[Federal Register Volume 70, Number 246 (Friday, December 23, 2005)]
[Notices]
[Pages 76290-76313]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-24023]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9033-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--July Through September 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 July 2005 through September 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, 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, C1-13-
04, 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 Bonnie Harkless, 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) 786-5666.
    Questions concerning Medicare-approved carotid stent facilities may 
be addressed 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

[[Page 76291]]

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 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) 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, 2003. (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

[[Page 76292]]

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 ``Cochlear Implantation,'' use CMS--Pub. 100-03, 
Transmittal No. 42.

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714, 
Medical Assistance Program)

    Dated: December 7, 2005.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.

Addendum I

    This addendum lists the publication dates of the most recent 
quarterly listings of program issuances.

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)
June 24, 2005 (70 FR 36620)
September 23, 2005 (70 FR 55863)

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
                      [July through September 2005]
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    Transmittal No.               Manual/Subject/Publication No.
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                      Medicare General Information
                           (CMS--Pub. 100-01)
------------------------------------------------------------------------
25                       Next Generation Desktop Testing Requirements
                          Definitions
                         Next Generation Desktop Maintainer Requirements
26                       Implement New Medicare Plan ID and Carrier
                          Number for the Single Testing Contractor
                         Shared System Testing Requirements for
                          Maintainers, Beta Testers, and Contractors
27                       Provider Extract File
28                       Conforming Changes for Change Request 3648 to
                          Pub. 100-01
                         Hospital Insurance (Part A) for Inpatient
                          Hospital, Hospice, and Skilled Nursing
                          Facility Services--A Brief Description Home
                          Health Services
                         Supplementary Medical Insurance (Part B)--A
                          Brief Description
                         Discrimination Prohibited
                         Role of Part A Intermediaries
                         Limitation on Physical Therapy, Occupational
                          Therapy and Speech-Language Pathology Services
                         Certification for Hospital Services Covered by
                          the Supplementary Medical Insurance Program
                         Content of the Physician's Certification
                         Recertifications for Home Health Services
                         Physician's Certification and Recertification
                          for Outpatient Physical Therapy Occupational
                          Therapy and Speech-Language Pathology
                          Recertification
                         Under Arrangements
                         Term of Agreements
                         Determining Payment for Services Furnished
                          After Termination, Expiration, or Cancellation
                         Home Health Agency Defined
29                       2005 Scheduled Release for October Updates to
                          Software Programs and Pricing/Coding Files
------------------------
                         Medicare Benefit Policy
                           (CMS--Pub. 100-02)
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37                       Conforming Changes for Change Request 3648 to
                          Pub. 100-02
                         Medical and Other Health Services Furnished to
                          Inpatients of Participating Hospitals
                          Outpatient Hospital Services
                         Distinguishing Outpatient Hospital Services
                          Provided Outside the Hospital Coverage of
                          Outpatient Therapeutic Services
                         Medical and Other Health Services Furnished by
                          Home Health Agencies Skilled Services Defined
                         Speech-Language Pathology
                         Physical Therapy, Speech-Language Pathology,
                          and Occupational Therapy Furnished by the
                          Skilled Nursing Facility or by Others Under
                          Arrangements With the Facility and Under Its
                          Supervision
                         Inpatient Physical Therapy, Occupational
                          Therapy, and Speech-Language Pathology
                          Services
                         Services Furnished Under Arrangements With
                          Providers
                         Supplementary Medical Insurance Provisions
                         Services Not Provided Within United States
------------------------
                Medicare National Coverage Determinations
                           (CMS--Pub. 100-03)
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42                       Cochlear Implantation
                         Cochlear Implantation (Effective April 4, 2005)
 
------------------------

[[Page 76293]]

 
                       Medicare Claims Processing
                           (CMS--Pub. 100-04)
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601                      Cochlear Implantation
                         Billing Requirements for Expanded Coverage of
                          Cochlear Implantation
                         Intermediary Billing Procedures
                         Applicable Bill Types
                         Special Billing Requirements for Intermediaries
                         Intermediary Payment Requirements
                         Carrier Billing Procedures
                         Healthcare Common Procedure Coding System
602                      Expansion of Various Alpha and Numeric Fields
                          Within the Outpatient Prospective Payment
                          System Outpatient Code Editor
603                      Modification to the Appeals Language on the
                          Medicare Summary Notice; Full Replacement of
                          Change Request 3808
                         Appeals Section
                         Back of Medicare Summary Notice--Carriers and
                          Intermediaries Carrier Spanish Medicare
                          Summary Notices Back Intermediary Spanish
                          Medicare Summary Notices Back
604                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
605                      Frequency Instructions for Smoking and Tobacco-
                          Use Cessation Counseling Services
                         Remittance Advice Notices
                         Medicare Summary Notices
606                      Medicare Program-Update to the Hospice Payment
                          Rates, Hospice Cap, Hospice Wage Index, and
                          the Hospice Pricer for FY 2005
                         Payment Rates
607                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
608                      New Health Professional Shortage Area Modifier
                         Zip Code Files
                         Provider Education
                         Claims Coding Requirements
                         Services Eligible for Health Professional
                          Shortage Area and Physician Scarcity Bonus
                          Payments
                         Post-payment Review
                         Health Professional Shortage Area Incentive
                          Payments for Physician Services Rendered in a
                          Critical Access Hospital
609                      Remittance Advice Remark Code and Claim
                          Adjustment Reason Code Update
610                      This Transmittal is rescinded and replaced by
                          Transmittal 634
611                      Payment Methodology for Rehabilitation Services
                          in Indian Health Service/Tribally Owned and/or
                          Operated Hospitals and Hospital Based
                          Facilities
                         Services Paid Under the Physician Fee Schedule
612                      Abarelix for Treatment of Prostate Cancer
613                      New Healthcare Common Procedure Coding System
                          Codes and Systems Edits for Supplies and
                          Accessories for Ventricular Assist Devices--
                          Full Replacement of CR 3761
614                      Medicare Physician Fee Schedule Database 2006
                          File Layout
615                      Revision of Chapter 24, Electronic Data
                          Interchange Support Requirements
                         Electronic Data Interchange General Outreach
                          Activities Carrier, Durable Medical Equipment
                          Regional Carrier, and Fiscal Intermediary
                          Analysis of Internal Information
                         Systems Information
                         Review of Provider Profiles
                         Contact with New Providers
                         Production and Distribution of Material to
                          Increase Use of Electronic Data Interchange
                         Electronic Data Interchange Enrollment
                         New Enrollments and Maintenance of Existing
                          Enrollments
                         Submitter Number
                         Release of Medicare Eligibility Data
                         Network Service Vendor Agreement
                         Electronic Data Interchange User Guidelines
                         Directory of Billing Software Vendors and
                          Clearinghouses
                         Technical Requirements--Data, Media, and
                          Telecommunications System Availability
                         Media
                         Telecommunications and Transmission Protocols
                         Toll-Free Service
                         Initial Editing
                         Translators
                         Required Electronic Data Interchange Formats
                         General Health Insurance Portability and
                          Accountability Act Electronic Data Interchange
                          Requirements
                         Continued Support of Pre-Health Insurance
                          Portability and Accountability Act
                         Electronic Data Interchange Formats
                         National Council for Prescription Drug Program
                          Claim Requirements
                         Crossover Claim Requirements
                         Direct Data Entry Screens
                         Use of Imaging, External Key Shop, and In-House
                          Keying for Entry of Transaction Data Submitted
                          on Paper
                         Electronic Funds Transfer
                         Electronic Data Interchange Testing
                          Requirements

[[Page 76294]]

 
                         Shared System and Common Working File
                          Maintainers Internal Testing Requirements
                         Carrier, Durable Medical Equipment Regional
                          Carrier, and Intermediary Internal Testing
                          Requirements
                         Third-Party Certification Systems and Services
                         Electronic Data Interchange Submitter/Receiver
                          Testing by Carriers, Durable Medical Equipment
                          Regional Carriers, and Fiscal Intermediaries
                         Testing Accuracy
                         Limitation on Testing of Multiple Providers
                          That Use the Same Clearinghouse, Billing
                          Service, or Vendor Software
                         Carrier, Durable Medical Equipment Regional
                          Carrier, and Fiscal Intermediary Submitter/
                          Receiver Testing With Legacy Formats During
                          the Health Insurance Portability and
                          Accountability Act Contingency Period
                         Discontinuation of Use of Claim Legacy Formats
                          following Successful Health Insurance
                          Portability and Accountability Act Format
                          Testing
                         Electronic Data Interchange Receiver Testing by
                          Carriers, Durable Medical Equipment Regional
                          Carriers, and Intermediaries
                         Changes in Provider's System or Vendor's
                          Software, and Use of Additional Electronic
                          Data Interchange Formats
                         Support of Electronic Data Interchange Trading
                          Partners
                         User Guidelines
                         Technical Assistance to Electronic Data
                          Interchange Trading Partners
                         Training Content and Frequency
                         Prohibition Against Requiring Use of
                          Proprietary Software or Direct Data Entry
                         Free Claim Submission Software
                         Remittance Advice Print Software
                         Medicare Remit Easy Print Software for Carrier
                          and Durable Medical Equipment Regional Carrier
                          Provider Use
                         Medicare Standard Fiscal Intermediary PC-Print
                          Software
                         Newsletters/Bulletin Board/Internet Publication
                          of Electronic Data Interchange Information
                         Provider Guidelines for Choosing a Vendor
                         Determining Goals/Requirements
                         Vendor Selection
                         Negotiating With Vendors
                         Electronic Data Interchange Edit Requirements
                         Carrier, Durable Medical Equipment Regional
                          Carrier, and Fiscal Intermediary X12 Edit
                          Requirements
                         Supplemental Fiscal Intermediary-Specific
                          Shared System Edit Requirements
                         Fiscal Intermediary Health Insurance and
                          Portability Accountability Act Claim
                         Level Implementation Guide Edits
                         Supplemental Carrier/Durable Medical Equipment
                          Regional Carrier-Specific Shared System
                          Implementation Guide Edit Requirements
                         Keyshop and Image Processing
                         Carrier, Durable Medical Equipment Regional
                          Carrier, or Fiscal Intermediary Data Security
                          and Confidentiality Requirements
                         Carrier, Durable Medical Equipment Regional
                          Carrier, and Fiscal Intermediary Electronic
                          Data Interchange Audit Trails
                         Security-Related Requirements for Carrier,
                          Durable Medical Equipment
                         Regional Carrier, or Fiscal Intermediary
                          Arrangements with Clearinghouses And Billing
                          Services
                         Mandatory Electronic Submission of Medicare
                          Claims
                         Small Providers and Full-Time Equivalent
                          Employee Self-Assessments
                         Exceptions
                         Unusual Circumstance Waivers
                         Unusual Circumstance Waivers Subject to
                          Provider Self-Assessment
                         Unusual Circumstance Waivers Subject to
                          Medicare Contractor Approval
                         Unusual Circumstance Waivers Subject to
                          Contractor Evaluation and CMS Decision
                         Electronic and Paper Claims Implications of
                          Mandatory Electronic Submission Enforcement
                         Provider Education
616                      Certified Registered Nurse Anesthetist Pass-
                          Through Payments
                         Anesthesia and Certified Registered Nurse
                          Anesthetist Services in a Critical Access
                          Hospitals
                         Payment for Certified Registered Nurse
                          Anesthetist Pass-Through Services
                         Payment for Anesthesia Services by a Certified
                          Registered Nurse Anesthetist (Method II
                          Critical Access Hospital Only)
617                      Administration of Drugs and Biologicals in a
                          Method II Critical Access Hospital
                         Coding for Administering Drugs in a Method II
                          Critical Access Hospital
                         Coding for Low Osmolar Contrast Material
618                      Coding for the Administration of Other Drugs
                          and Biologicals
                         Clarification for Carriers and Durable Medical
                          Equipment Regional Carriers About Correction
                          and Recoupment of Previously Processed Claims
619                      Late IRF-PAI Data Submission Penalty Protocol
                          Within the Inpatient Rehabilitation Facility
                          Prospective Payment System
                         Payment Adjustment for Late Transmission of
                          Patient Assessment Data
620                      New Fiscal Intermediary (FI) Edit to Identify
                          Potentially Excessive Medicare Payments
                         Fiscal Intermediary Edits Affecting Multiple
                          Bill Types
                         Threshold Edit for Outpatient and Inpatient
                          Part B Claims
621                      Locality Codes for Purchased Diagnostic Tests
622                      This Transmittal is rescinded and replaced by
                          Transmittal 668
623                      Durable Medical Equipment Regional Carrier
                          Only--Corrections to the Billing Indicator
                          Field for Adjusted Claims
624                      This Transmittal is rescinded and replaced by
                          Transmittal 686
625                      Competitive Acquisition Program for Part B
                          Drugs--Coding, Testing, and Implementation
626                      Common Working File Expansion of Duplicate
                          Claim Edit for Clinical Diagnostic Services
627                      New Low Osmolar Contrast Material (LOCM) HCPCS
                          Codes/Payment Criteria/Payment Level

[[Page 76295]]

 
                         Low Osmolar Contrast Media (HCPCS Codes Q9945-
                          Q9951)
                         Payment Criteria/Payment Level
628                      Radiopharmaceutical Diagnostic Imaging Agents
                          Codes Applicable to Positron Emission
                          Tomography Scan Services Performed on or After
                          January 28, 2005
                         Appropriate Common Procedure Terminology Codes
                          Effective for Positron Emission Tomography
                          Scan Services Performed on or After January
                          28, 2005
                         Tracer Codes Required for Positron Emission
                          Tomography Scans
629                      Certificate of Medical Necessity Claim Edits
                          Workload Reporting
                         Durable Medical Equipment Regional Carrier
                          Systems
630                      Medicare Part A Skilled Nursing Facility
                          Prospective Payment System Pricer
                         Update and Health Insurance Prospective Payment
                          System Coding Update Effective January 1, 2006
                         Health Insurance Prospective Payment System
                          Rate Code
                         Skilled Nursing Facility Prospective Payment
                          System Rate Components
                         Decision Logic Used by the Pricer on Claims
631                      Claim Status Category Code and Claim Status
                          Code Update
632                      Billing and Claims Processing Instructions for
                          Claims Subject to Expedited Determinations
                         Limitation of Liability Notification and
                          Coordination With Quality
                         Improvement Organizations
                         Limitation on Liability--Overview
                         Hospital Claims Subject to Hospital Issued
                          Notices of Noncoverage
                         Scope of Issuance of Hospital Issued Notices of
                          Noncoverage
                         General Responsibilities of Quality Improvement
                          Organizations and Fiscal Intermediaries
                          Related to Hospital Issued Notices of
                          Noncoverage
                         Billing and Claims Processing Requirements
                          Related to Hospital Issued Notices of
                          Noncoverage
                         Skilled Nursing Facility, Home Health Agency,
                          Hospice, and Comprehensive Outpatient
                          Rehabilitation Facility Claims Subject to
                          Expedited Determinations
                         Scope of Issuance of Expedited Determination
                          Notices
                         General Responsibilities of Quality Improvement
                          Organizations and Fiscal Intermediaries
                          Related to Expedited Determinations
                         Billing and Claims Processing Requirements
                          Related to Expedited Determinations
                         Coordination With the Quality Improvement
                          Organization
633                      Guidelines for Payment of Vaccines
                          (Pneumococcal Pneumonia Virus, Influenza
                          Virus, and Hepatitis B Virus) and Their
                          Administration Provided by Indian Health
                          Service/Tribally-Owned and/or Operated
                          Hospitals and Hospital Based Facilities
                         Billing Requirements
                         Bills Submitted to Fiscal Intermediaries
                         Vaccines and Vaccine Administration
634                      Guidelines for Payment of Vaccines
                          (Pneumococcal Pneumonia Virus, Influenza
                          Virus, and Hepatitis B Virus) and Their
                          Administration at Renal Dialysis Facilities
                         Vaccines Furnished to End-Stage Renal Disease
                          Patients
                         Fiscal Intermediary Payment for Pneumococcal
                          Pneumonia, Influenza Virus, and Hepatitis B
                          Vaccine
                         Bills Submitted by Hospices and Payment for
                          Renal Dialysis Facilities
635                      Financial Liability for Services Subject to
                          Home Health Consolidated Billing
                         Home Health Prospective Payment System
                          Consolidated Billing and Primary
                         Home Health Agencies
                         Home Health Prospective Payment System
                          Consolidated Billing Beneficiary Notification
                          and Payment Liability Under Home Health
                          Consolidated Billing
                         Responsibilities of Home Health Agencies
                         Responsibilities of Providers/Suppliers of
                          Services Subject to Consolidated Billing
                         Responsibilities of Hospitals Discharging
                          Medicare Beneficiaries to Home Health Care
                         Home Health Consolidated Billing Edits in
                          Medicare Systems
                         Non-routine Supply Editing
                         Therapy Editing
                         Other Editing Related to Home Health
                          Consolidated Billing
                         Only Request for Anticipated Payment Received
                          and Services Fall Within 60 Days After Request
                          for Anticipated Payment Start Date
                         No Request for Anticipated Payment Received and
                          Therapy Services Rendered in the Home
                         Health Insurance Eligibility Query to Determine
                          Episode Status
                         Other Editing and Changes for Home Health
                          Prospective Payment System Episodes
                         Coordination of Home Health Prospective Payment
                          System Claims and Episodes With Inpatient
                          Claim Types
636                      Instructions for Implementation of CMS Ruling
                          05-01; Presbyopia-Correcting Intraocular Lens
637                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
638                      New Medicare Summary Notice Messages
                         Adjustments
                         Ajustes
639                      Cessation of Additional $50 Payment for New
                          Technology Intraocular Lenses
                         Ambulatory Surgical Center Services on
                          Ambulatory Surgical Center List
                         Payment for Intraocular Lens
640                      Medicare Part A Skilled Nursing Facility
                          Prospective Payment System Pricer Update FY
                          2006
641                      October 2005 Quarterly Update to Skilled
                          Nursing Facility Consolidated Billing
642                      New Waived Tests
643                      Nature and Effect of Assignment on Carrier
                          Claims

[[Page 76296]]

 
644                      October 2005 Non-Outpatient Prospective Payment
                          System Code Editor Specifications Version 21
645                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
646                      Update to the Inpatient Provider Specific File
                          and the Outpatient Provider
                         Specific File to Retain Provider Information
647                      The Supplemental Security Income/Medicare
                          Beneficiary Data for Fiscal Year 2004 for
                          Inpatient Prospective Payment System Hospitals
648                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
649                      Competitive Acquisition Program for Part B
                          Drugs--Coding, Testing, and Implementation
650                      This Transmittal is rescinded and replaced by
                          Transmittal 673
651                      Changes to the Laboratory National Coverage
                          Determination Edit Software for October 2005
652                      This Transmittal is rescinded and replaced by
                          Transmittal 661
653                      October 2005 Quarterly Average Sales Price
                          Medicare Part B Drug Pricing File, Effective
                          October 1, 2005 and Revisions to April 2005
                          and July 2005 Quarterly Average Sale Price
                          Medicare Part B Drug Pricing File
654                      Services Not Provided Within the United States
                         Services Received by Medicare Beneficiaries
                          Outside the United States Source of Part B
                          Claims
                         Appeals of Denied Charges for Physicians and
                          Ambulance Services in Connection With Foreign
                          Hospitalization
                         Services Rendered in Nonparticipating Providers
                         Coverage Requirements for Emergency Hospital
                          Services in Foreign Countries
                         Services Furnished in a Foreign Hospital
                          Nearest to Beneficiary's U.S. Residence
                         Coverage of Physician and Ambulance Services
                          Furnished Outside U.S.
                         Payment by the Railroad Retirement
                          Beneficiaries for Services Furnished in Canada
                          to Qualified Railroad Retirement Beneficiaries
                         Foreign Religious Nonmedical Health Care
                          Facility Claims
                         Elections to Bill for Services Rendered at
                          Nonparticipating Hospitals
                         Processing Claims
                         Appeals on Claims for Emergency and Foreign
                          Services
                         Payment for Services from Foreign Hospitals
                         Full Denial--Foreign Claim--Beneficiary Filed
655                      This Transmittal is rescinded and replaced by
                          Transmittal 663
656                      Full Replacement of Change Request 3607,
                          Payment Edits in Applicable States For Durable
                          Medical Equipment Prosthetics, Orthotics &
                          Supplies
                         Provider Billing for Prosthetics and Orthotic
                          Services
657                      Quarterly Update to Correct Coding Initiative
                          Edits, Version V11.3, Effective October 1,
                          2005
658                      Billing for Devices Under the Hospital
                          Outpatient Prospective Payment System
                         Billing for Devices Under the Outpatient
                          Prospective Payment System
                         Requirements that Hospitals Report Device Codes
                          on Claims on Which They Report Specified
                          Procedures
                         Edits for Claims on Which Specified Procedures
                          Are To Be Reported With Device Codes
659                      Instructions for Downloading the Medicare Zip
                          Code File
660                      This Transmittal is rescinded and replaced by
                          Transmittal 664
661                      This Transmittal is rescinded and replaced by
                          Transmittal 672
662                      This Transmittal is rescinded and replaced by
                          Transmittal 691
663                      Update To The Hospice Payment Rates, Hospice
                          Cap, Hospice Wage Index, and the Hospice
                          Pricer for Fiscal Year 2006
664                      This Transmittal is rescinded and replaced by
                          Transmittal 683
665                      October Quarterly Update for 2005 Durable
                          Medical Equipment, Prosthetics, Orthotics, and
                          Supplies Fees Schedule
666                      Updates to the Coordination of Benefits
                          Contractor Detailed Error
                         Report File Layout
                         Consolidation of the Claims Crossover Process
                         Coordination of Benefits Agreement Detailed
                          Error Notification Process
667                      Home Care and Domiciliary Care Visits (Codes
                          99321-99350)
668                      Enforcement of Hospital Inpatient Bundling:
                          Carrier Denial of Ambulance Claims During an
                          Inpatient Stay
                         Hospital Inpatient Bundling
                         General Coverage and Payment Policies
                         Common Working File Editing of Ambulance Claims
                          for Inpatients
                         Intermediary Guidelines
                         Provider/Intermediary Bill Processing
                          Guidelines Effective April 1, 2002, as a
                          Result of Fee Schedule Implementation
669                      Schedule for Completing the Calendar Year 2006
                          Fee Updates and the Participating Physician
                          Enrollment Procedures
670                      Realignment of States and Medicare Claims
                          Processing Workload From Durable Medical
                          Equipment Regional Carrier Regions A, B, C,
                          and D to the Durable Medical Equipment Major
                          Ambulatory Jurisdictions A, B, C and D
671                      Updated Manual Instructions for the Medicare
                          Claims Processing Manual, Regarding Smoking
                          and Tobacco-Use Cessation Counseling Services
                         Healthcare Common Procedure Coding System and
                          Diagnosis Coding
                         Carrier Billing Requirements
                         Fiscal Intermediary Billing Requirements
                         Medicare Summary Notices
672                      October Update to the 2005 Medicare Physician
                          Fee Schedule Database
673                      Manual Update on Medical Nutrition Therapy
                          Services--Manualization
                         Medicare Nutrition Therapy Services
                         General Conditions and Limitations on Coverage
                         Referrals for Medicare Nutrition Therapy
                          Services
                         Dietitians and Nutritionists Performing
                          Medicare Nutrition Therapy Services

[[Page 76297]]

 
                         Payment for Medicare Nutrition Therapy Services
                         General Claims Processing Information
                         Common Working File Edits
674                      This Transmittal is rescinded and replaced by
                          Transmittal 692
675                      Changes to Appeals of Claims Decisions:
                          Redeterminations and Reconsiderations
                          (Implementation Date October 1, 2005)
                         Workload Data Analysis Program
                         Managing Appeals Workloads
                         Standard Operating Procedures
                         Execution of Workload Prioritization
                         Workload Priorities
676                      2006 Healthcare Common Procedure Coding System
                          Annual Update Reminder
677                      This Transmittal is rescinded and replaced by
                          687
678                      This Transmittal is rescinded and replaced by
                          688
679                      Medicare Redetermination Notice and Effect of
                          the Redetermination Medicare Redetermination
                          Notice (for partly or fully unfavorable
                          redeterminations)
                         Medicare Redetermination Notice (for fully
                          favorable redeterminations) Effect of the
                          Redetermination
680                      Inpatient Rehabilitation Facility Annual
                          Update: Prospective Payment System Pricer
                          Changes for FY 2006
681                      Guidelines For Payment of Vaccines
                          (Pneumococcal Pneumonia Virus, Influenza
                          Virus, And Hepatitis B Virus) and Their
                          Administration Provided by Indian Health
                          Services/Tribally-Owned and/or Operated
                          Hospitals and Hospital Based Facilities
                         Billing Requirements
                         Bills Submitted to Fiscal Intermediaries
                         Vaccines and Vaccine Administration
682                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
683                      October 2005 Outpatient Prospective Payment
                          System Code Editor Specifications Version
684                      Correction to Chapter 17, Section 80.2.3, MSN/
                          ANSI X12 Denial Messages for Anti-Emetic Drugs
685                      Discontinuation of the Skilled Nursing Facility
                          Healthcare Common Procedure Coding System Help
                          File and Notification to Fiscal Intermediaries
                          and Providers of the Redesigned Skilled
                          Nursing Facility Consolidated Billing Annual
                          Update File Posted on CMS Web site
                         Services Included in Part A Prospective Payment
                          System Payment Not Billable Separately by the
                          Skilled Nursing Facility
                         Services Beyond the Scope of the Part A Skilled
                          Nursing Facility Benefit
                         Billing for Medical and Other Health Services
                         General Payment Rules and Application of Part B
                          Deductible and Coinsurance
686                      Common Working File Unsolicited Response
                          Adjustments for Certain Claims Denied Due to
                          an Open Medicare Secondary Payer Group Health
                          Plan Record Where the Group Health Plan Record
                          Was Subsequently Deleted
687                      Appeals of Claims Decisions: Redeterminations
                          and Reconsiderations (Implementation Dates for
                          Fiscal Intermediary Initial Determination
                          Issued On or After May 1, 2005 and Carrier
                          Initial Determinations Issued on or After
                          January 1, 2006)
                         Filing a Request for Redetermination
                         Appeal Rights for Dismissals
                         Dismissal Letters
                         Model Dismissal Notices
                         Reconsideration--The Second Level of Appeal
                         Filing a Request for a Reconsideration
                         Time Limit for Filing a Request for a
                          Reconsideration
                         Contractor Responsibilities--General
                         Qualified Independent Contractor Case File
                          Development
                         Qualified Independent Contractor Case File
                          Preparation
                         Forwarding Qualified Independent Contractor
                          Case Files
                         Qualified Independent Contractor Jurisdictions
                         Tracking Cases
                         Effectuation of Reconsiderations
688                      Appeals of Claims Decisions: Redeterminations
                          and Reconsiderations (Implementation Dates for
                          All Requests for Redetermination Received by
                          Fiscal Intermediary on or After May 1, 2005,
                          and All Requests for Redetermination Received
                          by Carriers on or After January 1, 2006)
                         Redetermination--The First Level of Appeal
                         The Redetermination
                         The Redetermination Decision
                         Dismissals
                         Vacating a Dismissal
689                      One Time Update to the National Council
                          Prescription Drug Programs
                         Companion Document Regarding Crossover Claims
                          to Medicaid
690                      Fiscal Year (FY) 2006 Payment for Services
                          Furnished in Ambulatory Surgical Centers
691                      October 2005 Update of the Hospital Outpatient
                          Prospective Payment System
692                      Fiscal Year 2006 Inpatient Prospective Payment
                          System and Long Term Care Hospital Changes
693                      Updates to the Inpatient Rehabilitation
                          Facility and Skilled Nursing Facility
                         Provider Specific File and Changes in Inpatient
                          Rehabilitation Facility
                         Prospective Payment System for FY 2006
                         Provider-Specific File
                         Case-Mix Groups
                         Facility Level Adjustments
                         Area Wage Adjustment

[[Page 76298]]

 
                         Rural Adjustment
                         Outlier
                         Teaching Status Adjustment
                         Full Time Equivalent Resident Cap
                         Inpatient Rehabilitation Facility Prospective
                          Payment System Pricer Software
694                      Update to the Healthcare Provider Taxonomy
                          Codes Version 5.1
------------------------
                        Medicare Secondary Payer
                           (CMS--Pub. 100-05)
------------------------------------------------------------------------
31                       Full Replacement of Change Request 3770,
                          Expanding the Number of Source Identifiers for
                          Common Working File Medicare Secondary Payer
                          Records
                         Change Request 3770 Is Rescinded
                         Definition of Medicare Secondary Payer/Common
                          Working File Terms
                         Medicare Secondary Payer Delete Transaction
                         Identification of Reimbursement Advisory
                          Committee Created Group Health Plan Records
32                       Exception for Small Employers in Multi-Employer
                          Group Health Plans Overview and General
                          Responsibilities
                         Introduction to the Coordination of Benefits
                          Contractor
                         Scope of the Coordination of Benefit Contractor
                          in Relation to Contractors
                         Contractors Claim Referrals to the Coordination
                          of Benefit Contractors IRS/SSA/CMS Data Match
                         Coordination of Benefit Contractors
                          Discontinues Dissemination of the Right of
                          Recovery Letters to Contractors
                         Exception for Small Employers in Multi-Employer
                          Group Health Plans
                         Purpose
                         Background
                         Specific Information
33                       Working Aged Exception for Small Employers in
                          Multi-Employer Group Health Plans
34                       Manualization: Long-Standing Medicare Secondary
                          Payer Policy in Chapter 1 of the Medicare
                          Secondary Payer Internet Only Manual
                         General Provisions
                         Working Aged
                         End-Stage Renal Disease
                         Workers' Compensation
                         No-Fault Insurance
                         Liability Insurance
                         Conditional Primary Medicare Benefits
                         When Conditional Primary Medicare Benefits May
                          Be Paid When a Group Health Plan Is a Primary
                          Payer to Medicare
                         When Conditional Primary Medicare Benefits May
                          Not Be Paid When a Group Health Plan Is a
                          Primary Payer to Medicare
                         When Medicare Secondary Payer Benefits Are
                          Payable and Not Payable
                         Multiple Insurers
                         Definitions
                         Crediting Deductible for Non-Inpatient
                          Psychiatric Services
                         Clarification of Current Employment Status for
                          Specific Groups
                         Actions Resulting From Group Health Plan or
                          Large Group Health Plan
                         Nonconformance
                         Federal Government's Right to Sue and Collect
                          Double Damages
35                       Updates to the Group Health Plan Identification
                          and Recovery Processes
                         General
                         IRS/SSA/CMS Data Match (Data Match) Group
                          Health Plan Identified Cases
                         Non-Data Match Group Health Plan Identified
                          Cases
                         Other Sources of Recovery Actions
                         Group Health Plan Acknowledges Specific Debt
                          (42 CFR 411.25)
                         Recovery When a State Medicaid Agency Has Also
                          Requested a Refund From the Group Health Plan
                         Identification of Group Health Plan Mistaken
                          Primary Payments Via the Recovery Management
                          and Accounting System
                         Progression of Recovery Management Accounting
                          System Group Health Plan
                         Lead Identification
                         Progression of Recovery Management Accounting
                          System History Search
                         Contractor Recovery Case Files (Audit Trails)
                         Group Health Plan Letters (Used for Recovery
                          Management Accounting
                         System/Healthcare Integrated General Ledger
                          Accounting System (ReMAS/HIGLAS) When the Only
                          Debtor Interfaced to Healthcare Integrated
                          General Ledger Accounting System Is the
                          Employer)
                         Employer Group Health Plan Letter
                         Important Information for Employers
                         Insurer Group Health Plan Letter (Used for
                          Recovery Management Accounting System/
                          Healthcare Integrated General Ledger
                          Accounting System When the Only Debtor
                          Interfaced to Healthcare Integrated General
                          Ledger Accounting System Is the Employer)
                         Accountability Worksheet (Not Applicable to
                          Recovery Management Accounting System/
                          Healthcare Integrated General Ledger
                          Accounting System Users)
                         Summary Data Sheet (Not Applicable to ReMAS/
                          HIGLAS Users)
                         Field Description on the Medicare Secondary
                          Payer Summary Data Sheet Payment Record
                          Summary (Used with ReMAS/HIGLAS Users but in a
                          Modified Format)

[[Page 76299]]

 
                         Courtesy Copy of All Medicare Secondary Payer
                          Group Health Plan-Based Recovery Demand
                          Packages to the Employer's Insurer/Third Party
                          Administrator
                         Insurer/Third Party Administrator Courtesy Copy
                          Letter
                         Recovery Management Accounting System Error
                          Reports
                         Mistaken Group Health Plan Primary Payments
                         Mistaken Primary Payment Activities and Record
                          Layouts
                         Contractor Actions Upon Receipt of the Data
                          Match Cycle Tape or Other Notice of Non-Data
                          Match Group Health Plan Mistaken Payments (for
                          Contractor Not on ReMAS/HIGLAS for GHP
                          Recovery) and Actions to Take for Those
                          Contractors Using Recovery Management
                          Accounting System/Health Integrated General
                          Ledger Accounting System Group Health Plan
                          Functions
                         Coordination of Benefits Contractor
                          Responsibility to Obtain Missing Medicare
                          Secondary Payer Information
                         Time Limitations for Group Health Plan
                          Recoveries
                         Actual Notice
                         Contractor History Search
                         Aggregate Claims for Recovery
                         Documentation of Debt
                         Recovery Attempt Audit Trails
                         Summary of Medicare Reimbursement
                         Claim Facsimiles for Each Claim Mistakenly Paid
                         IRS/SSA/CMS Mistaken Payment Recovery Tracking
                          System
                         Inpatient, Skilled Nursing Facility, and
                          Religious Non-Medicare Health Care
                         Outpatient Mistaken Payment Report Record
                          Layout
                         Home Health Agency Mistaken Payment Record
                          Layout
                         Communication Receive in Response to Recovery
                          Actions
36                       Update to the Healthcare Provider Taxonomy
                          Codes Version 5.1
------------------------
                      Medicare Financial Management
                           (CMS--Pub. 100-06)
------------------------------------------------------------------------
71                       Notice of New Interest Rate for Medicare
                          Overpayments and Underpayments
72                       Claims Accounts Receivable Update
                         Intermediary Claims Accounts Receivable
                         Financial Reporting for Intermediary Claims
                          Accounts Receivable
73                       This Transmittal is rescinded and replaced by
                          Transmittal 75
74                       Discovery Code Indication for Recovery Audit
                          Contractor (RAC) Non-MSP Identified
                          Overpayments
75                       New Thresholds for 2nd Demand Letter for
                          Physicians/Suppliers
                         Part B Overpayment Demand Letters to Physicians/
                          Suppliers
76                       Development of New Report to Capture Benefits,
                          Improvement and Protection Act and Medicare
                          Prescription Drug, Improvement, and
                          Modernization Act Appeals Data
                         Monthly Statistical Report on Intermediary and
                          Carrier Part A and Part B
                         Appeals Activity Form
                         Redeterminations
                         Qualified Independent Contractor
                          Reconsiderations
                         Administrative Law Judge Results
                         Department Appeals Board Effectuations
                         Clerical Error Reopenings
                         Validation of Reports
77                       Non-Medicare Secondary Payer Debt Referral and
                          Debt Collection Improvement Act of 1996
                          Activities
                         Background
                         Cross Servicing
                         Treasury Offset Program
                         Definition of Delinquent Debt
                         Referral Requirements
                         Exemptions to Referral
                         Debt to be Referred
                         Delinquent Non-Medicare Secondary Payer Fiscal
                          Intermediary Debt, Including Debt on the
                          Provider Overpayment Reporting System
                         Delinquent Non-Medicare Secondary Payer
                          Medicare Carrier Debt, Including Debt on the
                          Physician/Supplier Overpayment Reporting
                          System
                         Delinquent Non-Medicare Secondary Payer Debt
                          Previously Ineligible for Referral
                         Debt Collection Improvement Act Language/Intent
                          to Refer Letter
                         Response to ``Intent to Refer'' Letter
                         Provider Overpayment Reporting System Updates
                         Physician/Supplier Overpayment Reporting System
                          Updates
                         Cross Servicing Collection Efforts
                         Actions Subsequent to Debt Collection System
                          Input
                         Transmission of Debt
                         Update to Debt Collection System After
                          Transmission
                         Financial Reporting for Debt Referred
                         Financial Reporting for Non-Medicare Secondary
                          Payer Debt

[[Page 76300]]

 
78                       Coordination of Benefits Agreement Process for
                          Contractor Financial Staff Notification
------------------------
                    Medicare State Operations Manual
                           (CMS--Pub. 100-07)
------------------------------------------------------------------------
09                       Revision of Appendix P and Certain Exhibits of
                          the State Operations Manual
10                       Revisions--Appendix J--Interpretive Guidelines
                          Intermediate Care Facilities With Mental
                          Retardation
11                       Revised Chapter 2--``The Certification
                          Process,'' Sections 2180E thru 2200F, and
                          Appendix B--``Interpretive Guidelines: Home
                          Health Agencies''
------------------------
                       Medicare Program Integrity
                           (CMS--Pub. 100-08)
------------------------------------------------------------------------
115                      Program Integrity Manual Revision
                         Affiliated Contractor/Full Program Safeguard
                          Contractor Communication With the
                          Comprehensive Error Rate Testing Contractor
                         Overview of the Comprehensive Error Rate
                          Testing Process
                         Providing Sample Information to the
                          Comprehensive Error Rate Testing Contractor
                         Providing Review Information to the
                          Comprehensive Error Rate Testing Contractor
                         Providing Feedback Information to the
                          Comprehensive Error Rate Testing Contractor
                         Disputing/Disagreeing With a Comprehensive
                          Error Rate Testing Decision Handling
                          Overpayments and Underpayments Resulting From
                          the Comprehensive Error Rate Testing Findings
                         Handling Appeals Resulting From Comprehensive
                          Error Rate Testing Initiated Denials
                         Tracking Overpayments
                         Tracking Appeals
                         Potential Fraud
                         Full Program Safeguard Contractor Requirements
                          Involving Comprehensive Error Rate Testing
                          Information Dissemination
                         Full Program Safeguard Contractor Error Rate
                          Reduction Plan
                         Contacting Non-Responders
                         Late Documentation Received by the
                          Comprehensive Error Rate Testing Contractor
                         Voluntary Refunds
                         Local Coverage Determination/National Coverage
                          Determination
                         Comprehensive Error Rate Testing Review
                          Contractor Review Guidelines
116                      Revise the Fiscal Intermediary Shared System to
                          Allow Reporting of Data for the Comprehensive
                          Error Rate Testing Program Resolution File at
                          a Line Level
117                      Revise the Medicare Contractor System and the
                          VIPS Medicare System To Allow Update of the
                          Comprehensive Error Rate Testing Program
                          Resolution File Within Five Business Days of a
                          Comprehensive Error Rate Testing Request
118                      Various Benefit Integrity Clarifications
                         Goal of Medical Review Program
                         Overpayment Procedures
                         Disposition of the Suspension
                         The Medicare Fraud Program
                         Program Safeguard Contractor and Medicare
                          Contractor Benefit Integrity Unit
                         Organizational Requirements
                         Training for Law Enforcement Organizations
                         Procedural Requirements
                         Requests for Information From Outside
                          Organizations
                         Sharing Fraud Referrals Between the Office of
                          Inspector General and the Department of
                          Justice
                         Complaint Screening
                         Investigations
                         Conducting Investigations
                         Disposition of Cases
                         Reversed Denials by Administrative Law Judges
                          on Open Cases
                         Types of Fraud Alerts
                         Coordination
                         Investigation, Case, and Suspension Entries
                         Update Requirements for Cases
                         Closing Investigations
                         Deleting Investigations, Cases, or Suspensions
                         Access
                         Harkin Grantees or Senior Medicare Patrol--
                          Complaint Tracking System
                         Harkin Grantees or Senior Medicare Patrol
                          Project Description
                         Harkin Grantees Tracking System Instructions
                         System Access to Metaframe and Data Collection
                         Data Dissemination/Aggregate Report
                         Referral of Cases to the Office of the
                          Inspector General/Office of Investigations
                         Immediate Advisements to the Office of
                          Inspector General/Office of Investigations
                         Denial of Payments for Cases Referred to and
                          Accepted by Office of Inspector General/Office
                          of Investigations
                         Take Administrative Action on Cases Referred to
                          and Refused by Office of Inspector General /
                          Office of Investigations
                         Referral to State Agencies or Other
                          Organizations
                         Referral to Quality Improvement Organizations

[[Page 76301]]

 
                         Referral Process to CMS
                         Referrals to Office of Inspector General
                         Breaches of Assignment Agreement by Physician
                          or Other Supplier
                         Annual Deceased-Beneficiary Postpayment Review
                         Vulnerability Report
119                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
120                      Correction to Change Request (CR) 3222: Local
                          Medical Review Policy/Local Coverage
                          Determination Medicare Summary Notice Message
                          Revision Denials Notices
121                      This Transmittal is rescinded and replaced by
                          Transmittal 124
122                      Medical Review Collection Number Requirements
                         Overview of Prepayment and Postpayment Review
                          for Medical Review Purposes
123                      Chapter 3, Medicare Modernization Act Section
                          935
                         Verifying Potential Errors and Setting
                          Priorities
                         Determining Whether the Problem Is Widespread
                          or Provider Specific
                         Overpayment Procedures
                         ``Probe'' Reviews
124                      Evidence of Medical Necessity: Wheelchair and
                          Power Operated Vehicle Claims
125                      Medical Review Additional Documentation
                          Requests
                         Additional Documentation Requests During
                          Prepayment or Postpayment
                         Medical Review
------------------------
       Medicare Contractor Beneficiary and Provider Communications
                           (CMS--Pub. 100-09)
------------------------------------------------------------------------
12                       Next Generation Desktop Testing Requirements
13                       Provider Contact Centers Training Program
                         Guidelines for Telephone Service
                         Staff Development and Training
------------------------
                          Medicare Managed Care
                           (CMS--Pub. 100-16)
------------------------------------------------------------------------
66                       Beneficiary Enrollment and Disenrollment
                          Requirements for Medicare Advantage Plans
                         Changes in Requirements for Periodic Surveys of
                          Current and Former Enrollees, and in the CMS
                          Method for Calculating Interest on Overpayment
                          and Underpayments to Health Maintenance
                          Organizations, Comprehensive Medical Plans and
                          Health Care Prepayment Plans
67                       Initial Publication of Chapter 1--General
                          Provisions
                         Introduction
                         Definitions
                         Types of Medical Assistance Plans
                         Cost Sharing in Enrollment--Related Costs
68                       Revisions to Chapter 12, ``Effect of Change of
                          Ownership,'' and Chapter 14, ``Contract
                          Determination and Appeals''
                         Effect of Change of Ownership
                         What Constitutes a Change of Ownership
                         Address for Sending Notifications to CMS
                         When a Novation Agreement Is Required
                         Acceptable Novation Agreements
                         Contract Determination Notice
                         Postponement of the Contract Determination's
                          Effective Date
                         Reconsiderations
                         Time Frames for Filing a Reconsideration
                          Request
                         Parties to the Hearing
                         Conduct and Record of a Hearing
                         Reopening of Contract Reconsidered
                          Determination or Decision of a Hearing Officer
                          or the Administrator
69                       Beneficiary Enrollment and Disenrollment
                          Requirements for Medicare Advantage Plans
70                       Deletion of MCM Chapter 19--The Enrollment and
                          Payment User's Guide, and Chapter 20--Managed
                          Care and Medical Assistance Business
                          Requirements
71                       Changes in Manual Instructions for Benefits and
                          Beneficiary Protections
                         Basic Rules
                         Types of Benefits
                         Availability and Structure of Plans
                         CMS Review and Approval of M+C Benefit--
                          rewritten and relocated to Sec.   20
                         Requirements Relating to Medicare Conditions of
                          Participation--renumbered as Sec.   4.10.7
                         Provider Networks--renumbered as new Sec.
                          10.8 and parts of the old Sec.   20,
                          ``Original Medicare Covered Benefits''
                         CMS Approval of Proposed Plan MA Benefits--old
                          10.7 revised and located here
                         General Guidelines on Benefit Approval
                         Screening Mammography, Influenza Vaccine, and
                          Pneumococcal Vaccine
                         Inpatient Hospital Rehabilitation Service
                         Value-Added Items and Services
                         Prescription Drug Discount Programs

[[Page 76302]]

 
                         Waiting Periods and Exclusions That Are Not
                          Present in Original Medicare
                         Annual Beneficiary Out-of-Pocket Cap
                         Drug Benefits
                         Drugs That Are Covered Under Original Medicare
                         Mid-Year Benefit Enhancements
                         Multi-Year Benefits
                         Return to Home Skilled Nursing Facility
                         Guidance on Acceptable Cost-Sharing and
                          Deductibles
                         Homemaker Services
                         Caregiver Resource Services
                         Electronic Monitoring
                         Dentures
                         Chiropractic Services
                         Cash
                         Beauty Parlor
                         Transportation
                         Safety Items
                         Travel for Transplants
                         Meals
                         Basic Benefits
                         Cost-sharing Rules for Medical Assistance
                          Regional Plans
                         Supplemental Benefits and Mandatory
                          Supplemental and Optional Supplemental
                         Basic Versus Supplemental Benefits
                         The Annual Deductible
                         General Rule
                         Accessing Plan Contracting Providers
                         Enrollee Information and Disclosure
                         Definitions
                         Factors That Influence Service Area Approval
                         The ``County Integrity Rule''
                         General Rule
                         Employer Plans
                         Basic Rule
                         Medicare Benefits Secondary to Group Health
                          Plans and Large Group Health Plans
                         Medicare Secondary Payer Rules and State Laws
                         Discrimination Against Beneficiaries Prohibited
                         Disclosure Requirements at Enrollment (and
                          Annually Thereafter)
                         Information Pertaining to a Medical Assistance
                          Organization Changing Their Rules or Provider
                          Network
                         Other Information That Is Disclosable Upon
                          Request
                         Access and Availability Rules for Coordinated
                          Care Plans
                         Emergency and Urgently Needed Services
                         Post-Stabilization Care Services
                         General Description
                         Private Fee-for-Service Plan Terms and
                          Conditions of Participation
                         Provider Types--Direct Contracting, Deemed
                          Contracting, Non-Contracting Access to
                          Services
                         Payments and Balance Billing
                         Advance Notice of Coverage
                         Prompt Payment Requirements
                         Original Medicare vs. Estimated Payment Amounts
                         Table Summarizing Private Fee-for-Service Plan
                          Provider Types and Rules
72                       Changes in Manual Instructions for Intermediate
                          Sanctions
                         Types of Intermediate Sanctions
                         General Basis for Imposing Intermediate
                          Sanctions on Medical Assistance Organizations
                         Imposing Sanctions for Specific Medical
                          Assistance Contract Violations
                         Civil Monetary Penalties for Medical Assistance
                          Organizations That Improperly Terminate the
                          Medical Assistance Contract
                         CMS Process for Suspending Marketing,
                          Enrollment, and Payment
                         Contract Termination by CMS
------------------------
               Medicare Business Partners Systems Security
                           (CMS--Pub. 100-17)
------------------------------------------------------------------------
00                       None
------------------------
                             Demonstrations
                           (CMS--Pub. 100-19)
------------------------------------------------------------------------
26                       This Transmittal is rescinded and replaced by
                          Transmittal 27
27                       The Medicare Chronic Care Improvement,
                          ``Medicare Health Support,'' Program
28                       The Medicare Care Management for High Cost
                          Beneficiaries Demonstration
------------------------

[[Page 76303]]

 
                          One-Time Notification
                           (CMS--Pub. 100-20)
------------------------------------------------------------------------
161                      Kansas Blue Cross Blue Shield Carrier Numbering
                          Issue
162                      Instructions for Fiscal Intermediary Standard
                          System and Multi-Carrier System
                         Healthcare Integrated General Ledger Accounting
                          System Changes
163                      Qualified Independent Contractor Jurisdictions
164                      Medicare HIPAA Electronic Claims Report--Third
                          Reporting Timeframe Extension
165                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
166                      This Transmittal is rescinded and replaced by
                          Transmittal 173
167                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction
168                      Shared System Maintainer Hours for Resolution
                          of Problems Detected During Health Insurance
                          Portability and Accountability Act Transaction
                          January 2006 Release Testing
169                      Analysis of Systems Improvements to Streamline
                          POS Code Set Updates
170                      Updates to the Coordination of Benefits
                          Agreement Insurance File for Use in the
                          National Claims Crossover Program
171                      Preliminary system updates in preparation for
                          ending the Medicare contingency plan in
                          October 2005
172                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
173                      Overnight Oximetry Testing
174                      Fiscal Intermediary Shared System Modification
175                      Common Working File Calculation of Next
                          Eligible Date for Preventive Services
176                      Change of the CareFirst Part A Plan to Highmark
                          in the State of Maryland and Washington, DC
177                      Termination of Existing Crossover Agreements as
                          Trading Partners
                         Transition to the National Coordination of
                          Benefits Agreement Program
178                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
179                      Calculation of the Interim Payment of Indirect
                          Medical Education Through the Inpatient
                          Prospective Payment Pricer for Hospitals That
                          Received an Increase to Their Full-Time
                          Equivalent Resident Cap Under Section 422 of
                          the Medicare Modernization Act, P.L. 108-173
180                      Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction
181                      National Modifier and Condition Code To Be Used
                          To Identify Disaster Disaster Related Claims
------------------------------------------------------------------------


                      Addendum IV.--Regulation Documents Published in the Federal Register
                                          [July through September 2005]
----------------------------------------------------------------------------------------------------------------
                                   FR Vol.
         Publication date          70 page   CFR parts affected         File code          Title of regulation
                                    number
----------------------------------------------------------------------------------------------------------------
July 6, 2005.....................    39022  414.................  CMS-3125-IFC          Medicare Program;
                                                                                         Competitive Acquisition
                                                                                         of Outpatient Drugs and
                                                                                         Biologicals Under Part
                                                                                         B.
July 8, 2005.....................    39514  ....................  CMS-1288-N            Medicare Program;
                                                                                         Meeting of the Advisory
                                                                                         Panel on Ambulatory
                                                                                         Payment Classification
                                                                                         (APC) Groups--August
                                                                                         17, 18, and 19, 2005.
July 12, 2005....................    40039  ....................  CMS-2212-N            Medicaid Program;
                                                                                         Meeting of the Medicaid
                                                                                         Commission--July 27,
                                                                                         2005.
July 14, 2005....................    40788  484.................  CMS-1301-P            Medicare Program; Home
                                                                                         Health Prospective
                                                                                         Payment System Rate
                                                                                         Update for Calendar
                                                                                         Year 2006.
July 14, 2005....................    40709  ....................  CMS-1288-CN           Medicare Program;
                                                                                         Meeting of the Advisory
                                                                                         Panel on Ambulatory
                                                                                         Payment Classification
                                                                                         (APC) Groups--August
                                                                                         17, 18, and 19, 2005;
                                                                                         Correction.
July 22, 2005....................    42331  ....................  CMS-3142-FN           Medicare Program;
                                                                                         Evaluation Criteria and
                                                                                         Standards for Quality
                                                                                         Improvement Program
                                                                                         Contracts.
July 22, 2005....................    42330  ....................  CMS-1315-N            Medicare Program; August
                                                                                         22, 2005, Meeting of
                                                                                         Practicing Physicians
                                                                                         Advisory Council and
                                                                                         Request for
                                                                                         Nominations.
July 22, 2005....................    42329  ....................  CMS-3153-N            Medicare Program;
                                                                                         Meeting of the Medicare
                                                                                         Coverage Advisory
                                                                                         Committee--October 6,
                                                                                         2005.
July 22, 2005....................    42328  ....................  CMS-4093-N            Medicare Program;
                                                                                         Request for Nominations
                                                                                         for the Advisory Panel
                                                                                         on Medicare Education.
July 22, 2005....................    42327  ....................  CMS-3158-N            Medicare Program;
                                                                                         Request for Nominations
                                                                                         for Members for the
                                                                                         Medicare Coverage
                                                                                         Advisory Committee.
July 22, 2005....................    42276  146.................  CMS-4094-F3           Amendment to the Interim
                                                                                         Final Regulation for
                                                                                         Mental Health Parity.
July 25, 2005....................    42674  419 and 485.........  CMS-1501-P            Medicare Program;
                                                                                         Proposed Changes to the
                                                                                         Hospital Outpatient
                                                                                         Prospective Payment
                                                                                         System and Calendar
                                                                                         Year 2006 Payment
                                                                                         Rates.
August 4, 2005...................    45130  418.................  CMS-1286-F            Medicare Program;
                                                                                         Hospice Wage Index for
                                                                                         Fiscal Year 2006.

[[Page 76304]]

 
August 4, 2005...................    45026  409, 411, 424, and    CMS-1282-F            Medicare Program;
                                             489.                                        Prospective Payment
                                                                                         System and Consolidated
                                                                                         Billing for Skilled
                                                                                         Nursing Facilities for
                                                                                         FY 2006.
August 4, 2005...................    44930  ....................  CMS-2220-N            Medicare Program;
                                                                                         Meeting of the Medicaid
                                                                                         Commission--August 17-
                                                                                         18, 2005.
August 4, 2005...................    44879  402.................  CMS-6019-P            Medicare Program;
                                                                                         Revised Civil Money
                                                                                         Penalties, Assessments,
                                                                                         Exclusions, and Related
                                                                                         Appeals Procedures.
August 8, 2005...................    45764  405, 410, 411, 413,   CMS-1502-P            Medicare Program;
                                             414, and 426.                               Revisions to Payment
                                                                                         Policies Under the
                                                                                         Physician Fee Schedule
                                                                                         for Calendar Year 2006.
August 12, 2005..................    47278  405, 412, 413, 415,   CMS-1500-F            Medicare Program;
                                             419, 422, and 485.                          Changes to the Hospital
                                                                                         Inpatient Prospective
                                                                                         Payment Systems and
                                                                                         Fiscal Year 2006 Rates.
August 15, 2005..................    47880  412.................  CMS-1290-F            Medicare Program;
                                                                                         Inpatient
                                                                                         Rehabilitation Facility
                                                                                         Prospective Payment
                                                                                         System for FY 2006.
August 15, 2005..................    47759  483.................  CMS-3198-P            Medicare and Medicaid
                                                                                         Programs; Condition of
                                                                                         Participation:
                                                                                         Immunization Standard
                                                                                         for Long Term Care
                                                                                         Facilities.
August 26, 2005..................    50940  410.................  CMS-3017-IFC          Medicare Program;
                                                                                         Conditions for Payment
                                                                                         of Power Mobility
                                                                                         Devices, including
                                                                                         Power Wheelchairs and
                                                                                         Power-Operated
                                                                                         Vehicles.
August 26, 2005..................    50680  419 and 485.........  CMS-1501-CN           Medicare Program;
                                                                                         Proposed Changes to the
                                                                                         Hospital Outpatient
                                                                                         Prospective Payment
                                                                                         System and Calendar
                                                                                         Year 2006 Payment
                                                                                         Rates; Correction.
August 26, 2005..................    50375  ....................  CMS-4111-N            Medicare Program;
                                                                                         Meeting of the Advisory
                                                                                         Panel on Medicare
                                                                                         Education, September
                                                                                         27, 2005.
August 26, 2005..................    50374  ....................  CMS-1330-N            Medicare Program; Town
                                                                                         Hall Meeting on the
                                                                                         Medicare Provider
                                                                                         Feedback Group (MPFG)--
                                                                                         September 12, 2005.
August 26, 2005..................    50373  ....................  CMS-4106-PN           Medicare Program;
                                                                                         Changes in Medicare
                                                                                         Advantage Deeming
                                                                                         Authority.
August 26, 2005..................    50372  ....................  CMS-1309-NC           Medicare and Medicaid
                                                                                         Programs; Announcement
                                                                                         of an Application From
                                                                                         a Hospital Requesting
                                                                                         Waiver for Organ
                                                                                         Procurement Service
                                                                                         Area.
August 26, 2005..................    50358  ....................  CMS-2209-N            Medicaid Program; Fiscal
                                                                                         Disproportionate Share
                                                                                         Hospital Allotments and
                                                                                         Disproportionate Share
                                                                                         Hospital Institutions
                                                                                         for Mental Disease
                                                                                         Limits.
August 26, 2005..................    50358  ....................  CMS-1486-N            Medicare Program;
                                                                                         Announcement of New
                                                                                         Members of the Advisory
                                                                                         Panel on Ambulatory
                                                                                         Payment Classification
                                                                                         (APC) Groups.
August 26, 2005..................    50262  447 and 455.........  CMS-2198-P            Medicaid Program;
                                                                                         Disproportionate Share
                                                                                         Hospital Payments.
August 26, 2005..................    50214  433.................  CMS-2210-IFC          Medicaid Program; State
                                                                                         Allotments for Payment
                                                                                         of Medicare Part B
                                                                                         Premiums for Qualifying
                                                                                         Individuals: Federal
                                                                                         Fiscal Year 2005.
August 26, 2005..................    50214  405.................  CMS-4064-IFC3         Medicare Program;
                                                                                         Changes to the Medicare
                                                                                         Claims Appeal
                                                                                         Procedures: Correcting
                                                                                         Amendment to a
                                                                                         Correcting Amendment.
August 30, 2005..................    51321  410.................  CMS-6024-P            Medicare Program; Prior
                                                                                         Determination for
                                                                                         Certain Items and
                                                                                         Services.
September 1, 2005................    52105  ....................  CMS-1308-NC           Medicare Program;
                                                                                         Withdrawal of Ambulance
                                                                                         Fee Schedule Issued in
                                                                                         Accordance With Federal
                                                                                         District Court Order in
                                                                                         Lifestar Ambulance v.
                                                                                         United States, No. 4:02-
                                                                                         CV-127-1 (M.D. Ga.,
                                                                                         Jan. 16, 2003)--
                                                                                         Medicare Covered
                                                                                         Ambulance Services.
September 1, 2005................    52056  405, 410, 411, 413,   CMS-1502-CN           Medicare Program;
                                             414, and 426.                               Revisions to Payment
                                                                                         Policies Under the
                                                                                         Physician Fee Schedule
                                                                                         for Calendar Year 2006;
                                                                                         Correction.
September 1, 2005................    52023  422.................  CMS-4069-F3           Medicare Program;
                                                                                         Establishment of the
                                                                                         Medicare Advantage
                                                                                         Program; Correcting
                                                                                         Amendment; Partial Stay
                                                                                         of Effectiveness.
September 1, 2005................    52019  403.................  CMS-4063-F            Medicare Program;
                                                                                         Medicare Prescription
                                                                                         Drug Discount Card;
                                                                                         Revision of Marketing
                                                                                         Rules for Endorsed Drug
                                                                                         Card Sponsors.
September 6, 2005................    52930  414.................  CMS-1325-IFC2         Medicare Program;
                                                                                         Competitive Acquisition
                                                                                         of Outpatient Drugs and
                                                                                         Biologicals Under Part
                                                                                         B: Interpretation and
                                                                                         Correction.

[[Page 76305]]

 
September 16, 2005...............    54751  ....................  CMS-5017-N            Medicare Program;
                                                                                         Medicare Health Care
                                                                                         Quality (MHCQ)
                                                                                         Demonstration Programs.
September 23, 2005...............    55905  ....................  CMS-3159-N            Medicare Program;
                                                                                         Meeting of the Medicare
                                                                                         Coverage Advisory
                                                                                         Committee--November 29,
                                                                                         2005.
September 23, 2005...............    55903  ....................  CMS-1269-N5           Medicare Program;
                                                                                         Emergency Medical
                                                                                         Treatment and Labor Act
                                                                                         (EMTALA) Technical
                                                                                         Advisory Group (TAG)
                                                                                         Meeting--October 26,
                                                                                         2005 Through October
                                                                                         28, 2005.
September 23, 2005...............    55897  ....................  CMS-8027-N            Medicare Program;
                                                                                         Medicare Part B Monthly
                                                                                         Actuarial Rates,
                                                                                         Premium Rate, and
                                                                                         Annual Deductible for
                                                                                         Calendar Year 2006.
September 23, 2005...............    55896  ....................  CMS-8025-N            Medicare Program; Part A
                                                                                         Premium for Calendar
                                                                                         Year 2006 for the
                                                                                         Uninsured Aged and for
                                                                                         Certain Disabled
                                                                                         Individuals Who Have
                                                                                         Exhausted Other
                                                                                         Entitlement.
September 23, 2005...............    55887  ....................  CMS-1307-GNC          Medicare Program;
                                                                                         Criteria and Standards
                                                                                         for Evaluating
                                                                                         Intermediary, Carrier,
                                                                                         and Durable Medical
                                                                                         Equipment, Prosthetics,
                                                                                         Orthotics, and Supplies
                                                                                         (DMEPOS) Regional
                                                                                         Carrier Performance
                                                                                         During Fiscal Year
                                                                                         2006.
September 23, 2005...............    55885  ....................  CMS-8026-N            Medicare Program;
                                                                                         Inpatient Hospital
                                                                                         Deductible and Hospital
                                                                                         and Extended Care
                                                                                         Services Coinsurance
                                                                                         Amounts for Calendar
                                                                                         Year 2006.
September 23, 2005...............    55863  ....................  CMS-9032-N            Medicare and Medicaid
                                                                                         Programs; Quarterly
                                                                                         Listing of Program
                                                                                         Issuances-April Through
                                                                                         June 2005.
September 23, 2005...............    55862  ....................  CMS-2227-PN           Medicare and Medicaid
                                                                                         Programs; Application
                                                                                         by the Accreditation
                                                                                         Commission of
                                                                                         Healthcare for Deeming
                                                                                         Authority for Home
                                                                                         Health Agencies.
September 23, 2005...............    55812  447 and 455.........  CMS-2198-CN           Medicaid Program;
                                                                                         Disproportionate Share
                                                                                         Hospital Payments.
September 29, 2005...............    56901  ....................  CMS-2230-FN           State Children's Health
                                                                                         Insurance Program
                                                                                         (SCHIP); Redistribution
                                                                                         of Unexpended SCHIP
                                                                                         Funds From the
                                                                                         Appropriation for
                                                                                         Fiscal Year 2002.
September 30, 2005...............    57376  505.................  CMS-1320-P            Medicare Program; Health
                                                                                         care Infrastructure
                                                                                         Improvement Program;
                                                                                         Forgiveness of
                                                                                         Indebtness.
September 30, 2005...............    57368  505.................  CMS-1287-IFC          Medicare Program; Health
                                                                                         Care Infrastructure
                                                                                         Improvement Program;
                                                                                         Selection Criteria of
                                                                                         Loan Program for
                                                                                         Qualifying Hospitals
                                                                                         Engaged in Cancer-
                                                                                         Related Health Care.
September 30, 2005...............    57300  ....................  CMS-1307-CN           Medicare Program;
                                                                                         Criteria and Standards
                                                                                         for Evaluating
                                                                                         Intermediary, Carrier,
                                                                                         and Durable Medical
                                                                                         Equipment, Prosthetics,
                                                                                         Orthotics, and Supplies
                                                                                         (DMEPOS) Regional
                                                                                         Carrier Performance
                                                                                         During Fiscal Year
                                                                                         2006; Correction
                                                                                         Notice.
September 30, 2005...............    57297  ....................  CMS-3144-NC           Medicare Program;
                                                                                         Calendar Year 2005
                                                                                         Review of
                                                                                         Appropriateness of
                                                                                         Payment Amounts for New
                                                                                         Technology Intraocular
                                                                                         Lenses (NTIOLs)
                                                                                         Furnished by Ambulatory
                                                                                         Surgical Centers
                                                                                         (ASCs).
September 30, 2005...............    57296  ....................  CMS-1269-N6           Medicare Program;
                                                                                         Emergency Medical
                                                                                         Treatment and Labor Act
                                                                                         (EMTALA) Technical
                                                                                         Advisory Group (TAG):
                                                                                         Announcement of a New
                                                                                         Member.
September 30, 2005...............    57174  418.................  CMS-1286-CN           Medicare Program;
                                                                                         Hospice Wage Index for
                                                                                         Fiscal Year 2006.
September 30, 2005...............    57166  412.................  CMS-1290-CN           Medicare Program;
                                                                                         Inpatient
                                                                                         Rehabilitation Facility
                                                                                         Prospective Payment
                                                                                         System for FY 2006;
                                                                                         Correction.
September 30, 2005...............    57164  411 and 424.........  CMS-1282-CN           Medicare Program;
                                                                                         Prospective Payment
                                                                                         System and Consolidated
                                                                                         Billing for Skilled
                                                                                         Nursing Facilities;
                                                                                         Correction.
September 30, 2005...............    57161  405, 412, 413, 415,   CMS-1500-CN           Medicare Program;
                                             419, 422, and 485.                          Changes to the Hospital
                                                                                         Inpatient Prospective
                                                                                         Payment Systems and
                                                                                         Fiscal Year 2006 Rates;
                                                                                         Correction.
----------------------------------------------------------------------------------------------------------------

Addendum V--National Coverage Determinations

[July Through September 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

[[Page 76306]]

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

[July Through September 2005]

    There were no new NCDs posted during this time period.

Addendum VI--FDA-Approved Category B IDEs

[July Through September 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 second quarter, July through September 2005.

IDE/Category

G040204
G050005
G050016
G050028
G050035
G050036
G050041
G050044
G050069
G050072
G050082
G050086
G050103
G050107
G050108
G050112
G050113
G050114
G050117
G050119
G050120
G050122
G050123
G050125
G050127
G050129
G050130
G050132
G050133
G050134
G050135
G050136
G050141
G050144
G050145
G050146
G050147
G050148
G050149
G050153
G050155
G050158
G050160
G050161
G050163
G050165
G050166
G050170
G050172
G050174
G050177
G050178
G050180
G050181
G050182
G050183

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:

                           OMB Control Numbers
    [Approved CFR Sections in Title 42, Title 45, and Title 20 (Note:
 Sections in Title 45 are preceded by ``45 CFR,'' and sections in Title
                     20 are preceded by ``20 CFR'')]
------------------------------------------------------------------------
          OMB number                     Approved CFR sections
------------------------------------------------------------------------
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
0938-0151....................  493.1357, 493.1363, 493.1405, 493.1406,
                                493.1411, 493.1417, 493.1423, 493.1443,
                                493.1449, 493.1455, 493.1461, 493.1462,
                                493.1469, 493.1483, 493.1489, 493.1491
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

[[Page 76307]]

 
0938-0246....................  431.800-431.865
0938-0251....................  406.7
0938-0266....................  416.41, 416.47, 416.48, 416.43
0938-0267....................  410.65, 485.56, 485.58, 485.60, 485.64,
                                485.66
0938-0269....................  412.116, 412.632, 413.64, 413.350,
                                484.245
0938-0270....................  405.376
0938-0272....................  440.180, 441.300-441.305
0938-0273....................  485.701-485.729
0938-0279....................  424.5
0938-0287....................  447.31
0938-0296....................  413.170, 413.184
0938-0301....................  413.20, 413.24
0938-0302....................  418.22, 418.24, 418.28, 418.56, 418.58,
                                418.70, 418.74, 418.83, 418.96, 418.100
0938-0313....................  489.11, 489.20
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,
                                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,
                                422 Subpart E 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....................  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

[[Page 76308]]

 
0938-0659....................  456.700, 456.705, 456.709, 456.711,
                                456.712
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
0938-0691....................  412.106
0938-0692....................  466.78, 489.20, 489.27
0938-0701....................  422.152
0938-0702....................  45 CFR 146.111, 146.115, 146.117,
                                146.150, 146.152, 146.160, 146.180
0938-0703....................  45 CFR 148.120, 148.124, 148.126, 148.128
0938-0713....................  441.16, 489.66, 489.67
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....................  484 Subpart E, 484.55, 484.205, 484.245,
                                484.250
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
0938-0783....................  422.66, 422.562, 422.564, 422.568,
                                422.570, 422.572, 422.582, 422.584,
                                422.586, 422.590, 422.594, 422.602,
                                422.612, 422.618, 422.619, 422.620,
                                422.622
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....................  413.65, 419.42
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

[[Page 76309]]

 
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
0938-0950....................  405.910
0938-0951....................  423.48
0938-0953....................  405.1200 and 405.1202
0938-0954....................  414.906, 414.908, 414.914, 414.916
0938-0957....................  Part 423 Subpart R
------------------------------------------------------------------------

Addendum VIII--Medicare-Approved Carotid Stent Facilities [July Through 
September 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.

Effective Date--July 7, 2005

Antelope Valley Hospital, 1600 West Avenue J, Lancaster, CA 93534
    Medicare Provider 050056
Baptist St. Anthony's Hospital, 1600 Wallace Boulevard, Amarillo, TX 
79106

Medicare Provider 450231

Dayton Heart Hospital, 707 S. Edwin Moses Boulevard, Dayton, OH 
45408

Medicare Provider 360253

Duke Health Raleigh Hospital, 3400 Wake Forest Road, Raleigh, NC 
27609

Medicare Provider 340073

East Pasco Medical Center, 7050 Gall Boulevard, Zephyrhills, FL 
33541-1399

Medicare Provider 100046

FirstHealth Moore Regional Hospital, 1555 Memorial Drive, P.O. Box 
3000 Pinehurst, NC 28374

Medicare Provider 340115

The George Washington University Hospital, 900 23rd Street, NW., 
Washington, DC 20037

Medicare Provider 090001

Heart Hospital of Lafayette, 1105 Kaliste Saloom Road, Lafayette, LA 
70508

Medicare Provider 190263

Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287-
1629

Medicare Provider 210009

Kingman Regional Medical Center, 3269 Stockton Hill Road, Kingman, 
AZ 86401

Medicare Provider 030055

Lafayette General Medical Center, 1214 Coolidge Street, P.O. Box 
52009, Lafayette, LA 70505

Medicare Provider 190002

Manatee Memorial Hospital and Health Systems, 206 2nd Street East, 
Bradenton, FL 34208

Medicare Provider 100035

Mercy Health System, 1000 Mineral Point Avenue, P.O. Box 5003, 
Janesville, WI 53547-5003

Medicare Provider 520066

The Methodist Hospital, 6565 Fannin Street, Houston, TX 77030

Medicare Provider 450358

Mohawk Valley Vascular Center of Faxton, St. Luke's Healthcare, 1656 
Champlain Avenue, Utica, NY 13502

Medicare Provider 330044

Northwest Medical Center, 2801 North State Road 7, Margate, FL 
33063-9002

Medicare Provider 100189

Oakwood Hospital and Medical Center, 18101 Oakwood Boulevard, P.O. 
Box 2500, Dearborn, MI 48123-2500

Medicare Provider 230020

Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903

Medicare Provider 041007

Scripps Green Hospital, 10666 North Torrey Pines Road, La Jolla, CA 
92037-9100

Medicare Provider 050424

St. Cloud Hospital, 1406 Sixth Avenue North, St. Cloud, MN 56303-
1901

Medicare Provider 240036

St. Joseph's Regional Medical Center, 703 Main Street, Paterson, NJ 
07530

Medicare Provider 310019

St. Luke's Hospital, 5901 Monclova Road, Maumee, OH 43537-1899

Medicare Provider 360090

St. Vincent Hospital, 835 S. Van Buren Street, P.O. Box 13508, Green 
Bay, WI 54307-3508

Medicare Provider 520075

St. Vincent's Medical Center, 1800 Barrs Street, Jacksonville, FL 
32204

Medicare Provider 100040

Stormont-Vail HealthCare, 1500 S.W. 10th Avenue, Topeka, KS 66604-
1353

Medicare Provider 170086

Tomball Regional Hospital, 605 Holderrieth Street, Tomball, TX 77375

Medicare Provider 450670

Trinity Mother Frances Health System, 800 E. Dawson, Tyler, TX 75701

Medicare Provider 450102

Effective Date--July 15, 2005

Allen Memorial Hospital, 1825 Logan Avenue, Waterloo, IA 50703-1999

Medicare Provider 160110

Alta Bates Summit Medical Center, Alta Bates Campus, 2450 Ashby 
Avenue Berkley, CA 94705

Medicare Provider 050305

Alta Bates Summit Medical Center, Summit Campus, 350 Hawthorne 
Avenue, Oakland, CA 94609

Medicare Provider 050043

Banner Baywood Heart Hospital, 6750 East Baywood Avenue, Mesa, AZ 
85206

Medicare Provider 030105

Battle Creek Health System, 300 North Avenue, Battle Creek, MI 49016

[[Page 76310]]

Medicare Provider 230075

Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, 
MA 02215

Medicare Provider 220086

BryanLGH Medical Center, 1600 South 48th Street, Lincoln, NE 68506-
1299

Medicare Provider 280003

Deborah Heart & Lung Center, 200 Trenton Road, Browns Mills, NJ 
08015

Medicare Provider 310031

Erie County Medical Center Corporation, 462 Grinder Street, Buffalo, 
NY 14215

Medicare Provider 330219

Fairview Southdale Hospital, 6401 France Avenue, Edina, MN 55435

Medicare Provider 240078

Gratiot Medical Center, 300 East Warwick Drive, Alma, MI 48801-1096

Medicare Provider 230030

Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225-1290

Medicare Provider 210034

Holmes Regional Medical Center, 1350 South Hickory Street, 
Melbourne, FL 32901

Medicare Provider 100019

Holy Cross Hospital, 4725 North Federal Highway, Fort Lauderdale, FL 
33308

Medicare Provider 100073

Marion General Hospital, 1000 McKinley Park Drive, Marion, OH 43301

Medicare Provider 360011

Mease Countryside Hospital, 3231 McMullen Booth Road, Safety Harbor, 
FL 34695

Medicare Provider 100265

Mercy General Hospital, 4001 J Street, P.O. Box 19245, Sacramento, 
CA 95819-9990

Medicare Provider 050017

OU Medical Center, 1200 Everett Drive, Oklahoma City, OK 73104

Medicare Provider 370093

Pennsylvania Hospital of the University of Pennsylvania Health 
System, 800 Spruce Street, Philadelphia, PA 19071-6192

Medicare Provider 390226

Provena Mercy Medical Center, 1325 North Highland Avenue, Aurora, IL 
60506

Medicare Provider 140174

Reading Hospital and Medical Center, P.O. Box 16052, Reading, PA 
19612-6052

Medicare Provider 390044

Regional Medical Center of Hopkins County, 900 Hospital Drive, 
Madisonville, KY 42431

Medicare Provider 180093

Sacred Heart Medical Center, 101 West 8th Avenue, P.O. Box 2555, 
Spokane, WA 99220-2555

Medicare Provider 500054

Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, CA 92103

Medicare Provider 050077

Sisters of Charity Providence Hospitals, 2435 Forest Drive, 
Columbia, SC 29204

Medicare Provider 420026

Tucson Medical Center, 5301 East Grant Road, Tucson, AZ 85712

Medicare Provider 030006

UCLA Medical Center, 10833 Le Conte Avenue, Los Angeles, CA 90095-
1730

Medicare Provider 050262

University of Colorado Hospital, 4200 East 9th Avenue, Denver, CO 
80262

Medicare Provider 060024

Effective Date--July 20, 2005

Christus St. Patrick Hospital, 524 South Ryan Street, Lake Charles, 
LA 70601

Medicare Provider 190027

Condell Medical Center, 801 South Milwaukee Avenue, Libertyville, IL 
60048

Medicare Provider 140202

Florida Hospital Ormond Memorial, 875 Sterthaus Avenue, Ormond 
Beach, FL 32174

Medicare Provider 100169

Lakewood Hospital, 14519 Detroit Avenue, Lakewood, OH 44107

Medicare Provider 360212

Loma Linda University Medical Center, 11234 Anderson Street, P.O. 
Box 2000, Loma Linda, CA 92354

Medicare Provider 050327

Miami Valley Hospital, Medical Imaging, One Wyoming Street, Dayton, 
OH 45409-2793

Medicare Provider 360051

National Park Medical Center, 1910 Malvern Avenue, Hot Springs, AR 
71901

Medicare Provider 040078

Newark Beth Israel Medical Center, 201 Lyons Avenue, Newark, NJ 
07112

Medicare Provider 310002

Salina Regional Health Center, P.O. Box 5080, Salina, KS 67402-5080

Medicare Provider 170012

Scott and White Memorial Hospital and Scott, Sherwood and Brindley 
Foundation, 2401 South 31st Street, Temple, TX 76508

Medicare Provider 450054

Sentra Norfolk General Hospital, 600 Gersham Drive, Norfolk, VA 
23507

Medicare Provider 490007

Spartanburg Regional Medical Center, 101 East Wood Street, 
Spartanburg, SC 29303

Medicare Provider 420007

St. Francis Hospital, 3237 South 16th Street, Milwaukee, WI 53215-
4592

Medicare Provider 520078

St. Vincent Indianapolis Hospital, 2001 West 86th Street, 
Indianapolis, IN 46260

Medicare Provider 150084

Tulsa Regional Medical Center, 744 West 9th, Tulsa, OK 74127

Medicare Provider 370078

University Hospital, SUNY Upstate Medical University, 750 East Adams 
Street, Syracuse, NY 13210

Medicare Provider 330241

UT Southwestern University Hospitals--Zale Lipshy, 5151 Harry Hines 
Boulevard, Dallas, TX 75390

Medicare Provider 450766

UT Southwestern University Hospitals--St. Paul, 5909 Harry Hines 
Boulevard, Dallas, TX 75390

Medicare Provider 450044

Effective Date--July 22, 2005

Forrest General Hospital, 6051 Highway 49, Hattiesburg, MS 39401-
7243

Medicare Provider 250078

Hamilton Medical Center, P.O. Box 1168, Dalton, GA 30722-1168

Medicare Provider 110001

Heritage Valley Health System, The Medical Center, 100 Dutch Ridge 
Road, Beaver, PA 15009-9700

Medicare Provider 390036

Northeast Georgia Medical Center, 743 Spring Street, Gainesville, GA 
30501

Medicare Provider 110029

Wishard Health Services, 1001 West Tenth Street, Indianapolis, IN 
46202

Medicare Provider 150024

Effective Date--July 27, 2005

East Texas Medical Center Athens, 2000 South Palestine, Athens, TX 
75751

Medicare Provider 450389

Glendale Adventist Medical Center, 1509 Wilson Terrace, Glendale, CA 
91206

Medicare Provider 050239

Lahey Clinic Medical Center, Inc., 41 Mall Road, Burlington, MA 
01805

Medicare Provider 220171

Saint Joseph Hospital, One Saint Joseph Drive, Lexington, KY 40504

Medicare Provider 180010

St. Mary's Medical Center, 2900 First Avenue, Huntington, WV 25702

Medicare Provider 510007

Yakima Regional Medical and Cardiac Center, 110 South 9th Avenue, 
Yakima, WA 98902

Medicare Provider 500012

Effective Date--August 1, 2005

Alegent Health Bergan Mercy Medical Center, 7500 Mercy Rd., Omaha, 
NE 68124-9832

Medicare Provider 280060

Bon Secours DePaul Medical Center, 150 Kingsley Ln., Norfolk, VA 
23505

Medicare Provider 490011

Hendrick Medical Center, 1900 Pine St., Abilene, TX 79601-2316

Medicare Provider 450229

Nebraska Heart Hospital, 7500 S. 91st St., Lincoln, NE 68526

[[Page 76311]]

Medicare Provider 280128

Singing River Hospital System, 3109 Bienville Blvd., Ocean Springs, 
MS 39564

Medicare Provider 250040

St. Peter's Hospital,315 South Manning Blvd., Albany, NY 12208

Medicare Provider 330057

University of California San Francisco Medical Center, 500 Parnassus 
Ave., San Francisco, CA 94143-0296

Medicare Provider 050454

Effective Date--August 4, 2005

Bowling Green Warren County Community Hospital Corp. d/b/a The 
Medical Center, 250 Park Street, P.O. Box 90010, Bowling Green, KY 
42102-9010

Medicare Provider 180013

Carson-Tahoe Hospital, 775 Fleischmann Way, P.O. Box 2168, Carson 
City, NV 89702-2168

Medicare Provider 290010

Heart Hospital of Austin, 3801 N. Lamar Boulevard, Austin, TX 78756

Medicare Provider 450824

Indiana Heart Hospital, 8040 Clearvista Parkway, Suite 200, 
Indianapolis, IN 46256

Medicare Provider 150154

JFK Medical Center, 5301 South Congress Avenue, Atlantis, FL 33462

Medicare Provider 100080

Sierra Vista Regional Medical Center, 1010 Murray Avenue, San Luis 
Obispo, CA 93405

Medicare Provider 050506

St. Joseph Hospital, 1100 West Stewart Drive, P.O. Box 5600 Orange, 
CA 92863-5600

Medicare Provider 050069

St. Luke's Cornwall Hospital, 70 Dubois Street, Newburgh, NY 12550

Medicare Provider 330264

UCI Medical Center, 101 The City Drive South, Orange, CA 92868

Medicare Provider 050348

Effective Date--August 8, 2005

Lynchburg General Hospital, 1920 Atherholt Road, Lynchburg, VA 
24501-1104

Medicare Provider 490021

Mercy Hospitals Bakersfield, 2215 Truxtun Avenue, P.O. Box 119, 
Bakersfield, CA 93302

Medicare Provider 050295

Virginia Regional Medical Center, 901 Ninth Street North, Virginia, 
MN 55792

Medicare Provider 240084

Effective Date--August 9, 2005

Columbia Hospital, 2201 45th Street, West Palm Beach, FL 33407

Medicare Provider 100234

Fairview Hospital, 14519 Detroit Avenue, Fairview, OH 44107

Medicare Provider 360077

Forum Health-Northside Medical Center, Cardiovascular 
Administration, 500 Gypsy Lane, Youngstown, OH 44501

Medicare Provider 360141

Mercy Hospital, 144 State Street, Portland, ME 04101

Medicare Provider 020008

New Hanover Regional Medical Center, 2131 South 17th Street, P.O. 
Box 9000, Wilmington, NC 28402-9000

Medicare Provider 340141

Sharp Grossmont Hospital, P.O. Box 158, La Mesa, CA 91944-0158

Medicare Provider 050026

Torrance Memorial Medical Center, 3330 Lomita Boulevard, Torrance, 
CA 90505-5073

Medicare Provider 050351

Effective Date--August 16, 2005

Englewood Hospital and Medical Center, 350 Engle Street, Englewood, 
NJ 07631

Medicare Provider 310045

Mobile Infirmary Medical Center, Five Mobile Infirmary Circle, 
Mobile, AL 36607

Medicare Provider 010113

Ocean Medical Center, 425 Jack Martin Boulevard, Brick, NJ 08724

Medicare Provider 310052

OSF St. Joseph Medical Center, 200 East Washington Street, 
Bloomington, IL 61701

Medicare Provider 140162

St. Luke's Medical Center, LP, 1800 East Van Buren Street, Phoenix, 
AZ 85006

Medicare Provider 030037

Effective Date--August 19, 2005

Inova Alexandria Hospital, 4320 Seminary Road, Alexandria, VA 22304

Medicare Provider 490040

Inova Fairfax Hospital, Inova Fairfax Hospital for Children and 
Inova Heart and Vascular Institute, 3300 Gallows Road, Falls Church, 
VA 22042-3300

Medicare Provider 490063

Milford Hospital, 300 Seaside Avenue, P.O. Box 3015, Milford, CT 
06460-0815

Medicare Provider 070019

Our Lady of the Lakes Regional Medical Center, 5000 Hennessy 
Boulevard, Baton Rouge, LA 70808

Medicare Provider 190064

Summit Hospital, 17000 Medical Center Drive, Baton Rouge, LA 70816

Medicare Provider 190202

University of Michigan Health System, 1500 E. Medical Center Drive, 
Ann Arbor, MI 48109-0060

Medicare Provider 230046

Effective Date--August 22, 2005

Baptist Hospital of Miami, 8900 North Kendall Drive, Miami, FL 33176

Medicare Provider 100008

Camden-Clark Memorial Hospital, 800 Garfield Avenue, P.O. Box 718, 
Parkersburg, WV 26102

Medicare Provider 510058

HCA Dauterive Hospital, 600 North Lewis Avenue, New Iberia, LA 70563

Medicare Provider 190003

Kadlec Medical Center, 888 Swift Boulevard, Richland, WA 99352

Medicare Provider 500058

Lancaster Community Hospital, 43830 10th Street West, Lancaster, CA 
93534

Medicare Provider 050204

Mercy Hospital, 4050 Coon Rapids Boulevard, Coon Rapids, MN 55433

Medicare Provider 240115

Montefiore Medical Center, 111 East 210th Street, New York, NY 10467

Medicare Provider 330059

Morristown Memorial Hospital, 100 Madison Avenue, Morristown, NJ 
07962-1956

Medicare Provider 310015

Palmetto Health Richland, 5 Richland Medical Park Drive, Columbia, 
SC 29203-6897

Medicare Provider 420018

Saint Elizabeth Regional Medical Center, 555 South 70th Street, 
Lincoln, NE 68510

Medicare Provider 280020

Springhill Medical Center, 3710 Dauphine Street, Mobile, AL 36608

Medicare Provider 010144

Unity Hospital, 550 Osborne Road, Fridley, MN 55432

Medicare Provider 240132

Wilson Memorial Regional Medical Center, 33-57 Harrison Street, 
Johnson City, NY 13790

Medicare Provider 330394

Effective Date--August 23, 2005

Jackson Madison County General Hospital, 708 West Forest Avenue, 
Jackson, TN 38301-3956

Medicare Provider 044002

Leesburg Regional Medical Center, 600 E. Dixie Avenue, Leesburg, FL 
34748

Medicare Provider 100084

Meriter Hospitals, Inc., 202 South Park Street, Madison, WI 53715

Medicare Provider 520089

Poplar Bluff Regional Medical Center, 2620 North Westwood Boulevard, 
Poplar Bluff, MO 63901

Medicare Provider 260119

Saint Francis Hospital, 241 North Road, Poughkeepsie, NY 12601-1399

Medicare Provider 330067

The Western Pennsylvania Hospital, 4800 Friendship Avenue, 
Pittsburg, PA 15224

Medicare Provider 390090

Effective Date--August 24, 2005
Halifax Medical Center, 303 N. Clyde Morris

[[Page 76312]]

Boulevard, Daytona Beach, FL 32114

Medicare Provider 100017

Jackson Hospital, 1725 Pine Street, Montgomery, AL 36106-1117

Medicare Provider 010024

Marietta Memorial Hospital, 401 Matthew Street, Marietta, OH 45750

Medicare Provider 360147

Meadowcrest Hospital, 2500 Belle Chasse Highway, Gretna, LA 70056

Medicare Provider 190152

Medical Center Hospital, P.O. Box 7239, Odessa, TX 79760-7239

Medicare Provider 450132

REX Healthcare, 4420 Lake Boone Trail, Raleigh, NC 27607

Medicare Provider 340114

St. John's Mercy Medical Center, 615 South New Ballas Road, St. 
Louis, MO 63141

Medicare Provider 260020

Effective Date--August 26, 2005

Candler Hospital, 5353 Reynolds Street, Savannah, GA 31405

Medicare Provider 110024

CHRISTUS Santa Rosa, 333 North Santa Rosa Street, San Antonio, TX 
78207-3198

Medicare Provider 450237

Durham Regional Hospital, 3643 North Roxboro Road, Durham, NC 27704

Medicare Provider 344155

Hillcrest Medical Center, 1120 South Utica Avenue, Tulsa, OK 74104

Medicare Provider 370001

Houston Northwest Medical Center, 710 FM 1960 West, Houston, TX 
77090

Medicare Provider 450638

Mercy Hospital, 3663 South Miami Avenue, Miami, FL 33133

Medicare Provider 100061

Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 
07039

Medicare Provider 310076

Effective Date--August 31, 2005

Columbia St. Mary's Hospital Milwaukee, Inc., 2323 North Lake Drive, 
Milwaukee, WI 53211

Medicare Provider 520051

Franklin Square Hospital Center, 9000 Franklin Square Drive, 
Baltimore, MD 21237-9986

Medicare Provider 210015

The Griffin Hospital, 130 Division Street, Derby, CT 06418

Medicare Provider 070031

Gwinnett Medical Center, 1000 Medical Center Boulevard, 
Lawrenceville, GA 30045

Medicare Provider 110087

Louis A. Weiss Memorial Hospital, 4646 North Marine Drive, Chicago, 
IL 60640

Medicare Provider 140082

The North Shore Medical Center, 81 Highland Avenue, Salem, MA 01970

Medicare Provider 220006

South Pointe Hospital, 20000 Harvard Road, Warrensville Hts., OH 
44122

Medicare Provider 360144

Southwest Medical Center--Lafayette, 2810 Ambassador Caffery, 
Lafayette, LA 70506

Medicare Provider 190205

St. Mary's Hospital Ozaukee, Inc., 13111 North Port Washington Road, 
Mequon, WI 53097

Medicare Provider 520027

St. Tammany Parish Hospital, 1202 South Tyler Street, Covington, LA 
70433

Medicare Provider 190045

Trinity Medical Center Terrace Park, 4500 Utica Ridge Road, 
Bettendorf, IA 52722

Medicare Provider 160104

UAMS Medical Center, 4301 West Markham, Little Rock, AK 72205-7199

Medicare Provider 040016

Valley Baptist Medical Center--Harlingen, P.O. Drawer 2588, 2101 
Pease Street, Harlingen, TX 78551

Medicare Provider 450033

Effective Date--September 6, 2005

Carilion Roanoke Memorial Hospital, 1906 Belleview Avenue, Roanoke, 
VA 24014

Medicare Provider 490024

Midland Memorial Hospital, 2200 West Illinois Avenue, Midland, TX 
79701-6499

Medicare Provider 450133

Provena Saint Joseph Medical Center, 333 North Madison Street, 
Joliet, IL 60435-6595

Medicare Provider 140007

Salinas Valley Memorial Healthcare System, 450 E. Romie Lane, 
Salinas, CA 93901

Medicare Provider 050334

UHHS Geauga Regional Hospital, 13207 Ravenna Road, Chardon, OH 44024

Medicare Provider 360192

Effective Date--September 8, 2005

Howard Regional Health System, 3500 South Lafountain Street, P.O. 
Box 9011, Kokomo, IN 46904-9011

Medicare Provider 150007

Luther Hospital, 1221 Whipple Street, P.O. Box 4105, Eau Claire, WI 
54702-4105

Medicare Provider 520070

Our Lady of Fatima Hospital, 200 High Service Avenue, No. 
Providence, RI 02904

Medicare Provider 041005

Pitt County Memorial Hospital, Inc., P.O. Box 6028, Greenville, NC 
27835-6028

Medicare Provider 340040

Effective Date--September 12, 2005

Baylor All Saints Medical Center, 1400 Eighth Avenue, Fort Worth, TX 
76104

Medicare Provider 450137

St. Vincent's Hospital, Staten Island, 355 Bard Avenue, Staten 
Island, NY 10310

Medicare Provider 330028

SUNY Stony Brook University Hospital, Nicolls Road, Stony Brook, NY 
11794

Medicare Provider 330393

The Washington Hospital, 155 Wilson Avenue, Washington, PA 15301

Medicare Provider 390042

Effective Date--September 15, 2005

Abilene Regional Medical Center, 6250 Highway 83/84, Abilene, TX 
79606

Medicare Provider 450558

Bon Secours Cottage Health Services, 468 Cadieux Road, Grosse 
Pointe, MI 48230

Medicare Provider 230089

HealthOne/HCA Rose Medical Center, 4567 E. 9th Avenue, Denver, CO 
80220

Medicare Provider 060032

Providence Health Center, 6901 Medical Parkway, Waco, TX 76712

Medicare Provider 450042

St. Edward Mercy Medical Center, 7301 Rogers Avenue, P.O. Box 17000, 
Fort Smith, AR 72917-7000

Medicare Provider 040062

St. Joseph's Hospital, 3001 W. Dr. M.L. King Jr. Boulevard, Tampa, 
FL 33607

Medicare Provider 100075

Effective Date--September 22, 2005

Baylor University Medical Center, Department of Radiology, 3500 
Gaston Avenue, Dallas, TX 75246

Medicare Provider 450021

Delray Medical Center, 5352 Linton Boulevard, Delray Beach, FL 33484

Medicare Provider 100258

Desert Springs Hospital, 2075 East Flamingo Road, Las Vegas, NV 
89119

Medicare Provider 290022

Ellis Hospital, 1101 Nott Street, Schenectady, NY 12308

Medicare Provider 330153

Ingham Regional Medical Center, 401 West Greenlawn Avenue, Lansing, 
MI 48910

Medicare Provider 230167

St. Joseph's Hospital, 11705 Mercy Boulevard, Savannah, GA 31419

Medicare Provider 110043

Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 
15219-5166

Medicare Provider 390028

The Pottsville Hospital and Warne Clinic, 420 South Jackson Street, 
Pottsville, PA 17901

Medicare Provider 390030

Southwest Mississippi Regional Medical Center, 215 Marion Avenue, 
McComb, MS 39648

Medicare Provider 250097

Sparks Regional Medical Center, 1311 South

[[Page 76313]]

I Street, P.O. Box 17006, Fort Smith, AR 72917-7006

Medicare Provider 040055

Tampa General Hospital, 2 Columbia Drive, Tampa, FL 33606

Medicare Provider 100128

Wesley Medical Center, 550 N. Hillside, Wichita, KS 67214

Medicare Provider 170123

Effective Date--September 28, 2005

Advocate Illinois Masonic Medical Center, 836 W. Wellington Avenue, 
Chicago, IL 60657-5193

Medicare Provider 140182

East Texas Medical Center-Tyler, 1000 South Beckham, Tyler, TX 75701

Medicare Provider 450083

Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219

Medicare Provider 330914

Mesa General Hospital, 515 North Mesa Drive, Mesa, AZ 85201

Medicare Provider 030017

Opelousas General Health System, 539 E. Prudhomme Street, P.O. Box 
1389, Opelousas, LA 70570

Medicare Provider 190017

Southern Ohio Medical Center, 1895 27th Street, Portsmouth, OH 45662

Medicare Provider 360008

St. Joseph Hospital, 2901 Squalicum Parkway, Bellingham, WA 98264

Medicare Provider 500030

St. Lukes Hospital, 801 Ostrum Street, Bethlehem, PA 18015

Medicare Provider 390049

WakeMed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 
27610

Medicare Provider 340069

Yale-New Haven Hospital, 20 York Street, New Haven, CT 06504,

Medicare Provider 070022

[FR Doc. 05-24023 Filed 12-22-05; 8:45 am]
BILLING CODE 4120-01-U