[Federal Register Volume 71, Number 121 (Friday, June 23, 2006)]
[Notices]
[Pages 36101-36118]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-5486]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9035-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--January Through March 2006

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

ACTION: Notice.

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SUMMARY: This notice lists CMS manual instructions, substantive and 
interpretive regulations, and other Federal Register notices that were 
published from January 2006 through March 2006, 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

[[Page 36102]]

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 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

[[Page 36103]]

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.

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 
``Cardiac Catheterization Performed in Other Than a Hospital Setting,'' 
use CMS-Pub. 100-03, Transmittal No. 46.

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

    Dated: June 6, 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.

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)
March 24, 2006 (71 FR 14903)

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

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

        Addendum III.--Medicare and Medicaid Manual Instructions
                      [January through March 2006]
------------------------------------------------------------------------
    Transmittal No.               Manual/subject/publication No.
------------------------------------------------------------------------
             Medicare General Information (CMS Pub. 100-01)
------------------------------------------------------------------------
34.....................  Change Management Process--Electronic Change
                          Information Management Portal (eChimp).

[[Page 36104]]

 
35.....................  Revisions to Instructions for Contractors Other
                          Than the Religious Nonmedical Health Care
                          Institution Specialty Contractor Regarding
                          Claims for Beneficiaries With Religious
                          Nonmedical Health Care Institution Elections.
                         Religious Nonmedical Health Care Institution
                          Defined.
36.....................  Scheduled Release for April 2006 Software
                          Programs and Pricing/Coding Files.
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                Medicare Benefit Policy (CMS Pub. 100-02)
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44.....................  Update to the End-Stage Renal Disease Composite
                          Payment Rates.
                         New End-Stage Renal Disease Composite Payment
                          Rates Effective January 1, 2006.
45.....................  Revisions to Instructions for Contractors Other
                          Than the Religious Nonmedical Health Care
                          Institution Specialty Contractor Regarding
                          Claims for Beneficiaries With Religious
                          Nonmedical Health Care Institution Elections.
                         Religious Nonmedical Health Care Institution
                          Services.
                         Beneficiary Eligibility for Religious
                          Nonmedical Health Care Institution Services.
                         Election of Religious Nonmedical Health Care
                          Institution Benefits.
                         Revocation of Religious Nonmedical Health Care
                          Institution Election.
                         Religious Nonmedical Health Care Institution
                          Election After Prior Revocation.
                         Medicare Payment for Religious Nonmedical
                          Health Care Institution Services and
                          Beneficiary Liability.
                         Coverage of Religious Nonmedical Health Care
                          Institution Items Furnished in the Home.
                         Coverage and Payment of Durable Medical
                          Equipment Under the Religious Nonmedical
                          Health Care Institution Home Benefit.
                         Coverage and Payment of Home Visits Under the
                          Religious Nonmedical Health Care Institution
                          Home Benefit.
46.....................  This Transmittal is rescinded and replaced by
                          Transmittal 47.
47.....................  Therapy Caps Exception Process.
                         Coverage of Outpatient Rehabilitation Therapy
                          Services (Physical Therapy, Occupational
                          Therapy, and Speech-Language Pathology
                          Services) Under Medical Insurance.
                         Documentation Requirements for Therapy
                          Services.
48.....................  Glaucoma Screening Services.
                         Preventive and Screening Services.
                         Glaucoma Screening.
49.....................  Payment of Federally Qualified Health Centers
                          for Diabetes Self Management Training Services
                          and Medical Nutrition Therapy Services.
                         Rural Health Clinic and Federally Qualified
                          Health Center Service Defined.
                         Rural Health Clinic Services.
                         Federally Qualified Health Center Services.
------------------------------------------------------------------------
       Medicare National Coverage Determinations (CMS Pub. 100-03)
------------------------------------------------------------------------
46.....................  Cardiac Catheterization Performed in Other Than
                          a Hospital Setting.
47.....................  Changes to the Covered Indications for Tumor
                          Antigen by Immunoassay CA 125 to Add Primary
                          Peritoneal Carcinoma.
                         Tumor Antigen by Immunoassay CA 125.
48.....................  Technical Corrections to the NCD Manual.
                         Hyperbaric Oxygen Therapy.
                         Home Glucose Monitors.
                         Vitrectomy.
                         Abortion.
                         Diathermy Treatment.
                         Assessing Patients Suitability for Electrical
                          Nerve Stimulation Therapy.
                         Electroencephalographic Monitoring During
                          Surgical Procedures Involving the Cerebral
                          Vasculature.
                         Diagnostic Pap Smears.
                         Human Immunodeficiency Virus Testing
                          (Diagnosis).
                         Prostate Cancer Screening Tests.
                         Screening Pap Smears and Pelvic Examinations
                          for Early Detection of Cervical Or Vaginal
                          Cancer.
                         Non-Implantable Pelvic Floor Electrical
                          Stimulator.
                         Levocarnitine for Use in the Treatment of
                          Carnitine Deficiency in End-Stage Renal
                          Disease Patients.
                         Adult Liver Transplantation.
                         Obsolete or Unreliable Diagnostic Tests.
49.....................  Microvolt T-Wave Alternans Diagnostic Testing.
50.....................  External Counterpulsation Therapy.
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              Medicare Claims Processing (CMS Pub. 100-04)
------------------------------------------------------------------------
803....................  Administration of Drugs and Biologicals in a
                          Method II Critical Access Hospital--Rescinds
                          and replaces Change Request 3911.
                         Costs of Emergency Room On-Call Providers.
                         Coding for Administering Drugs in a Method II
                          Critical Access Hospital.
                         Coding for Low Osmolar Contrast Material.
                         Coding for Administration of Other Drugs and
                          Biologicals.
804....................  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.
805....................  Annual Update to the Therapy Code List.
                         Healthcare Common Procedure Coding System
                          Coding Requirement.

[[Page 36105]]

 
806....................  Termination of Healthcare Common Procedure
                          Coding System Codes Payable During the
                          Transition to the Ambulance Fee Schedule.
807....................  Revision to IOM 100-4, Chapter 12, Sections
                          90.4.1.1 and 90.4.2.
                         Carrier Web Pages.
                         Health Professional Shortage Area Designations.
808....................  Nursing Facility Services (Codes 99304--99318).
809....................  Update to Payment Rates for Religious
                          Nonmedical Health Care Institution Services
                          Furnished in the Home, Calendar Year 2006.
810....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
811....................  Teaching Physician Services.
                         Payment for Physician Services in Teaching
                          Settings Under the Medicare Physician Fee
                          Schedule.
                         Evaluation and Management Services.
                         Surgical Procedures.
                         Psychiatry.
                         Time-Based Codes.
                         Miscellaneous.
                         Assistants at Surgery in Teaching Hospitals.
812....................  Medicare Payment for Pre-Administration-Related
                          Services Associated With Intravenous Immune
                          Globulin Administration.
813....................  Instructions for the Payment of Health
                          Professional Shortage Area and Physician
                          Scarcity Area Bonuses When the Place of
                          Service is ``Home.''
814....................  Claim Status Category Code and Claim Status
                          Code Update.
815....................  Healthcare Provider Taxonomy Codes Update.
816....................  Coverage and Billing for Ultrasound Stimulation
                          for Nonunion Fracture Healing.
                         Durable Medical Equipment Regional Carrier
                          Billing Instructions.
817....................  Update to the Inpatient Provider Specific File
                          and the Outpatient Provider Specific File to
                          Retain Provider Information.
                         Outpatient Provider Specific File.
818....................  Smoking and Tobacco-Use Cessation Counseling
                          Services: Common Working File Inquiry for
                          Providers.
                         Common Working File Inquiry.
819....................  Modification to Quarterly Refund Modifier Edit
                          for Automatic Implantable Cardiac
                          Defibrillator Services.
820....................  Sites of Service Revenue Codes for Rural Health
                          Clinics and Federally Qualified Health
                          Centers.
                         General Billing Requirements.
821....................  Billing and Payment of Certain Colorectal
                          Cancer Screenings for Non-Patients.
                         Type of Bill 14X.
                         Payment.
                         Billing Requirements for Claims Submitted to
                          Fiscal Intermediaries.
822....................  Update of Radiopharmaceutical Imaging Agents
                          Healthcare Common Procedure.
                         Coding System Codes Applicable to Positron
                          Emission Tomography.
                         Tracer Codes Required for Positron Emission
                          Tomography Scans.
823....................  New Temporary Code for Battery for Power
                          Mobility Devices.
                         Description of Healthcare Common Procedure
                          Coding System.
824....................  Quarterly Update to Correct Coding Initiative
                          Edits, V12.1, Effective April 1, 2006.
825....................  System Edits for Respiratory Assist Devices
                          with Bi-Level Capability and a Back-Up Rate.
826....................  April Quarterly Update to the 2006 Annual
                          Update of Healthcare Common Procedure Coding
                          System Codes Used for Skilled Nursing Facility
                          Consolidated Billing Enforcement.
827....................  Use of 12X Type of Bill for Billing Screening
                          Mammography, Screening Pelvic Examinations,
                          and Screening Pap Smears.
                         Billing Requirements--Fiscal Intermediary
                          Claims.
                         Rural Health Center/Federally Qualified Health
                          Center Claims With Dates of Service on or
                          After January 1, 2002.
                         Type of Bill and Revenue Codes for Form CMS-
                          1450.
                         Revenue Code and Healthcare Common Procedure
                          Coding System Codes for Billing.
828....................  Mammography Facility Certification File--
                          Updated Procedures and Content Mammography
                          Quality Standards Act.
                         Mammography Quality Standards Act File.
829....................  Modification of Roster Billing for Mass
                          Immunizers Billing for Inpatient Part B
                          Services (Type of Bills 12X and 22X).
                         Claims Submitted to Intermediaries for Mass
                          Immunizations of Influenza and Pneumococcal
                          Pneumonia Vaccine.
830....................  Denial of Claims Not Timely Filed.
                         Time Limitations for Filing Provider Claims to
                          Fiscal Intermediaries and Carriers.
                         Determination of Untimely Filing and Resulting
                          Actions.
                         Time Limitations for Filing Part B Reasonable
                          Charge and Fee Schedule Claims.
                         Time Limit for Filing.
831....................  Shared Systems Medicare Secondary Payer
                          Balancing Edit and Administrative
                          Simplification Compliance Act Enforcement
                          Update.
                         Crossover Claim Requirements.
                         Enforcement.
832....................  This Transmittal is rescinded and replaced by
                          Transmittal 868.
833....................  Medicare Remit Easy Print Enhancements, and
                          Clarification of Check Issue/Electronic Funds
                          Transfer Effective Date.
834....................  Revision to Health Professional Shortage Area
                          and Physician Scarcity Area Bonus Billing for
                          Some Globally Billed Services.
                         Services Eligible for Health Professional
                          Shortage Act and Physician Scarcity Bonus
                          Payment.
835....................  New Temporary Codes for Adjustable Wheelchair
                          Cushions.
836....................  This Transmittal is rescinded and replaced by
                          Transmittal 843.
837....................  Coordination of Benefits Agreement Full Claim
                          File Repair Process.
                         Coordination of Benefits Agreement Detailed
                          Error Report Notification Process.

[[Page 36106]]

 
                         Coordination of Benefits Agreement Full Claim
                          File Repair Process.
838....................  Corrections to Common Working File Editing of
                          Home Health Prospective Payment System Claims
                          Regarding Non-Covered Episodes and Prior
                          Inpatient Stays and Fiscal Intermediary Shared
                          System Implementation of 2006 Therapy Code
                          Update.
839....................  This Transmittal is rescinded and replaced by
                          Transmittal 866.
840....................  This Transmittal is rescinded and replaced by
                          Transmittal 882.
841....................  MCS Screen Expansion for the Prescription Order
                          Number for the Competitive Acquisition Program
                          for Part B Drugs to be Developed Over the July
                          2006 and October 2006 Release With Final
                          Implementation on October 2, 2006.
842....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
843....................  Inpatient Admission Followed by Discharge or
                          Death Prior to Room Assignment.
                         Charges to Beneficiaries for Part A Services.
844....................  This Transmittal is rescinded and replaced by
                          Transmittal 890.
845....................  National Council for Prescription Drug Program
                          Coordination of Benefits Workaround
                          Instructions.
846....................  New Skilled Nursing Facility Consolidated
                          Billing Web Site Address.
                         Services Beyond the Scope of the Part A Skilled
                          Nursing Facility Benefit.
                         Skilled Nursing Facility Consolidated Billing
                          Annual Update Process for Fiscal
                          Intermediaries.
                         Edit for Therapy Services Separately Payable
                          When Furnished by a Physician.
                         Annual Update Process.
                         Billing for Medical and Other Health Services.
                         Carrier Claims Processing for Consolidated
                          Billing for Physician and Non-Physician
                          Practitioner Services Rendered to
                          Beneficiaries in a Non-Covered Skilled Nursing
                          Facility Stay.
847....................  Hold on Medicare Payments.
848....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
849....................  Update to the End-stage Renal Disease Composite
                          Payment Rates.
                         Drug Payment Amounts for Facilities.
850....................  Change Payment Floor Date for Paper Claims.
                         Payment Floor Standards.
851....................  Revisions to Instructions for Contractors Other
                          Than the Religious Nonmedical Health Care
                          Institutions Specialty Contractor Regarding
                          Claims for Beneficiaries With Religious
                          Nonmedical Health Care Institutions Election.
                         Religious Nonmedical Health Care Institution
                          Admission.
                         Designated Fiscal Intermediaries and Carriers.
                         Billing and Processing Instructions for
                          Religious Nonmedical Health Care Institutions
                          Claims.
                         Religious Nonmedical Health Care Institutions
                          Election Process.
                         Requirement for Religious Nonmedical Health
                          Care Institutions Election.
                         Revocation of Religious Nonmedical Health Care
                          Institutions Election.
                         Completion of the Uniform (Institutional
                          Provider) Bill (Form CMS 1450) Notice of
                          Election for Religious Nonmedical Health Care
                          Institutions.
                         Common Working File Processing of Elections,
                          Revocations and Cancelled Elections.
                         Billing Process for Religious Nonmedical Health
                          Care Institutions Services.
                         When to Bill for Religious Nonmedical Health
                          Care Institutions Services.
                         Required Data Elements on Claims for Religious
                          Nonmedical Health Care Institution Services.
                         Religious Nonmedical Health Care Institutions
                          Claims Processing by Religious Nonmedical
                          Health Care Institutions Specialty Contractor.
                         Informing Beneficiaries of the Results of
                          Religious Nonmedical Health Care Institutions
                          Claims Processing.
                         Billing and Payment of Religious Nonmedical
                          Health Care Institutions Items and Services
                          Furnished in the Home.
                         Processing Claims For Beneficiaries With
                          Religious Nonmedical Health Care Institutions
                          Elections by Contractors Other Than the
                          Religious Nonmedical Health Care Institutions
                          Specialty Intermediary.
                         Recording Determinations of Excepted/
                          Nonexcepted Care on Claim Records Informing
                          Beneficiaries of the Results of Excepted/
                          Nonexcepted Care Determinations by the Non-
                          specialty Contractor.
852....................  Ambulance Fee Schedule--CY 2006 Update:
                          Correction to CR 4061 Ambulance Inflation
                          Factor.
853....................  This Transmittal is rescinded and replaced by
                          Transmittal 855.
854....................  Medicare Summary Notice Format Changes for
                          Durable Medical Equipment.
                         Medicare Administrative Contracts Transition.
                         Title Section of the Medicare Summary Notice.
                         Appeals Section.
855....................  Therapy Caps Exception Process.
                         The Financial Limitation.
856....................  January 2006 Quarterly Average Sales Price
                          Medicare Part B Drug Pricing File, Effective
                          January 1, 2006, and Revisions to April 2005,
                          July 2005, and October 2005 Quarterly Average
                          Sales Price Medicare Part B Drug Pricing
                          Files.
857....................  Medicare Part B Drug Pricing Update--Payment
                          Limit for J7620.
858....................  This Transmittal is rescinded and replaced by
                          Transmittal 873.
859....................  Remittance Advice Remark Code and Claim
                          Adjustment Reason Code Update.
860....................  Remittance Advice Remark Code and Claim
                          Adjustment Reason Code Update.
861....................  Sunset of the Policies for Provider Nominations
                          for an Intermediary and the Provider Requests
                          for a Change of Intermediary--Revisions to
                          Publication 100-04, Chapter 1, Section 20.
                         Provider Assignment to a Fiscal Intermediary.
                         Provider Change of Ownership.
                         Multi-State Provider Chains Billing Fiscal
                          Intermediaries.
                         CMS No Longer Accepts Provider Requests to
                          Change Their Fiscal Intermediary.
                         Solicitation of a Provider to Secure a Change
                          of Fiscal Intermediary.
                         Communications.

[[Page 36107]]

 
862....................  Appeals of Claims Decisions: Administrative Law
                          Judge; Departmental Appeals Board; U.S.
                          District Court Review.
                         Administrative Law Judge--The Third Level of
                          Appeal.
                         Right to an Administrative Law Judge Hearing.
                         Requests for an Administrative Law Judge
                          Hearing.
                         Forwarding Request to Department of Health &
                          Human Services/Office of Medicare Hearings and
                          Appeals.
                         Review and Effectuation of Administrative Law
                          Judge Decisions.
                         Effectuation Time Limits & Responsibilities.
                         Duplicate Administrative Law Judge Decisions.
                         Payment of Interest on Administrative Law Judge
                          Decisions.
                         Departmental Appeals Board--The Fourth Level of
                          Appeal.
                         Recommending Agency Referral of Administrative
                          Law Judge Decisions or Dismissals.
                         Effectuation of Departmental Appeal Board
                          Orders and Decisions.
                         Requests for Case Files.
                         Payment of Interest on Departmental Appeals
                          Board Decisions.
                         U.S. District Court Review--The Fifth Level of
                          Appeal.
                         Requests for U.S District Court Review by a
                          Party.
                         Effectuation of U.S District Court Decisions.
                         Payment of Interest of U.S. District Court
                          Decisions.
863....................  Update to Chapter 20, ``Billing for Oxygen and
                          Oxygen Equipment,'' Section 130.6.
                         Billing for Oxygen and Oxygen Equipment.
864....................  Changes to the Laboratory National Coverage
                          Determination Edit Software for April 2006.
865....................  Health Common Procedure Coding System Codes
                          Subject to and Exclude from Clinical
                          Laboratory Improvement Amendments Edits.
                         Verifying Clinical Laboratory Improvement Act
                          Certification.
                         Certificate for Physician-Performed Microscopy
                          Procedures.
                         Clinical Laboratory Improvement Act License or
                          Licensure Exemption.
866....................  Additional Requirements for the Competitive
                          Acquisition Program for Part B Drugs.
                         Duplicates.
                         General Information Section.
                         Duplicados.
                         Seccion De Informacion General.
                         The Competitive Acquisition Program of
                          Outpatient Drugs and Biologicals Under Part B.
                         Physician Election and Information Transfer
                          Between Carriers and the Designated Carrier
                          for Competitive Acquisition Program Claims.
                         Physician Information for the Designated
                          Carrier.
                         Quarterly Updates.
                         Format for Data.
                         Physician Information for the Vendors.
                         Claims Processing Instructions for Competitive
                          Acquisition Program Claims for The Local
                          Carrier.
                         Competitive Acquisition Program Required
                          Modifiers.
                         Submitting the Administration/Evaluation and
                          Management Services and the No Pay Service
                          Lines.
                         Submitting the Prescription Order Numbers and
                          No Pay Modifiers.
                         Competitive Acquisition Program Claims
                          Submitted With Only the No Pay Line.
                         Only Competitive Acquisition Program Related
                          Services on a Claim.
                         Use of the Restocking Modifier.
                         Use of the Furnish as Written Modifier.
                         Monitoring of Claims Submitted With the J2 and/
                          or J3 Modifiers.
                         Claims Submitted for Only Drugs Listed on the
                          Approved CAP Vendors Drug List.
                         Application of Local Medical Review Policies.
                         Claims Processing Instructions for the
                          Designated Carrier.
                         Creation of Internal Vendor Provider Files.
                         Submission of Paper Claims by Vendors.
                         Submission of Claims from Vendors With the J1
                          No Pay Modifier.
                         Submission of Claims from Vendors Without a
                          Provider Primary Identifier for The Ordering
                          Physician.
                         New Medicare Summary Notice Message To Be
                          Included on All Vendor Claims Additional
                          Medical Information.
                         Competitive Acquisition Program Fee Schedule.
                         Matching the Physician Claim to the Vendor
                          Claim.
                         Denials Due to Medical Necessity.
                         Denials For Reasons Other Than Medical
                          Necessity.
                         Changes to Pay/Process Indicators.
                         Post-Payment Overpayment Recovery Actions.
                         Pending and Recycling the Claim When All Lines
                          Do Not Have a Match.
                         Creation of a Weekly Report for Claims That
                          Have Pended More Than 90 Days and Subsequent
                          Action.
                         Coordination of Benefits.
                         National Claims History.
                         Adding New Drugs to Competitive Acquisition
                          Program.
                         Updating Fee Schedule for New Drugs in
                          Competitive Acquisition Program.
                         Non-Participating Physicians Who Elect the
                          Competitive Acquisition Program.
                         Discarded Drugs and Biologicals.
                         Carrier Specific Requirements for Certain
                          Specialties/Services.

[[Page 36108]]

 
867....................  Elimination of the Durable Medical Equipment
                          Regional Carrier Information Form.
                         Billing Drugs Electronically--National Council
                          of Prescription Drug Programs.
                         Certificate of Medical Necessity.
868....................  Payment of Same Day Transfer Claims Under the
                          Inpatient Psychiatric Facility Prospective
                          Payment System.
869....................  Installation of Pricing Software Containing the
                          Customer Information Control System Formatting
                          Update.
870....................  Type of Service Corrections.
871....................  2005 Revised American National Standards
                          Institute X12N 837 Professional Health Care
                          Claim Companion Document.
872....................  New Waived Tests.
873....................  Increase Remittance File Retention.
874....................  Instructions for Downloading the Medicare Zip
                          Code File.
875....................  Maintenance and Update of the Temporary Hook
                          Created to Hold Out Patient Prospective
                          Payment System Claims That Include Certain
                          Drug Healthcare Common Procedure Coding System
                          Codes.
876....................  April 2006 Quarterly Average Sales Price
                          Medicare Part B Drug Pricing File and
                          Revisions to January 2005, April 2005, July
                          2005, October 2005, and January 2006 Quarterly
                          Average Sales Price Medicare Part B Drug
                          Pricing Files.
877....................  Changes in Transitional Outpatient Payments for
                          Rural Sole Community Hospitals and Small Rural
                          Hospitals for 2006.
878....................  Healthcare Integrated General Ledger Accounting
                          System and 835 Implementation Guide Provider
                          Adjustment Code Mapping and Standard Paper
                          Remittance Advice Changes.
879....................  Announcement of Federally Qualified Health
                          Centers Designation As Urban and Rural--
                          Skilled Nursing Facility Consolidated Billing
                          As It Applies to FQHC Services Furnished to
                          Swing-Bed Patients.
880....................  April Quarterly Update for 2006 Durable Medical
                          Equipment, Prosthetics, Orthotics, and
                          Supplies Fee Schedule.
881....................  Outpatient Prospective Payment System Hospital
                          Emergency Room Services Exceeding 24 Hours.
                         Accurate Reporting of Surgical and Medical
                          Procedures and Services.
882....................  Hospital Billing for Take-Home Drugs.
                         Claims Processing Jurisdiction for Oral Anti-
                          Emetic Drugs.
                         Billing and Payment Instructions for Fiscal
                          Intermediaries.
883....................  Claims Processing Requirements for Medicare
                          Beneficiaries in State or Local Custody Under
                          a Penal Authority--Manualization.
884....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
885....................  Suppression of Standard Paper Remittance Advice
                          to Providers and Suppliers Also Receiving
                          Electronic Remittance Advice for 45 Days or
                          More.
                         Medicare Remit Easy Print Software for Carrier
                          and Durable Medical Equipment Regional Carrier
                          Provider/Supplier Use.
886....................  April 2006 Update to the Medicare Outpatient
                          Code Editor Version 21.2 for Bills From
                          Hospitals That Are Not Paid Under The
                          Outpatient Prospective Payment System.
887....................  Correction to Change Request 4282--Application
                          of Temporary 5 Percent Payment Increase for
                          Home Health Services Furnished in a Rural Area
                          for One Year Under the Home Health Prospective
                          Payment System.
888....................  April 2006 Outpatient Prospective Payment
                          System Code Editor Specifications Version 7.1.
889....................  This Transmittal is rescinded and replaced by
                          Transmittal 897.
890....................  Guidelines for Payment of Vaccine (Pneumococcal
                          Pneumonia Virus, Influenza Virus, and
                          Hepatitis B Virus) Administration.
                         Healthcare Common Procedure Coding System and
                          Diagnosis Codes.
                         Fiscal Intermediary Payment for Pneumococcal
                          Pneumonia Virus, Influenza Virus, and
                          Hepatitis B Virus Vaccines and Their
                          Administration.
891....................  Redesignate HCPCS Codes J8597 and E1239 to
                          Their Proper Common Working File Category.
892....................  Eligibility Transaction URL update.
                         Eligiblity Extranet Workflow.
893....................  2006 Juridiction List.
894....................  Microvolt T-Wave Alternans Diagnostic Testing.
895....................  Expansion of Glaucoma Screening Services.
                         Remittance Advice Notices.
                         Medicare Summary Notice Messages.
896....................  April 2006 Update of the Hospital Outpatient
                          Prospective Payment System: Summary of Payment
                          Policy Changes.
897....................  April Update to the 2006 Medicare Physician Fee
                          Schedule Database.
898....................  External Counterpulsation Therapy.
                         Billing and Payment Requirements.
                         Special Intermediary Billing and Payment
                          Requirements.
899....................  Revised Health Insurance Claim Form CMS-1500.
                         Items 14-33--Provider of Service or Supplier
                          Information.
                         Patient's Request for Medicare Payment Form CMS-
                          1490S.
                         Printing Standards and Print File
                          Specifications Form CMS-1500.
------------------------------------------------------------------------
               Medicare Secondary Payer (CMS Pub. 100-05)
------------------------------------------------------------------------
47.....................  Medicare Secondary Payer Debt Collection and
                          Referral Updates.
                         Debt and Debtor Definitions.
                         Debt Selection and Verification.
                         Debt Selection Criteria.
                         Debts Excluded From Referral.
                         Monitoring Debts Excluded From the Debt
                          Collection Improvement Act Referral Process.
                         Validation of Possible Eligible Debts for
                          Referral.
                         Issuance of the ``Intent to Refer'' Letter and
                          Inquiries/Replies Related to Debt Collection
                          Improvement Act Activities.
                         Issuance of the ``Intent to Refer'' to Treasury
                          Letter.
                         Responding to Correspondence as a Result of the
                          Issuance of the Intent to Refer Letter.

[[Page 36109]]

 
                         Debt Collection System and Debt Collection
                          System Entry.
                         Debt Collection System.
                         Debt Collection System Entry of Delinquent
                          Debt.
                         Contractor Actions Subsequent to Debt
                          Collection System Entry.
                         Steps Contractors Shall Take Upon Knowledge or
                          Receipt of Certain Information.
                         Debt Collection Improvement Act Treasury
                          Collection (Placeholder) Financial Reporting.
48.....................  Request for Claims Detail in Support of
                          Medicare's Debt.
------------------------------------------------------------------------
             Medicare Financial Management (CMS Pub. 100-06)
------------------------------------------------------------------------
88.....................  Clarification to IOM 100-06, Sections 290.7 and
                          290.8.
                         Completing Physician Scarcity Area Quarterly
                          Report, Form CMS-1565F, CROWD Report 6.
                         Checking Reports.
89.....................  Mandated Use of Autoload Program in System
                          Tracking for Audit and Reimbursement.
90.....................  Recurring Update Notification for the Notice of
                          New Interest Rate for Medicare Overpayments
                          and Underpayments.
91.....................  Clarification of Instructions in Pub. 100-6,
                          Chapter 5 Financial Reporting, Section 310.4--
                          Line 4(a) through (e), Reclassified CNC Debt
                          (Principal and Interest).
92.....................  Clarification of the Form CMS-1522 Monthly
                          Contractor Financial Report Procedures for the
                          Reconciliation of Total Funds Expended for
                          Fiscal Intermediary Shared System Medicare
                          Contractors Used in the Preparation of Form
                          CMS-1522 Monthly Contractor Financial Report.
                         Identification and Summarization of Detailed
                          Claims Data Records For Use in the Financial
                          Reconciliation of Total Funds Expended to
                          Fiscal Intermediary Shared System Reports.
                         Using the Electronic Spreadsheet to Complete
                          the Reconciliation of the Detailed Claims Data
                          File to Fiscal Intermediary Shared System
                          Reports.
                         Electronic Spreadsheet Input Schedule.
                         Total Funds Expended (Net Disbursements and
                          Adjustments to Net Disbursements).
                         Reconciliation of Detailed Claims Data File to
                          Fiscal Intermediary Shared Systems System
                          Reports.
                         Reconciliation of Non-Physician Incentive Plan
                          Payments on Fiscal Intermediary Shared Systems
                          System Reports.
                         Reconciliation of Interest Received and Paid on
                          Fiscal Intermediary Shared Systems System
                          Reports.
                         Categorization of Total Funds Expended by
                          Category.
------------------------------------------------------------------------
           Medicare State Operations Manual (CMS Pub. 100-07)
------------------------------------------------------------------------
16.....................  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''.
17.....................  Revisions to Chapter 2, The Certification
                          Process.
18.....................  Complete Revision to Chapter 5, ``Complaint
                          Procedures.''
------------------------------------------------------------------------
              Medicare Program Integrity (CMS Pub. 100-08)
------------------------------------------------------------------------
135....................  Changes to the GTL Titles.
                         Prepayment Edits.
                         Location of Postpayment Reviews.
                         Notification of Provider(s) or Supplier(s) and
                          Beneficiaries of the Postpayment Review
                          Results.
                         Evaluation of the Effectiveness of Postpayment
                          Review and Next Steps.
                         Postpayment Files.
                         Overpayment Procedures.
                         Fraud or Willful Misrepresentation Exists--
                          Fraud Suspensions.
                         Overpayment Exists But the Amount Is Not
                          Determined--General Suspensions.
                         Payments to be Made May Not be Correct--General
                          Suspensions.
                         Provider Fails to Furnish Records and Other
                          Requested Information--General Suspensions.
                         CMS Approval.
                         Prior Notice Versus Concurrent Notice.
                         Content of Notice.
                         Shortening the Notice Period for Cause.
                         Mailing the Notice to the Provider.
                         Opportunity for Rebuttal.
                         Claims Review.
                         Duration of Suspension of Payment.
                         Removing the Suspension.
                         Durable Medical Equipment Regional Carriers and
                          Durable Medical Equipment Regional Carrier
                          Program Safeguard Contractors.
                         Other Multi-Regional Contractors.
                         Informational Copies to Primary Government Task
                          Leaders, Associate Government.
                         Task Leaders, Subject Matter Experts, or CMS
                          Regional Office.
                         Notification of Provider or Supplier of the
                          Review and Selection of the Review Site.
                         Sampling Methodology Overturned.
136....................  Policy Changes to Program Integrity Manual.
                         Contractor Medical Director.
137....................  Provider Enrollment Workload and Timeliness
                          Reports.

[[Page 36110]]

 
                         Tracking Requirements.
138....................  This Transmittal is rescinded and replaced by
                          Transmittal 142.
139....................  This Transmittal is rescinded and replaced by
                          Transmittal 140.
140....................  Therapy Caps Exception Process.
                         Exception from the Uniform Dollar Limitation.
                         Prepay Complex Review Workload and Cost.
141....................  Modification to the Unique Physician
                          Identification Number Process.
                         National Registry of Physicians/Health Care
                          Practitioners/Group Practices.
                         Ongoing Data Collection on Physicians/Health
                          Care Practitioners/Group Practices
                          Applications.
                         Physicians/Health Care Practitioners/Group
                          Practices Record--Required Information and
                          Format.
                         Maintaining Physician/Health Care Practitioner/
                          Group Practices Memberships.
                         Validation of Physician/Health Care
                          Practitioner/Group Practice Credentials,
                          Certification, Sanction, and License
                          Information for Prior Practices.
                         Unique Physician Identification Number Cross-
                          Referral Requirement.
                         Maintenance of the Registry.
                         General.
                         Add Records.
                         Adding Physician/Health Care Practitioner/Group
                          Practice Setting.
                         Update Records.
                         Rejections.
                         Exceptions.
                         Batching Procedures.
                         Privacy Act Requirements.
                         Release of Unique Physician Identification
                          Numbers.
                         Release of Unique Physician Identification
                          Numbers to Physicians, Nurse Practitioners,
                          Clinical Nurse Specialists, and Physician
                          Assistants.
                         Automatic Notifications.
                         Unique Physician Identification Number
                          Directory.
                         Unique Physician Identification Numbers for
                          Ordering/Referring Physicians.
                         Common Working File Edits and Claims Processing
                          Requirements.
                         Surrogate Unique Physician Identification
                          Numbers.
                         Carrier Registry Telecommunications Interface.
                         AT&T Global Network Service/Compact Disc.
                         File Transfer.
                         Registry Customer Information Control System.
                         T-Mail.
142....................  New Durable Medical Equipment Prosthetic,
                          Orthotics & Supplies Certificates of Medical
                          Necessity and Durable Medical Equipment
                          Medicare Administrative Contractors
                          Information Forms for Claims Processing.
                         Documentation Specifications for Areas Selected
                          for Prepayment or Postpayment Medical Review.
                         Home Use of Durable Medical Equipment.
                         Rules Concerning Prescriptions (Orders).
                         Physician Orders.
                         Verbal Orders.
                         Written Orders.
                         Written Orders Prior to Delivery.
                         Requirement of New Orders.
                         Certificates of Medical Necessity and Durable
                          Medical Equipment Medicare Administrative
                          Contractor Information Forms.
                         Completing a Certificate of Medical Necessity
                          or Durable Medical Equipment Medicare
                          Administrative Contractors Information Form.
                         Cover Letters for Certificates of Medical
                          Necessity.
                         Acceptability of Faxed Orders and Facsimile or
                          Electronic Certificates of Medical Necessity
                          and Durable Medical Equipment Administrative
                          Contractors Information Forms.
                         Durable Medical Equipment Medicare
                          Administrative Contractors and Durable Medical
                          Equipment Program Safeguard Contractor's
                          Authority to Initiate an Overpayment or Civil
                          Monetary Penalty When Invalid Certificates of
                          Medical Necessity are Identified.
                         Nurse Practitioner or Clinical Nurse Specialist
                          Rules Concerning Orders and Certificates of
                          Medical Necessity.
                         Physician Assistant Rules Concerning Orders and
                          Certificates of Medical Necessity.
                         Documentation in the Patient's Medical Record.
                         Supplier Documentation.
                         Evidence of Medical Necessity.
                         Evidence of Medical Necessity for the Oxygen
                          Certificates of Medical Necessity.
                         Evidence of Medical Necessity: Wheelchair and
                          Power-Operated Vehicle Claims.
                         Period of Medical Necessity--Home Dialysis
                          Equipment.
                         Safeguards in Making Monthly Payments.
                         Guidance on Safeguards in Making Monthly
                          Payments.
                         Pick-up slips.
                         Incurred Expenses for Durable Medical Equipment
                          and Orthotic and Prosthetic Devices.
                         Patient Equipment Payments Exceed Deductible
                          and Coinsurance on Assigned Claims.
                         Definitions of Customized Durable Medical
                          Equipment.
                         Advance Determination of Medicare Coverage of
                          Customized Durable Medical Equipment.

[[Page 36111]]

 
                         Items Eligible for Advance Determination of
                          Medicare Coverage.
                         Instructions for Submitting Advance
                          Determination of Medicare Coverage Requests.
                         Instructions for Processing Advance
                          Determination of Medicare Coverage Requests.
                         Affirmative Advance Determination of Medicare
                          Coverage Decisions.
                         Negative Advance Determination of Medicare
                          Coverage Decisions.
                         Durable Medical Equipment Program Safeguard
                          Contractor Tracking.
143....................  Demand Letters.
144....................  Various Benefit Integrity Revisions.
                         The Medicare Fraud Program.
                         Requests for Information From Outside
                          Organizations.
                         Closing Cases.
                         Affiliated Contractor and Program Safeguard
                          Contractor Coordination on Voluntary Refunds.
                         Immediate Advisements to the Office of the
                          Inspector General/Office of Investigations.
145....................  Eliminate the Use of Surrogate Unique Physician
                          Identification Numbers (OTH000) on Medicare
                          Claims.
------------------------------------------------------------------------
  Medicare Contractor Beneficiary and Provider Communications (CMS Pub.
                                 100-09)
------------------------------------------------------------------------
00.....................  None.
------------------------------------------------------------------------
                 Medicare Managed Care (CMS Pub. 100-16)
------------------------------------------------------------------------
78.....................  Revisions to Chapter 5, ``Quality
                          Improvement.''
79.....................  Change in Managed Care Manual Chapter 11,
                          Medicare Advantage Application Procedures and
                          Contract Requirements.
80.....................  Revisions to Chapter 13, Medicare Managed Care
                          Beneficiary Grievances, Organization
                          Determinations, and Appeals Applicable to
                          Medicare Advantage Plans, Cost Plans, and
                          Health Care Prepayment Plans (collectively
                          referred to as Medicare health plans).
------------------------------------------------------------------------
      Medicare Business Partners Systems Security (CMS Pub. 100-17)
------------------------------------------------------------------------
07.....................  Business Partner Systems Security Manual.
------------------------------------------------------------------------
                    Demonstrations (CMS Pub. 100-19)
------------------------------------------------------------------------
37.....................  Revisions to CR 3816--Low Vision Rehabilitation
                          Demonstration.
38.....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Confidentiality of
                          Instruction.
                  39...  This Transmittal is rescinded and replaced by
                          Transmittal 41.
40.....................  Amendments to Section 651 Chiropractic Services
                          Demonstration--Changes to CPT 98943 rate
                          published in CR 4225 Due to Passage of the
                          Deficit Reduction Act, and revisions to CPT
                          codes for 2006.
41.....................  2006 Oncology Demonstration Project--Inclusion
                          of Gynecological Oncology (Supplement to CR
                          4219).
42.....................  2006 Oncology Demonstration Project.
43.....................  Physician Voluntary Reporting Program (PVRP)
                          Specification (Correction to CR 4183).
------------------------------------------------------------------------
                 One Time Notification (CMS Pub. 100-20)
------------------------------------------------------------------------
200....................  Mandatory Transition to New Registry That
                          Satisfies Medicare Data Reporting Requirements
                          for Implantable Cardioverter Defibrilators.
201....................  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.
202....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.
203....................  Revision for Prospective Payment System Payment
                          for Blood Clotting Factor Administered to
                          Hemophilia Inpatients.
204....................  Stage 1 Use and Editing of National Provider
                          Identifier Numbers Received in Electronic Data
                          Interchange.
205....................  Beneficiary Change of Address.
206....................  Modifications/Additions to CR 3730, Frequent
                          Hemodialysis Network Payments for Approved
                          Clinical Trial Costs.
207....................  New 2006 Payment Rate for Services Paid Under
                          the Medicare Physician Fee Schedule.
208....................  Analysis of Systems Changes Needed to Generate
                          Unsolicited Responses to the Veterans
                          Administration.
                  209..  Q4080--Change in Healthcare Common Procedure
                          Coding System Code Descriptor.
210....................  Creation of a Second Participation Enrollment
                          Period for 2006.
211....................  Temporary 5 Percent Payment Increase for Home
                          Health Services Furnished in a Rural Area for
                          One Year Under the Home Health Prospective
                          Payment System, Change of the Home Health
                          Prospective Payment System Calendar Year (CY)
                          2006 Update from that of 2.8 Percent Update
                          (Home Health Market Basket Update of 3.6 Minus
                          0.8 Percentage Point) to that of a Zero
                          Percent Update.
212....................  Full Replacement of CR 3980, Termination of
                          Existing Crossover Agreements as Trading
                          Partners Transition to the National
                          Coordination of Benefits Agreement Program (CR
                          3980 is rescinded.).
213....................  Issued to a specific audience, not posted to
                          Internet/Intranet due to Sensitivity of
                          Instruction.
214....................  Procedures for Preventing Duplicate Crossover
                          File Submissions to the Coordination of
                          Benefits Contractor.
215....................  Payment for Power Mobility Device Claims.
216....................  Contractor Number Change for Noridian
                          Administrative Services' Idaho and Oregon Part
                          A Workloads.
217....................  2006 Revised American National Standards
                          Institute X12N 837 Institutional Health Care
                          Claim Companion Document.
------------------------------------------------------------------------


[[Page 36112]]


                      Addendum IV.--Regulation Documents Published in the Federal Register
                                          [January through March 2006]
----------------------------------------------------------------------------------------------------------------
                                 FR vol. 71        CFR parts
       Publication date           page No.         affected         File code           Title of regulation
----------------------------------------------------------------------------------------------------------------
January 17, 2006.............            2617  419.............  CMS-1501-CN2...  Medicare Program; Changes to
                                                                                   the Hospital Outpatient
                                                                                   Prospective Payment System
                                                                                   and Calendar Year 2006
                                                                                   Payment Rates; Correction.
January 23, 2006.............            3616  412 and 424.....  CMS1306-P......  Medicare Program, Impatient
                                                                                   Psychiatric Facilities
                                                                                   Prospective Payment System
                                                                                   Payment Update for Rate Year
                                                                                   Beginning July 1, 2006 (RY
                                                                                   2007).
January 27, 2006.............            4648  412.............  CMS-1485-P.....  Medicare Program; Prospective
                                                                                   Payment System for Long-term
                                                                                   Care Hospitals RY 2007:
                                                                                   Proposed Annual Payment Rate
                                                                                   Updates, Policy Changes, and
                                                                                   Clarification.
January 27, 2006.............            4591                    CMS-1318-N.....  Medicare Program; Meeting of
                                                                                   the Practicing Physicians
                                                                                   Advisory Council, March 6,
                                                                                   2006.
January 27, 2006.............            4590                    CMS-1328-N.....  Medicare Program; February 15,
                                                                                   2006 Town Hall Meeting on the
                                                                                   Practice Expense Methodology
                                                                                   Including the Proposal From
                                                                                   the Physician Fee Schedule
                                                                                   Proposed Rule for Calendar
                                                                                   Year 2006.
January 27, 2006.............            4589                    CMS-3162-N.....  Medicare Program; Meeting of
                                                                                   the Medicare Coverage
                                                                                   Advisory Committee--March 30,
                                                                                   2006.
January 27, 2006.............            4586                    CMS-3144-FN....  Medicare Program; Approval of
                                                                                   Adjustment in Payment Amounts
                                                                                   for New Technology
                                                                                   Intraocular Lenses Furnished
                                                                                   by Ambulatory Surgical
                                                                                   Centers.
January 27, 2006.............            4584                    CMS-2228-PN....  Medicare and Medicaid
                                                                                   Programs; Application by the
                                                                                   TUV Healthcare Specialists
                                                                                   for Deeming Authority for
                                                                                   Hospitals.
January 27, 2006.............            4518  414               CMS-1167-F.....  Medicare Program; Payment for
                                                                                   Respiratory Assist Devices
                                                                                   With Bi-Level Capability and
                                                                                   a Backup Rate.
February 10, 2006............            6991  413               CMS-1126-RCN...  Medicare Program; Provider Bad
                                                                                   Debt Payment; Extension of
                                                                                   Timeline for Publication of
                                                                                   Final Rule.
February 24, 2006............            9564                    CMS-2227-FN....  Medicare and Medicaid
                                                                                   Programs; Approval of Deeming
                                                                                   Authority of the
                                                                                   Accreditation Commission for
                                                                                   Healthcare (ACHC) for Home
                                                                                   Health Agencies.
February 24, 2006............            9562                    CMS-1332-NC....  Medicare and Medicaid
                                                                                   Programs; Announcement of an
                                                                                   Application From a Hospital
                                                                                   Requesting Waiver From Its
                                                                                   Designated Organ Procurement
                                                                                   Service Area.
February 24, 2006............            9561                    CMS-4115-N.....  Medicare Program; Request for
                                                                                   Nominations for the Advisory
                                                                                   Panel on Medicare Education.
February 24, 2006............            9505  412 and 413.....  CMS-1306-CN....  Medicare Program; Inpatient
                                                                                   Psychiatric Facilities
                                                                                   Prospective Payment System
                                                                                   Payment Update for Rate Year
                                                                                   Beginning July 1, 2006 (RY
                                                                                   2007); Correction and
                                                                                   Extension of Comment Period.
February 24, 2006............            9466  411 and 489.....  CMS-6272-IFC...  Medicare Program; Medicare
                                                                                   Secondary Payer Amendments.
February 24, 2006............            9458  405, 410, 411,    CMS-1502-F2 and  Medicare Program; Revisions to
                                                413, 414, 424     CMS-1325-F.      Payment Policies Under the
                                                and 426.                           Physician Fee Schedule for
                                                                                   Calendar Year 2006 and
                                                                                   Certain Provisions Related to
                                                                                   the Competitive Acquisition
                                                                                   Program of Outpatient Drugs
                                                                                   and Biologicals Under Part B;
                                                                                   Correcting Amendment.
March 3, 2006................           11027  412 and 413.....  CMS-1306-CN....  Medicare Program; Inpatient
                                                                                   Psychiatric Facilities
                                                                                   Prospective Payment Update
                                                                                   for Rate Year Beginning July
                                                                                   1, 2006 (RY 2007); Correction
                                                                                   and Extension of Comment
                                                                                   Period.
March 15, 2006...............           13469  405, 410, 411,    CMS-1502-F2 and  Medicare Program; Revisions to
                                                413, 414, 424     CMS-1325-F.      Payment Policies Under the
                                                and 426.                           Physician Fee Schedule for
                                                                                   Calendar Year 2006 and
                                                                                   Certain Provisions Related to
                                                                                   the Competitive Acquisition
                                                                                   Program of Outpatient Drugs
                                                                                   and Biologicals Under Part B;
                                                                                   Correcting Amendment.
March 24, 2006...............           14924                    CMS-1281-N.....  Medicare Program; Public
                                                                                   Meetings in Calendar Year
                                                                                   2006 for All New Public
                                                                                   Requests for Revisions to the
                                                                                   Healthcare Common Procedure
                                                                                   Coding System (HCPCS) Coding
                                                                                   and Payment Determinations.
March 24, 2006...............           14922                    CMS-4117-PN....  Medicare Program; Application
                                                                                   for Deeming Authority for
                                                                                   Medicare Advantage Health
                                                                                   Maintenance Organizations and
                                                                                   Local Preferred Provider
                                                                                   Organizations Submitted by
                                                                                   URAC.

[[Page 36113]]

 
March 24, 2006...............           14903                    CMS-9034-N.....  Medicare and Medicaid
                                                                                   Programs; Quarterly Listing
                                                                                   of Program Issuances--October
                                                                                   Through December 2005.
March 24, 2006...............           14901                    CMS-3163-N.....  Medicare Program; Request for
                                                                                   Nominations for Members of
                                                                                   the Medicare Coverage
                                                                                   Advisory Committee and Notice
                                                                                   of Meeting of the Medicare
                                                                                   Coverage Advisory Committee--
                                                                                   May 18, 2006.
March 24, 2006...............           14900                    CMS-1269-N7....  Medicare Program; Emergency
                                                                                   Medical Treatment and Labor
                                                                                   Act (EMTALA) Technical
                                                                                   Advisory Group (TAG):
                                                                                   Announcement of a New Member.
----------------------------------------------------------------------------------------------------------------

Addendum V--National Coverage Determinations

[January Through March 2006]

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

                                        National Coverage Determinations
                                          [January through March 2006]
----------------------------------------------------------------------------------------------------------------
                                                                  NCDM                                Effective
                            Title                               section       TN No.     Issue date      date
----------------------------------------------------------------------------------------------------------------
Cardiac Catheterization Performed in Other Than a Hospital          20.25       R46NCD      1/27/06      1/18/06
 Setting....................................................
Tumor Antigen by Immunoassay CA125 to Add Primary Peritoneal       190.28       R47NCD      2/24/06       1/1/06
 Carcinoma..................................................
Technical Corrections to the NCD Manual.....................          (*)       R48NCD      3/17/06      3/17/06
Microvolt T-Wave Alternans Diagnostic Testing...............        20.30       R49NCD      3/24/06      3/21/06
External Counterpulsation Therapy...........................        20.20       R50NCD      3/31/06     3/20/06
----------------------------------------------------------------------------------------------------------------
* NA (not available).

Addendum VI--FDA-Approved Category B IDEs

[January Through March 2006]

    Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c) devices 
fall into one of three classes. To assist CMS under this categorization 
process, the FDA assigns one of two categories to each FDA-approved 
IDE. Category A refers to experimental IDEs, and Category B refers to 
non-experimental IDEs. To obtain more information about the classes or 
categories, please refer to the Federal Register notice published on 
April 21, 1997 (62 FR 19328).
    The following list includes all Category B IDEs approved by FDA 
during the first quarter, January through March 2006: G040138, G050054, 
G050157, G050185, G050189, G050201, G050209, G050212, G050213, G050215, 
G050219, G050226, G050246, G050248, G050250, G050251, G050253, G050260, 
G060004, G060005, G060010, G060011, G060014, G060015, G060016, G060018, 
G060020, G060022, G060023, G060024, G060025, G060027, G060028, G060030, 
G060031, G060043, G060046, G060047, G060048, and G060051.

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..............................  Part 424, Subpart C.
0938-0022..............................  413.20, 413.24, 413.106.
0938-0023..............................  424.103.
0938-0025..............................  406.28, 407.27.
0938-0027..............................  486.100-486.110.

[[Page 36114]]

 
0938-0033..............................  405.807.
0938-0034..............................  405.821.
0938-0035..............................  407.40.
0938-0037..............................  413.20, 413.24.
0938-0041..............................  408.6, 408.202.
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..............................  406.7, 406.13.
0938-0086..............................  420.200-420.206, 455.100-
                                          455.106.
0938-0101..............................  430.30.
0938-0102..............................  413.20, 413.24.
0938-0107..............................  413.20, 413.24.
0938-0146..............................  431.800-431.865.
0938-0147..............................  431.800-431.865.
0938-0151..............................  493.1-493.2001.
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.
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, 415.60.
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, 484.12, 484.14, 484.16,
                                          484.18, , 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..............................  478.18, 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, 435.94,-435.960.
0938-0469..............................  417.126, 422.502, 422.516.

[[Page 36115]]

 
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,
                                          483.10, 484.10, 489.102.
0938-0612..............................  493.801, 493.803, 493.1232,
                                          493.1233, 493.1234, 493.1235,
                                          493.1236, 493.1239, 493.1241,
                                          493.1242, 493.1249, 493.1251,
                                          493,1252, 493.1253, 493.1254,
                                          493.1255, 493.1256, 493.1261,
                                          493.1262, 493.1263, 493.1269,
                                          493.1273, 493.1274, 493.1278,
                                          493.1283, 493.1289, 493.1291,
                                          493.1299.
0938-0618..............................  433.68, 433.74, 447.272.
0938-0653..............................  493.1771, 493.1773, 493.1777.
0938-0657..............................  405.2110, 405.2112.
0938-0658..............................  405.2110, 405.2112.
0938-0667..............................  482.12, 488.18, 489.20, 489.24.
0938-0686..............................  493.551-493.557.
0938-0688..............................  486.301-486.325.
0938-0691..............................  412.106.
0938-0692..............................  466.78, 489.20, 489.27.
0938-0701..............................  422.152.
0938-0702..............................  45 CFR 146.111, 146.115,
                                          146.117, 146.150, 146.152,
                                          146.160, 146.180.
0938-0703..............................  45 CFR 148.120, 148.122,
                                          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.
0938-0796..............................  422.64.
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.

[[Page 36116]]

 
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 Subparts 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 142.408, 162.408, and
                                          162.406.
0938-0933..............................  438.50.
0938-0935..............................  422 Subparts F and K.
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.
0938-0957..............................  Part 423 Subpart R.
0938-0964..............................  403.460, 411.47.
0938-0975..............................  423.562(a).
0938-0976..............................  423.568.
0938-0977..............................  Part 423 Subpart R.
0938-0978..............................  423.464.
0938-0982..............................  422.310, 423.301, 423.322,
                                          423.875, 423.888.
0938-0990..............................  423.56.
0938-0992..............................  423.505, 423.514.
------------------------------------------------------------------------

Addendum VIII--Medicare-Approved Carotid Stent Facilities

[January Through March 2006]

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

Effective Date 1/4/06

Grant Medical Center
111 S. Grant Avenue
Columbus, OH 43215
Medicare Provider 360017

Effective Date 1/6/06

Genesis HealthCare System
2951 Maple Avenue
Zanesville, OH 43701
Medicare Provider 360039

St. Joseph Regional Health Center
2801 Franciscan Drive
Bryan, TX 77802
Medicare Provider 450011

Washington Hospital Healthcare System
2000 Mowry Avenue
Fremont, CA 94538-1716
Medicare Provider 050195

Effective Date 1/12/06

Sparrow Hospital
1215 E. Michigan
P.O. Box 30480
Lansing, MI 48909-7980
Medicare Provider 230230

St. Mary's of Michigan Hospital
800 S. Washington Ave.
Saginaw, MI 48601-2524
Medicare Provider 230077

Effective Date 1/18/06

Michael Reese Hospital
2929 South Ellis Avenue
Chicago, IL 06016
Medicare Provider 140075

St. Vincent Infirmary Medical Center
Two St. Vincent Circle
Little Rock, AR 72205-5499
Medicare Provider 040007

St. Vincent Mercy Medical Center
2213 Cherry Street
Toledo, OH 43608-2691
Medicare Provider 360112

Touro Infirmary
1401 Foucher Street
New Orleans, LA 70115-3593
Medicare Provider 190046

Effective Date 1/20/06

Carroll Hospital Center
200 Memorial Avenue
Westminster, MD 21157
Medicare Provider 210033

DeTar Healthcare System
P.O. Box 2089
Victoria, TX 77902
Medicare Provider 450147

Long Beach Memorial Medical Center
2801 Atlantic Avenue
Long Beach, CA 90806-1737
Medicare Provider 050485

[[Page 36117]]

Effective Date 1/23/06

California Pacific Medical Center-Pacific Campus
2333 Buchanan Street
P.O. Box 7999
San Francisco, CA 94102
Medicare Provider 050047

MacNeal Hospital
3249 South Oak Park Avenue
Berwyn, IL 60402
Medicare Provider 140054

Silver Cross Hospital
1200 Maple Road
Joliet, IL 60432
Medicare Provider 140213

St. Joseph Hospital Kirkwood
525 Couch Avenue
Kirkwood, MO 63122-5594
Medicare Provider 260081

Effective Date 1/24/06

North Hills Hospital
4401 Booth Calloway Road
North Richland Hills, TX 76180
Medicare Provider 450087

Effective Date 1/26/06

Advocate Good Samaritan Hospital
3815 Highland Avenue
Downers Grove, IL 60515-1590
Medicare Provider 140288

Saint Joseph Regional Medical Center
801 East LaSalle Avenue
South Bend, IN 46617
Medicare Provider 150012

St. Francis Health Center-Topeka Kansas
1700 SW 7th Street
Topeka, KS 66606-1690
Medicare Provider 170016

Effective Date 2/1/06

Centro Cardiovascular de Puerto Rico y del Caribe
P.O. Box 366528
San Juan, Puerto Rico 00936-6528
Medicare Provider 400124

Glenwood Regional Medical Center
P.O. Box 35805
West Monroe, LA 71294-5805
Medicare Provider 190160

Southern Ocean County Hospital
1140 Route 72 West
Manahawkin, NJ 08050
Medicare Provider 310113

Effective Date 2/2/06

CHRISTUS Hospital
2830 Calder Avenue
P.O. Box 5405
Beaumont, TX 77726-5405
Medicare Provider 450034

Potomac Hospital
2300 Opitz Boulevard
Woodbridge, VA 22191
Medicare Provider 490113

Trinity Hospitals
One Burdick Expressway West
P.O. Box 5020
Minot, ND 58702-5020
Medicare Provider 350006

Effective Date 2/3/06

Beloit Memorial Hospital
1969 West Hart Road
Beloit, WI 53511
Medicare Provider 520100

Effective Date 2/6/06

Blount Memorial Hospital
907 E. Lamar Alexander Pkwy
Maryville, TN 37804-5016
Medicare Provider 440011

Centinela Freeman Regional Medical Center, Centinela Campus
555 East Hardy Street
Inglewood, CA 90301
Medicare Provider 050739

Florida Medical Center
5000 West Oakland Park Blvd
Ft. Lauderdale, FL 33313
Medicare Provider 100212

Renaissance Hospital
5500 39th Street
Groves, TX 77619
Medicare Provider 450123

Effective Date 2/8/06

Anaheim Memorial Medical Center
1111 West La Palma Avenue
Anaheim, CA 92801-2881
Medicare Provider 050226

Baylor Regional Medical Center at Plano
4700 Alliance Boulevard
Plano, TX 75093-5323
Medicare Provider 450890

UMass Memorial Medical Center
University Campus 55 Lake Avenue North
Worcester, MA 01655
Medicare Provider 220163

Lake Forest Hospital
660 North Westmoreland Road
Lake Forest, IL 60045-9989
Medicare Provider 140130

Effective Date 2/10/06

OSF Saint Anthony Medical Center
5666 East State Street
Rockford, IL 61108
Medicare Provider 140233
St. Vincent's Hospital
P.O. Box 12407
Birmingham, AL 35202-2407
Medicare Provider 010056

Effective Date 2/17/06

Carondelet St. Joseph's Hospital
350 North Wilmot Road
Tucson, AZ 85711-2678
Medicare Provider 030011

Cedars-Sinai Medical Center
8700 Beverly Boulevard
Los Angeles, CA 90048
Medicare Provider 050625

Hemet Valley Medical Center
1117 East Devonshire Avenue
Hemet, CA 92543
Medicare Provider 050390

North Colorado Medical Center
1801 16th Street
Greeley, CO 80631
Medicare Provider 060001

Saddleback Memorial Medical Center
24451 Health Center Drive
Laguna Hills, CA 92653
Medicare Provider 050603

Southwest Florida Regional Medical Center
2727 Winkler Avenue
Fort Myers, FL 33901
Medicare Provider 100220

Effective Date 2/22/06

Bridgeport Hospital
267 Grant Street
Bridgeport, CT 06610
Medicare Provider 070010

Hillcrest Baptist Medical Center
3000 Herring Avenue
P.O. Box 5100
Waco, TX 76708-0100
Medicare Provider 450101

MCSA, LLC
dba Medical Center of South Arkansas
700 West Grove
El Dorado, AR 71730
Medicare Provider 040088

Union Hospital
659 Boulevard
Dover, OH 44622
Medicare Provider 360010

West Jefferson Medical Center
1101 Medical Center Boulevard
Marrero, LA 70072
Medicare Provider 190039

Effective Date 2/24/06

Aventura Hospital and Medical Center
20900 Biscayne Boulevard
Aventura, FL 33180
Medicare Provider 100131

CHRISTUS St. John Hospital
18300 St. John Drive
Nassau Bay, TX 77058
Medicare Provider 450709

Flowers Hospital
4370 West Main Street
P.O. Box 6907
Dothan, AL 36305
Medicare Provider 010055

North Okaloosa Medical Center
151 Redstone Avenue, East
Crestview, FL 32539
Medicare Provider 100122

St. Luke's Community Medical Center
71200 St. Luke's Way, Suite 230
The Woodlands, TX 77384
Medicare Provider 450862

University Hospital and Medical Center
7201 North University Drive
Tamarac, FL 33321
Medicare Provider 100224

Effective Date 3/6/06

Fort Hamilton Hospital
630 Eaton Avenue
Hamilton, OH 45013
Medicare Provider 360132

INTEGRIS Southwest Medical Center
4401 South Western
Oklahoma City, OK 73109
Medicare Provider 370106

Memorial Hermann Southeast Hospital
11800 Astoria Boulevard
Houston, TX 77089
Medicare Provider 450184

Temple University Hospital
3401 North Broad Street
Philadelphia, PA 19140
Medicare Provider 390027

UPMC Passavant
9100 Babcock Boulevard
Pittsburgh, PA 15237-5842

[[Page 36118]]

Medicare Provider 107920

Effective Date 3/9/06

Enloe Medical Center
1531 Esplanade
Chico, CA 95926
Medicare Provider 050039

Northwest Medical Center--Washington County
609 W. Maple Avenue
Springdale, AR 72764
Medicare Provider 040022

Effective Date 3/13/06

Northwest Medical Center--Bentonville
3000 Medical Center Parkway
Bentonville, AR 72712
Medicare Provider 040138

St. Rose Dominican Hospitals, Siena Campus
3001 St. Rose Parkway
Henderson, NV 89052
Medicare Provider 290045

Effective Date 3/20/06

Bayshore Community Hospital
727 North Beers Street
Holmdel, NJ 07733
Medicare Provider 310112

JFK Medical Center
65 James Street
Edison, NJ 08818
Medicare Provider 310108

Lakewood Regional Medical Center
P.O. Box 6070
3700 East South Street
Lakewood, CA 90712
Medicare Provider 050581

Memorial Hospital of Burlington
252 McHenry Street
P.O. Box 400
Burlington, WI 53105-0400
Medicare Provider 520059

Methodist Heart Hospital
7700 Floyd Curl Drive
San Antonio, TX 78229
Medicare Provider 450388

Methodist Specialty and Transplant Hospital
8026 Floyd Curl Drive
San Antonio, TX 78229
Medicare Provider 450388

Muhlenberg Regional Medical Center
Park Avenue & Randolph Road
Plainfield, NJ 07061
Medicare Provider 310063

Effective Date 3/23/06

Danbury Hospital
24 Hospital Avenue
Danbury, CT 06810
Medicare Provider 070033

Lake Hospital System, Inc.
10 East Washington Street
Painesville, OH 44077-3472
Medicare Provider 360098

Sinai Hospital of Baltimore
2401 West Belvedere Avenue
Baltimore, MD 21215-5271
Medicare Provider 210012

Sutter General Hospital dba Sutter Memorial Hospital
5151 F Street
Sacramento, CA 95819
Medicare Provider 050108

Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, NV 89106
Medicare Provider 290021

Warren Hospital
185 Roseberry Street
Phillips, NJ 08865
Medicare Provider 310060

Effective Date 3/28/06

Aurora Medical Center--Kenosha
10400 75th Street
Kenosha, WI 53142-7884
Medicare Provider 520189

Caritas Good Samaritan Medical Center
235 N. Pearl Street
Brockton, MA 02301
Medicare Provider 220111

Medical City Dallas Hospital
7777 Forest Lane
Dallas, TX 75230
Medicare Provider 450647

Southeast Missouri Hospital
1701 Lacey Street
Cape Cirardeau, MO 63701
Medicare Provider 260110

St. Joseph Hospital
360 Broadway
P.O. Box 403
Bangor, ME 04402-0403
Medicare Provider 200001

[FR Doc. 06-5486 Filed 6-22-06; 8:45 am]
BILLING CODE 4120-01-P