[Federal Register Volume 71, Number 57 (Friday, March 24, 2006)]
[Notices]
[Pages 14903-14922]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-2807]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9034-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--October Through December 2005

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

ACTION: Notice.

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

SUMMARY: This notice lists CMS manual instructions, substantive and 
interpretive regulations, and other Federal Register notices that were 
published from October 2005 through December 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 Melissa Musotto, 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) 786-6962.
    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

[[Page 14904]]

regulations (proposed and final) published during the respective 3-
month time frame.

II. How To Use the Addenda

    This notice is organized so that a reader may review the subjects 
of manual issuances, memoranda, substantive and interpretive 
regulations, NCDs, and FDA-approved IDEs published during the subject 
quarter to determine whether any are of particular interest. We expect 
this notice to be used in concert with previously published notices. 
Those unfamiliar with a description of our Medicare manuals may wish to 
review Table I of our first three notices (53 FR 21730, 53 FR 36891, 
and 53 FR 50577) published in 1988, and the notice published March 31, 
1993 (58 FR 16837). Those desiring information on the Medicare NCD 
Manual (NCDM, formerly the Medicare Coverage Issues Manual (CIM)) may 
wish to review the August 21, 1989, publication (54 FR 34555). Those 
interested in the revised process used in making NCDs under the 
Medicare program may review the September 26, 2003, publication (68 FR 
55634).
    To aid the reader, we have organized and divided this current 
listing into eight addenda:
     Addendum I lists the publication dates of the most recent 
quarterly listings of program issuances.
     Addendum II identifies previous Federal Register documents 
that contain a description of all previously published CMS Medicare and 
Medicaid manuals and memoranda.
     Addendum III lists a unique CMS transmittal number for 
each instruction in our manuals or Program Memoranda and its subject 
matter. A transmittal may consist of a single or multiple 
instruction(s). Often, it is necessary to use information in a 
transmittal in conjunction with information currently in the manuals.
     Addendum IV lists all substantive and interpretive 
Medicare and Medicaid regulations and general notices published in the 
Federal Register during the quarter covered by this notice. For each 
item, we list the--
    [cir] Date published;
    [cir] Federal Register citation;
    [cir] Parts of the Code of Federal Regulations (CFR) that have 
changed (if applicable);
    [cir] Agency file code number; and
    [cir] Title of the regulation.
     Addendum V includes completed NCDs, or reconsiderations of 
completed NCDs, from the quarter covered by this notice. Completed 
decisions are identified by the section of the NCDM in which the 
decision appears, the title, the date the publication was issued, and 
the effective date of the decision.
     Addendum VI includes listings of the FDA-approved IDE 
categorizations, using the IDE numbers the FDA assigns. The listings 
are organized according to the categories to which the device numbers 
are assigned (that is, Category A or Category B), and identified by the 
IDE number.
     Addendum VII includes listings of all approval numbers 
from the Office of Management and Budget (OMB) for collections of 
information in CMS regulations in title 42; title 45, subchapter C; and 
title 20 of the CFR.
     Addendum VIII includes listings of Medicare-approved 
carotid stent facilities. All facilities listed meet CMS 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, 2005. (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.

[[Page 14905]]

IV. How To Review Listed Material

    Transmittals or Program Memoranda can be reviewed at a local 
Federal Depository Library (FDL). Under the FDL program, government 
publications are sent to approximately 1,400 designated libraries 
throughout the United States. Some FDLs may have arrangements to 
transfer material to a local library not designated as an FDL. Contact 
any library to locate the nearest FDL.
    In addition, individuals may contact regional depository libraries 
that receive and retain at least one copy of most Federal Government 
publications, either in printed or microfilm form, for use by the 
general public. These libraries provide reference services and 
interlibrary loans; however, they are not sales outlets. Individuals 
may obtain information about the location of the nearest regional 
depository library from any library. For each CMS publication listed in 
Addendum III, CMS publication and transmittal numbers are shown. To 
help FDLs locate the materials, use the CMS publication and transmittal 
numbers. For example, to find the Medicare NCD publication titled 
``Stem Cell Transplantation,'' use CMS-Pub. 100-03, Transmittal No. 45.

(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: March 20, 2006.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.

Addendum I

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

September 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)
December 23, 2005 (70 FR 76290)

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

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


        Addendum III.--Medicare and Medicaid Manual Instructions
                     [October through December 2005]
------------------------------------------------------------------------
    Transmittal No.               Manual/Subject/Publication No.
------------------------------------------------------------------------
                      Medicare General Information
                            (CMS Pub. 100-01)
------------------------------------------------------------------------
30.....................  Initiate STC testing of the MCS for RRB and
                          HIGLAS Shared System Testing Requirements for
                          Maintainers, Beta Testers, and Contractors.
31.....................  Update to Medicare Deductible, Coinsurance and
                          Premium Rates for 2006 Basis for Determining
                          the Part A Coinsurance Amounts Part B Annual
                          Deductible.
32.....................  Scheduled Release for January 2006 Software
                          Programs and Pricing/Coding Files.
33.....................  Change Management Process--Electronic Change
                          Information Management Portal (eChimp).
------------------------------------------------------------------------
                         Medicare Benefit Policy
                            (CMS Pub. 100-02)
------------------------------------------------------------------------
39.....................  Auditory Osteointegrated and Auditory Brainstem
                          Devices Hearing Aids and Auditory Implants.
40.....................  Skilled Nursing Facility Prospective Payment
                          System.
                         Certification and Recertification by Physicians
                          for Extended Care Services.
                         Who May Sign the Certificate or Recertification
                          for Extended Care Services Rural Health Center/
                          Federally Qualified Health Center for Hospital/
                          Skilled Nursing Facility Outpatients or
                          Inpatients.
41.....................  Telehealth Originating Site Facility Fee
                          Payment Amount Update.
42.....................  January 2006 Update of the Hospital Outpatient
                          Prospective Payment System Manual Instruction:
                          Changes to Coding and Payment for Observation.
43.....................  List of Medicare Telehealth Services.
                         Payment-Physician/Practitioner at a Distant
                          Site.
------------------------------------------------------------------------
                Medicare National Coverage Determinations
                            (CMS Pub. 100-03)
------------------------------------------------------------------------
43.....................  This Transmittal is rescinded and replaced by
                          Transmittal 45.
44.....................  Lung Volume Reduction Surgery.
45.....................  Stem Cell Transplantation.
------------------------------------------------------------------------
                       Medicare Claims Processing
                            (CMS Pub. 100-04)
------------------------------------------------------------------------
695....................  General Appeals Process in Initial
                          Determinations (Implementation Dates for
                          Fiscal Intermediary Initial Determinations
                          Issued on or After May 1, 2005 and Carrier
                          Initial Determinations Issued on or After
                          January 1, 2006).
                         CMS Decisions Subject to the Administrative
                          Appeals Process.
                         Who May Appeal.
                         Provider or Supplier Appeals When the
                          Beneficiary Is Deceased.
                         Steps in the Appeals Process: Overview.
                         Where to Appeal.
                         Time Limits for Filing Appeals and Good Cause
                          for Extension of the Time Limit for Filing
                          Appeals.
                         Good Cause.

[[Page 14906]]

 
                         General Procedure to Establish Good Cause.
                         Conditions and Examples That May Establish Good
                          Cause for Late Filing by Beneficiaries.
                         Conditions and Examples That May Establish Good
                          Cause for Late Filing by Providers,
                          Physicians, or Other Suppliers.
                         Good Cause Not Found for Beneficiary, or for
                          Provider, Physician, or Other Supplier.
                         Amount in Controversy Requirements.
                         Parties to an Appeal.
696....................  2006 Annual Update of Healthcare Common
                          Procedure Coding System Codes for Skilled
                          Nursing Facility Consolidated Billing for the
                          Common Working File, Medicare Carriers and
                          Fiscal Intermediaries.
                         Skilled Nursing Facility Consolidated Billing
                          Annual Update Process for Fiscal
                          Intermediaries.
697....................  Appeals of Claims Decisions: Redeterminations
                          and Reconsiderations (implementation date May
                          1, 2005).
                         Time Limit for Filing a Request for
                          Redetermination.
                         Reporting Redeterminations on the Appeals
                          Report.
698....................  The Supplemental Security Income Medicare
                          Beneficiary Data for Fiscal Year 2006 for the
                          Inpatient Rehabilitation Facility Prospective
                          Payment System.
                         Low Income Percentage Adjustment: The
                          Supplemental Security Income Medicare
                          Beneficiary Data for Inpatient Rehabilitation
                          Facilities Paid Under the Prospective Payment
                          System.
699....................  This Transmittal is rescinded and replaced by
                          Transmittal 761.
700....................  Revision to Chapter 31--Attestation.
                         Eligibility Extranet Workflow.
701....................  New Diagnosis Code Requirements for Method II
                          Home Dialysis Claims Supplier Documentation
                          Required.
702....................  Manualization for Physician/Practitioner/
                          Supplier Participation Agreement and
                          Assignment Carrier Claims and Carrier Rules
                          for Limiting Charge.
                         Physician/Practitioner/Supplier Participation
                          Agreement and Assignment--Carrier Claims.
                         Mandatory Assignment on Carrier Claims.
                         Filing Claims to a Carrier for Nonassigned
                          Services.
                         Carrier Annual Participation Program.
                         Carrier Participation and Billing Limitations.
703....................  This Transmittal is rescinded and replaced by
                          Transmittal 707.
704....................  Discontinuation of Biannual Recertification
                          List for Certified Registered Nurse.
                         Anesthetist Services.
                         Issuance of Unique Physician Identification
                          Numbers.
                         Annual Review of Certified Registered Nurse
                          Anesthetist Certifications.
705....................  Modification to Reporting of Diagnosis Codes
                          for Screening Mammography Claims.
                         Healthcare Common Procedure Coding System and
                          Diagnosis Codes for Mammography Services.
706....................  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.
707....................  Inpatient Prospective Payment System Outlier
                          Reconciliation Outliers.
                         Cost to Charge Ratios.
                         Statewide Average Cost to Charge Ratios.
                         Threshold and Marginal Cost.
                         Transfers.
                         Reconciliation.
                         Time Value of Money
                         Procedure for Fiscal Intermediaries to Perform
                          and Record Outlier.
                         Reconciliation Adjustments.
                         Specific Outlier Payments for Burn Cases.
                         Quality Improvement Organization Reviews and
                          Adjustments.
                         Return Codes for Pricer.
708....................  This Transmittal is rescinded and replaced by
                          Transmittal 722.
709....................  This Transmittal is rescinded and replaced by
                          Transmittal 720.
710....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to sensitivity of
                          Instruction.
711....................  This Transmittal is rescinded and replaced by
                          Transmittal 763.
712....................  Correction to Change Request 3949, Section
                          50.3.3 in IOM to Add 23x Type of Bill.
                         Billing and Claims Processing Requirements
                          Related to Expedited Determinations.
713....................  This Transmittal is rescinded and replaced by
                          Transmittal 748.
714....................  Payment Window Edit Corrections Within the
                          Common Working File.
                         Outpatient Services Treated As Inpatient
                          Services.
715....................  New Designated Competitive Acquisition Program
                          Carrier Contractor ID Numbers.
716....................  Modifiers for Transportation of Portable X-rays
                          (R0075) When Billed by Skilled Nursing
                          Facilities.
                         Transportation of Equipment Billed by a Skilled
                          Nursing Facility to a Fiscal Intermediary.
717....................  Disabling the Revenue/Healthcare Common
                          Procedure Coding System Consistency.
                         Edit Codes in the Fiscal Intermediary Shared
                          System.
                         Fiscal Intermediary Consistency Edits.
718....................  Source of Admission Code `D'.
719....................  This Transmittal is rescinded and replaced by
                          Transmittal 736.
720....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to sensitivity of
                          Instruction.
721....................  Use of Value Codes 48 and 49 on End-Stage Renal
                          Disease Bills.
                         Required Information for In-Facility Claims
                          Paid Under the Composite Rate.
                         Epoetin Alfa Facility Billing Requirements
                          Using UB-92/Form CMS-1450.

[[Page 14907]]

 
                         Darbeopoetin Alfa Facility Billing Requirements
                          Using UB-92/Form CMS-1450.
722....................  2006 Annual Update for the Health Professional
                          Shortage Area Bonus Payments.
723....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
724....................  Appeals of Claims Decisions: Redeterminations
                          and Reconsiderations (Implementation Dates for
                          Fiscal Intermediary Initial Determinations
                          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.
725....................  This Transmittal is rescinded and replaced by
                          Transmittal 737.
726....................  Smoking and Tobacco-Use Cessation Counseling
                          Services: Common Working File Inquiry for
                          Providers.
                         Common Working File Inquiry.
727....................  Annual Type of Service.
728....................  Installation of the January 2006 Inpatient
                          Prospective Payment System Pricer and Hospice
                          Pricer.
729....................  Revised October 2005 Quarterly Average Sales
                          Price Medicare Part B Drug Pricing File,
                          Effective October 1, 2005.
730....................  Calendar Year 2006 Participation Enrollment and
                          Medicare Participating Physicians and
                          Suppliers Directory Procedures.
731....................  Payment for Office or Other Outpatient
                          Evaluation and Management Visits (Codes 99201-
                          99215).
732....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
733....................  Repeat Tests for Automated Multi-Channel
                          Chemistries for End-Stage Renal Disease
                          Beneficiaries.
734....................  Redefined Type of Bill, 14x, for Non-Patient
                          Laboratory Specimens.
                         Maryland Waiver Hospitals.
                         Clinical Diagnostic Laboratory Tests Furnished
                          by Critical Access Hospitals.
                         Hospital Laboratory Services Furnished to
                          Nonhospital Patients.
735....................  Processing All Diagnosis Codes Reported on
                          Claims Submitted to Carriers.
                         Items 14-33-Provider of Service or Supplier
                          Information.
736....................  Clarification and Update to Hospital Billing
                          Instructions and Payment for Epoetin Alfa and
                          Darbepoetin Alfa for Beneficiaries With End-
                          Stage Renal Disease.
                         Epoetin Alfa for End-Stage Renal Disease
                          Patients.
                         Payment Amount for Epoetin Alfa.
                         Payment for Epoetin Alfa in Other Settings.
                         Epoetin Alfa Provided in Hospital Outpatient
                          Departments.
                         Payment for Darbepoetin Alfa in Other Settings.
                         Payment for Darbepoetin Alfa in the Hospital
                          Outpatient Department.
                         Hospitals Billing for Epoetin Alfa for Non-End-
                          Stage Renal Disease Patients.
                         Hospitals Billing for Darbepoetin Alfa for Non-
                          End-Stage Renal Disease Patients.
737....................  New ICD-9-CM Codes for Beneficiaries With
                          Chronic Kidney Disease and New Healthcare
                          Common Procedure Coding System for Reporting
                          Epoetin Alfa and Darbepoetin Alfa.
                         Required Information for In-Facility Claims
                          Under the Composite Rate.
738....................  Calendar Year 2005 Payment for Medicare Part B
                          Radiopharmaceuticals Not Paid on a Cost or
                          Prospective Payment Basis.
739....................  Erroneous Guidance--Basis to Waive Penalty.
                         Overview.
                         Erroneous Program Guidance: Basis to Waive
                          Penalty.
                         Policy.
                         Basic Conditions That Must Be Met To Waive
                          Penalty.
                         Guidance Was Erroneous.
                         Guidance Was Issued by the Secretary or
                          Contractor.
                         Contractor Acted Within Scope of Authority.
                         Guidance Was in Writing.
                         Guidance Related to Item, Service, or Claim.
                         Guidance Was Issued Timely.
                         Provider Accurately Presented Circumstances in
                          Writing.
                         Alternative Basis for Satisfying the
                          ``Presentation'' Condition.
                         Provider Followed Guidance.
                         Provider's Reliance Was Reasonable.
                         Penalty Considered.
                         General Limitations on Scope.
                         Notice of Penalty Waiver Policy.
                         Request for a Penalty Waiver Determination.
                         Jurisdiction.
                         Jurisdiction Regarding Error.

[[Page 14908]]

 
                         Jurisdiction to Complete the Penalty Waiver
                          Determination.
                         Determining Whether the Guidance Was Erroneous.
                         Completing the Penalty Waiver Determination.
                         Timeliness of Request.
                         Ripeness.
                         Sufficient Information.
                         Mootness.
                         Required Conditions Other Than Error.
                         Completing the Determination.
                         Notice of the Penalty Waiver Determination.
                         Reconsideration of the Penalty Waiver
                          Determination.
                         Recordkeeping.
                         Reporting.
                         Corrective Action.
                         Effective Date.
740....................  Change to the Common Working File Skilled
                          Nursing Facility Consolidated.
                         Billing Edits for Evaluation and Management
                          Services Billed to Fiscal.
                         Intermediaries by Hospitals.
                         Hospital's ``Facility Charge'' in Connection
                          with Clinic Services of a Physician.
741....................  New Condition Codes 49 and 50.
742....................  Quarterly Update to Correct Coding Initiative
                          Edits, V12.0, Effective January 1, 2006.
743....................  Remittance Advice Remark Code and Claim
                          Adjustment Reason Code Update.
744....................  File Descriptions and Instructions for
                          Retrieving the 2006 Fee Schedules and
                          Healthcare Common Procedure Coding System
                          through CMS'' Mainframe Telecommunications
                          System.
                         Recurring Update Notification Containing New
                          Pricing File Names and Retrieval Dates for
                          2006.
745....................  Elimination of the Durable Medical Equipment
                          Regional Carrier Information Form.
                         Billing Drugs Electronically `` National
                          Council Prescription Drug Program.
                         Certificate of Medical Necessity.
746....................  January 2006 Quarterly Average Sales Price
                          Medicare Part B Drug Pricing File, Effective
                          January 1, 2006, and Revisions to January
                          2005, April 2005, July 2005, and October 2005
                          Quarterly Average Sales Price Medicare Part B
                          Drug Pricing Files.
747....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
748....................  New G Code for Power Mobility Devices.
                         Power Mobility Devices Code G0372.
749....................  Reasonable Charge Update for 2006 for Splints,
                          Casts, Dialysis Supplies, Dialysis Equipment,
                          and Certain Intraocular Lenses.
750....................  2006 Annual Update for Clinical Laboratory Fee
                          Schedule and Laboratory Services Subject to
                          Reasonable Charge Payment.
751....................  National Monitoring Policy for EPO and Aranesp
                          for End-Stage Renal Disease.
                         Patients Treated in Renal Dialysis Facilities.
                         Chapter 8, Section 60.4, Epoetin Alfa.
                         Chapter 8, section 60.7, Darbepoetin Alfa for
                          End-Stage Renal Disease Patients.
752....................  Eliminate the Use of Surrogate Unique
                          Physicians Identification Numbers (OTH000) on
                          Medicare Claims.
753....................  Update of Contact Information for the Do Not
                          Forward Reports.
                         Reporting Requirements--Carriers.
754....................  Supplying Fee and Inhalation Drug Dispensing
                          Fee Revisions and Clarifications.
                         Pharmacy Supplying Fee and Inhalation Drug
                          Dispensing Fee.
755....................  Common Working File Updates for Carrying
                          National Provider Identifier.
756....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.
757....................  Resubmission of Inpatient Psychiatric Facility
                          Prospective Payment System.
                         Claims with Chronic Renal Failure Comorbid
                          Condition.
758....................  Changes to the Laboratory National Coverage
                          Determination Edit Software for January 2006.
759....................  Therapy Caps to be Effective January 1, 2006.
                         The Financial Limitation.
                         Discipline Specific Outpatient Rehabilitation
                          Modifiers--All Claims.
760....................  Instructions for Downloading the Medicare Zip
                          Code File.
761....................  This Transmittal is rescinded and replaced by
                          Transmittal 777.
762....................  Ambulance Inflation Factor for CY 2006.
763....................  Update to Repetitive Billing--Manualization.
                         Frequency of Billing to Fiscal Intermediaries
                          for Outpatient Services Hospital and Community
                          Mental Health Center Reporting Requirements
                          for Services Performed on the Same Day.
764....................  Update to the Prospective Payment System for
                          Home Health Agencies for Calendar Year 2006.
765....................  Instructions for Downloading the Medicare Zip
                          Code File.
766....................  This Transmittal is rescinded and replaced by
                          Transmittal 776.
767....................  Skilled Nursing Facility Prospective Payment
                          System Revisions to IOM 100-4--Manualization.
                         Physician's Services and Other Professional
                          Services Excluded From Part A.
                         Prospective Payment System Payment and the
                          Consolidated Billing Requirement.
                         Billing Skilled Nursing Facility Prospective
                          Payment System Services.
                         Billing Procedures for a Composite Skilled
                          Nursing Facility or a Change in Provider
                          Number.
                         Billing for Services After Termination of
                          Provider Agreement, or After Payment is Denied
                          for New Admission.
                         General Rules.
                         Billing for Covered Services.
                         Part B Billing.

[[Page 14909]]

 
768....................  Lung Volume Reduction Surgery.
769....................  Surrogate Unique Provider Identification
                          Numbers Reported on Independent Diagnostic
                          Testing Facility Claims.
770....................  Fee Schedule Update for 2006 for Durable
                          Medical Equipment, Prosthetics, Orthotics, and
                          Supplies.
771....................  Revisions to Pub. 100-04, Medicare Claims
                          Processing Manual in Preparation for the
                          National Provider Identifier.
                         Fiscal Intermediary Consistency Edits.
                         Identifying Institutional Providers.
                         Payment Under Prospective Payment System
                          Diagnosis-Related Groups.
                         Payment to Hospitals and Units Excluded From
                          Inpatient Prospective Payment System for
                          Direct Graduate Medical Education and Nursing
                          and Allied Health.
                         Education for Medicare Advantage Enrollees.
                         Requirements for Critical Access Hospital
                          Services, Critical Access Hospital.
                         Skilled Nursing Care Services and Distinct Part
                          Units.
                         Payment for Post-Hospital Skilled Nursing
                          Facility Care Furnished by a Critical Access
                          Hospital.
                         Swing-Bed Services.
                         Outlier Payments: Cost-to-Charge Ratios.
                         Affected Medicare Providers.
                         Billing Requirements Under Long Term Care
                          Hospital Prospective Payment System.
                         Coinsurance Election.
                         Maryland Waiver Hospitals.
                         Zip Code Files.
                         Special Partial Hospitalization Billing
                          Requirements for Hospitals, Community Mental
                          Health Centers, and Critical Access Hospitals.
                         Bill Review for Partial Hospitalization
                          Services Provided in Community Mental Health
                          Centers.
                         Part B Outpatient Rehabilitation and
                          Comprehensive Outpatient Rehabilitation
                          Facility Services--General.
                         Dialysis Provider Number Series.
                         Shared Systems Changes for Medicare Part B
                          Drugs for End-Stage Renal Disease Independent
                          Dialysis Facilities.
                         Federally Qualified Health Centers.
                         Request for Anticipated Payment.
                         Home Health Prospective Payment System Claims.
                         Completing the Uniform (Institutional Provider)
                          Bill (Form CMS-1450) for Hospice Election.
                         Care Plan Oversight.
772....................  Fiscal Intermediary Shared System Edit Updates
                          for Epoetin Alfa and Darbepoetin Alfa
                          Healthcare Common Procedure Coding System
                          Changes Effective January 1, 2006.
773....................  Announcement of the Medicare Federally
                          Qualified Health Center Supplemental Payment.
                         Billing for Supplemental Payments for Federally
                          Qualified Health Centers Under Contract With
                          Medicare Advantage Plans.
774....................  Implementation of Changes in End-Stage Renal
                          Disease Payment for Calendar Year 2006.
                         Required Information for In-Facility Claims
                          Paid Under the Composite Rate.
775....................  Home Care and Domiciliary Care Visits (Codes
                          99324-99350).
776....................  Stem Cell Transplantation.
777....................  Competitive Acquisition Program for Part B
                          Drugs.
778....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
779....................  New Waived Tests.
780....................  Common Working File Database Extract into Next
                          Generation Desktop Data Mart.
781....................  Revised Manual Instructions for Processing End-
                          Stage Renal Disease Exceptions Under the
                          Composite Rate Reimbursement System.
                         General Instructions for Processing Requests
                          Under the Composite Rate Reimbursement System.
                         Criteria for Approval of End-Stage Renal
                          Disease Exception Requests.
                         Procedures for Requesting Exceptions to End-
                          Stage Renal Disease Payment Rates.
                         Period of Approval: Payment Exception Request.
                         Criteria for Re-filing a Denied Exception
                          Request.
                         Responsibility of Intermediaries.
                         Payment Exception: Pediatric Patient Mix.
                         Payment Exception: Self Dialysis Training Costs
                          in Pediatric Facilities.
782....................  This Transmittal is rescinded and replaced by
                          Transmittal 788.
783....................  January 2006 Non-Outpatient Prospective Payment
                          System Outpatient Code Editor Specifications
                          Version 21.1.
784....................  January 2006 Outpatient Prospective Payment
                          System Code Editor Specifications Version 7.0.
785....................  January 2006 Update of the Hospital Outpatient
                          Prospective Payment System.
                         Manual Instruction: Changes to Coding and
                          Payment for Drug Administration--Manulization.
                         Coding and Payment for Drug Administration.
                         Administration of Drugs via Implantable or
                          Portable Pumps.
                         Chemotherapy Drug Administration.
                         Non-Chemotherapy Drug Administration.
786....................  January 2006 Update of the Hospital Outpatient
                          Prospective Payment System: Summary of Payment
                          Policy Changes, Outpatient Prospective Payment
                          System Pricer Logic Changes, and Instructions
                          for Updating the Outpatient Provider Specific
                          File.
787....................  January 2006 Update of the Hospital Outpatient
                          Prospective Payment System.
                         Manual Instruction: Changes to Coding and
                          Payments for Observation.
                         Observation Services Overview.
                         General Billing Requirements for Observation
                          Services.
                         Revenue Code Reporting.

[[Page 14910]]

 
                         Reporting Hours of Observation.
                         Billing and Payment for Observation Services
                          Furnished Prior to January 1, 2006.
                         Billing and Payment for Packaged Observation
                          Services Furnished Between August 1, 2000 and
                          December 31, 2005.
                         Billing and Payment for Separately Payable
                          Observation Services Furnished Between April
                          1, 2002 and December 31, 2005.
                         Billing and Payment for Direct Admission to
                          Observation Services Furnished Between January
                          1, 2003 and December 31, 2005.
                         Billing and Payment for Observation Services
                          Furnished On or After January 1, 2006.
                         Billing and Payment for All Hospital
                          Observation Services Furnished on or After
                          January 1, 2006.
                         Separate and Package Payment for Direct
                          Admission to Observation.
                         Separate and Package Payments for Observation.
                         Services Not Covered as Observation Services.
788....................  Consultation Services (Codes 99241-99255).
789....................  Ambulance Fee Schedule--Medical Conditions
                          List: Manualization.
790....................  List of Medicare Telehealth Services.
                         Payment Methodology for Physician/Practitioner
                          at the Distant Site.
                         Originating Site Facility Fee Payment
                          Methodology.
                         Submission of Telehealth Claims for Distant
                          Site Practitioners.
                         Contractor Editing of Telehealth Claims.
791....................  This Transmittal is rescinded and replaced by
                          Transmittal 793.
792....................  Nursing Facility Services (Codes 99304-99318).
793....................  Revision to Chapter 31--Addition of Hospice
                          Data HIPAA 270/271 Eligibility.
                         Eligibility Extranet Workflow.
794....................  Announcement of Medicare Supplemental Payments
                          to Federally Qualified Health Centers Under
                          Contract with Medicare Advantage Plans.
                         Billing for Supplemental Payments for Federally
                          Qualified Health Centers Under Contract with
                          Medicare Advantage Plans.
795....................  Redefined Type of Bill 14X for Non-Patient
                          Laboratory Specimens--Change.
                         Request 3835 Manualization.
                         Type of Bill.
                         Packaging.
                         General Rules for Reporting Outpatient Hospital
                          Services.
                         Bill Types Subject to Outpatient Prospective
                          Payment System.
                         Standard Method--Cost-Based Facility Services,
                          With Billing of Carrier for Professional
                          Services.
                         Optional Method for Outpatient Services: Cost-
                          Based Facility Services Plus 115.
                         Percentage Fee Schedule Payment for
                          Professional Services.
                         Certified Registered Nurse Anesthetist Services
                          (Certified Registered Nurse Anesthetist Pass-
                          Through Exemption of 115 Percent Fee Schedule
                          Payments for Certified Registered Nurse
                          Anesthetist Services).
                         Optional Method for Outpatient Services: Cost-
                          Based Facility Services Plus 115.
                         Percent Fee Schedule Payment for Professional
                          Services.
                         Hospital and Skilled Nursing Facility Patients.
                         Special Billing Instructions for Rural Health
                          Centers and Federally Qualified Health
                          Centers.
                         Payment Requirements.
                         Payment Methodology and Healthcare Common
                          Procedure Coding System Coding.
                         General Explanation of Payment.
                         Method of Payment for Clinical Laboratory
                          Tests--Place of Service Variation.
                         Hospital Billing Under Part B.
                         Critical Access Hospital Outpatient Laboratory
                          Service.
                         Computer-Aided Detection Add-On Codes.
                         Payment Method for Rural Health Centers and
                          Federally Qualified Health Centers.
                         Healthcare Common Procedure Coding System Codes
                          for Billing.
                         Type of Bill and Revenue Codes for Form CMS-
                          1450.
                         Revenue Code and Health Common Procedure Coding
                          System Codes for Billing.
                         Payment Method--Fiscal Intermediaries and
                          Carriers.
                         Healthcare Common Procedure Coding System,
                          Revenue, and Type of Service Codes.
                         Ambulatory Blood Pressure Monitoring Billing
                          Requirements.
                         Fiscal Intermediary Billing Requirements.
                         Bill Types.
796....................  Announcement of Medicare Rural Health Clinics
                          and Federally Qualified Health Centers Payment
                          Rate.
797....................  Full Replacement of CR 4095, Diagnosis Code
                          Requirements for Method II.
                         Home Dialysis Claims CR 4095 Is Rescinded.
                         Supplier Documentation Required.
798....................  Emergency Update to the 2006 Medicare Physician
                          Fee Schedule Database.
799....................  Reminder Notice of the Implementation of
                          Ambulance Transition Schedule.
800....................  Clinical Diagnostic Laboratory Date of Service
                          for Archived Specimens.
801....................  Instructions for Reporting New HCPCS Code V2788
                          for Presbyopia-Correcting Intraocular Lenses.
                         Presbyopia-Correcting Intraocular Lenses
                          (General Policy Information).
                         Payment for Physician Services and Supplies.
                         Coding and General Billing Requirements.
                         Provider Notification Requirements.
                         Beneficiary Liability.

[[Page 14911]]

 
802....................  Termination of the Medicare HIPAA Incoming
                          Claim Contingency Plan, Addition of a Self-
                          Assessable Unusual Circumstance, Modification
                          of the Obligated to Accept as Payment in Full
                          Exception, and Modification of Administrative
                          Simplification Compliance Act Exhibit Letters
                          A, B and C General HIPAA Electronic Data
                          Interchange Requirements.
                         Continued Support of Pre-HIPAA Electronic Data
                          Interchange Formats.
                         National Council Prescription Drug Plans
                          Narrative Portion of Prior Authorization
                          Segment.
                         A/X12 837 Coordination of Benefits.
                         C/Legacy Formats.
                         Use of Imaging, External Keyshop, and In-House
                          Keying for Entry of Transaction Data Submitted
                          on Paper.
                         Electronic Data Interchange Receiver Testing by
                          Carriers, Durable Medical Equipment Regional
                          Carriers and Intermediaries.
                         Carrier, Durable Medical Equipment Regional
                          Carrier, and Fiscal Intermediary Submitter/
                          Receiver Testing with Legacy Formats during
                          the HIPAA Contingency Period.
                         Discontinuation of Use of Coordination of
                          Benefit Claim Legacy Formats Following
                          Successful HIPAA Format Testing.
                         Free Claim Submission Software.
                         Key Shop and Image Processing.
                         Mandatory Electronic Submission of Medicare
                          Claims.
                         Exceptions.
                         Unusual Circumstance Waivers.
                         Unusual Circumstance Waivers Subject to
                          Provider Self-Assessment.
------------------------------------------------------------------------
                        Medicare Secondary Payer
                            (CMS Pub. 100-05)
------------------------------------------------------------------------
37.....................  Manualizing Long-Standing Medicare Secondary
                          Payer Policy in Chapter 3 of the Medicare
                          Secondary Payer Internet Only Manual.
                         Limitation on Right To Charge a Beneficiary
                          Where Services Are Covered by a Group Health
                          Plan.
                         Right of Providers to Charge Beneficiary Who
                          Has Received Primary Payment From a Group
                          Health Plan.
                         Right of Physicians and Other Suppliers To
                          Charge Beneficiary Who Has Received Primary
                          Payment From a Group Health Plan.
                         Payment When Proper Claim Not Filed.
                         Situations in Which Medicare Secondary Payer
                          Billing Applies.
                         Provider, Physician, and Other Supplier
                          Responsibility When a Request is Received From
                          an Insurance Company or Attorney.
                         Provider, Physician, and Other Supplier
                          Responsibility When Duplicate Payments Are
                          Received.
                         Incorrect Group Health Plan Primary Payments.
                         Retroactive Application.
                         General Policy.
                         Provider, Physician, and Other Supplier
                          Billing.
                         Provider Billing Where Services Are Covered by
                          a Group Health Plan.
                         Provider Billing Where Services Are Accident-
                          Related and No-Fault Insurance May Be
                          Available.
                         Provider Bills No-Fault Insurance First.
                         No-Fault Insurance Does Not Pay.
                         Liability Claim Also Involved.
                         Responsibility of Provider Where Benefits May
                          Be Payable Under Workers' Compensation.
                         Responsibility of Provider Where Benefits May
                          Be Payable Under the Federal Black Lung
                          Program.
                         Provider Billing Medicare for Secondary
                          Benefits Where Services Are Covered by a Group
                          Health Plan.
                         Instructions to Providers on How To Submit
                          Claims to a Contractor When There Are Multiple
                          Payers.
                         Instructions to Physicians and Other Suppliers
                          on How to Submit Claims to Contractors When
                          There Are One or More Primary Payers.
                         Completing the Form CMS 1450 in Medicare
                          Secondary Payer Situations by Providers.
                         Inpatient Services.
                         Outpatient Bills, Part B Inpatient Services,
                          and Home Health Agency Bills.
                         Partial Payment by Primary Payer for Inpatient
                          Services, Outpatient Services, Part B
                          Inpatient Services and Home Health Agency
                          Bills.
                         Partial Payment by Primary Payer That Applies
                          to Medicare Covered Services.
                         Annotation of Claims Denied by Group Health
                          Plans, Liability or No-Fault Insurers.
                         Annotation of Claims to Request Conditional
                          Payments.
                         Completing the Form CMS 1500 in MSP Situations
                          by Physicians and Other Suppliers of Services.
38.....................  Hospital Audit Workload Updates.
                         Hospital Review Protocol for Medicare Secondary
                          Payer.
                         Reviewing Hospital Files.
                         Frequency of Reviews and Hospital Selection
                          Criteria.
                         Methodology for Review of Admission and Bill
                          Processing Procedures.
                         Selection of Bill Sample.
                         Methodology for Review of Hospital Billing
                          Data.
                         Review of Form CMS-1450.
                         Use of Systems Files for Review.
                         Assessment of Hospital Review.
39.....................  Request to Change Lead Contractor.
                         Coordination with the Coordination of Benefits
                          Contractor.
                         Contractors Medicare Secondary Payer Auxiliary
                          File Update Responsibility.
                         Coordination of Benefit Contractor Electronic
                          Correspondence Referral System.

[[Page 14912]]

 
                         Providing Written Documents to the Coordination
                          of Benefit Contractor.
                         Contractor Record Retention.
                         Notification to Contractor of Medicare
                          Secondary Payer Auxiliary File Updates.
                         Referring Calls to Coordination of Benefit
                          Contractor.
                         Changes in Contractor Initial Medicare
                          Secondary Payer Development Activities.
                         Additional Activities Arranged by Non-Group
                          Health Plan Medicare Secondary Payer.
                         Coordination of Benefit Contractors Numbers.
40.....................  Updates to the Group Health Plan Demand
                          Letters.
                         Recovery From the Provider, Physician or Other
                          Supplier.
                         Recovery From the Beneficiary That Has Received
                          Payment From Both Medicare And a Group Health
                          Plan.
                         Provider, Physician or Other Supplier Group
                          Health Plan Demand Letter.
                         Beneficiary Group Health Plan Demand Letter.
                         Recovery Management & Accounting System/
                          Healthcare Integrated General Ledger
                          Accounting System Group Health Plan General
                          Information.
                         Recovery Management & Accounting System/
                          Healthcare Integrated General Ledger
                          Accounting System Group Health Plan Demand
                          Process.
                         Recovery Management & Accounting System/
                          Healthcare Integrated General Ledger
                          Accounting System Group Health Plan Demand
                          Letter.
                         How To Resolve This Demand.
41.....................  Full Replacement of and Rescinding Change
                          Request (CR) 3504--Modification to Online
                          Medicare Secondary Payer Questionnaire.
                         Admission Questions To Ask Medicare
                          Beneficiaries.
42.....................  Updates to Medicare Secondary Payer Accounts
                          Receivable Write-Off Procedures.
                         Reclassification to Currently Not Collectible.
                         Write-Off Closed for Medicare Secondary Payer
                          Accounts Receivable.
                         Identification of Medicare Secondary Payer
                          Write-Off Closed Accounts.
                         Write-off Closed Definition.
                         Basis for Termination of Collection.
                         Criteria for Medicare Secondary Payer Based
                          Debts To Qualify for Write-Off Closed.
                         Data Requirements and Format for
                          Recommendations to the RO for Write-Off
                          Closed.
                         Write-Off Closed Notifications from Central
                          Officer for Debts Which Have Been Returned by
                          Treasury and Central Office Has Determined
                          That No Further Collection Attempts Are
                          Appropriate.
                         Write off closed Approval Process for section
                          70.3.3 Recommendations to the Regional Office.
                         Financial Reporting for Medicare Secondary
                          Payer Write off Closed Regional Office/Central
                          Office Responsibilities and Time-frames for
                          Approvals And/Or Recommendations.
                         Elimination of Automated Systems Write-Off
                          Closed Actions for Medicare Secondary Payer
                          Accounts Receivable; Reminder Zero Backend
                          Tolerance For Medicare Secondary Payer
                          Accounts Receivable.
                         Date for Establishment of Medicare Secondary
                          Payer Accounts Receivable.
                         Additional Instructions for ``Write-Off-
                          Closed'' for Debts of Less Than $25.00.
43.....................  Expanding the Voluntary Data Sharing Agreement
                          Coordination of Benefit Contractor Numbers for
                          the Common Working File.
                         Definition of Medicare Secondary Payer/Common
                          Working File Terms.
44.....................  This Transmittal is rescinded and replaced by
                          Transmittal 46.
45.....................  Interest on Medicare Secondary Payment Debts.
                         Interest on Medicare Secondary Payment Recovery
                          Claims.
                         Medicare Secondary Payment Debt Interest
                          Calculation Methodology.
                         Medicare Secondary Payment Debt Interest
                          Accrual.
                         Medicare Secondary Payment Debt Interest
                          Accrual on Partial Payments.
                         Medicare Secondary Payment Debt Interest
                          Assessment.
                         Additional Rules with Regard to the Assessment
                          and Collection of Interest for Medicare
                          Secondary Payment Based Debts.
46.....................  Updates to the Electronic Correspondence
                          Referral System User Guide v9.0 and Quick
                          Reference Card v9.0.
                         Coordination of Benefit Contractor Electronic
                          Referral System (includes the addition of
                          Attachments 1 and 2).
------------------------------------------------------------------------
                      Medicare Financial Management
                            (CMS Pub. 100-06)
------------------------------------------------------------------------
79.....................  Discovery Code Indication for Recovery Audit
                          Contractor Non-Medicare Secondary Payer
                          Identified Overpayments.
80.....................  Medicare Contractors' Monthly Cash Collections.
                         Medicare Contractor Monthly Cash Collections
                          Worksheet.
81.....................  Recurring Update Notification for the Notice of
                          New Interest Rate for Medicare Overpayments
                          and Underpayments.
82.....................  This Transmittal is rescinded and replaced by
                          Transmittal 85.
83.....................  This Transmittal is rescinded and replaced by
                          Transmittal 84.
84.....................  Revised Instructions on Contractor Procedures
                          for Provider Audit, and Clarification of
                          Continuing Education and Training Requirements
                          for Medicare Auditors.
                         Submission of Cost Report Data to CMS.
                         Audit Priority Consideration.
                         Pre-Exit Conference.
                         Finalization of Audit Adjustments.
                         Standards for Performing Medicare Audits.
                         Qualifications.
                         Due Professional Care.

[[Page 14913]]

 
                         Internal Quality Control.
                         Final Settlement of the Cost Report.
                         Timing and Completion of Home Office Audits.
                         Acceptance of Home Office Cost Statements.
85.....................  Expansion of Form 5 of the Contractor Reporting
                          of Operational and Workload Data.
86.....................  Development of New Report To Capture Benefit
                          Improvement Protection Act and Medicare
                          Modernization Act Appeals Data.
                         Monthly Statistical Report on Intermediary and
                          Carrier Part A and Part B Appeals Activity
                          Form (CMS-2592).
                         General.
                         Section I--Redeterminations.
                         Section II--Qualified Independent Contractor
                          Reconsiderations.
                         Section III--Administrative Law Judge Results.
                         Section IV--Department Appeals Board
                          Effectuations.
                         Clerical Error Reopenings.
                         Validation of Reports.
87.....................  Update to Carrier Demand Letter Appeals
                          Language.
                         Provider Protests Its Liability.
------------------------------------------------------------------------
                    Medicare State Operations Manual
                              (Pub. 100-07)
------------------------------------------------------------------------
12.....................  SOM Appendix PP--Guidance to Surveyors for Long
                          Term Care Facilities.
13.....................  Revisions to Chapter 2, ``The Certification
                          Process,'' Appendix E--``Providers of
                          Outpatient Physical Therapy or Outpatient
                          Speech Language Pathology Services'' and
                          Appendix ``K--Comprehensive Outpatient
                          Rehabilitation Facilities''.
                         Types of Out Patient Therapy/Outpatient Speech
                          Language Pathology Providers.
                         Rehabilitation Agency.
                         Clinics and Public Health Agencies.
                         Sites of Service Provision.
                         Outpatient Physical Therapy/Outpatient Speech
                          Language Pathology Services Provided at More
                          Than One Location.
                         Outpatient Physical Therapy/Outpatient Speech
                          Language Pathology Services at Locations Other
                          Than Extension Locations.
                         State Agency Annual Report to Regional Office
                          on Locations of Extension Locations.
                         Survey of Outpatient Physical Therapy/
                          Outpatient Speech Language Pathology Extension
                          Locations.
                         Scope and Site of Services.
                         Shared Space With Another Provider or Supplier.
                         Sharing of Equipment.
14.....................  This Transmittal is rescinded and replaced by
                          Transmittal 15.
15.....................  Medical Director Guidance.
------------------------------------------------------------------------
                       Medicare Program Integrity
                            (CMS Pub.100-08)
------------------------------------------------------------------------
126....................  Implementation of Program Safeguard Contractor
                          Access to the VIPS Medicare Shared System at
                          All Durable Medical Equipment Carriers.
127....................  Complaint Screening Revisions.
128....................  Evidence of Medical Necessity: Wheelchair and
                          Power Operated Vehicle Claims.
129....................  Replacing the Use of Unique Physician
                          Identification Numbers With the National
                          Provider Identifiers.
130....................  Correction/Clarification of Chapter 11.
                         Medical Review Overview.
                         Routine Review Workload and Cost (Activity Code
                          21002).
                         Policy Reconsideration/Revision Activities
                          (Activity Code 21206).
                         New Policy Development Activities (Activity
                          Code 21208).
                         Complex Probe Review Workload and Cost
                          (Activity Code 21220).
                         Prepay Complex Review Workload and Cost
                          (Activity Code 21221).
                         Reporting LPET Workload and Cost Information
                          and Documentation in CAFM II.
                         Education Delivered to a Group of Providers
                          Workload and Cost (Activity Code 24117).
131....................  Medical Review Matching of Electronic Claims
                          and Additional Documentation in the Medical
                          Review Process.
                         Documentation Specifications for Areas Selected
                          for Prepayment or Postpayment Medical Review.
                         Prepayment Review of Claims for Medical Review
                          Purposes.
132....................  New Process for Web Maintenance of Provider
                          Enrollment Contractor Contact Information.
133....................  Enrolling Indian Health Service Facilities as
                          Durable Medical Equipment, Prosthetics,
                          Orthotics, and Supplies Suppliers.
134....................  Change in Provider Enrollment Timeliness
                          Standards.
                         Changes of Information.
                         Timeframes for Processing Enrollment
                          Applications.
------------------------------------------------------------------------
      Medicare Contractor Beneficiary and Provider Communications
                            (CMS Pub. 100-09)
------------------------------------------------------------------------
14.....................  Provider Inquiry Reporting Standardization.
15.....................  Provider Customer Service Program.
                         Introduction.
                         Provider Services.

[[Page 14914]]

 
                         Guidelines for Telephone Service.
                         Toll Free Network Services.
                         Publication of Toll Free Numbers.
                         Call Handling Requirements.
                         Customer Service Assessment and Management
                          System Reporting Requirements.
                         Staff Development and Training.
                         Quality Call Monitoring.
                         Fraud and Abuse.
                         Provider Contact Center User Group.
                         Performance Improvements.
                         Written Inquiries.
                         Contractor Guidelines for High Quality
                          Responses to Written Inquiries.
                         Quality Written Correspondence Monitoring.
                         Quality Written Correspondence Monitoring
                          Program.
                         Quality Written Correspondence Monitoring
                          Calibration.
                         Quality Written Correspondence Monitoring
                          Performance Standards.
                         Disclosure of Information (Adherence to the
                          Privacy Act) Disclosure Desk.
                         Reference for Call Centers--Provider Portion.
                         Provider Communications--Program Elements.
                         Provider Service Plan.
                         Provider Inquiry Analysis.
                         Provider Claims Submission Error Analysis.
                         Provider Communication Advisory Group.
                         Bulletins/Newsletters/Educational Materials.
                         Seminars/Workshops/Trainings/Teleconferences.
                         New Technologies/Electronic Media.
                         Training of Providers in Electronic Claims
                          Submission.
                         Provider Education and Beneficiary Use of
                          Preventive Benefits.
                         Internal Development of Provider Issues.
                         Training of Provider Education Staff.
                         Partnering with External Entities.
                         Other Provider Education Subjects and
                          Activities.
                         Provider Education Material.
                         Provider/Supplier Service Plan Quarterly
                          Activity Report.
                         Charging Fees to Providers for Medicare
                          Education and Training Activities.
                         Provider/Supplier Communications--Program
                          Elements.
                         Provider/Supplier Service Plan.
                         Provider/Supplier Inquiry Analysis.
                         Provider/Supplier Claims Submission Error
                          Analysis.
                         Provider/Supplier Communications Advisory
                          Group.
                         Bulletins/Newsletters/Educational Materials.
                         Seminars/Workshops/Trainings/Teleconferences.
                         New Technologies/Electronic Media.
                         Training of Providers/Supplier in Electronic
                          Claims Submission.
                         Provider/Supplier Education and Beneficiary Use
                          of Preventive Benefits.
                         Internal Development of Provider/Supplier
                          Issues.
                         Training of Provider/Supplier Education Staff.
                         Partnering With External Entities.
                         Other Specific Provider/Supplier Education
                          Subjects and Activities.
                         Provider/Supplier Education Material.
                         Provider Customer Service Program.
------------------------------------------------------------------------
                         Medicare Managed Care
                            (CMS Pub. 100-16)
------------------------------------------------------------------------
74.....................  Changes in Manual Instructions for Payment
                          Principles for Cost Based Health Maintenance
                          Organization/Comprehensive Medical Plan.
------------------------------------------------------------------------
              Medicare Business Partners Systems Security
                            (CMS Pub. 100-17)
------------------------------------------------------------------------
06.....................  Business Partners Systems Security Manual.
------------------------------------------------------------------------
                             Demonstrations
                            (CMS Pub. 100-19)
------------------------------------------------------------------------
29.....................  Notification of New Value and Condition Codes
                          for Medicare Demonstrations.
 30....................  The Medicare Chronic Care Improvement,
                          ``Medicare Health Support,'' Program.
31.....................  This Transmittal is rescinded and replaced by
                          Transmittal 35.
32.....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.

[[Page 14915]]

 
33.....................  Amendment to Rate for CPT 98943 for the Section
                          651 Expansion of Coverage of Chiropractic
                          Services Demonstration.
34.....................  This Transmittal is rescinded and replaced by
                          Transmittal 36.
35.....................  Physician's Voluntary Reporting Program.
36.....................  2006 Oncology Demonstration Project.
------------------------------------------------------------------------
                         One Time Notification
                            (CMS Pub. 100-20)
------------------------------------------------------------------------
182....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality Of
                          Instruction.
183....................  This Transmittal is rescinded and replaced by
                          Transmittal 183
184....................  National Modifier and Condition Code To Be Used
                          To Identify Disaster Related Claims.
185....................  Payment Allowances for the Influenza Virus
                          Vaccine (CPT 90655, 90656, 90657, and 90658)
                          and the Pneumoccocal Vaccine (CPT 90732) When
                          Payment Is Based on 95 Percent of the Average
                          Wholesale Price.
186....................  Coverage by Medicare Advantage Plans for
                          Implantable Automatic Cardiac Defibrillator
                          Services Not Previously Included in MA
                          Capitation Rates.
187....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality Of
                          Instruction.
188....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality Of
                          Instruction.
189....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.
190....................  Stage 2 Requirements for Use and Editing of
                          National Provider Identifier Numbers Received
                          in Electronic Data Interchange Transaction,
                          via Direct Data Entry Screens, or Paper Claim
                          Forms.
191....................  Noridian North Dakota/South Dakota Carrier
                          Number Issue.
192....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality Of
                          Instruction.
193....................  Change of Medicare Part B Contractor in the
                          State of Utah from Regence Blue Cross and Blue
                          Shield of Utah to Noridian Administrative
                          Services.
194....................  Calculation of the Interim Payment of Indirect
                          Medical Education Through The Inpatient
                          Prospective Payment System Pricer for
                          Hospitals That Received an Increase to Their
                          Full-Time Equivalent Resident Caps Under
                          Section 422 of the Medicare Modernization Act,
                          Pub. L. 108-173.
195....................  Change of Medicare Part A Contractor in the
                          States of Idaho, Oregon, and Utah From Regence
                          Blue Cross and Blue Shield to Noridian
                          Administrative Services.
196....................  Issued to a specific audience, not posted to
                          the Internet/Intranet due to Sensitivity of
                          Instruction.
197....................  Inpatient Prospective Payment System and
                          Skilled Nursing Facilities Wage Index
                          Corrections Fiscal Year 2006.
198....................  Termination of the Existing Eligibility-File
                          Based Crossover Process at All Medicare
                          Contractors.
199....................  New Medicare Summary Note Message Used for the
                          Physician's Voluntary Reporting Program.
------------------------------------------------------------------------


       Addendum IV.--Regulation Documents Published in the Federal Register October Through December 2005
----------------------------------------------------------------------------------------------------------------
                                  FR Vol. 70        CFR parts
       Publication date           page number        affected             File code         Title of regulation
----------------------------------------------------------------------------------------------------------------
October 4, 2005...............           57785  405, 412, 413,     CMS-1500-F2...........  Medicare Program;
                                                 419, 422, and                              Changes to the
                                                 485.                                       Hospital Inpatient
                                                                                            Prospective Payment
                                                                                            Systems and Fiscal
                                                                                            Year 2006 Rates;
                                                                                            Correcting
                                                                                            Amendment.
October 5, 2005...............           58260  431 and 457......  CMS-6026-IFC..........  Medicaid Program and
                                                                                            State Children's
                                                                                            Health Insurance
                                                                                            Program (SCHIP);
                                                                                            Payment Error Rate
                                                                                            Measurement.
October 7, 2005...............           58834  483..............  CMS-3198-F............  Medicare and Medicaid
                                                                                            Programs; Condition
                                                                                            of Participation:
                                                                                            Immunization
                                                                                            Standard for Long
                                                                                            Term Care
                                                                                            Facilities.
October 7, 2005...............           58649  421..............  CMS-6022-P............  Medicare Program;
                                                                                            Termination of Non-
                                                                                            Random Prepayment
                                                                                            Review.
October 11, 2005..............           59182  411..............  CMS-1303-P............  Medicare Program;
                                                                                            Physicians'
                                                                                            Referrals to Health
                                                                                            Care Entities With
                                                                                            Which They Have
                                                                                            Financial
                                                                                            Relationships;
                                                                                            Exceptions for
                                                                                            Certain Electronic
                                                                                            Prescribing and
                                                                                            Electronic Health
                                                                                            Records
                                                                                            Arrangements.
October 28, 2005..............           62124  .................  CMS-1316-N............  Medicare Program;
                                                                                            Meeting of the
                                                                                            Practicing
                                                                                            Physicians Advisory
                                                                                            Council, December 5,
                                                                                            2005.
October 28, 2005..............           62065  483..............  CMS-3121-F............  Medicare and Medicaid
                                                                                            Program;
                                                                                            Requirements for
                                                                                            Long Term Care
                                                                                            Facilities; Nursing
                                                                                            Services; Posting of
                                                                                            Nursing Staffing
                                                                                            Information.
November 7, 2005..............           67568  423..............  CMS-0011-F............  Medicare Program; E-
                                                                                            Prescribing and the
                                                                                            Prescription Drug
                                                                                            Program.
November 9, 2005..............           68132  484..............  CMS-1301-F............  Medicare Program;
                                                                                            Home Health
                                                                                            Prospective Payment
                                                                                            System Rate Update
                                                                                            for Calendar Year
                                                                                            2006.
November 10, 2005.............           68516  419 and 485......  CMS-1501-FC...........  Medicare Program;
                                                                                            Changes to the
                                                                                            Hospital Outpatient
                                                                                            Prospective Payment
                                                                                            System and Calendar
                                                                                            Year 2006 Payment
                                                                                            Rates.

[[Page 14916]]

 
November 21, 2005.............           70478  414..............  CMS-1325-IFC3.........  Medicare Program;
                                                                                            Exclusion of Vendor
                                                                                            Purchases Made Under
                                                                                            the Competitive
                                                                                            Acquisition Program
                                                                                            (CAP) for Outpatient
                                                                                            Drugs and
                                                                                            Biologicals Under
                                                                                            Part B for the
                                                                                            Purpose of
                                                                                            Calculating the
                                                                                            Average Sales Price
                                                                                            (ASP).
November 21, 2005.............           70116  405, 410, 411,     CMS1502-F and CMS-1325- Medicare Program;
                                                 413, 414, 424,     F.                      Revisions to Payment
                                                 and 426.                                   Policies Under the
                                                                                            Physician Fee
                                                                                            Schedule for
                                                                                            Calendar Year 2006
                                                                                            and Certain
                                                                                            Provisions Related
                                                                                            to the Competitive
                                                                                            Acquisition Program
                                                                                            of the Outpatient
                                                                                            Drugs and
                                                                                            Biologicals Under
                                                                                            Part B.
November 22, 2005.............           70532  418..............  CMS-1022-F............  Medicare Program;
                                                                                            Hospice Care
                                                                                            Amendments.
November 25, 2005.............           71163  .................  CMS-1294-N............  Medicare Program;
                                                                                            Coverage and Payment
                                                                                            of Ambulance
                                                                                            Services; Inflation
                                                                                            Update for CY 2006.
November 25, 2005.............           71020  144, 146, 148,     CMS-4091-F............  Federal Enforcement
                                                 and 150.                                   in Group and
                                                                                            Individual Health
                                                                                            Insurance Markets.
November 25, 2005.............           71008  424..............  CMS-0008-F............  Medicare Program;
                                                                                            Electronic
                                                                                            Submission of
                                                                                            Medicare Claims.
November 25, 2005.............           71006  403..............  CMS-1428-F3...........  Medicare Program;
                                                                                            Changes to the
                                                                                            Hospital Inpatient
                                                                                            Prospective Payment
                                                                                            System and Fiscal
                                                                                            Year 2005 Rates:
                                                                                            Fire Safety
                                                                                            Requirements for
                                                                                            Religious Non-
                                                                                            Medical Health Care
                                                                                            Institutions:
                                                                                            Correction to
                                                                                            Reinstate
                                                                                            Requirements for
                                                                                            Written Fire Control
                                                                                            Plans and
                                                                                            Maintenance of
                                                                                            Documentation.
December 13, 2005.............           73623  405..............  CMS-1908-F............  Medicare Program;
                                                                                            Application of
                                                                                            Inherent
                                                                                            Reasonableness
                                                                                            Payment Policy to
                                                                                            Medicare Part B
                                                                                            Services (Other Than
                                                                                            Physician Services).
December 23, 2005.............           76317  .................  CMS-4112-N............  Medicare Program;
                                                                                            Meeting of the
                                                                                            Advisory Panel on
                                                                                            Medicare Education,
                                                                                            January 26, 2006.
December 23, 2005.............           76315  .................  CMS-1329-N............  Medicare Program;
                                                                                            Town Hall Meeting on
                                                                                            the Fiscal Year 2007
                                                                                            Applications for New
                                                                                            Medical Services and
                                                                                            Technologies Add-On
                                                                                            Payments Under the
                                                                                            Hospital Inpatient
                                                                                            Prospective Payment
                                                                                            System Scheduled for
                                                                                            February 16, 2006.
December 23, 2005.............           76313  .................  CMS-1289-N............  Medicare Program;
                                                                                            Meeting of the
                                                                                            Advisory Panel on
                                                                                            Ambulatory Payment
                                                                                            Classification (APC)
                                                                                            Groups--March 1, 2,
                                                                                            and 3, 2006.
December 23, 2005.............           76290  .................  CMS-9033-N............  Medicare and Medicaid
                                                                                            Programs; Quarterly
                                                                                            Listing of Program
                                                                                            Issuances--July
                                                                                            Through September
                                                                                            2005.
December 23, 2005.............           76199  484..............  CMS-3006-F............  Medicare and Medicaid
                                                                                            Programs; Reporting
                                                                                            Outcome and
                                                                                            Assessment
                                                                                            Information Set Data
                                                                                            as Part of the
                                                                                            Conditions of
                                                                                            Participation for
                                                                                            Home Health
                                                                                            Agencies.
December 23, 2005.............           76198  423..............  CMS-0011-CN...........  Medicare Program; E-
                                                                                            Prescribing and the
                                                                                            Prescription Drug
                                                                                            Program; Correction.
December 23, 2005.............           76196  422..............  CMS-4069-F4...........  Medicare Program;
                                                                                            Establishment of the
                                                                                            Medicare Advantage
                                                                                            Program.
December 23, 2005.............           76176  419 and 485......  CMS-1501-CN2..........  Medicare Program;
                                                                                            Changes to the
                                                                                            Hospital Outpatient
                                                                                            Prospective Payment
                                                                                            System and Calendar
                                                                                            Year 2006 Payment
                                                                                            Rates; Correction.
December 23, 2005.............           76175  418..............  CMS-1286-CN2..........  Medicare Program;
                                                                                            Hospice Wage Index
                                                                                            for Fiscal Year
                                                                                            2006.
----------------------------------------------------------------------------------------------------------------

Addendum V--National Coverage Determinations [October Through December 
2005]

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


[[Page 14917]]



                                        National Coverage Determinations
                                         [October through December 2005]
----------------------------------------------------------------------------------------------------------------
                 Title                    NCDM section            TN No.            Issue date    Effective date
----------------------------------------------------------------------------------------------------------------
Lung Volume Reduction Surgery..........           240.1  R44NCD.................         12/2/05        11/17/05
Stem Cell Transplantation..............           110.8  R45NCD.................         12/6/05        11/28/05
----------------------------------------------------------------------------------------------------------------

Addendum VI--FDA-Approved Category B IDEs [October Through December 
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 fourth quarter, October through December 2005.

IDE/Category

G040190
G040194
G050048
G050092
G050116
G050118
G050140
G050151
G050187
G050191
G050192
G050193
G050195
G050198
G050200
G050202
G050204
G050205
G050206
G050207
G050208
G050210
G050214
G050217
G050221
G050222
G050223
G050224
G050228
G050230
G050231
G050232
G050234
G050235
G050236
G050239
G050244
G050245

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 No.                       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.
0938-0034..............  405.821.
0938-0035..............  407.40.
0938-0037..............  413.20, 413.24.
0938-0041..............  408.6.
0938-0042..............  410.40, 424.124.
0938-0045..............  405.711.
0938-0046..............  405.2133.
0938-0050..............  413.20, 413.24.
0938-0062..............  431.151, 435.151, 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..............  406.13.
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..............  493.1-493.2001.
0938-0155..............  405.2470.
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..............  416.44, 418.100, 482.41, 483.270, 483.470.
0938-0245..............  407.10, 407.11.
0938-0251..............  406.7.
0938-0266..............  416.1-416.150.
0938-0267..............  485.56, 485.58, 485.60, 485.64, 485.66.
0938-0269..............  412.116, 412.632, 413.64, 413.350, 484.245.

[[Page 14918]]

 
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, 482.66,
                          485.618, 485.631.
0938-0334..............  491.9, 491.10.
0938-0338..............  486.104, 486.106, 486.110.
0938-0354..............  441.50.
0938-0355..............  442.30, 488.26.
0938-0358..............  488.26.
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..............  480.104, 480.105, 480.116, 480.134.
0938-0429..............  447.53.
0938-0443..............  478.13, 478.34, 478.36, 478.42.
0938-0444..............  1004.40, 1004.50, 1004.60, 1004.70.
0938-0445..............  412.44, 412.46, 431.630, 476.71, 476.74,
                          476.78.
0938-0447..............  405.2133.
0938-0448..............  405.2133, 45 CFR 5, 5b; 20 CFR Parts 401, 422E.
0938-0449..............  440.180, 441.300-441.310.
0938-0454..............  424.20.
0938-0456..............  412.105.
0938-0463..............  413.20, 413.24, 413.106.
0938-0467..............  431.17, 431.306, 435.910, 435.920, 435.940-
                          435.960.
0938-0469..............  417.126, 422.502, 422.516.
0938-0470..............  417.143, 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..............  412.256.
0938-0578..............  447.534.
0938-0581..............  493.1-493.2001.
0938-0599..............  493.1-493.2001.
0938-0600..............  405.371, 405.378, 413.20.
0938-0610..............  417.436, 417.801, 422.128, 430.12, 431.20,
                          431.107, 440.170, 483.6, 483.10, 484.10,
                          489.102.
0938-0612..............  493.801, 493.803, 493.1232, 493.1233, 493.1234,
                          493.1235, 493.1236, 493.1239, 493.1241,
                          493.1242, 493.1249, 493.1251, 493.1252,
                          493.1253, 493.1254, 493.1255, 493.1256,
                          493.1261, 493.1262, 493.1263, 493.1269,
                          493.1273, 493.1274, 493.1278, 493.1283,
                          493.1289, 493.1291, 394.1299.
0938-0618..............  433.68, 433.74, 447.272.
0938-0653..............  493.1771, 493.1773, 493.1777.
0938-0657..............  405.2110, 405.2112.
0938-0658..............  405.2110, 405.2112.
0938-0667..............  482.12, 488.18, 489.20, 489.24
0938-0685..............  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.

[[Page 14919]]

 
0938-0702..............  45 CFR 146.111, 146.115, 146.117, 146.150,
                          146.152, 146.160, 146.180.
0938-0703..............  45 CFR 148.120, 134,122, 148.124, 148.126,
                          148.128.
0938-0714..............  411.370-411.389.
0938-0717..............  424.57.
0938-0721..............  410.33.
0938-0723..............  421.300-421.316.
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.
0938-0749..............  424.57.
0938-0753..............  422.000-422.700.
0938-0754..............  441.151, 441.152.
0938-0758..............  413.20, 413.24.
0938-0760..............  484.55, 484.205, 484.245, 484.250.
0938-0761..............  484.11, 484.20.
0938-0763..............  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,
                          423.286, 423.293, 423.301, 423.308, 423.315,
                          423.322, 423.329, 423.336, 423.343, 423.346,
                          423.350.
0938-0770..............  410.2.
0938-0778..............  422.111, 422.564.
0938-0779..............  417.126, 417.470, 422.64, 422.210.
0938-0781..............  411.404, 484.10.
0938-0786..............  438.352, 438.360, 438.362, 438.364.
0938-0790..............  460.12-460.210.
0938-0792..............  491.8, 491.11.
0938-0798..............  413.24, 413.65, 419.42.
0938-0802..............  419.43.
0938-0818..............  410.-141-410.146, 414.63.
0938-0829..............  422.568.
0938-0832..............  Parts 489 and 491.
0938-0833..............  483.350-483.376.
0938-0841..............  431.636, 457.50, 457.60, 457.70, 457.340,
                          457.350, 457.431, 457.440, 457.525, 457.560,
                          457.570, 457.740, 457.750, 457.810, 457.940,
                          457.945, 457.965, 457.985, 457.1005, 457.1015,
                          457.1180.
0938-0842..............  412.23, 412.604, 412.606, 412.608, 412.610,
                          412.614, 412.618, 412.626, 413.64.
0938-0846..............  411.352-411.361.
0938-0857..............  Part 419.
0938-0860..............  Part 419.
0938-0866..............  45 CFR Part 162.
0938-0872..............  413.337, 483.20.
0938-0873..............  422.152.
0938-0874..............  45 CFR Parts 160 and 162.
0938-0878..............  Part 422 Subpart F and G.
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.
0938-0915..............  421.120, 421.122.
0938-0916..............  483.16.
0938-0920..............  438.6, 438.8, 438.10, 438.12, 438.50, 438.56,
                          438.102, 438.114, 438.202, 438.206, 438.207,
                          438.240, 438.242, 438.402, 438.404, 438.406,
                          438.408, 438.410, 438.414, 438.416, 438.604,
                          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.
0938-0939..............  405.502.
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, 414.910, 414.914, 414.916.
------------------------------------------------------------------------


[[Page 14920]]

Addendum VIII--Medicare-Approved Carotid Stent Facilities [October 
Through December 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.

October 2005

10/4/05

Firelands Regional Medical Center, 1101 Decatur Street, Sandusky, OH 
44870
    Medicare Provider 360025
qMeritCare Hospital, 720 4th Street N, P.O. Box MC, Fargo, ND 58122
    Medicare Provider 350011
Presbyterian Healthcare, 200 Hawthorne Lane, Charlotte, NC 28204
    Medicare Provider 340053
Regions Hospital, 640 North Jackson Street, St. Paul, MN 55101
    Medicare Provider 240106
Saint Agnes Medical Center, 1303 East Herndon Avenue, Fresno, CA 
93720
    Medicare Provider 050093
Saint Francis Medical Center, 211 Saint Francis Drive, Cape 
Girardeau, MO 63703-8399
    Medicare Provider 260183
Staten Island University Hospital, 475 Seaview Avenue, Staten 
Island, NY 10305-3498
    Medicare Provider 330160
Baptist Medical Center, 111 Dallas Street, San Antonio, TX 78205-
1230
    Medicare Provider 450058
Bayonne Medical Center, 29th Street at Avenue E, Bayonne, NJ 07002
    Medicare Provider 310025
Memorial Medical Center, 1086 Franklin Street, Johnstown, PA 15905-
4398
    Medicare Provider 390110
NorthEast Medical Center, 920 Church Street, North, Concord, NC 
28025
    Medicare Provider 340001
St. Francis Medical Center, 309 Jackson Street, P.O. Box 1901, 
Monroe, LA 71210-1901
    Medicare Provider 190125
UHHS University Hospitals of Cleveland, 11100 Euclid Avenue, 
Cleveland, OH 44106-5006
    Medicare Provider 360137

10/11/05

St. Catherine Hospital, 4321 Fir Street, East Chicago, IN 46312
    Medicare Provider 015008
University Hospital, 234 Goodman ML 700, Cincinnati, OH 45219
    Medicare Provider 360003
Frankford Hospital, Frankford Avenue & Wakeling Street, 
Philadelphia, PA 19124
    Medicare Provider 390115
Memorial Hospital of South Bend, 615 North Michigan Street, South 
Bend, IN 46601
    Medicare Provider 150058
Mills-Peninsula Health Services, 1783 El Camino Real, Burlingame, CA 
94010
    Medicare Provider 050007
Mount Clemens General Hospital, 1000 Harrington Boulevard, Mount 
Clemens, MI 48043
    Medicare Provider 230227
SouthCrest Hospital, 8801 South 101st East Avenue, Tulsa, OK 74133
    Medicare Provider 370202
St. Mary Medical Center, 1500 South Lake Park Avenue, Hobart, IN 
46342
    Medicare Provider 150034
St. Mary's Health System, 900 E. Oak Hill Avenue, Knoxville, TN 
37917
    Medicare Provider 440120
University of Illinois Medical Center at Chicago, 1740 West Taylor 
Street, Suite 1400, Chicago, IL 60612
    Medicare Provider 140150
Wuesthoff Health System Rockledge, 110 Longwood Avenue, P.O. Box 
565002 Rockledge, FL 32956-5002
    Medicare Provider 010092

10/14/05

Baylor Regional Medical Center at Grapevine, 1650 West College 
Street, Grapevine, TX 76051
    Medicare Provider 450563
Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104-2499
    Medicare Provider 500064
Hendrico Doctors' Hospital,
    Forest Campus--Administration, 1602 Skipwith Road, Richmond, VA 
23229
    Medicare Provider 049118
Methodist Dallas Medical Center, P.O. Box 655999, Dallas, TX 75265-
5999
    Medicare Provider 450051
North Kansas City Hospital, 2800 Clay Edwards Drive, Kansas City, MO 
64116
    Medicare Provider 260096
University Community Hospital, Inc., 3100 East Fletcher Avenue, 
Tampa, FL 33613
    Medicare Provider 100173

10/21/05

AtlantiCare Regional Medical Center, 65 Jimmie Leeds Road, Pomona, 
NJ 08240
    Medicare Provider 310064
Boston Medical Center Corporation, One Boston Medical Center Place, 
Boston, MA 02118
    Medicare Provider 220031
Robert Wood Johnson University Hospital, One Robert Wood Johnson 
Place, P.O. Box 2601, New Brunswick, NJ 08903-2601
    Medicare Provider 210038
University Hospital, 1350 Walton Way, Augusta, GA 30901-2629
    Medicare Provider 110028
Via Christi Regional Medical Center, 929 N. St. Francis, Wichita, KS 
67214-3882
    Medicare Provider 170122

10/24/05

Advocate South Suburban Hospital, 17800 South Kedzie Avenue, Hazel 
Crest, IL 60429-0989
    Medicare Provider 140250
Baptist Health Medical Center-Little Rock, 9601 Interstate 630, Exit 
7, Little Rock, AR 72205-7299
    Medicare Provider 040114
Bassett Healthcare, One Atwell Road, Cooperstown, NY 13326-1394
    Medicare Provider 330136
Bay Regional Medical Center, 1900 Columbus Avenue, Bay City, MI 
48708
    Medicare Provider 230041
Mercy Medical Center, 500 S. Oakwood Road, P.O. Box 3370, Oshkosh, 
WI 54904-3370
    Medicare Provider 520048
Sharp Chula Vista Medical Center, 751 Medical Center Court, Chula 
Vista, CA 91911-6699
    Medicare Provider 050222
The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906
    Medicare Provider 410012
The University of California San Diego Medical Center, 200 W. Arbor 
Drive, San Diego, CA 92103
    Medicare Provider 050025
USC University Hospital, 1500 San Pablo Street, Los Angeles, CA 
90033
    Medicare Provider 050696

10/27/05

Baylor Heart & Vascular Hospital, 621 North Hall Street, Dallas, TX 
75226
    Medicare Provider 450851
Columbus Regional Healthcare System, 710 Center Street P.O. Box 951, 
Columbus, GA 31902
    Medicare Provider 110064
Deaconess Billings Clinic, 2800 Tenth Avenue North, P.O. Box 37000, 
Billings, MT 59107-7000
    Medicare Provider 270004
Kaiser Permanente San Diego Medical Center, Kaiser Foundation 
Hospital, 4647 Zion Avenue, San Diego, CA 92120
    Medicare Provider 050515
Kaweah Delta District Hospital, 400 West Mineral King, Visalia, CA 
93291-6263
    Medicare Provider 050057
Lexington County Health Services District, Inc. d/b/a Lexington 
Medical Center, 2720 Sunset Boulevard, West Columbia, SC 29169
    Medicare Provider 420073
Nazareth Hospital, 2601 Holme Avenue, Philadelphia, PA 19152
    Medicare Provider 390204
Sharp Memorial Hospital, 7901 Frost Street, San Diego, CA 92123
    Medicare Provider 050100
St. Vincent Medical Center, 2800 Main Street, Bridgeport, CT 06606
    Medicare Provider 070028
Summa Health Systems, 525 E. Market Street, Akron, OH 44304-1698
    Medicare Provider 360020
The Health Network of The Chester County Hospital, 701 E. Marshall 
Street, West Chester, PA 19380
    Medicare Provider 390179
The Toledo Hospital, 2124 N. Cove Boulevard, Toledo, OH 43606
    Medicare Provider 360068

November 2005

11/1/05

Brandon Regional Hospital, 119 Oakfield Drive, Brandon, FL 33511
    Medicare Provider 100243
Cape Cod Hospital, P.O. Box 640, 27 Park

[[Page 14921]]

Street, Hyannis, MA 02601
    Medicare Provider 220012
St. Elizabeth Hospital, 1506 South Oneida Street, Appleton, WI 54915
    Medicare Provider 520009

11/3/05

Athens Regional Medical Center, 1199 Prince Avenue, Athens, GA 30606
    Medicare Provider 110074
Foote Hospital, 205 North East Avenue, Jackson, MI 49201
    Medicare Provider 230092
Memorial Herman Southwest Hospital, 7600 Beechnut, Houston, TX 77074
    Medicare Provider 450184
Regional Medical Center of San Jose, 225 North Jackson Avenue, San 
Jose, CA 95116-1691
    Medicare Provider 050125
St. Luke Hospital, 7380 Turfway Road, Florence, KY 41042
    Medicare Provider 180045

11/4/05

Arlington Memorial Hospital, 800 West Randol Mill Road, Arlington, 
TX 76012
    Medicare Provider 450064
Calvert Memorial Hospital, 100 Hospital Road, Prince Frederick, MD 
20678
    Medicare Provider 210039
Community Memorial Hospital of San Buenaventura, 147 North Brent 
Street, Ventura, CA 93003-2854
    Medicare Provider 050394
Lancaster General Hospital, 555 North Duke Street, P.O. Box 3555, 
Lancaster, PA 17604-3555
    Medicare Provider 390100
St. Clair Hospital, 1000 Bower Hill Road, Pittsburgh, PA 15243
    Medicare Provider 390228

11/10/05

Banner Thunderbird Medical Center, 5555 West Thunderbird Road, 
Glendale, AZ 85306
    Medicare Provider 030089
CHRISTUS Spohn Hospital Corpus Christi Shoreline, 600 Elizabeth 
Street, Corpus Christi, TX 78404
    Medicare Provider 450046
Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103-1489
    Medicare Provider 310014
Maine Medical Center, 22 Bramhall Street, Portland, ME 04102-3175
    Medicare Provider 200009
Northeast Alabama Regional Medical Center, Post Office Box 2208, 
Anniston, AL 36202
    Medicare Provider 010078
Virginia Hospital Center, 1701 N. George Mason Drive, Arlington, VA 
22205-3698
    Medicare Provider 490050
Wuestoff Health System Melbourne, 250 North Wickham Road, Melbourne, 
FL 32935
    Medicare Provider 100291

11/14/05

Anne Arundel Medical Center, 2001 Medical Parkway, Annapolis, MD 
21401
    Medicare Provider 210023
CHRISTUS Schumpert Health System, One St. Mary Place, Shreveport, LA 
71121
    Medicare Provider 190041
Eisenhower Medical Center, 39000 Bob Hope Drive, Rancho Mirage, CA 
92270
    Medicare Provider 050573
Methodist Healthcare-Memphis Hospitals, 1211 Union Avenue, Memphis, 
TN 38104
    Medicare Provider 440049
Waukesha Memorial Hospital, 725 American Avenue, Waukesha, WI 53188
    Medicare Provider 520008

11/18/05

Ashtabula County Medical Center, 2420 Lake Avenue, Ashtabula, OH 
44004
    Medicare Provider 360125
Carle Foundation Hospital, 611 S. Park Street, Urbana, IL 61801
    Medicare Provider 140091
New York Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215-
9008
    Medicare Provider 330236
Rush-Copely Medical Center, 2000 Ogden Avenue, Aurora, IL 60504
    Medicare Provider 140029
Saint Clare's Hospital, 25 Pocono Road, Denville, NJ 07834
    Medicare Provider 310050
Sherman Health, 934 Center Street, Elgin, IL 60120
    Medicare Provider 140030
The Hospital at Westlake Medical Center, 5656 Bee Caves Road, Ste M-
302, Austin, TX 78746
    Medicare Provider 670006

11/21/05

CentraState Medical Center, 901 W. Main Street, Freehold, NJ 07728
    Medicare Provider 310111
Doctors' Hospital of Opelousas, 3983 I-49 South Service Road, 
Opelousas, LA 70570
    Medicare Provider 190191
Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202
    Medicare Provider 230053
LaPorte Regional Health Systems, 1007 Lincolnway, P.O. Box 250, 
LaPorte, IN 46352-0250
    Medicare Provider 150006
Memorial Hermann Hospital, 6411 Fannin Street, Houston, TX 77030
    Medicare Provider 450068
Morton Plant North Bay Hospital, 6600 Madison Street, New Port 
Richey, FL 34652
    Medicare Provider 100063
Santa Barbara Cottage Hospital, Post Office Box 689, Pueblo at Bath 
Street, Santa Barbara, CA 93102-0689
    Medicare Provider 050396
St. John Medical Center, 1923 South Utica Avenue, Tulsa, OK 74104
    Medicare Provider 370114
Kaiser Foundation Hospital, Hawaii Region, 3288 Moanalua Road, 
Honolulu, HI 96819
    Medicare Provider 120011
King County Public Hospital District 1, DBA: Valley Medical 
Center, 400 South 43rd Street, P.O. Box 50010, Renton, WA 98058-5010
    Medicare Provider 500088
Medical Center East, 50 Medical Park East Drive, Birmingham, AL 
35235
    Medicare Provider 010011

11/28/05

Mercy Hospital, 2601 Electric Avenue, Port Huron, MI 48060-6518
    Medicare Provider 230031
Northwest Community Hospital, 800 West Central Road, Arlington 
Heights, IL 60005-2392
    Medicare Provider 140252
St. Joseph's Healthcare, 15855 Nineteen Mile Road, Clinton Township, 
MI 48038
    Medicare Provider 230047

11/29/05

Alegent Health Immanuel Medical Center, 6901 North 72nd Street, 
Omaha, NE 68122-1799
    Medicare Provider 099398
Desert Valley Hospital, 16850 Bear Valley Road, Victorville, CA 
92395
    Medicare Provider 050709
MedCentral Health System, 335 Glessner Avenue, Mansfield, OH 44903-
2265
    Medicare Provider 360118
Memorial Hospital of Carbondale, 405 West Jackson Street, P.O. Box 
10000, Carbondale, IL 62902-9000
    Medicare Provider 140164
Providence Medical Center, 8929 Parallel Parkway, Kansas City, KS 
66112
    Medicare Provider 170009
St. Mary Medical Center, 18300 Highway 18, Apple Valley, CA 92307
    Medicare Provider 05300
Sutter Medical Center Santa Rosa, 3325 Chanate Road, Santa Rosa, CA 
95404
    Medicare Provider 050291
Tucson Heart Hospital, 4888 North Stone Avenue, Tucson, AZ 85704
    Medicare Provider 030100
United Hospital Center, Post Office Box 1680, Clarksburg, WV 26302-
1680
    Medicare Provider 510006

December 2005

12/1/05

All Saints Healthcare System, 3801 Spring Street, Racine, WI 53405
    Medicare Provider 520096
Beaufort Memorial Hospital, 955 Ribaut Road, Beaufort, SC 29902-5454
    Medicare Provider 420067
Self Regional Healthcare, 1325 Spring Street, Greenwood, SC 29646
    Medicare Provider 420071

12/5/05

Citrus Memorial Health Foundation, Inc., 502 W. Highland Blvd, 
Inverness, FL 34452-4754
    Medicare Provider 100023
Poudre Valley Hospital, 1024 South Lemay Avenue, Fort Collins, CO 
80524
    Medicare Provider 060010
St. Joseph's Hospital Health Center, 301 Prospect Avenue, Syracuse, 
NY 13203-1898
    Medicare Provider 330140
UNC Hospitals, 101 Manning Drive, Chapel Hill, NC 27514
    Medicare Provider 340061

12/6/05

O'Connor Hospital, 2105 Forest Avenue, San Jose, CA 95128
    Medicare Provider 050153
University of Minnesota Medical Center

[[Page 14922]]

Fairview, 2450 Riverside Avenue, Minneapolis, MN 55424
    Medicare Provider 240080
Wyoming Medical Center, 1233 E. 2nd Street, Casper, WY 82601
    Medicare Provider 530012

12/12/05

Chesapeake General Hospital, 736 Battlefield Boulevard, North, 
Chesapeake, VA 23320
    Medicare Provider 490120
Exempla Lutheran Medical Center, 8300 West 38th Avenue, Wheat Ridge, 
CO 80033
    Medicare Provider 060009
Gaston Memorial Hospital, 2525 Court Drive, Gastonia, NC 28054, 
Medicare Provider 340032
Parkridge Medical Center, 2333 McCallie Avenue, Chattanooga, TN 
37404, Medicare Provider 440156

12/19/05

Baton Rouge General Medical Center, 3600 Florida Boulevard, Baton 
Rouge, LA 70806, Medicare Provider 190065
Broward General Medical Center, 1600 South Andrews Avenue, Ft. 
Lauderdale, FL 33316, Medicare Provider 100039
Good Samaritan Medical Center, 1309 Flagler Drive, West Palm Beach, 
FL 33401, Medicare Provider 100287
Largo Medical Center, 201 14th Street SW, Mail P.O. Box 2905, Largo, 
FL 33770, Medicare Provider 100248
Memorial Hermann Baptist Hospital-Beaumont, 3080 College Street, 
Beaumont, TX 77701, Medicare Provider 450346
The Nebraska Medical Center, 987400 Nebraska Medical Center, Omaha, 
NE 68198-7400, Medicare Provider 280013
Providence Everett Medical Center, 1321 Colby Avenue, Everett, WA 
98201, Medicare Provider 500014
Roper Hospital, 316 Calhoun Street, Charleston, SC 29401, Medicare 
Provider 420087
Santa Clara Valley Medical Center, 751 South Bascom Avenue, San 
Jose, CA 95128, Medicare Provider 050038
Stanford Hospital & Clinics, 300 Pasteur Drive, Stanford, CA 94305, 
Medicare Provider 050441
The University of Chicago Hospitals, AMB W-606 MC 6091, 5841 South 
Maryland Avenue, Chicago, IL 60637-1470, Medicare Provider 
140088
University of Utah Hospitals and Clinics, 50 North Medical Drive, 
Salt Lake City, UT 84132, Medicare Provider 460009

12/21/05

Community Medical Center Healthcare System, 1800 Mulberry Street, 
Scranton, PA 18510, Medicare Provider 390001
Mercy General Health Partners in Muskegon, Michigan, 1500 East 
Sherman Boulevard, Muskegon, MI 49444, Medicare Provider 
230004
St. Luke's Medical Center, 190 East Bannock Street, Boise, ID 83712, 
Medicare Provider 130006

12/28/05

Riverside Healthcare Systems, LP, Dba Riverside Community Hospital, 
4445 Magnolia Avenue, Riverside, CA 92501, Medicare Provider 
050022
Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 
95405-4801, Medicare Provider 050174
San Joaquin Community Hospital, 2615 Eye Street, P.O. Box 2615, 
Bakersfield, CA 93303-2615, Medicare Provider 050455
United Hospital, 333 North Smith Avenue, St. Paul, MN 55102, 
Medicare Provider 240038

12/30/05

Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, 
DC 20007-2113, Medicare Provider 090004
Memorial Health Care System, 2525 de Sales Avenue, Chattanooga, TN 
37404-1102, Medicare Provider 440091
Mercy Medical Center, 1343 Fountain Boulevard, P.O. Box 1380, 
Springfield, OH 45501-1380, Medicare Provider 360086
Munson Medical Center, 1105 Sixth Street, Traverse City, MI 49684-
2386, Medicare Provider 230097
Salem Hospital, 665 Winter Street SE, Post Office Box 14001, Salem, 
OR 97309-5014, Medicare Provider 380051
University of Mississippi Medical Center, 2500 North State Street, 
Jackson, MS 39216, Medicare Provider 250001

[FR Doc. 06-2807 Filed 3-23-06; 8:45 am]
BILLING CODE 4120-01-P