[Federal Register: December 24, 2003 (Volume 68, Number 247)]
[Notices]
[Page 74590-74607]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr24de03-91]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9019-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--July 2003 Through September 2003
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This notice lists CMS manual instructions, substantive and
interpretive regulations, and other Federal Register notices that were
published from July 2003 through September 2003, relating to the
Medicare and Medicaid programs. This notice provides information on
national coverage determinations affecting specific medical and health
care services under Medicare. Additionally, this notice identifies
certain devices with investigational device exemption numbers approved
by the Food and Drug Administration that potentially may be covered
under Medicare. Finally, this notice also includes listings of all
approval numbers from the Office of Management and Budget for
collections of information in CMS regulations.
Section 1871(c) of the Social Security Act requires that we publish
a list of Medicare issuances in the Federal Register at least every 3
months. Although we are not mandated to do so by statute, for the sake
of completeness of the listing, and to foster more open and transparent
collaboration efforts, we are also including all Medicaid issuances and
Medicare and Medicaid substantive and interpretive regulations
(proposed and final) published during this 3-month time frame.
FOR FURTHER INFORMATION CONTACT: It is possible that an interested
party may have a specific information need and not be able to determine
from the listed information whether the issuance or regulation would
fulfill that need. Consequently, we are providing information contact
persons to answer general questions concerning these items. Copies are
not available through the contact persons. (See Section III of this
notice for how to obtain listed material.)
Questions concerning items in Addendum III may be addressed to
Karen Bowman, Office of Strategic Operations and Regulatory Affairs,
Centers for Medicare & Medicaid Services, C5-16-03, 7500 Security
Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-5252.
Questions concerning national coverage determinations in Addendum V
may be addressed to Patricia Brocato-Simons, Office of Clinical
Standards and Quality, Centers for Medicare & Medicaid Services, C1-09-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call
(410) 786-0261.
Questions concerning Investigational Device Exemptions items in
Addendum VI may be addressed to Sharon Hippler, Office of Clinical
Standards and Quality, Centers for Medicare & Medicaid Services, C5-13-
27, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call
(410) 786-4633.
Questions concerning approval numbers for collections of
information in Addendum VII may be addressed to Dawn Willinghan, Office
of Strategic Operations and Regulatory Affairs, Regulations Development
and Issuances Group, Centers for Medicare & Medicaid Services, C5-09-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call
(410) 786-6141.
Questions concerning all other information may be addressed to
Gwendolyn Johnson, Office of Strategic Operations and Regulatory
Affairs, Regulations Development and Issuances Group, Centers for
Medicare & Medicaid Services, C5-12-26, 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,
[[Page 74591]]
substantive and interpretive regulations, national coverage
determinations (NCDs), and Food and Drug Administration (FDA)-approved
investigational device exemptions (IDEs) published during the subject
quarter to determine whether any are of particular interest. We expect
this notice to be used in concert with previously published notices.
Those unfamiliar with a description of our Medicare manuals may wish to
review Table I of our first three notices (53 FR 21730, 53 FR 36891,
and 53 FR 50577) published in 1988, and the notice published March 31,
1993 (58 FR 16837). Those desiring information on the Medicare National
Coverage Determination 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 six addenda:
[sbull] Addendum I lists the publication dates of the most recent
quarterly listings of program issuances.
[sbull] Addendum II identifies previous Federal Register documents
that contain a description of all previously published CMS Medicare and
Medicaid manuals and memoranda.
[sbull] Addendum III lists a unique CMS transmittal number for each
instruction in our manuals or Program Memoranda and its subject matter.
A transmittal may consist of a single or multiple instruction(s).
Often, it is necessary to use information in a transmittal in
conjunction with information currently in the manuals.
[sbull] Addendum IV lists all substantive and interpretive Medicare
and Medicaid regulations and general notices published in the Federal
Register during the quarter covered by this notice. For each item, we
list the--
[sbull] Date published;
[sbull] Federal Register citation;
[sbull] Parts of the Code of Federal Regulations (CFR) that have
changed (if applicable);
[sbull] Agency file code number; and
[sbull] Title of the regulation.
[sbull] Addendum V includes completed NCDs, or reconsiderations of
completed NCDs, from the quarter covered by this notice. Completed
decisions are identified by the section of the NCDM (or CIM) in which
the decision appears, the title, the date the publication was issued,
and the effective date of the decision.
[sbull] Addendum VI includes listings of the FDA-approved IDE
categorizations, using the IDE numbers the FDA assigns. The listings
are organized according to the categories to which the device numbers
are assigned (that is, Category A or Category B), and identified by the
IDE number.
[sbull] Addendum VII includes listings of all approval numbers from
the Office of Management and Budget (OMB) for collections of
information in CMS regulations in title 42; title 45, subchapter C; and
title 20 of the CFR.
III. How To Obtain Listed Material
A. Manuals
Those wishing to subscribe to program manuals should contact either
the Government Printing Office (GPO) or the National Technical
Information Service (NTIS) at the following addresses:
Superintendent of Documents, Government Printing Office, Attn: New
Orders, PO Box 371954, Pittsburgh, PA 15250-7954, Telephone (202) 512-
1800, Fax number (202) 512-2250 (for credit card orders); or
National Technical Information Service, Department of Commerce, 5825
Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630.
In addition, individual manual transmittals and Program Memoranda
listed in this notice can be purchased from NTIS. Interested parties
should identify the transmittal(s) they want. GPO or NTIS can give
complete details on how to obtain the publications they sell.
Additionally, most manuals are available at the following Internet
address: http://cms.hhs.gov/manuals/default.asp.
B. Regulations and Notices
Regulations and notices are published in the daily Federal
Register. Interested individuals may purchase individual copies or
subscribe to the Federal Register by contacting the GPO at the address
given above. When ordering individual copies, it is necessary to cite
either the date of publication or the volume number and page number.
The Federal Register is also available on 24x microfiche and as an
online database through GPO Access. The online database is updated by 6
a.m. each day the Federal Register is published. The database includes
both text and graphics from Volume 59, Number 1 (January 2, 1994)
forward. Free public access is available on a Wide Area Information
Server (WAIS) through the Internet and via asynchronous dial-in.
Internet users can access the database by using the World Wide Web; the
Superintendent of Documents home page address is http://www.gpoaccess.gov/fr/index.html
, by using local WAIS client software,
or by telnet to swais.gpoaccess.gov, then log in as guest (no password
required). Dial-in users should use communications software and modem
to call (202) 512-1661; type swais, then log in as guest (no password
required).
C. Rulings
We publish rulings on an infrequent basis. Interested individuals
can obtain copies from the nearest CMS Regional Office or review them
at the nearest regional depository library. We have, on occasion,
published rulings in the Federal Register. Rulings, beginning with
those released in 1995, are available online, through the CMS Home
Page. The Internet address is http://cms.hhs.gov/rulings.
D. CMS's Compact Disk-Read Only Memory (CD-ROM)
Our laws, regulations, and manuals are also available on CD-ROM and
may be purchased from GPO or NTIS on a subscription or single copy
basis. The Superintendent of Documents list ID is HCLRM, and the stock
number is 717-139-00000-3. The following material is on the CD-ROM
disk:
[sbull] Titles XI, XVIII, and XIX of the Act.
[sbull] CMS-related regulations.
[sbull] CMS manuals and monthly revisions.
[sbull] CMS program memoranda.
The titles of the Compilation of the Social Security Laws are
current as of January 1, 1999. (Updated titles of the Social Security
Laws are available on the Internet at http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.
) The remaining portions of CD-ROM are updated on a
monthly basis.
Because of complaints about the unreadability of the Appendices
(Interpretive Guidelines) in the State Operations Manual (SOM), as of
March 1995, we deleted these appendices from CD-ROM. We intend to re-
visit this issue in the near future and, with the aid of newer
technology, we may again be able to include the appendices on CD-ROM.
Any cost report forms incorporated in the manuals are included on
the CD-ROM disk as LOTUS files. LOTUS software is needed to view the
reports once the files have been copied to a personal computer disk.
IV. How To Review Listed Material
Transmittals or Program Memoranda can be reviewed at a local
Federal Depository Library (FDL). Under the
[[Page 74592]]
FDL program, government publications are sent to approximately 1,400
designated libraries throughout the United States. Some FDLs may have
arrangements to transfer material to a local library not designated as
an FDL. Contact any library to locate the nearest FDL.
In addition, individuals may contact regional depository libraries
that receive and retain at least one copy of most Federal Government
publications, either in printed or microfilm form, for use by the
general public. These libraries provide reference services and
interlibrary loans; however, they are not sales outlets. Individuals
may obtain information about the location of the nearest regional
depository library from any library.
Superintendent of Documents numbers for each CMS publication are
shown in Addendum III, along with the CMS publication and transmittal
numbers. To help FDLs locate the materials, use the Superintendent of
Documents number, plus the transmittal number. For example, to find the
Hospice Manual, (CMS Pub. 21) transmittal entitled ``Payment of Amounts
Owed Medicare,'' use the Superintendent of Documents No. HE 22.8/18 and
the transmittal number 69.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714,
Medical Assistance Program)
Dated: December 2, 2003.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.
Addendum I
This addendum lists the publication dates of the most recent
quarterly listings of program issuances.
November 2, 1999 (64 FR 59185)
December 7, 1999 (64 FR 68357)
January 10, 2000 (65 FR 1400)
May 30, 2000 (65 FR 34481)
June 28, 2002 (67 FR 43762)
September 27, 2002 (67 FR 61130)
December 27, 2002 (67 FR 79109)
March 28, 2003 (68 FR 15196)
June 27, 2003 (68 FR 38359)
September 26, 2003 (69 FR 55618)
Addendum II--Description of Manuals, Memoranda, and CMS Rulings
An extensive descriptive listing of Medicare manuals and
memoranda was published on June 9, 1988, at 53 FR 21730 and
supplemented on September 22, 1988, at 53 FR 36891 and December 16,
1988, at 53 FR 50577. Also, a complete description of the former CIM
(now the NCDM) was published on August 21, 1989, at 54 FR 34555. A
brief description of the various Medicaid manuals and memoranda that
we maintain was published on October 16, 1992, at 57 FR 47468.
Addendum III.--Medicare and Medicaid Manual Instructions
[July 2003 through September 2003]
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Transmittal No. Manual/Subject/Publication No.
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Intermediary Manual
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Part 3--Audits, Reimbursement Program Administration
(CMS-Pub. 13-3)
(Superintendent of Documents No. HE 22.8/6)
1892 [sbull Frequency of Billing
]
...... Provider Education
1893 [sbull Release Software
]
1894 [sbull Review of Form CMS-1450 (previously Form
] HCFA-1450) for Inpatient and
...... Outpatient Bills
1895 [sbull Diabetes Outpatient Self-Management
] Training Services
1896 [sbull Mammography Screening
]
...... Diagnostic Mammography
...... Diagnostic and Screening Mammography
Performed With New Technologies
...... Mammography Billing Charts for Billing for
Computer Aided Detection Devices
...... Common Working File Application of Age and
Frequency Edits
...... Hospital Outpatient Partial Hospitalization
Services
1897 [sbull Limitation on Payment for Services to
] Individuals Entitled to Benefits on the
Basis of End-Stage Renal Disease Who Are
Covered by Group Health Plans
...... Definitions
...... Retroactive Implementation
...... Processing Claims
...... Determining the 30-Month Coordination
Period During Which Medicare May Be
Secondary Payer
...... Effect of Dual Entitlement
...... Subsequent Periods of End-Stage Renal
Disease Eligibility or Entitlement
...... Amount of Secondary Medicare Payments Where
Group Health Payments in Part for Items
and Services
...... Limitation on Right of Provider or Facility
to Charge a Beneficiary
...... Responsibility of Provider/Providers of
Service and Renal Dialysis Facilities
...... Action When Group Health Payments
Erroneously Pay Primary Benefits
...... Referral to Regional Offices of Cases
Involving Taking Into Account Medicare
Eligibility or Entitlement and Benefit
Differentiation During Coordination Period
...... Claimant's Right To Take Legal Action
Against a Group Health Plan
...... Medical Services Furnished to End-Stage
Renal Disease Beneficiaries by Source
Outside Group Health Plan Managed Care
Plan
...... Limitations on Payment for Services to Aged
Beneficiaries Who are Covered by a Group
Health Plan on the Basis of Current
Employment Status
...... Definitions
...... Individuals Subject to Limitation on
Payment, General
...... Individuals Not Subject to Limitation on
Payment, General
...... Identification of Cases by Providers of
Services
...... Identification of Cases and Action Where
There Is Indication of Possible Group
Health Plan Coverage
...... Action by Provider Where Medicare Is
Secondary to Group Health Plan
...... Limitation on Right of Provider or Facility
to Charge a Beneficiary
[[Page 74593]]
...... Employer Plan Denies Claim for Primary
Benefit
...... Referral of Cases to Regional Offices
...... Recovery of Mistaken Primary Medicare
Payments
...... Advice to Providers, Physicians, and
Beneficiaries
...... Mistaken Group Health Plan Primary Payments
...... Claimant's Right to Take Legal Action
Against a Group Health Plan
...... Special Rules for Services Furnished by
Source Outside Group Health Plan
...... Managed Care Health Plan
...... Medicare as Secondary Payer for Disabled
Individuals
1898 [sbull Payment for Services Furnished by a
] Critical Access Hospital
------------------------------------------------------------------------
Carriers Manual
------------------------------------------------------------------------
Part 3--Program Administration
(CMS Pub. 14-3) (Superintendent of Documents No. HE 22.8/7)
1808 [sbull Mandatory Assignment and Participation
] Program
...... Participation Program
...... Limiting Charge
1809 [sbull Durable Medical Equipment Regional
] Carriers--Billing Procedures Related to
Advance Beneficiary Notice Upgrades
...... Providing Upgrades of Durable Medical
Equipment Prosthetic, Orthotics, and
Supplies Without Any Extra Charge
1810 [sbull Payment for Physician Services Furnished to
] Dialysis Inpatients
...... Dialysis Services (Codes 90935-90999)
1811 [sbull Release Software
]
...... Contractor Testing Requirements
1812 [sbull Definitions of Lines 1 through 115
]
...... Checking Reports
...... Exhibits
1813 [sbull Data Element Requirements
]
...... Payment to Physician for Purchased
Diagnostic Tests
...... Area Carriers--Physician's Services
...... Payment Jurisdiction for Services Paid
Under the Physician Fee Schedule and
Anesthesia Services
...... Claims Processing Instructions for Payment
Jurisdiction for Claims Received On or
After April 1, 2004
...... Payment Jurisdiction for Purchased Services
...... Jurisdiction for Shipboard Services
...... Exceptions to Jurisdictional Payment
...... Exhibit 10
...... Items 14-33 Physician or Supplier
Information
1814 [sbull Screening Mammography Examinations
]
...... Identifying a Screening Mammography Claim
and a Diagnostic Mammography Claim
...... Adjudicating the Claim
...... Diagnostic and Screening Mammograms
Performed With New Technologies
1815 [sbull Repairs, Maintenance, Replacement, and
] Delivery
1816 [sbull Correct Coding Initiative
]
1817 [sbull Medicare Secondary Payment General
] Provisions
...... Third Party Payer Pays Charges in Full
...... Physician, Supplier, or Beneficiary Bills
Medicare for Primary Benefits
...... Multiple Insurers
...... Third Party Payer Pays Primary Benefits
When Not Required
...... Right of Physician or Supplier to Charge
Beneficiary
...... General
...... Definitions
...... Current Employment Status
...... Employer-Sponsored Managed Care Health Plan
...... Nonconforming Group Health Plan
...... Recovery of Mistaken Primary Medicare
Payments
...... Advice to Physicians/Suppliers and
Beneficiaries
...... Mistaken Group Health Plan Primary Payments
...... Claimant's Right to Take Legal Action
Against a Group Health Plan
...... Special Rules for Services Furnished by
Source Outside Group Health Plan
...... Managed Care Health Plan
...... Medicare Secondary Payer Provisions for
Working Aged Individuals
...... Individual Not Subject to Medicare
Secondary Payer Provision
...... Exception for Small Employers in Multi-
Employer and Multiple Employer Group
Health Plan
...... Dually Entitled Individuals
...... General
...... Individuals Not Subject to Medicare
Secondary Payer Provision
...... Items and Services Furnished On or After
January 1, 1987 and Before August 10, 1993
(Date of Enactment of Omnibus Budget
Reconciliation Act of 1993)
1818 [sbull Filing the Request for Payment
]
1819 [sbull Special Requirements for Claims for Durable
] Medical Equipment, Prosthetics, Orthotics,
and Supplies
[[Page 74594]]
1820 [sbull Medicare Physician Fee Schedule Database
] 2004 File Layout
...... Maintenance Process for the Medicare
Physician Fee Schedule Database
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Carriers Manual
Part 4--Professional Relations
(CMS Pub. 14-4)
(Superintendent of Documents No. HE 22.8/7-4)
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28 [sbull Provider of Services or Supplier
] Information
------------------------------------------------------------------------
Program Memorandum Intermediaries
(CMS Pub. 60A)
(Superintendent of Documents No. HE 22.8/6-5)
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A-03-057 [sbull Medicare Program-Update to the Hospice
] Payment Rates, Hospice Cap, Hospice Wage
Index and the Hospice for Fiscal Year 2004
A-03-058 [sbull Change in Methodology for Determining
] Payment for Outliers Under the Acute Care
Hospital Inpatient and Long-Term Care
Hospital Prospective Payment System
A-03-059 [sbull Addition of Patient Status Code 43,
] Deletion of Patient Status Codes 71 and
72, and Information on New Patient Status
Code 65
A-03-060 [sbull Medicare Program--Update to the Prospective
] Payment System for Home Health Agencies
for Fiscal Year 2004
A-03-061 [sbull Tentative Settlement Requirements for Cost
] Reports from Home Health Agencies and
Skilled Nursing Facilities That Have No
Reimbursement Impact
A-03-062 [sbull Department of Veterans Affairs Claims
] Adjudication Services Project System
Changes Needed
A-03-063 [sbull Installation of Version 30 of the Provider
] Statistical and Reimbursement Reporting
System
A-03-064 [sbull X12N 837 Institutional Health Care Claim
] Companion Document
A-03-065 [sbull New Common Working File Edits to Ensure
] Accurate Coding and Payments for Discharge
and/or Transfer Policies Under the
Inpatient Prospective Payment System
A-03-066 [sbull Hospital Outpatient Prospective Payment
] System Implementation Instructions
A-03-067 [sbull The Supplemental Security Income Medicare
] Beneficiary Data for Fiscal Year 2002 for
Inpatient Prospective Payment System
Hospitals
A-03-068 [sbull Informing Beneficiaries About Which Local
] Medical Review Policy and/or National
Coverage Determination Is Associated With
Their Claim Denial
A-03-069 [sbull October Outpatient Code Editor
] Specification Version (V4.3)
A-03-070 [sbull Inclusion of the State of New York in
] Demonstration for Settlement of Payments
for Home Health Services to Dual Eligibles
and Instructions for Processing Fiscal
Year 2000 Claims Under the Demonstration.
Regional Home Health Intermediaries Only.
A-03-071 [sbull Retroactive Correction of Provider
] Statistical and Reimbursement System
Report Data Related to Mammography and
Outpatient Therapy Services
A-03-072 [sbull Instructions for Provider Credit Balance
] Reporting Related Activities
A-03-073 [sbull Fiscal Year 2004 Inpatient Prospective
] Payment System, Long Term Care Hospital,
and Other Billing Changes
A-03-074 [sbull Inpatient Rehabilitation Facility Annual
] Update: Prospective Payment System Pricer
Changes for Fiscal Year 2004
A-03-075 [sbull Medicare Part A Skilled Nursing Facility
] Prospective Payment System Update
A-03-076 [sbull October 2003 Update of the Hospital
] Outpatient Prospective Payment System
A-03-077 [sbull October Medicare Outpatient Code Editor
] Specification Version 19.0 for Bills From
Hospitals That Are Not Paid Under the
Outpatient Prospective Payment System
A-03-078 [sbull Reimbursement for Automated Multi-Channel
] Chemistry Tests for End-Stage Renal
Disease Beneficiaries
A-03-079 [sbull Installation of Version 31 of the Provider
] Statistical and Reimbursement Reporting
System
A-03-080 [sbull End-Stage Renal Disease Reimbursement for
] Automated Multi-Channel Chemistry Test
A-03-081 [sbull Conflicting Policies With Provider
] Reimbursement Manual 15-1, Section 2771
A-03-082 [sbull Clarification for Billing Under the 2300
] Provider Number by Hospital-Based Renal
Dialysis Facilities
------------------------------------------------------------------------
Program Memorandum
Carriers
(CMS Pub. 60B)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
B-03-050 [sbull Multiple Primary Payers on Part B Claims-
] Revision to Change Request 2050
B-03-051 [sbull Therapy Modifier Bypass for Ambulance
] Claims
B-03-052 [sbull Addition of Temporary ``Q'' Codes for Drugs
] Used in Infusion Pumps
B-03-053 [sbull Healthcare Provider Taxonomy Codes
] Crosswalk
B-03-054 [sbull Establishing and Maintaining Provider and
] Supplier Enrollment Data in Provider
kEnrollment, Chain and Ownership System as
Needed for Use By the Railroad Medicare
Carrier to Pay Claims
B-03-055 [sbull Common Working File crossover Editing for
] Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies Claims During an
Inpatient Stay
B-03-056 [sbull Durable Medical Equipment Regional
] Carriers--Additional Instructions for
Health Insurance Portability and
Accountability Act Implementatyion on
National Drug Codes and the National
Council of Prescription Drug Programs
B-03-057 [sbull Additional Guidelines for Implementing the
] National Council for Prescription Drug
Program Format
B-03-058 [sbull Procedures for the Reconciliation of Total
] Funds Expended for Multi-Carriers Systems
Medicare Contractors Used in the
Preparation of Form CMS-1522, Monthly
Contractor Financial Report
[[Page 74595]]
B-03-059 [sbull Minimum Number of Pricing Files That Must
] Be Maintained Online for Medicare Single
Drug Pricer
B-03-060 [sbull Expansion of Beneficiary History and Claims
] in Process Files in the Voucher Insurance
Plan Viable Medicare System. Phase 2--
Adjudication Claims in Process File
Expansion
B-03-061 [sbull Durable Medical Equipment Regional Carriers
] National Council of Prescription of Drug
Programs Crosswalk Requirements
B-03-062 [sbull Procedures for Non-Medicare Secondary Payer
] Overpayments With Original Balance Less
than $10
B-03-063 [sbull Healthcare Provider Taxonomy Codes
] Crosswalk
B-03-064 [sbull Clarification--ICD-9 Coding
]
B-03-065 [sbull Changes to Code List for Therapy Services
]
B-03-066 [sbull Durable Medical Equipment Regional
] Carriers--Eliminate Combined Working File
Edit for Cancer Diagnosis for National
Drug Codes
B-03-067 [sbull National Council for Prescription Drug
] Programs Batch Transmittal Standard 1.1
Billing Request Companion Document
B-03-068 [sbull 2004 Annual Update for Skilled Nursing
] Facility Consolidated Billing for the
Common Working File and Medicare Carriers
B-03-069 [sbull Schedule for Completing the Calendar Year
] 2004 Fee Schedule Updates and the
Participating Physician Enrollment
Procedures
------------------------------------------------------------------------
Program Memorandum
Intermediaries/Carriers
(CMS Pub. 60A/B)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
AB-03-094 [sbull October 2003 Quarterly Updates for Skilled
] Nursing Facility Consolidated Billing
AB-03-095 [sbull Remittance Advice Remark and Reason Code
] Update
AB-03-096 [sbull Quarterly Update of Healthcare Common
] Procedure Coding System Codes Used for
Home Health Consolidated Billing
Enforcement
AB-03-097 [sbull Delay in Implementation of Outpatient
] Therapy Caps to September 1, 2003
AB-03-098 [sbull Medicare Summary Notice Implementation for
] Contractors Using Arkansas Part A Standard
System and HCFA Part B Standard System
AB-03-099 [sbull Instructions for Fiscal Intermediary
] Standard System and Multi-Carriers System
Healthcare Integrated General Ledger
Accounting System Changes
AB-03-100 [sbull October Quarterly Update for 2003 Durable
] Medical Equipment, Prosthetics, Orthotics,
and Supplies Fee Schedule
AB-03-101 [sbull Clarification for CR 2562: Collection of
] Fee-for-Service Payments Made During
Periods of Managed Care Enrollment
AB-03-102 [sbull Clarifications Regarding Coverage of
] Hyperbaric Oxygen Therapy for the
Treatment of Diabetic Wounds of the Lower
Extremities
AB-03-103 [sbull Medicare Secondary Payer Debt Referral and
] Write-Off Closed Instructions
AB-03-104 [sbull Changes to the Laboratory National Coverage
] Determination Edit Software for October 1,
2003
AB-03-105 [sbull Harkin Grantees: Complaint Tracking System
] and Aggregate Reports
AB-03-106 [sbull Third Clarification of Medicare Policy
] Regarding the Implementation of the
Ambulance Fee Schedule
AB-03-107 [sbull Federal Bankruptcy/State Insurer
] Liquidation Actions and Medicare Secondary
Payer Debt
AB-03-108 [sbull Medicare Secondary Payer--(1) Use of Inter-
] Contractor Notices and the Common Working
File for the Development of the Medicare
Secondary Payer Conditional Payment Amount
for Liability, No-Fault, Worker's
Compensation, and Federal Tort Claims Act
Cases; (2) Reminder Regarding Termination
Updates to the Common Working File; (3)
Reminder Regarding Savings Information to
Non-Lead Contractors
AB-03-109 [sbull Discontinue Use of the Healthcare Integrity
] and Protection Data Bank for Provider
Enrollment Only
AB-03-110 [sbull Adjustment to the Rural Mileage Payment
] Rate for Ground Ambulance Services
AB-03-111 [sbull Shared System Maintainer Hours for
] Resolution of Problems Detected During
Health Insurance Portability and
Accountability Act Transaction Release
Testing
AB-03-112 [sbull Transmittal AB-03-112 Has Been Rescinded
]
AB-03-113 [sbull Update of Codes in the Program Integrity
] Management Reporting System and the
Contractor Administrative Cost and
Financial Management System
AB-03-114 [sbull Claims Processing and Payment of Incomplete
] Screening Colonoscopies
AB-03-115 [sbull Payment Denial for Medicare Services
] Furnished to Alien Beneficiaries Who Are
Not Lawfully Present in the United States
AB-03-116 [sbull Update of Rates and Wage Index for
] Ambulatory Surgical Center Payment
Effective October 1, 2003
AB-03-117 [sbull Contractor Guidance for Connection to the
] Medicare Data Communication Network for
Real-time Eligibility Inquiries (270/271)
Via a Route Other Than Insurance Value-
Added Network Services
AB-03-118 [sbull Cease Further Work on the Eligibility File-
] Based Standard Trading Partner Agreement
for the Purpose of Coordination of
Benefits
AB-03-119 [sbull Final Update to the 2003 Medicare Physician
] Fee Schedule Database
AB-03-120 [sbull Medicare Secondary Payer--(1) Copy of
] Recovery Demand Packages Resulting From a
Data Match or Non-Data Match Group Health
Plan Recovery Action to Insurers/Third
Party Administrators of Employers; (2)
Documentation Required When an Insurer/
Third Party Administrator Wishes to
Resolve a Debt on Behalf of Its Client, an
Employer Debtor
AB-03-121 [sbull Requirement to Cross Claims Over to
] Multiple Supplemental Insurers
AB-03-122 [sbull Notice of Interest Rate for Medicare
] Overpayments and Underpayments
AB-03-123 [sbull Scheduled Release for October Updates to
] Software Programs and Pricing/Coding Files
AB-03-124 [sbull Standard System Automation of the Notice of
] Change to Medicare Secondary Payer
Auxiliary File Process
AB-03-125 [sbull Consolidation of Claims Cross-Over Process
]
AB-03-126 [sbull Change in Type of Service for L04080
]
AB-03-127 [sbull Payment for Fecal Leukocyte Examination
] Under Clinical Laboratory Improvement
Amendments of 1988 Certificate for
Provider-Performed Microscopy Procedures
During Calendar Year 2003
[[Page 74596]]
AB-03-128 [sbull Clarification to Transmittal AB-03-044 (CR
] 2611), Addition of New Temporary ``K''
Codes
AB-03-129 [sbull Addition of Three New International
] Classifications of Diseases, Ninth
Revision, Clinical Modification Diagnosis
Codes To Be Effective as Part of the
October 1, 2003, International
Classification of Diseases, Clinical
Update
AB-03-130 [sbull Levocarnitine for Use in the Treatment of
] Carnitine Deficiency in End-Stage Renal
Disease Patients
AB-03-131 [sbull Update to Health Care Claims Status
] Category Codes and Health Care Claim
Status Codes for Use With the Health Care
Claim Status Request and Response ASCX12N
276/277
AB-03-132 [sbull Provider Education Article: Guidelines for
] Medicare Part B Laboratory Testing
AB-03-133 [sbull Managing Medicare Appeals Workloads in
] Fiscal Year 2004
AB-03-134 [sbull Modifier and Condition Code for Providers
] to Use When Billing for Implantable
Automatic Defibrillators for Beneficiaries
in Medicare+Choice Plan
AB-03-135 [sbull Darbepoetin Alfa (Trade Name Aranesp) and
] Epoetin Alfa (Trade Name Epogen) for
Treatment of Anemia in End-Stage Renal
Disease Patients on Dialysis
AB-03-136 [sbull Correction to Quarterly Update of Health
] Care Common Procedure Coding System Codes
Used for Home Health Consolidated Billing
Enforcement
AB-03-137 [sbull Update of Home Care Common Procedure Coding
] System Codes and Payment for Ambulatory
Surgical Centers and File Names,
Descriptions and Instructions for
Retrieving the 2004 Ambulatory Surgical
Center Home Health Care Common Procedure
Coding System Additions, Deletions, and
Master Listing
AB-03-138 [sbull Modification of Medicare Policy for
] Erythropoietin
AB-03-139 [sbull Appeals Quality Improvement and Data
] Analysis Activities
AB-03-140 [sbull 2004 Healthcare Common Procedure Coding
] System Annual Update Reminder
AB-03-141 [sbull CMS Companion Document for the Accredited
] Standards Committee X12N276/277 Health
Care Claim Status Request and Response
AB-03-142 [sbull The Coordination of Benefits Contractor
] Will Post the Lead Medicare Contractor in
the Group Name Field on the Common Working
File and Expansion of Lead Contractor
Viewing in the Electronic Correspondence
Referral System
AB-03-143 [sbull Implementation of Certain Initial
] Determination and Appeal Provisions Within
Section 521 of the Medicare, Medicaid and
State Child Health Insurance Program
Benefits Improvement and Protection Act of
2000
AB-03-144 [sbull Establishing a Uniform Process for the
] Preparation and Mailing of Case Files From
the Contractor to the Office of Hearings
and Appeals of the Social Security
Administration
AB-03-145 [sbull Instructions for Contractors Other Than the
] Religious Nonmedical Health Care
Institution Specialty Intermediary
Regarding Claims For Beneficiaries With
Religious Nonmedical Health Care
Institution Elections
AB-03-146 [sbull Reminder Notice of the Implementation of
] the Ambulance Transition Schedule
AB-03-147 [sbull Core Elements and Required Statements for a
] Valid Privacy Authorization
------------------------------------------------------------------------
State Operations Manual
(CMS Pub. 7)
(Superintendent of Documents No. HE 22.8/12)
------------------------------------------------------------------------
31 [sbull Regional Offices Assignment of Provider and
] Supplier Identification Number
------------------------------------------------------------------------
Hospice Manual
(CMS Pub. 10)
(Superintendent of Documents No. HE 22.8/2)
------------------------------------------------------------------------
806 [sbull Hospital Manual, Credit Balance Reporting
] Requirements--General Provisions
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Reporting
Certification Page
807 [sbull Payment for Services Furnished by a
] Critical Access Hospital
------------------------------------------------------------------------
Home Health Agency Manual
(CMS Pub. 11)
(Superintendent of Documents No. HE 33.8/5)
------------------------------------------------------------------------
305 [sbull Diabetes Outpatient Self-Management
] Training
306 [sbull Home Health Agency Manual, Credit Balance
] Reporting Requirements--General Provisions
...... Completing the Centers for Medicare &
Medicaid Services--838
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Report
Certification Page
------------------------------------------------------------------------
Skilled Nursing Facility Manual
(CMS Pub. 12)
(Superintendent of Documents No. HE 22.8/3)
------------------------------------------------------------------------
377 [sbull Credit Balance Reporting Requirements--
] General Provisions
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Report
Certification Page
------------------------------------------------------------------------
[[Page 74597]]
Coverage Issues Manual
(CMS Pub. 6)
(Superintendent of Documents No. HE 22.8/14)
------------------------------------------------------------------------
173 [sbull Implantable Automatic Defibrillators
]
------------------------------------------------------------------------
Peer Review Organization (CMS Pub. 19)
(Superintendent of Documents No. 22.8/8-15)
------------------------------------------------------------------------
91 [sbull Case Review and Health Care Quality
] Improvement Program--has been moved to
Corresponding Internet-Only Manual chapter
in Pub. 100-10, Medicare Quality
Improvement Organizations Manual, which
can be found at http://www.cms.hhs.gov/
manuals.
92 [sbull Denials, Reconsiderations and Appeals--has
] been moved to corresponding Internet-Only
Manual chapters in Pub. 100-10, Medicare
Quality Improvement Organization Manual,
which can be found at http://www.cms.hhs.gov/manuals
.
93 [sbull Agreements--has been moved to Corresponding
] Internet-Only Manual chapter in Pub. 100-
10, Medicare Quality Improvement
Organization Manual, which can be found at
http://www.cms.hhs.gov/manuals.
94 [sbull Confidentiality and Disclosure--has been
] moved to the Corresponding Internet-Only
Manual, which can be found at http://www.cms.hhs.gov/manuals
.
95 [sbull Outreach Activities--has been moved to
] corresponding Internet-Only Manual
chapters in Pub. 100-10, Medicare Quality
Improvement Organizations Manual, which
can be found at http://www.cms.hhs.gov/
manuals.
96 [sbull Payment Error Prevention Program--has been
] moved to corresponding Internet-Only
Manual chapter in Pub.100-10, Medicare
Improvement Organizations Manual, which
can be found at http://www.cms.hhs.gov/
manuals.
97 [sbull Beneficiary Complaint Review--has been
] moved to corresponding Internet-Only
Manual chapter in Pub. 100-10, Medicare
Quality Improvement Organizations Manual,
which can be found at http://www.cms.hhs.gov/manuals
.
98 [sbull Data Management--has been moved to
] corresponding Internet-Only Manual chapter
in Pub. 100-10, Medicare Quality
Improvement Organizations Manual, which
can be found at http://www.cms.hhs.gov/
manuals.
------------------------------------------------------------------------
Hospice Manual
(CMS Pub. 21)
(Superintendent of Documents No. HE 22.8/18)
------------------------------------------------------------------------
69 [sbull Hospice Manual, Credit Balance Reporting
] Requirements--General Provisions
...... Completing the Centers for Medicare &
Medicaid Services--838
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Report
Certification Page
------------------------------------------------------------------------
Outpatient Physical Therapy and Comprehensive
Outpatient Rehabilitation Facility Manual
(CMS Pub. 9)
(Superintendent of Documents No. HE 22. 8/9)
------------------------------------------------------------------------
18 [sbull Outpatient Physical Therapy/Comprehensive
] Outpatient Rehabilitation
...... Facility/Community Mental Health/Clinic
Manual, Credit Balance Reporting
Requirements
...... General Provisions
...... Completing the Centers for Medicare &
Medicaid Services--838
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Reporting
Certification Page
------------------------------------------------------------------------
Rural Health Clinic Manual & Federally Qualified
Health Centers Manual
(CMS Pub. 27)
(Superintendent of Documents No. He 22.8/19:985)
------------------------------------------------------------------------
39 [sbull Rural Health Clinic and Federally Qualified
] Health Center Manual, Credit Balance
Reporting--General Provisions
...... Completing the CMS-838
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Reporting
Certification Page
------------------------------------------------------------------------
Rural Dialysis Facility Manual
------------------------------------------------------------------------
(Non-Hospital Operated)
CMS Pub. 29)
(Superintendent of Documents No. 22.8/13)
96 [sbull Renal Health Clinic Manual, Credit Balance
] Reporting Requirement--General Provisions
...... Completing the Centers for Medicare &
Medicaid Services-838
...... Payment of Amounts Owed Medicare
...... Medicare Credit Balance Report
Certification Page
------------------------------------------------------------------------
[[Page 74598]]
Provider Reimbursement Manual
------------------------------------------------------------------------
Part 2 Provider Cost Reporting Forms and Instructions
Chapter 11/Form CMS 22.8/4
(CMS Pub. 15-2-11)
5 [sbull Reimbursement Information
]
------------------------------------------------------------------------
ESRD Network Organizations Manual
------------------------------------------------------------------------
(CMS Pub. 81)
(Superintendent of Documents No. HE 22.9/4)
15 [sbull Background and Responsibilities
]
...... Administration
...... Confidentiality and Disclosure
...... Information Management
...... Quality Improvement
...... Community Information and Resource
...... Sanctions and End-Stage Renal Disease
Grievances
...... Publication Policy
...... Information Collection
------------------------------------------------------------------------
Medicare Claims Processing Manual
------------------------------------------------------------------------
(CMS Pub. 100-04)
3 [sbull New Effective Data for CR2112 (Revisions to
] the Outpatient Prospective Payment System
Pricer Software and Outpatient Code Editor
for Blood Deductible and Technician)
------------------------------------------------------------------------
Financial Management
------------------------------------------------------------------------
(CMS Pub. 100-06)
19 [sbull Intermediary Claims Accounts Receivable
]
------------------------------------------------------------------------
Medicare Program Integrity
------------------------------------------------------------------------
(CMS Pub. 100-08)
44 [sbull When to Develop New/Revised Local Medical
] Review Policy
...... Coverage Provisions in Local Medical Review
Policy
...... Contractor Medical Director
...... Local Medical Review Policy Development
Process
...... Final Local Medical Review Policy Web Site
Requirements
45 [sbull Focused Medical Review Activity Report
]
46 [sbull Prepayment Edits
]
47 [sbull Data Analysis
]
...... Centers for Medicare & Medicaid Services
Mandated Edits
48 [sbull Written Orders Prior to Delivery
]
49 [sbull Denial Notices
]
50 [sbull Instructions for Processing Advance
] Determination of Medicare Coverage Request
51 [sbull Update of Codes in the Program Integrity
] Management Reporting System and the
Contractor Administrative Cost and
Financial Management System
------------------------------------------------------------------------
Quality Improvement Organization
------------------------------------------------------------------------
(CMS Pub. 100-10)
2 [sbull Introduction
]
...... Referrals
...... Quality Review
...... Diagnostic Related Group
...... Limitation on Liability Determinations
...... Third-Level Physician Review
...... Use of the Physician Reviewer Assessment
Format
...... Review Setting
...... Requesting Medical Records/Reviewing
Documentation
...... Providing Opportunity for Discussion
...... Adhering to Review Timeframes
...... Monitoring Hospitals' Physician
Acknowledgement Statements
3 [sbull Introduction
]
...... Quality Improvement Project Process
...... Developing and Conducting Interventions
...... Documenting and Disseminating Results
...... Centers for Medicare & Medicaid Services
Project Support and Guidance Activities
[[Page 74599]]
...... Related Activities Through Quality
Improvement Organizations, Carrier,
Intermediary, and End-Stage Renal Diseases
Network Cooperation
4 [sbull Beneficiary Request for Review of Hospital-
] Issued Notice of Non-Coverage by a Quality
Improvement Organization
5 [sbull Intermediary/Carrier Memorandum of
] Agreement Specifications
...... Introduction
...... Memorandum of Agreement With State Agencies
Responsible for Licensing/Certification of
Providers/Practitioners
6 [sbull Statutory and Regulatory Requirements
]
...... General Requirements
...... Confidential Information
...... Disclosure of Confidential Quality
Improvement Organization Information to
Officials and Agencies
...... Disclosure of Quality Improvement
Organization Information for Research
Purposes
...... Disclosure of Quality Improvement
Organization Sanction Information
...... Re-disclosure of Quality Improvement
Organization Information
7 [sbull Beneficiary Helpline Language
]
...... Beneficiary Complaints
...... Physician/Provider Meeting Activities
...... Quality Improvement Organization/
Intermediary/Carriers Coordination
Activities
...... Background
...... Confidentiality Requirements
...... Report Requirements
...... Distribution Requirements
...... Publications Policy
...... Definition
...... Requirements
...... Disagreements
...... Information Collection Policy
...... Centers for Medicare & Medicaid Services
Office of Clinical Standards and Quality
Requirement
...... Statutory and Regulatory Requirements--
Office of Management & Budget
...... Centers for Medicare & Medicaid Services,
Information Collection
...... Approval Process
...... Additional Consideration
8 [sbull Introduction
]
...... Review Responsibilities
...... Monitoring Hospital Payment Patterns and
Developing
...... Collaborating With Provider and
Practitioner Groups
...... Collaborating Efforts With Federal and
State Agencies and Other Medicare
Contractors
9 [sbull Scope of Review
]
...... Complaints That Do Not Meet Statutory
Requirements
...... Referral
...... Review Process
...... Notice of Disclosure
...... Final Response to Complaints
...... Disclosure of Quality Review Information to
Complaints
...... Corrective Actions
...... Coordination With Other Entities
...... Data Analysis and Reporting Requirements
10 [sbull Authority
]
...... Purpose of Quality Improvement Organization
Review
...... Quality Improvement Organization
Responsibilities
...... Centers for Medicare & Medicaid Services'
Role
...... Health Care Quality Improvement Program
...... Hospital Payment Monitoring Program
------------------------------------------------------------------------
End Stage Renal Disease
(CMS Pub. 100-14)
------------------------------------------------------------------------
1 [sbull Forward
]
...... Purpose of the Network Manual
...... Statutes and Regulations
...... End-Stage Renal Disease Network
Organization's Manual Revisions
...... Acronyms and Glossary
...... Purpose of End-Stage Renal Disease Network
Organization
...... Requirements for End-Stage Renal Disease
Network Organization
...... Responsibilities of End-Stage Renal Disease
Network Organization
...... Health Care Quality Improvement Program
...... Goals
...... Network Organization's Role in Health Care
Quality Improvement Program
2 [sbull Forward
]
...... Purpose of the Network Manual
...... Statutes and Regulations
[[Page 74600]]
...... Revision to the End-Stage Renal Disease
Organizations Manual
...... Purpose of End-Stage Renal Disease Network
Organization
...... Requirements for End-Stage Renal Disease
Network Organizations
...... Responsibilities of End-Stage Renal Disease
Network Organizations
...... Goals
...... Network Organization's Role in Health Care
Quality Improvement Program
3 [sbull Organizational Structure
]
...... Establishing the Network Computer
...... Board of Directors
...... Other Committees
...... Network Staff
...... Required Administrative Reports/Activities
...... Quarterly Progress and Status Reports
...... Annual Report
...... Semi-Annual Report of Network Operating
Costs
...... New End-Stage Renal Disease Patient
Orientation Package Activities
...... Internal Quality Control Program
...... Internal Quality Control Program
Requirements
------------------------------------------------------------------------
Managed Care Manual (CMS Pub. 100-16)
------------------------------------------------------------------------
26 [sbull Alternate Employer Group Enrollment
] Election
...... Optional Employer Group Medicare+Choice
Enrollment Election
...... Request Submitted via Internet
...... Request Signature and Data
...... Effective Dates
...... Notice Requirements
...... Optional Employer Group Medicare+Choice
Disenrollment Election
...... Medigap Guaranteed Issue Notification
Requirements
...... General Rule
...... Effective Date
...... Researching and Acting on a Change of
Address
...... Clarified the Notice Requirements for Out
of Area Permanent
27 [sbull Noncontracted Provider Appeals
]
...... Storage of Appeal Case Files by the
Independent Review Entity
...... Representative Filing on Behalf of the
Enrollee
...... Storage of Hearing Files
28 [sbull Streamlined Marketing Review Process
]
...... Introduction
...... Marketing Review Process
...... Guidelines for Advertising Material
...... Guidelines for Advertising (Pre-Enrollment)
Material
...... Guidelines for Beneficiary Notification
Materials
...... Model Annual Notice of Change
...... General Guidance on Dual Eligibility
...... Guideline for Outreach Program
...... Submission Requirements
...... Centers for Medicare & Medicaid Services'
Review/Approval Process
...... Model Direct Mail Letter
...... Summary of Benefits for Medicare+Choice
Organizations
...... Referral Programs
...... Allowable Actions for Medicare+Choice
Organizations
...... Specific Guidance About the Use of
Independent Insurance Agents
...... Answers to Frequently Asked Questions About
Promotional Marketing of Multiple Lines of
Business
29 [sbull Introduction
]
...... Quality Assessment and Performance
Improvement Program
...... Administration of the Quality Assessment
and Performance Improvement Program
...... Medicare+Choice Organizations Using
Physician Incentive Plans
...... Health Information System
...... Quality Assessment and Performance
Improvement
...... Centers for Medicare & Medicaid Services'
Directed Special Projects
...... Reporting Time Frames
...... Communication Process
...... Quality Assessment and Performance
Improvement
...... Process for Centers for Medicare & Medicaid
Services' Multi-Year Quality Assessment
and Performance Improvement Program
Project Approvals
...... Evaluation of Quality Assessment and
Performance Improvement Program Projects
...... The Medicare+Choice Deeming Program
...... Terminology
...... General Rule
[[Page 74601]]
...... Obligations of Deemed Medicare and Medicaid
Organizations
...... Oversight of Accrediting Organizations
...... Application Requirements
...... Reporting Requirements
...... Informal Hearing Procedures
30 [sbull Reasonable Cost-Based Payments--General
]
...... Reasonable Cost Payments
...... Bill Processing
...... Principles of Payments
...... Budget and Enrollment Forecast
...... Interim Per Capita Rate
...... Interim Payment for Health Care Prepayment
Plans
...... Electronic Transfer of Funds
...... Payment Report
...... Interim and Final Cost and Enrollment
Report
...... Adjustment of Payments
...... Final Cost Report
...... Final Settlement Process for Medicare
Health Care Prepayment Plans
...... Final Settlement Payment for Medicare
Health Care Prepayment Plans
...... Recovery of Overpayment
...... Interest Charges for Medicare Overpayments/
Underpayments
...... The Basic Rules
...... Definition of Final Determination
...... Rate of Interest
...... Accrual of Interest
...... Waiver of Interest
...... Rules Applicable to Partial Payments
...... Exception to Applicability
...... Nonallowable Interest Cost
...... Centers for Medicare & Medicaid Services'
General Payment Principles
...... Medicare Payments to Health Care Prepayment
Plans
...... Prudent Buyer Principle
...... Allowable Costs
...... Costs Not Reimbursable Directly to the
Health Care Prepayment Plans
...... Deductible and Coinsurance
...... Hospice Care Costs
...... Medicare as Secondary Payer
31 [sbull Overview of Enrollment and Payment Process
]
...... Purpose of the Chapter
...... Medicare+Choice Organization Data
Processing Responsibilities
...... Centers for Medicare & Medicaid Services'
Group Health Plan System
...... Enrollment/Disenrollment Requirements and
Effective Dates
...... General
...... Enrollments
...... Cost-Based Medicare+Choice Organizations
Only
...... Medicare+Choice Organizations Only
...... Disenrollments
...... Cost-Based Medicare+Choice Organizations
Only
...... Medicare+Choice Organizations Only
...... Cost-Based Medicare+Choice Organizations
Only--Employer Group Health Plan
...... Retroactive Enrollment
...... Medicare Membership Information
...... The Centers for Medicare & Medicaid
Services' Medicare+Choice
...... Organizations Only Interface Submitting
Medicare Membership
...... Information to Centers for Medicare &
Medicaid Services
...... Submission of Enrollment/Disenrollment
Transaction Records
...... Submission of Correction Transaction
Records
...... Health Insurance Claim Number
...... Transaction Type Code and the Prior
Commercial Indicator
...... Transaction Type Codes
...... Prior Commercial Months Field
...... Special Status Beneficiaries--
Medicare+Choice Organizations
...... Special Status Beneficiaries
...... Special Status--Hospice
...... Special Status--End-Stage Renal Disease
...... Special Status--Institutionalized
...... Special Status--Medicaid/Medical Assistance
Only
...... Special Status--Working Aged
...... When to Submit ``Special Status''
Information (Medicare+Choice Organizations
Only)
...... Other Medicare Membership Information
[[Page 74602]]
...... Risk Adjustment Payment
...... Bonus Payment
...... Extra Payment in Recognition of Quality
Congestive Heart Failure
...... Outpatient Care
...... Benefit Stabilization Fund
...... Electronic Submission of Membership Records
to Centers for Medicare & Medicaid
Services
...... Timeliness Requirements
...... Record Submission Schedule
...... Sending the Transaction File to Centers for
Medicare & Medicaid Services
...... Electronic Data Transfer
...... Centers for Medicare & Medicaid Services'
Data Center Access
...... Data Processing Vendor
...... Receiving Medicare Membership Information
Form Centers for Medicare & Medicaid
Services
...... General
...... Centers for Medicare & Medicaid Services'
Transaction Reply/Monthly Activity Report
...... Transaction Reply Field Information
...... Plan Payment Report
...... Demographic Report--Medicare+Choice
Organizations Only
...... Medicare Fee-For-Service Bill Itemization
and Summary Report
...... Monthly Membership Report
...... Bonus Payment Report
...... Working Aged Transaction Status Report
...... Retroactive Payment Adjustment Policy
...... Standard Operating Procedures for State and
County Code Adjustments
...... Standard Operating Procedures for
Processing of Institutional Adjustments
...... Standard Operating Procedures for Medicaid
Retroactive Adjustments
...... Standard Operating Procedures for End-Stage
Renal Disease Retroactive Adjustments
...... Processing of Working Aged Retroactive
Adjustments
...... Standard Operating Procedures for
Retroactive Adjustment Plan Elections
...... Centers for Medicare & Medicaid Services,
Social Security Administration, and
Customer Service Center Disenrollments
...... General
...... Medicare Customer Service Center
Disenrollments
...... Centers for Medicare & Medicaid Services'
Disenrollments
...... Coordination With the Medicare Fee-For-
Services Program
...... Pro-Rate Deductible
...... Duplicate Payment Prevention by Cost-Based
Medicare+Choice Organizations
------------------------------------------------------------------------
Addendum IV--Regulation Documents Published in the Federal Register
[July 2003 Through September 2003]
--------------------------------------------------------------------------------------------------------------------------------------------------------
FR Vol. 68
Publication date page No. CFR parts affected File code Title of regulation
--------------------------------------------------------------------------------------------------------------------------------------------------------
July 2, 2003......................... 39764 ..................................... CMS-1473-NC.......................... Medicare Program; Home
Health Prospective
Payment System Rate
Update for FY 2004.
July 15, 2003........................ 41861 ..................................... OFR Correction....................... Medicare Program;
Prospective Payment
System for Long-Term
Care Hospitals:
Annual Payment Rate
Updates and Policy
Changes.
July 25, 2003........................ 44091 ..................................... CMS-3117-N........................... Medicare Program;
Meeting of the
Medicare Coverage
Advisory Committee
September 9, 2003.
July 25, 2003........................ 44089 ..................................... CMS-1260-N........................... Medicare Program;
Meeting of the
Advisory Panel on
Ambulatory Payment
Classification
Groups--August 22,
2003.
July 25, 2003........................ 44088 ..................................... CMS-3124-WN.......................... Medicare Program;
Withdrawal of
Medicare Coverage of
Multiple-Seizure
Electroconvulsive
Therapy,
Electrodiagnostic
Sensory Nerve
Conduction Threshold
Testing, and
Noncontact
Normothermic Wound
Therapy.
July 25, 2003........................ 44000 42 CFR Part 424...................... CMS-1185-P........................... Medicare Program;
Elimination of
Statement of Intent
Procedures for Filing
Medicare Claims.
July 25, 2003........................ 43998 42 CFR Part 406...................... CMS-4018-P........................... Medicare Program;
Continuation of
Medicare Entitlement
When Disability
Benefit Entitlement
Ends Because of
Substantial Gainful
Activity.
[[Page 74603]]
July 25, 2003........................ 43995 42 CFR Parts 405 and 411............. CMS-6014-P........................... Medicare Program;
Interest Calculation.
July 25, 2003........................ 43940 42 CFR Parts 411 and 489............. CMS-1475-FC.......................... Medicare Program;
Third Party Liability
Insurance
Regulations.
August 1, 2003....................... 45674 42 CFR Part 412...................... CMS-1474-F........................... Medicare Program;
Changes to the
Inpatient
Rehabilitation
Facility Prospective
Payment System and
Fiscal Year 2004
Rates.
August 1, 2003....................... 45346 42 CFR Parts 412 and 413............. CMS-1470-F........................... Medicare Program;
Changes to the
Hospital Inpatient
Prospective Payment
Systems and Fiscal
Year 2004 Rates.
August 4, 2003....................... 46036 42 CFR Parts 409, 411, 413, 440, 483, CMS-1469-F........................... Medicare Program;
488, and 489. Prospective Payment
System and
Consolidated Billing
for Skilled Nursing
Facilities--Update.
August 11, 2003...................... 47637 42 CFR Part 412...................... CMS-1470-F........................... Medicare Program;
Changes to the
Hospital Inpatient
Prospective Payment
Systems and Fiscal
Year 2004 Rates.
August 12, 2003...................... 47966 42 CFR Parts 410 and 419............. CMS-1471-P........................... Medicare Program;
Changes to the
Hospital Outpatient
Prospective Payment
System and Calendar
Year 2004 Payment
Rates.
August 15, 2003...................... 49030 42 CFR Parts 410 and 414............. CMS-1476-P........................... Medicare Program;
Revisions to Payment
Policies Under the
Physician Fee
Schedule for Calendar
Year 2004.
August 15, 2003...................... 48805 42 CFR Part 424...................... CMS-0008-IFC......................... Medicare Program;
Electronic Submission
of Medicare Claims.
August 20, 2003...................... 50428 42 CFR Part 405...................... CMS-1229-P........................... Medicare Program;
Payment Reform for
Part B Drugs.
August 22, 2003...................... 50840 42 CFR Parts 409, 417, and 422....... CMS-4041-F........................... Medicare Program;
Modifications to
Managed Care Rules.
August 22, 2003...................... 50794 ..................................... CMS-1236-N........................... Medicare Program;
September 15 and 16,
2003, Meeting of the
Practicing Physicians
Advisory Council and
Request for
Nominations.
August 22, 2003...................... 50793 ..................................... CMS-4053-N........................... Medicare Program:
Meeting of the
Advisory Panel on
Medicare Education--
September 18, 2003.
August 22, 2003...................... 50790 ..................................... CMS-2136-FN.......................... Medicaid Program;
State Allotments for
Payment of Medicare
Part B Premiums for
Qualifying
Individuals: Federal
Fiscal Year 2002.
August 22, 2003...................... 50784 ..................................... CMS-2166-N........................... State Children's
Health Insurance
Program; Final
Allotments to States,
the District of
Columbia, and U.S.
Territories and
Commonwealths for
Fiscal Year 2004.
August 22, 2003...................... 50735 42 CFR Part 414...................... CMS-1167-P........................... Medicare Program;
Payment for
Respiratory Assist
Devices With Bi-level
Capability and a Back-
up Rate.
August 22, 2003...................... 50722 ..................................... CMS-2226-CN.......................... Medicare, Medicaid,
and CLIA Programs;
Laboratory
Requirements Relating
to Quality Systems
and Certain Personnel
Qualifications;
Correction.
August 22, 2003...................... 50717 42 CFR Part 413...................... CMS-1199-F........................... Medicare Program;
Electronic Submission
of Cost Reports.
August 29, 2003...................... 51912 42 CFR Part 447...................... CMS-2175-FC.......................... Medicaid Program; Time
Limitation on Price
Recalculations and
Recordkeeping
Requirements Under
the Drug Rebate
Program.
September 9, 2003.................... 53266 42 CFR Part 412...................... CMS-1262-P........................... Medicare Program;
Changes to the
Criteria for Being
Classified as an
Inpatient
Rehabilitation
Facility.
September 9, 2003.................... 53222 42 CFR Parts 413, 482, and 489....... CMS-1063-F........................... Medicare Program;
Clarifying Policies
Related to the
Responsibilities of
Medicare-
Participating
Hospitals in Treating
Individuals With
Emergency Medical
Conditions.
September 26, 2003................... 55634 ..................................... CMS-3062-N........................... Medicare Program;
Revised Process for
Making Medicare
National Coverage
Determinations.
September 26, 2003................... 55618 ..................................... CMS-9018-N........................... Medicare and Medicaid
Programs; Quarterly
Listing of Program
Issuances--April 2003
Through June 2003.
September 26, 2003................... 55616 ..................................... CMS-2182-FN.......................... Medicare and Medicaid
Programs; Reapproval
of the Community
Health Accreditation
Program (CHAP) for
Deeming Authority for
Hospices.
[[Page 74604]]
September 26, 2003................... 55566 42 CFR Parts 410 and 414............. CMS-1476-CN.......................... Medicare Program;
Revisions to Payment
Policies Under the
Physician Fee
Schedule for Calendar
Year 2004;
Correction.
September 26, 2003................... 55528 42 CFR Parts 483 and 488............. CMS-2131-F........................... Medicare and Medicaid
Programs;
Requirements for Paid
Feeding Assistants in
Long Term Care
Facilities.
September 26, 2003................... 55527 42 CFR Part 447...................... CMS-2175-CN.......................... Medicaid Program; Time
Limitation on Price
Recalculations and
Recordkeeping
Requirements Under
the Drug Rebate
Program; Correction
September 29, 2003................... 55882 42 CFR Parts 409, 411, 413, 440, 483, CMS-1469-CN.......................... Medicare Program;
488, and 489. Prospective Payment
System and
Consolidated Billing
for Skilled Nursing
Facilities;
Correction.
September 30, 2003................... 56478 ..................................... CMS-1233-N........................... Medicare Program;
Hospice Wage Index
for Fiscal Year 2004.
September 30, 2003................... 56383 ..................................... CMS-1473-NC OFR Correction........... Medicare Program; Home
Health Prospective
Payment System Rate
Update for FY 2004;
Correction.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Addendum V--National Coverage Determinations [July 2003 Through
September 2003]
A national coverage determination (NCD) is a determination by
the Secretary with respect to whether or not a particular item or
service is covered nationally under Title XVIII of the Social
Security Act, but does not include a determination of what code, if
any, is assigned to a particular item or service covered under this
title, or determination with respect to the amount of payment made
for a particular item or service so covered. We include below all of
the NCDs that 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 (or CIM) in which the decision appears, the
title, the date the publication was issued, and the effective date
of the decision. Information on completed decisions as well as
pending decisions has also been posted on the CMS Web site at http://cms.hhs.gov/coverage
.
National Coverage Decisions [July 2003 Through September 2003]
Coverage Issues Manual (CIM) (CMS Pub. 06)
----------------------------------------------------------------------------------------------------------------
CIM section Title Issue date Effective date
----------------------------------------------------------------------------------------------------------------
35-85.1................................. Implantable Automatic..... 08/22/03.................. 10/01/03
Defibrillators............ 09/22/03 (correction)..... 10/01/03
----------------------------------------------------------------------------------------------------------------
Program Memorandum (PM)
------------------------------------------------------------------------
PM No. Title Issue date Effective date
------------------------------------------------------------------------
AB-03-104............. Changes to the 07/25/03 10/01/03
Laboratory NCD
Edit Software
For 10/03.
------------------------------------------------------------------------
Federal Register Publications
------------------------------------------------------------------------
Publication
Title date Effective date
------------------------------------------------------------------------
CMS-3062-N--Revised Process for Making 09/26/03 N/A
National Coverage Determinations.......
------------------------------------------------------------------------
Addendum VI--Categorization of Food and Drug Administration-Allowed
Investigational Device Exemptions
Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c), devices
fall into one of three classes. Also, under the new categorization
process to assist CMS, the Food and Drug Administration (FDA)
assigns each device with an FDA-approved investigational device
exemption (IDE) to one of two categories. Category A refers to
experimental/investigational device exemptions, and Category B
refers to nonexperimental/investigational device exemptions. To
obtain more information about the classes or categories, please
refer to the Federal Register notice published on April 21, 1997 (62
FR 19328).
The following information presents the device number and
category (A or B) for the second quarter, July through September
2003.
Investigational Device Exemption Numbers, 3rd Quarter 2003
------------------------------------------------------------------------
IDE Category
------------------------------------------------------------------------
G020202.................................... B
G020312.................................... B
G020316.................................... B
G030027.................................... B
G030031.................................... B
G030040.................................... B
G030059.................................... B
G030066.................................... B
G030100.................................... B
G030121.................................... B
G030131.................................... B
G030133.................................... B
G030134.................................... B
G030135.................................... B
G030136.................................... B
[[Page 74605]]
G030137.................................... B
G030138.................................... B
G030141.................................... B
G030143.................................... B
G030144.................................... B
G030145.................................... B
G030146.................................... B
G030147.................................... B
G030151.................................... B
G030159.................................... B
G030162.................................... B
G030165.................................... B
G030167.................................... B
G030169.................................... B
G030170.................................... B
G030172.................................... B
G030173.................................... B
G030174.................................... B
G030177.................................... B
------------------------------------------------------------------------
Addendum VII--Approval Numbers for Collections of Information
Below we list all approval numbers for collections of
information in the referenced sections of CMS regulations in Title
42; Title 45, Subchapter C; and Title 20 of the Code of Federal
Regulations, which have been approved by the Office of Management
and Budget:
------------------------------------------------------------------------
Approved CFR sections in Title 42, Title
45, and Title 20 (Note: sections in Title
OMB control Nos. 45 are preceded by ``45 CFR,'' and
sections in Title 20 are preceded by ``20
CFR'')
------------------------------------------------------------------------
0938-0008................... 414.40, 424.32, 424.44
0938-0022................... 413.20, 413.24, 413.106
0938-0023................... 424.103
0938-0025................... 406.28, 407.27
0938-0027................... 486.100-486.110
0938-0033................... 405.807
0938-0034................... 405.821
0938-0035................... 407.40
0938-0037................... 413.20, 413.24
0938-0041................... 408.6
0938-0042................... 410.40, 424.124
0938-0045................... 405.711
0938-0046................... 405.2133
0938-0050................... 413.20, 413.24
0938-0062................... 431.151, 435.1009, 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................... 493.1405, 493.1411, 493.1417, 493.1423,
493.1443, 493.1449, 493.1455, 493.1461,
493.1469, 493.1483, 493.1489
0938-0155................... 405.2470
0938-0170................... 493.1269-493.1285
0938-0193................... 430.10-430.20, 440.167
0938-0202................... 413.17, 413.20
0938-0214................... 411.25, 489.2, 489.20
0938-0236................... 413.20, 413.24
0938-0242................... 416.44, 418.100, 482.41, 483.270, 483.470
0938-0245................... 407.10, 407.11
0938-0246................... 431.800-431.865
0938-0251................... 406.7
0938-0266................... 416.41, 416.47, 416.48, 416.83
0938-0267................... 410.65, 485.56, 485.58, 485.60, 485.64,
485.66
0938-0269................... 412.116, 412.632, 413.64, 413.350, 484.245
0938-0270................... 405.376
0938-0272................... 440.180, 441.300-441.305
0938-0273................... 485.701-485.729
0938-0279................... 424.5
0938-0287................... 447.31
0938-0296................... 413.170
0938-0300................... 431.800
0938-0301................... 413.20, 413.24
0938-0302................... 418.22, 418.24, 418.28, 418.56, 418.58,
418.70, 418.74, 418.83, 418.96, 418.100
0938-0313................... 418.1-418.405
0938-0328................... 482.12, 482.22, 482.27, 482.30, 482.41,
482.43, 482.53, 482.56, 482.57, 482.60,
482.61, 482.62, 482.66
0938-0334................... 491.9
0938-0338................... 486.104, 486.106, 486.110
0938-0354................... 441.60
0938-0355................... 484.10-484.52
0938-0357................... 409.40-409.50, 410.36, 410.170, 411.4-
411.15, 421.100, 424.22, 484.18, 489.21
0938-0358................... 412.20-412.30
[[Page 74606]]
0938-0359................... 412.40-412.52
0938-0360................... 405.2100-405.2184
0938-0365................... 484.10, 484.11, 484.12, 484.14, 484.16,
484.18, 484.20, 484.36, 484.48, 484.52
0938-0372................... 414.330
0938-0378................... 482.60-482.62
0938-0379................... 442.30, 488.26
0938-0386................... 405.2100-405.2171
0938-0391................... 488.18, 488.26, 488.28
0938-0426................... 476.104, 476.105, 476.116, 476.134
0938-0429................... 447.53
0938-0443................... 473.18, 473.34, 473.36, 473.42
0938-0444................... 1004.40, 1004.50, 1004.60, 1004.70
0938-0445................... 412.44, 412.46, 431.630, 456.654, 466.71,
466.73, 466.74, 466.78
0938-0447................... 405.2133
0938-0449................... 440.180, 441.300-441.310
0938-0454................... 424.20
0938-0456................... 412.105
0938-0463................... 413.20, 413.24
0938-0465................... 411.404, 411.406, 411.408
0938-0467................... 431.17, 431.306, 435.910, 435.920, 435.940-
435.960
0938-0469................... 417.107, 417.478
0938-0470................... 417.143, 417.408
0938-0477................... 412.92
0938-0484................... 424.123
0938-0486................... 498.40-498.95
0938-0501................... 406.15
0938-0502................... 433.138
0938-0512................... 486.301-486.325
0938-0526................... 462.102, 462.103. 475.100, 475.106,
475.107
0938-0534................... 410.38, 424.5
0938-0544................... 493.1-493.2001
0938-0565................... 411.20-411.206
0938-0566................... 411.404, 411.406, 411.408
0938-0567................... Part 498 Subparts D and E, and 20 CFR
404.933
0938-0573................... 412.230, 412.256
0938-0581................... 493.1-493.2001
0938-0599................... 493.1-493.2001
0938-0600................... 405.371, 405.378, 413.20
0938-0610................... 417.436, 417.801, 422.128, 430.12, 431.20,
431.107, 434.28, 483.10, 484.10, 489.102
0938-0612................... 493.1-493.2001
0938-0618................... 433.68, 433.74, 447.272
0938-0653................... 493.1771, 493.1773, 493.1777
0938-0655................... 493.1840
0938-0657................... 405.2110, 405.2112
0938-0658................... 405.2110, 405.2112
0938-0667................... 482.12, 488.18, 489.20, 489.24
0938-0673................... 430.10
0938-0679................... 410.38
0938-0685................... 410.32, 410.71, 413.17, 424.57, 424.73,
424.80, 440.30, 484.12
0938-0686................... 493.551-493.557
0938-0688................... 486.301-486.325
0938-0690................... 488.4-488.9, 488.201
0938-0691................... 412.106
0938-0692................... 466.78, 489.20, 489.27
0938-0700................... 417.479, 417.500; 422.208, 422.210;
434.44, 434.67, 434.70; 1003.100,
1003.101, 1003.103, 1003.106
0938-0701................... 422.152
0938-0702................... 45 CFR 146.111, 146.115, 146.117, 146.150,
146.152, 146.160, 146.180
0938-0703................... 45 CFR 148.120, 148.124, 148.126, and
148.128
0938-0714................... 411.370-411.389
0938-0717................... 424.57
0938-0721................... 410.33
0938-0722................... 422.370-422.378
0938-0723................... 421.300-421.318
0938-0730................... 405.410, 405.430, 405.435, 405.440,
405.445, 405.455, 410.61, 415.110, 424.24
0938-0732................... 417.126, 417.470
0938-0734................... 45 CFR 5b
0938-0739................... 413.337, 413.343, 424.32, 483.20
0938-0742................... 422.300-422.312
0938-0749................... 424.57
0938-0753................... 422.000-422.700
0938-0754................... 441.152
0938-0758................... 413.20, 413.24
0938-0760................... Part 484 Subpart E, 484.55
[[Page 74607]]
0938-0761................... 484.11, 484.20
0938-0763................... 422.1-422.10, 422.50-422.80, 422.100-
422.132, 422.300-422.312, 422.400-
422.404, 422.560-422.622
0938-0768................... 417.800-417.840
0938-0770................... 410.2
0938-0778................... 422.64, 422.111, 422.560-422.622
0938-0779................... 417.126, 417.470, 422.64, 422.210
0938-0781................... 411.404-411.406, 484.10
0938-0786................... 438.352, 438.360, 438.362, 438.364
0938-0787................... 406.28, 407.27
0938-0790................... 460.12, 460.22, 460.26, 460.30, 460.32,
460.52, 460.60, 460.70, 460.71, 460.72,
460.74, 460.80, 460.82, 460.98, 460.100,
460.102, 460.104, 460.106, 460.110,
460.112, 460.116, 460.118, 460.120,
460.122, 460.124, 460.132, 460.152,
460.154, 460.156, 460.160, 460.164,
460.168, 460.172, 460.190, 460.196,
460.200, 460.202, 460.204, 460.208,
460.210
0938-0792................... 491.3, 491.8, 491.11
0938-0798................... 413.24, 413.65, 419.42
0938-0802................... 419.43
0938-0810................... 482.45
0938-0819................... 45 CFR 146.121
0938-0823................... 420.410
0938-0824................... 440.10, 482.13
0938-0827................... 45 CFR 146.141
0938-0829................... 422.568
0938-0832................... Part 489
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, 413
0938-0846................... 411.1, 411.350-411.357, 424.22
0938-0857................... Part 419
0938-0860................... Part 419
0938-0866................... 45 CFR Part 162
0938-0872................... 413.337, 483.20
0938-0873................... 422.152
0938-0874................... 45 CFR Parts 160 and 162
0938-0878................... Part 422 Subparts F and G
0938-0883................... 45 CFR Parts 160 and 164
0938-0887................... 45 CFR 148.316, 148.318, 148.320
0938-0897................... 412.22, 412.533
------------------------------------------------------------------------
[FR Doc. 03-30756 Filed 12-23-03; 8:45 am]
BILLING CODE 4120-01-P