-0873..............  422.152
0938-0874..............  45 CFR parts 160 and 162
0938-0878..............  Part 422 subpart F & G
0938-0883..............  45 CFR parts 160 and 164
0938-0884..............  405.940
0938-0887..............  45 CFR 148.316, 148.318, 148.320
0938-0897..............  412.22, 412.533
0938-0907..............  412.230, 412.304, 413.65
0938-0910..............  422.620, 422.624, 422.626
0938-0911..............  426.400, 426.500
0938-0916..............  483.16
0938-0920..............  438.6, 438.8, 438.10, 438.12, 438.50, 438.56,
                          438.102, 438.114, 438.202, 438.206, 438.207,
                          438.240, 438.242, 438.402, 438.404, 438.406,
                          438.408, 438.410, 438.414, 438.416, 438.710,
                          438.722, 438.724, 438.810
0938-0921..............  414.804
0938-0931..............  45 CFR part 142.408, 162.408, and 162.406
0938-0933..............  438.50
0938-0934..............  403.766
0938-0936..............  423
0938-0940..............  484 and 488
0938-0944..............  422.250, 422.252, 422.254, 422.256, 422.258,
                          422.262, 422.264, 422.266, 422.270, 422.300,
                          422.304, 422.306, 422.308, 422.310, 422.312,
                          422.314, 422.316, 422.318, 422.320, 422.322,
                          422.324, 423.251, 423.258, 423.265, 423.272,
                          423.279, 423.286, 423.293, 423.301, 423.308,
                          423.315, 423.322, 423.329, 423.336, 423.343,
                          423.346, 423.350
------------------------------------------------------------------------

Addendum VIII--Medicare-Approved Carotid Stent Facilities (January 
Through March 2005)

    On March 17, 2005, we issued our decision memorandum on carotid 
artery stenting. We determined that carotid artery stenting with 
embolic protection is reasonable and necessary only if performed in 
facilities that have been determined to be competent in performing the 
evaluation, procedure, and follow-up necessary to ensure optimal 
patient outcomes. We have created a list of minimum standards for 
facilities modeled in part on professional society statements on 
competency. All facilities must at least meet our standards in order to 
receive coverage for carotid artery stenting for high risk patients.

[[Page 36636]]



------------------------------------------------------------------------
                Facility                   Provider No.   Effective date
------------------------------------------------------------------------
1. Advocate Christ Medical Center, 4440           140208      05/03/2005
 West 95th Street, Oak Lawn, IL 60453...
2. Advocate Lutheran General Hospital,            140223      05/05/2005
 1775 Dempster Street, Park Ridge, IL
 60068..................................
3. Aiken Regional Medical Centers, 302            420082      05/10/2005
 University Parkway, P.O. Drawer 1117,
 Aiken, SC 29802-1117...................
4. Akron General Medical Center, 400              360027      05/16/2005
 Wabash Avenue, Akron, OH 44266.........
5. Albany Medical Center Hospital, 43             330013      05/16/2005
 New Scotland Avenue, Albany, NY 12208..
6. Alexian Brothers Medical Center, 800           140258      04/18/2005
 W. Biesterfied Road, Elk Grove Village,
 IL 60007...............................
7. Allegheny General Hospital, 320 East           390050      05/11/2005
 North Avenue, Pittsburgh, PA 15212-4772
8. Arizona Heart Hospital, 1930 E.                030102      04/18/2005
 Thomas Road, Phoenix, AZ 85016.........
9. Aspirus Wausau Hospital, Inc, 333              520030      05/10/2005
 Pine Ridge Boulevard, Wausau, WI 54401.
10. Aurora Sinai Medical Center, 945 N.           520064      05/03/2005
 12th Street, Milwaukee, WI 53201.......
11. Avera Heart Hospital of South                 430095      05/05/2005
 Dakota, 4500 West 69th Street, Sioux
 Falls, SD 57108........................
12. Bakersfield Heart Hospital, 3001              050724      05/25/2005
 Sillect Avenue, Bakersfield, CA 93308..
13. Bakersfield Memorial Hospital, 420            050036      05/23/2005
 34th Street, Bakersfield, CA 93301.....
14. The Baldwin County Eastern Shore              010100      04/07/2005
 Health Care Authority, d/b/a Thomas
 Hospital, 750 Morphy Avenue, Fairhope,
 AL 36532...............................
15. Banner Good Samaritan Medical                 030002      05/23/2005
 Center, 1111 E. McDowell Road, Phoenix,
 AZ 85006...............................
16. Baptist Hospital East, 4000 Kresge            180130      04/12/2005
 Way, Louisville, KY 40207..............
17. Baptist Hospital of East Tennessee,           440019      04/12/2005
 137 Blount Avenue, Knoxville, TN 37920.
18. Baptist Hospital-Pensacola, 1000              100093      04/27/2005
 West Moreno Street, Post Office Box
 17500, Pensacola, FL 32522-7500........
19. Baptist Medical Center, 1225 North            250102      05/05/2005
 State Street, Jackson, MS 39202........
20. Baptist Medical Center South, 2105            010023      04/20/2005
 East South Boulevard, P.O. Box 11010,
 Montgomery, AL 36111-0010..............
21. Baptist Memorial Hospital, 6019               440048      04/18/2005
 Walnut Grove Road, Memphis, TN 38120...
22. Baptist Memorial Hospital-DeSoto,             250141      05/05/2005
 7601 Southcrest Parkway, Southaven, MS
 38671..................................
23. Baptist Montclair Medical Center,             010104      04/26/2005
 800 Montclair Road, Birmingham, AL
 35213..................................
24. Barnes-Jewish Hospital, One Barnes-           260032      05/05/2005
 Jewish Hospital Plaza, St. Louis, MO
 63110..................................
25. Bay Medical Center, 615 North Bonita          100026      05/23/2005
 Avenue, Panama City, FL 32401..........
26. Baystate Medical Center, 759                  220077      05/16/2005
 Chestnut Street, Springfield, MA 01199.
27. Benefis Healthcare, 1101 26th Street          270012      05/26/2005
 South, Great Falls, MT 59405...........
28. Bethesda Hospital, 10500 Montgomery           360179      05/05/2005
 Road, Cincinnati, OH 45242-9508........
29. Blanchard Valley Regional Health              360095      05/26/2005
 Center, 145 West Wallace Street,
 Findlay, OH 45840......................
30. Borgess Medical Center, 1521 Gull             020117      04/12/2005
 Road, Kalamazoo, MI 49048..............
31. Bon Secours St. Mary's Hospital,              490059      04/01/2005
 5801 Bremo Road, Richmond, VA 23226....
32. Brigham and Women's Hospital, 75              220110      05/16/2005
 Francis Street, Boston, MA 02115.......
33. Caritas St. Elizabeth's Medical               220036      04/26/2005
 Center, 736 Cambridge Street, Boston,
 MA 02135-2997..........................
34. Cascade Healthcare Community, Dba:            380040      05/03/2005
 St Charles Medical Center Bend, 2500
 NE. Neff Road, Bend, OR 97701..........
35. Central Baptist Hospital, 1740                180103      04/27/2005
 Nicholasville Road, Lexington, KY 40503
36. Central Dupage Hospital, 25 North             140242      05/26/2005
 Winfield Road, Winfield, IL 60190......
37. Central Georgia Health Systems, dba           110107      05/11/2005
 The Medical Center of Central Georgia,
 777 Hemlock Street, Macon, GA 31208....
38. Charleston Area Medical Center, 3200          510022      04/27/2005
 MacCorkle Avenue, SE, Charleston, WV
 25304..................................
39. Charlotte Regional Medical Center,            100047      05/11/2005
 809 East Marion Avenue, Punta Gorda, FL
 33950..................................
40. [The] Christ Hospital, 2139 Auburn            360163      05/26/2005
 Avenue, Cincinnati, OH 45219...........
41. Christiana Care Health Services,              080001      05/23/2005
 4755 Ogletown-Stanton Road, P.O. Box
 6001, Newark, DE 19718-6001............
42. CHRISTUS St. Frances Cabrini                  190019      04/18/2005
 Hospital, 3330 Masonic Drive,
 Alexandria, LA 71301...................
43. CJW Medical Center, Chippenham                490112      05/03/2005
 Hospital, 7101 Jahnke Road, Richmond,
 VA 23225...............................
44. Clarian Health Partners, Inc, I-65            150056      05/23/2005
 at 21st Street, P.O. Box 1367,
 Indianapolis, IN 46206-1367............
45. Clear Lake Regional Medical Center,           450617      04/01/2005
 500 Medical Center Blvd, Webster, TX
 77598..................................
46. The Cleveland Clinic Foundation,              360180      04/12/2005
 9500 Euclid Avenue, Cleveland, OH 44195
47. College Station Medical Center, 1604          450299      05/25/2005
 Rock Prairie Road, College Station, TX
 77845..................................
48. Community Health Partners, 3700               360172      05/23/2005
 Kolbe Road, Lorain, OH 44053-1697......
49. Dartmouth Hitchcock Medical Center,           300003      04/27/2005
 One Medical Center Drive, Lebanon, NH
 03756..................................
50. Deaconess Medical Center, PO Box              500044      05/10/2005
 248, Spokane, WA 99210-0248............
51. Doylestown Hospital, 595 West State           390203      04/27/2005
 Street, Doylestown, PA 18901...........
52. Eastern Maine Medical Center, 489             200033      04/18/2005
 State Street, P.O. Box 404, Bangor, ME
 04402-404..............................
53. El Camino Hospital, 2500 Grant Road,          050308      05/10/2005
 P.O. Box 7025, Mountain View, CA 94039-
 7025...................................
54. Eliza Coffee Memorial Hospital, P.O.          010006      05/05/2005
 Box 818, Florence, AL 35631............
55. EMH Regional Medical Center, 630              360145      05/23/2005
 East River Street, Elyria, OH 44035....
56. Emory Crawford Long Hospital, 550             110078      05/16/2005
 Peachtree Street, NE, Atlanta, GA 30308-
 2225...................................
57. Emory University Hospital, 1364               110010      04/04/2005
 Clifton Road, NE, Atlanta, GA 30322....
58. Erlanger Health System, 975 East              440104      05/23/2005
 Third Street, Chattanooga, TN 37403....
59. Evanston Hospital, 2650 Ridge                 140010      03/30/2005
 Avenue, Evanston, IL 60201.............
60. Exempla St. Joseph Hospital, 1835             060009      05/10/2005
 Franklin Street, Denver, CO 80218-1191.
61. Fletcher Allen Health Care, Medical           470003      05/26/2005
 Center Campus, 111 Colchester Avenue,
 Burlington, VT 05401-1473..............
62. Forsyth Medical Center, 3333 Silas            340014      04/20/2005
 Creek Parkway, Winston Salem, NC 27103.
63. Fort Sanders Regional Medical                 440125      05/11/2005
 Center, 1901 W. Clinch Avenue,
 Knoxville, TN 37916-2398...............
64. Fort Walton Beach Medical Center,             100223      04/14/2005
 1000 Mar Walt Drive, Fort Walton Beach,
 FL 32547...............................
65. Fresno Heart Hospital, 15 E. Audubon          050732      04/26/2005
 Drive, Fresno, CA 93720................
66. Fountain Valley Regional Hospital             050570      04/26/2005
 and Medical Center, 17100 Euclid
 Street, P.O. Box 8010, Fountain Valley,
 CA 92708...............................
67. Galichia Heart Hospital, 2610 N.              170192      05/16/2005
 Woodlawn, Wichita, KS 67220-2729.......
68. Geisinger Medical Center, 100 North           390006      05/05/2005
 Academy Avenue, Danville, PA 17822.....
69. Geisinger Wyoming Valley Medical              390270      05/05/2005
 Center, 1000 East Mountain Boulevard,
 Wilkes-Barre, PA 18711.................
70. Good Samaritan Hospital, 1225                 050471      04/12/2005
 Wilshire Boulevard, Los Angeles, CA
 90017..................................

[[Page 36637]]

 
71. Good Samaritan Hospital, 2425                 050380      04/12/2005
 Samaritan Drive, San Jose, CA 95124....
72. Good Samaritan Hospital, 255                  330158      04/27/2005
 Lafayette Avenue, Suffern, NY 10901....
73. Good Samaritan Hospital, 2222                 360052      05/25/2005
 Philadelphia Drive, Dayton, OH 45406-
 1891...................................
74. Good Samaritan Hospital, 375 Dixmyth          360134      04/18/2005
 Avenue, Cincinnati, OH 45220-489.......
75. Grandview Hospital and Medical                360133      05/05/2005
 Center, 405 Grand Avenue, Dayton, OH
 45405..................................
76. Greater Baltimore Medical Center,             210044      05/11/2005
 6701 N. Charles Street, Baltimore, MD
 21204..................................
77. Hackensack University Medical                 310001      04/27/2005
 Center, 30 Prospect Avenue, Hackensack,
 NJ 07601...............................
78. Hahnemann University Hospital/Tenet,          390290      05/10/2005
 230 N. Broad Street, Mailstop 119,
 Philadelphia, PA 19102-1192............
79. Hamot Medical Center, 201 State               390063      05/05/2005
 Street, Erie, PA 16550.................
80. Harbor-UCLA Medical Center, 1000              050376      04/12/2005
 West Carson Street, Torrance, CA 90502.
81. Harper-Hutzel Hospital, 3990 John R           230104      04/19/2005
 Street, Detroit, MI 48201..............
82. Harris Methodist Fort Worth                   450135      04/20/2005
 Hospital, 1301 Pennsylvania Avenue,
 Fort Worth, TX 76104...................
83. Harris Methodist HEB, 1600 Hospital           450639      05/16/2005
 Parkway, Bedford, TX 76022.............
84. Hartford Hospital, 80 Seymour                 070025      05/23/2005
 Street, P.O. Box 5037, Hartford, CT
 06102-5037.............................
85. Hays Medical Center, 2220 Canterbury          170013      05/23/2005
 Road, Hays, KS 67601...................
86. Hennepin County Medical Center, 701           240004      05/16/2005
 Park Avenue, Minneapolis, MN 55415-1829
87. Hialeah Hospital, 651 East 25th               100053      05/05/2005
 Street, Hialeah, FL 33013..............
88. High Point Regional Health System,            340004      05/16/2005
 601 North Elm Street, P.O. Box HP-5,
 High Point, NC 27261...................
89. Hillcrest Hospital, 6780 Mayfield             360230      05/16/2005
 Road, Mayfield Hts., OH 44124..........
90. Hoag Memorial Hospital Presbyterian,          050224      04/04/2005
 One Hoag Drive, Newport Beach, CA 92663
91. Hospital of the University of                 390111      05/23/2005
 Pennsylvania, 3400 Spruce Street,
 Philadelphia, PA 19104.................
92. Hunterdon Medical Center, 2100                310005      04/12/2005
 Wescott Drive, Flemington, NJ 08822....
93. Huntington Hospital, 100 W.                   050438      05/05/2005
 California Boulevard, P.O. Box 7013,
 Pasadena, CA 91109-7013................
94. Iowa Methodist Medical Center, 1200           160082      04/18/2005
 Pleasant Street, Des Moines, IA 50309..
95. Irvine Regional Hospital & Medical            050693      05/10/2005
 Center, 16200 Sand Canyon Avenue,
 Irvine, CA 92618.......................
96. Jewish Hospital, 200 Abraham Flexner          180040      04/12/2005
 Way, Louisville, KY 40202..............
97. John Muir Medical Center, 1601                050180      05/10/2005
 Ygnacio Valley Road, Walnut Creek, CA
 94598-3194.............................
98. Jupiter Medical Center, 1210 S. Old           100253      04/20/2005
 Dixie Hwy, Jupiter, FL 33458...........
99. Kaleida Health, Millard Fillmore              330005      05/03/2005
 Hospital, 3 Gates Circle, Buffalo, NY
 14209..................................
100. Kansas Heart Hospital, 3601 N. Webb          170186      05/23/2005
 Road, Wichita, KS 67226................
101. Kent Hospital, 455 Toll Gate Road,           410009      04/20/2005
 Warwick, RI 02886......................
102. Kettering Medical Center, 3535               360079      05/05/2005
 Southern Blvd, Kettering, OH 45429.....
103. King's Daughters Medical Center,             180009      05/23/2005
 2201 Lexington Avenue, Ashland, KY
 41101..................................
104. Lakeland Hospital, 1234 Napier               230021      04/04/2005
 Avenue, St. Joseph, Mi 49085...........
105. Lakeland Regional Medical Center,            100157      05/25/2005
 1324 Lakeland Hills Boulevard,
 Lakeland, FL 33805.....................
106. Lakeview Regional Medical Center,            190177      05/03/2005
 95 E. Fairway Drive, Covington, LA
 70433..................................
107. Lawnwood Medical Center, Inc, d/b/a          100246      04/20/2005
 Lawnwood Regional Medical Center and
 Heart Institute, 1700 South 23rd
 Street, Fort Pierce, FL 34950..........
108. LDS Hospital, 8th Avenue and C               460010      04/20/2005
 Street, Salt Lake City, UT 84143.......
109. Lee's Summit Hospital, 530 NW.               260190      05/17/2005
 Murray Road, Lee's Summit, MO 64081....
110. Lenox Hill Hospital, 100 East 77             330119      05/16/2005
 Street, New York, NY 10021.............
111. Los Alamitos Medical Center, 3751            050551      05/23/2005
 Katella Avenue, Los Alamitos, CA 90720.
112. Los Robles Hospital and Medical              050549      05/16/2005
 Center, 215 West Janss Road, Thousand
 Oaks, CA 91360.........................
113. Louisiana Heart Hospital, 64030              190250      04/01/2005
 Louisiana Highway 434, Lacombe, LA
 70445..................................
114. Lourdes Vascular Center, Lourdes             180102      03/30/2005
 Hospital, 1530 Lone Oak Road, Paducah,
 KY 42003...............................
115. Loyola University Medical Center,            140276      05/05/2005
 2160 South First Avenue, Maywood, IL
 60153..................................
116. Lutheran Hospital of Indiana, 7950           150017      04/18/2005
 West Jefferson Boulevard, Fort Wayne,
 IN 46804...............................
117. Maricopa Integrated Health System,           032595      05/23/2005
 Maricopa Medical Center, Cardiac
 Catheterization Laboratory, 2601 E.
 Roosevelt, Phoenix, AZ 85008...........
118. Martha Jefferson Hospital, 459               490077      04/07/2005
 Locust Avenue, Charlottesville, VA
 22902..................................
119. Mary Greeley Medical Center, 1111            160030      03/30/2005
 Duff Avenue, Ames, IA 50010............
120. Massachusetts General Hospital, 55           220071      05/03/2005
 Fruit Street, Boston, MA 02114.........
121. Mayo Clinic Hospital, 5777 East              030103      05/23/2005
 Mayo Boulevard, Phoenix, AZ 85054......
122. Medical Center of Plano, 3901 West           450651      05/16/2005
 15th Street, Plano, TX 75075...........
123. Medical College of Ohio, 3000                360048      04/27/2005
 Arlington Avenue, Toledo, OH 43614.....
124. Medical University of South                  420004      05/26/2005
 Carolina Hospital Authority, 169 Ashley
 Avenue, PO Box 250347, Charleston, SC
 29425..................................
125. Memorial Hospital Jacksonville,              100179      04/27/2005
 3625 University Boulevard, South,
 Jacksonville, FL 32216.................
126. Memorial Medical Center, 2700                190135      05/16/2005
 Napoleon Ave, New Orleans, LA 70115....
127. Mercy Health Center, 4300 West               370013      04/12/2005
 Memorial Road, Oklahoma City, OK 73120-
 8304...................................
128. Mercy Hospital, 500 E. Market                160029      05/05/2005
 Street, Iowa City, IA 52245............
129. Mercy Hospital Fairfield, 3000 Mack          360056      05/17/2005
 Road, Fairfield, OH 45014..............
130. Mercy Hospital and Medical Center,           140158      05/05/2005
 2525 South Michigan Avenue, Chicago, IL
 60616..................................
131. Mercy Medical Center, 701 10th               160079      04/07/2005
 Street SE, Cedar Rapids, IA 52403......
132. Mercy Medical Center, 1111 6th               160083      04/12/2005
 Avenue, Des Moines, IA 50314...........
133. Mercy Medical Center, 301 St. Paul           210008      05/25/2005
 Place, Baltimore, MD 21202.............
134. Methodist Hospital, 300 West                 050238      04/12/2005
 Huntington Drive, P.O. Box 60016,
 Arcadia, CA 91066-6016.................
135. Methodist Medical Center of Oak              440034      05/03/2005
 Ridge, 990 Oak Ridge Turnpike, Oak
 Ridge, TN 37830........................
136. Mid Michigan Medical Center-                 230222      05/10/2005
 Midland, 4005 Orchard Drive, Midland,
 MI 48670...............................
137. Missouri Baptist Medical Center,             260108      05/23/2005
 3015 N. Ballas Road, St. Louis, MO
 63131..................................
138. Morton Plant Hospital, 300 Pinellas          100127      05/16/2005
 Street, Clearwater, FL 33756...........
139. Moses H. Cone Memorial Hospital,             340091      04/18/2005
 1200 N. Elm Street, Greensboro, NC
 27401..................................
140. Mount Carmel St. Ann's Hospital,             360012      05/25/2005
 500 South Cleveland Avenue,
 Westerville, OH 43081-8998.............
141. Mount Diablo Medical Center, 2540            050496      05/10/2005
 East Street, PO Box 4110, Concord, CA
 94524-4110.............................

[[Page 36638]]

 
142. [The] Mount Sinai Hospital, 1                330024      05/26/2005
 Gustave L. Levy Place, New York, NY
 10029..................................
143. Mount Sinai Medical Center, 4300             100034      04/07/2005
 Alton Road, Miami Beach, FL 33140......
144. Mountain View Regional Medical               320085      04/26/2005
 Center, 4311 E. Lohman Avenue, Las
 Cruces, NM 88011.......................
145. Munroe Regional Medical Center,              100062      05/23/2005
 1500 SW. 1st Avenue, Ocala, FL 34474...
146. New York Presbyterian Hospital, 161          330101      05/05/2005
 Ft. Washington Avenue, HIP1412, New
 York, NY 10032.........................
147. Norman Regional Hospital, 901 North          370008      05/23/2005
 Porter, Box 1308, Norman, OK 73070-1308
148. North Austin Medical Center, 12221           450809      04/12/2005
 MoPac Expressway North, Austin, TX
 78758..................................
149. North Florida Regional Medical               100204      04/19/2005
 Center, 6500 Newberry Road,
 Gainesville, FL 32605..................
150. North Memorial Health Care, 3300             240001      05/26/2005
 Oakdale Avenue North, Robbinsdale, MN
 55422..................................
151. North Oakland Medical Centers, 461           230013      05/03/2005
 W. Huron Street, Pontiac, MI 48341-1651
152. Northeast Methodist Hospital, 12412          450388      05/11/2005
 Judson Road, Live Oak, TX 78233........
153. Northwestern Memorial Hospital, 251          140281      04/26/2005
 East Huron Street, Chicago, IL 60611...
154. Norton Healthcare, P.O. Box 35070,           180088      05/03/2005
 Louisville, KY 40232-5070..............
155. Ochsner Clinic Foundation,                   190036      04/12/2005
 Department of Cardiology, 1514
 Jefferson Highway, New Orleans, LA
 70121-2483.............................
156. Ohio State University, University            360085      05/05/2005
 Medical Center, 452 West 10th Avenue,
 Columbus, OH 43210.....................
157. Oklahoma Heart Hospital, 4050 West           370215      05/23/2005
 Memorial Road, Oklahoma City, OK 73120.
158. Orlando Regional Healthcare System,          100006      05/23/2005
 Inc, 1414 Kuhl Avenue, Orlando, FL
 32806..................................
159. [The] Ortenzio Heart Center and              390004      04/27/2005
 Holy Spirit, 503 North 21st Street,
 Camp Hill, PA 17011-2288...............
160. OSF Saint Francis Medical Center,            140067      04/27/2005
 530 NE. Glen Oak Avenue, Peoria, IL
 61637..................................
161. Our Lady of Bellefonte Hospital,             180036      05/26/2005
 St. Christopher Drive, Ashland, KY
 41101..................................
162. Our Lady of Lourdes Medical Center,          310029      05/05/2005
 1600 Haddon Avenue, Camden, NJ 08103...
163. Our Lady of Lourdes Regional                 190102      05/03/2005
 Medical Center, 611 St. Landry Street,
 Lafayette, LA 70506....................
164. Palomar Medical Center, 555 East             050115      05/10/2005
 Valley Parkway, Escondido, CA 92025....
165. Parkwest Medical Center, 9352 Park           440173      05/05/2005
 West Boulevard, Knoxville, TN 37923....
166. Parkview Hospital, 2200 Randallia            150021      05/11/2005
 Drive, Fort Wayne, IN 46805............
167. Parma Community General Hospital,            360041      05/05/2005
 7007 Powers Boulevard, Parma, OH 44129-
 5495...................................
168. Phoenix Baptist Hospital, Cardiac            030030      04/01/2005
 Catheterization Laboratory/
 Interventional Radiology Suite, 2000
 West Bethany Home Road, Phoenix, AZ
 85015..................................
169. Phoenix Memorial Hospital, Cardiac           030106      05/16/2005
 Catheterization Laboratory/
 Interventional Radiology Suite, 1201
 South 7th Avenue, Phoenix, AZ 85007....
170. Pinnacle Health Hospitals, 111               390067      05/23/2005
 South Front Street, Harrisburg, PA
 17101..................................
171. Plaza Medical Center of Fort Worth,          450672      05/23/2005
 900 Eighth Avenue, Fort Worth, TX 76104
172. Pomerado Hospital, 15615 Pomerado            050636      05/10/2005
 Road, Poway, CA 92064..................
173. Presbyterian Hospital of Dallas,             450462      05/10/2005
 8200 Walnut Hill Lane, Dallas, TX 75231-
 4496...................................
174. Princeton Baptist Medical Center,            010103      04/12/2005
 701 Princeton Avenue, SW, Birmingham,
 AL 35211-1399..........................
175. Provena Saint Joseph Hospital, 77            140217      05/11/2005
 North Airlite Street, Elgin, IL 60123-
 4912...................................
176. Providence Portland Medical Center,          380061      05/16/2005
 4805 Northeast Glisan Street, Portland,
 OR 97213-2967..........................
177. Providence St. Vincent Medical               380004      05/16/2005
 Center, 9205 S.W. Barnes Road,
 Portland, OR 97225.....................
178. Rapid City Regional Hospital, 353            430077      05/26/2005
 Fairmont Boulevard, Rapid City, SD
 57701..................................
179. Rapides Regional Medical Center,             190026      05/23/2005
 Box 30101, 211 Fourth Street,
 Alexandria, LA 71301-8454..............
180. Research Medical Center, 2316 East           260027      05/23/2005
 Meyer Boulevard, Kansas City, MO 64132.
181. Resurrection Medical Center, 7435            140117      04/12/2005
 West Talcott, Chicago, Illinois 60631..
182. Riverside Methodist Hospital, 3535           360006      04/20/2005
 Olentangy River Road, Columbus, OH
 43214..................................
183. Robert Packer Hospital, One Guthrie          390079      04/18/2005
 Square, Sayre, PA 18840-1698...........
184. Rogue Valley Medical Center, 2825            380018      05/05/2005
 East Barnett Road, Medford, OR 97504...
185. Rush University Medical Center,              140119      04/20/2005
 1725 West Harrison Street, Suite 364,
 Chicago, IL 60612-3824.................
186. Sacred Heart Health System, 5151 N.          100025      05/05/2005
 Ninth Avenue, P.O. Box 2700, Pensacola,
 FL 32513...............................
187. Sacred Heart Medical Center, Oregon          380033      05/26/2005
 Heart & Vascular Institute, 1255
 Hilyard Street, P.O. Box 10905, Eugene,
 OR 97440...............................
188. Saint Joseph Health Center, 1000             260085      05/16/2005
 Carondelet Drive, Kansas City, MO 64114
189. Saint Joseph Medical Center,                 390096      04/01/2005
 Twelfth and Walnut Streets, P.O. Box
 316, Reading, PA 19603-316.............
190. Saint Louis University Hospital,             260105      05/17/2005
 3635 Vista at Grand Boulevard, P.O. Box
 15250, St. Louis, MO 63110.............
191. Saint Luke's Hospital of Kansas              260138      04/27/2005
 City, 4401 Wornall Road, Kansas City,
 MO 64111...............................
192. Saint Raphael Healthcare System,             070001      05/05/2005
 1450 Chapel Street, New Haven, CT 06511
193. Saints Memorial Medical Center, 1            220082      04/27/2005
 Hospital Drive, Lowell, MA 01852-1389..
194. Samaritan Hospital, 310 South                180007      05/17/2005
 Limestone Street, Lexington, KY 40508..
195. Seton Medical Center, 1900 Sullivan          050289      05/05/2005
 Avenue, Daly City, CA 94015............
196. Shady Grove Adventist Hospital,              210057      04/20/2005
 9901 Medical Center Drive, Rockville,
 MD 20850...............................
197. Shands Jacksonville Medical Center,          100001      05/26/2005
 655 West Eighth Street, Jacksonville,
 FL 32209...............................
198. Shawnee Mission Medical Center,              170104      05/16/2005
 9100 W. 74th Street, Shawnee Mission,
 KS 66204...............................
199. Sierra Medical Center, 1625 Medical          450668      05/16/2005
 Center Drive, El Paso, TX 79902........
200. Sinai-Grace Hospital, 6071 W. Outer          230024      04/19/2005
 Drive, Detroit, MI 48235...............
201. Sioux Valley Hospital USD Medical            430027      04/19/2005
 Center, 1305 W. 18th Street, Sioux
 Falls, SD 57117-5039...................
202. Skyline Medical Center, 3441                 440006      04/07/2005
 Dickerson Pike, Nashville, TN 37207....
203. South Austin Hospital, 901 W. Ben            450713      04/12/2005
 White, Austin, TX 78704................
204. Southern Baptist Hospital of                 100088      05/05/2005
 Florida, Inc., d/b/a Baptist Medical
 Center, 800 Prudential Drive,
 Jacksonville, FL 32207.................
205. Southern Maryland Hospital Center,           520054      05/26/2005
 7503 Surratts Road, Clinton, MD 20735..
206. Southwest Washington Medical                 500050      05/26/2005
 Center, P.O. Box 1600, Vancouver, WA
 98668..................................
207. Spectrum Health Hospital, 100                230038      04/18/2005
 Michigan Street NE, Grand Rapids, MI
 49503..................................
208. SSM St. Joseph Health Center, 300            260005      04/26/2005
 First Capitol Drive, St. Charles, MO
 63301..................................
209. St. Anthony's Hospital, 1200 7th             100067      04/19/2005
 Avenue North, St. Petersburg, FL 33705.
210. St. Bernardine Medical Center, 2101          050129      05/05/2005
 N. Waterman Avenue, San Bernardino, CA
 92404-4836.............................

[[Page 36639]]

 
211. St. David's Medical Center, 919              450431      05/05/2005
 East 32nd Street 78705, P.O. Box 4039,
 Austin, TX 78765-4039..................
212. St. Elizabeth Medical Center, South          180035      04/26/2005
 Unit, 1 Medical Village Drive,
 Edgewood, KY 41017.....................
213. St. Francis Hospital and Health              140118      05/11/2005
 Center, 12935 S. Gregory Street, Blue
 Island, IL 60406.......................
214. St. Francis Hospital & Health                150033      04/01/2005
 Centers, 1600 Albany Street, Beech
 Grove, IN 46107........................
215. St. John Hospital and Medical                230165      04/27/2005
 Center, 22151 Moross Road, Detroit, MI
 48236..................................
216. St John's Hospital, 800 East                 140053      05/10/2005
 Carpenter Street, Springfield, IL 62769
217. St. John's Regional Medical Center,          260001      04/19/2005
 2727 McClelland Boulevard, Joplin, MO
 64804-1694.............................
218. St. John West Shore Hospital, 29000          360123      05/03/2005
 Center Ridge Road, Westlake, OH 44145..
219. St. Joseph Medical Center, Heart             210007      05/17/2005
 Institute, 7601 Osler Drive, Towson, MD
 21204-7582.............................
220. St. Joseph Mercy Hospital, 5301 E.           230156      05/16/2005
 Huron River Drive, P.O. Box 995, Ann
 Arbor, MI 48106........................
221. St. Joseph Regional Medical Center,          520136      05/10/2005
 5000 West Chambers Street, Milwaukee,
 WI 53210-1688..........................
222. St. Joseph's Medical Center, 1800            050084      05/17/2005
 N. California Street, Stockton, CA
 95204..................................
223. St. Joseph's Mercy Health Center,            040026      05/26/2005
 300 Werner Street, Hot Springs, AR
 71903..................................
224. St. Joseph's Wayne Hospital, 224             310116      03/30/2005
 Hamburg Turnpike, Wayne, NJ 07470......
225. St. Luke's, 915 East First Street,           240047      04/19/2005
 Duluth, MN 55805.......................
226. St. Lukes Episcopal Hospital, 6720           450193      03/30/2005
 Bertner Avenue, Houston, TX 77030......
227. St. Luke's Hospital, 1026 A Avenue           160045      05/10/2005
 NE, P.O. Box 3026, Cedar Rapids, IA
 52406-3026.............................
228. St. Luke's Medical Center, 2900 W.           520138      04/18/2005
 Oklahoma Avenue, P.O. Box 2901,
 Milwaukee, WI 53201-2901...............
229. St. Luke's-Roosevelt Hospital                330046      05/23/2005
 Center, 1000 Tenth Avenue, New York, NY
 10019..................................
230. St. Mary's Hospital and Medical              060023      04/20/2005
 Center, 2635 North Seventh Street, P.O.
 Box 1628, Grand Junction, CO 81501.....
231. St Mary's Medical Center, 407 East           240002      05/16/2005
 Third Street, Duluth, MN 55805.........
232. St. Mary's Medical Center, 3700              150100      05/17/2005
 Washington Avenue, Evansville, IN 47740-
 001....................................
233. St. Patrick Hospital and Health              270014      04/12/2005
 Sciences Center, 500 West Broadway,
 Missoula, MT 59802.....................
234. St. Thomas Hospital, 4220 Harding            440082      04/19/2005
 Road, Nashville, TN 37205..............
235. Strong Memorial Hospital, 601                330285      04/19/2005
 Elmwood Avenue, Box 679, Rochester, NY
 14642..................................
236. Swedish American Hospital, 1401              140228      05/03/2005
 East State Street, Rockford, IL 61104..
237. Swedish Medical Center, 501 East             060034      05/16/2005
 Hampden Ave, Englewood, CO 80113.......
238. Swedish Medical Center-First Hill            500027      05/17/2005
 Campus, 747 Broadway, Seattle, WA 98122
239. Swedish Medical Center-Providence            500025      05/23/2005
 Campus, 747 Broadway, Seattle, WA 98122
240. Tallahassee Memorial, 1300                   100135      05/16/2005
 Miccosukee Road, Tallahassee, FL 32308.
241. Terrebonne General Medical Center,           190008      04/20/2005
 8166 Main Street, Houma, LA 70360......
242. Texan Heart Hospital, 6700 IH-10             450878      05/26/2005
 West, San Antonio, TX 78201............
243. Town and Country Hospital, 6001              100255      05/05/2005
 Webb Road, Tampa, FL 33615-3241........
244. UC Davis Cardiac Cath Lab/UC Davis           050599      04/19/2005
 Medical Center, 2315 Stockton
 Boulevard, Sacramento, CA 95817........
245. Union Hospital, 1606 North Seventh           150023      04/27/2005
 Street, Terre Haute, IN 47804-2780.....
246. Union Memorial Hospital, 201 East            210024      04/07/2005
 University Parkway, Baltimore, MD 21218-
 2895...................................
247. United Regional Health Care System,          450010      05/16/2005
 Eleventh Street Campus, 1600 Eleventh
 Street, Wichita Falls, TX 76301........
248. University of Alabama Hospital, 619          010033      05/26/2005
 South 19th Street, Birmingham, AL 35233
249. University Health System, 1520               440015      05/26/2005
 Cherokee Trail, Suite 200, Knoxville,
 TN 37920-2205..........................
250. University Health System, 4502               450213      04/27/2005
 Medical Drive, San Antonio, TX 78229...
251. University of Kentucky Hospital,             180067      05/16/2005
 800 Rose Street, Lexington, KY 40536-
 0293...................................
252. University of Louisville Hospital,           180141      05/05/2005
 530 South Jackson Street, Louisville,
 KY 40202...............................
253. University of Pennsylvania Medical           390223      04/01/2005
 Center-Presbyterian, 39th and Market
 Streets, Philadelphia, PA 19104........
254. UPMC Presbyterian Shadyside, 200             390164      05/03/2005
 Lothrop Street, Pittsburgh, PA 15213...
255. Utah Valley Regional Medical                 460001      05/26/2005
 Center, 1034 North 500 West, Provo,
 Utah 84605.............................
256. The Valley Hospital, 223 N. Van              310012      04/20/2005
 Dien Avenue, Ridgewood, NJ 07450-2736..
257. Vassar Brothers Medical Center, 45           330023      05/05/2005
 Reade Place, Poughkeepsie, NY 12601....
258. Washoe Medical Center, 75 Pringle            290001      04/27/2005
 Way, Reno, NV 89502....................
259. Washington Hospital Center, 110              090011      05/16/2005
 Irving Street, NW., Washington, DC
 20010..................................
260. Wellmont Holston Valley Medical              440017      05/16/2005
 Center, Holston Valley Vascular
 Institute, 130 W. Ravine Road,
 Kingsport, TN 37660....................
261. Wentworth-Douglass Hospital, 789             300018      05/10/2005
 Central Avenue, Dover, NH 03820........
262. West Allis Memorial Hospital, 8901           520139      05/26/2005
 West Lincoln Avenue, West Allis, WI
 53227..................................
263. Westchester Medical Center, 95               330234      05/16/2005
 Grasslands Road, Valhalla, NY 10595....
264. Western Baptist Hospital, 2501               180104      05/05/2005
 Kentucky Avenue, Paduach, KY 42003-3200
265. Western Medical Center-Santa Ana,            050746      05/25/2005
 1001 North Tustin Avenue, Santa Ana, CA
 92705..................................
266. William Beaumont Hospital, 3601 W.           230130      05/10/2005
 13 Mile Road, Royal Oak, MI 48073......
267. Willis Knighton Bossier, 2400                190236      04/27/2005
 Hospital Drive, Bossier City, LA 71111.
268. Willis Knighton Medical Center,              190111      04/27/2005
 2600 Greenwood Road, Shreveport, LA
 71103..................................
269. Winchester Medical Center, P.O. Box          490005      05/16/2005
 3340, Winchester, VA 22604-2540........
270. The Wisconsin Heart Hospital, LLC,           520199      05/05/2005
 10000 West Blue Mound Road, Wauwatosa,
 WI 53226...............................
271. Wyoming Valley Health Care System,           390137      04/26/2005
 575 North River Street, Wilkes Barre,
 PA 18764...............................
272. York Hospital, 15 Hospital Drive,            200020      04/14/2005
 York, ME 03909.........................
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[[Page 36640]]

[FR Doc. 05-12525 Filed 6-23-05; 8:45 am]
BILLING CODE 4120-01-P