[Federal Register: September 24, 2004 (Volume 69, Number 185)]
[Notices]
[Page 57312-57324]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr24se04-75]
[[Page 57312]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9023-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--April 2004 Through June 2004
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 April 2004 through June 2004, 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. 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 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 Eileen Davidson, Office of Clinical
Standards and Quality, Centers for Medicare & Medicaid Services, S3-26-
10, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call
(410) 786-6874.
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
Margaret Teeters, Office of Strategic Operations and Regulatory
Affairs, Regulations Development Group, Centers for Medicare & Medicaid
Services, C5-13-18, 7500 Security Boulevard, Baltimore, MD 21244-1850,
or you can call (410) 786-4678.
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 six 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
[[Page 57313]]
regulations and general notices published in the Federal Register
during the quarter covered by this notice. For each item, we list the--
Date published;
Federal Register citation;
Parts of the Code of Federal Regulations (CFR) that have
changed (if applicable);
Agency file code number; and
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.
III. How To Obtain Listed Material
A. Manuals
Those wishing to subscribe to program manuals should contact either
the Government Printing Office (GPO) or the National Technical
Information Service (NTIS) at the following addresses:
Superintendent of Documents, Government Printing Office, ATTN: New
Orders, P.O. Box 371954, Pittsburgh, PA 15250-7954, Telephone (202)
512-1800, Fax number (202) 512-2250 (for credit card orders); or
National Technical Information Service, Department of Commerce, 5825
Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630.
In addition, individual manual transmittals and Program Memoranda
listed in this notice can be purchased from NTIS. Interested parties
should identify the transmittal(s) they want. GPO or NTIS can give
complete details on how to obtain the publications they sell.
Additionally, most manuals are available at the following Internet
address: http://cms.hhs.gov/manuals/default.asp.
B. Regulations and Notices
Regulations and notices are published in the daily Federal
Register. Interested individuals may purchase individual copies or
subscribe to the Federal Register by contacting the GPO at the address
given above. When ordering individual copies, it is necessary to cite
either the date of publication or the volume number and page number.
The Federal Register is also available on 24x microfiche and as an
online database through GPO Access. The online database is updated by 6
a.m. each day the Federal Register is published. The database includes
both text and graphics from Volume 59, Number 1 (January 2, 1994)
forward. Free public access is available on a Wide Area Information
Server (WAIS) through the Internet and via asynchronous dial-in.
Internet users can access the database by using the World Wide Web; the
Superintendent of Documents home page address is http://www.gpoaccess.gov/fr/index.html
, by using local WAIS client software,
or by telnet to swais.gpoaccess.gov, then log in as guest (no password
required). Dial-in users should use communications software and modem
to call (202) 512-1661; type swais, then log in as guest (no password
required).
C. Rulings
We publish rulings on an infrequent basis. Interested individuals
can obtain copies from the nearest CMS Regional Office or review them
at the nearest regional depository library. We have, on occasion,
published rulings in the Federal Register. Rulings, beginning with
those released in 1995, are available online, through the CMS Home
Page. The Internet address is http://cms.hhs.gov/rulings.
D. CMS' Compact Disk-Read Only Memory (CD-ROM)
Our laws, regulations, and manuals are also available on CD-ROM and
may be purchased from GPO or NTIS on a subscription or single copy
basis. The Superintendent of Documents list ID is HCLRM, and the stock
number is 717-139-00000-3. The following material is on the CD-ROM
disk:
Titles XI, XVIII, and XIX of the Act.
CMS-related regulations.
CMS manuals and monthly revisions.
CMS program memoranda.
The titles of the Compilation of the Social Security Laws are
current as of January 1, 1999. (Updated titles of the Social Security
Laws are available on the Internet at http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.
) The remaining portions of CD-ROM are updated on a
monthly basis.
Because of complaints about the unreadability of the Appendices
(Interpretive Guidelines) in the State Operations Manual (SOM), as of
March 1995, we deleted these appendices from CD-ROM. We intend to re-
visit this issue in the near future and, with the aid of newer
technology, we may again be able to include the appendices on CD-ROM.
Any cost report forms incorporated in the manuals are included on
the CD-ROM disk as LOTUS files. LOTUS software is needed to view the
reports once the files have been copied to a personal computer disk.
IV. How To Review Listed Material
Transmittals or Program Memoranda can be reviewed at a local
Federal Depository Library (FDL). Under the FDL program, government
publications are sent to approximately 1,400 designated libraries
throughout the United States. Some FDLs may have arrangements to
transfer material to a local library not designated as an FDL. Contact
any library to locate the nearest FDL.
In addition, individuals may contact regional depository libraries
that receive and retain at least one copy of most Federal Government
publications, either in printed or microfilm form, for use by the
general public. These libraries provide reference services and
interlibrary loans; however, they are not sales outlets. Individuals
may obtain information about the location of the nearest regional
depository library from any library.
For each CMS publication listed in Addendum III, CMS publication
and transmittal numbers are shown. To help FDLs locate the materials,
use the CMS publication and transmittal numbers. For example, to find
the Medicare Benefit Policy publication titled ``Arrangements for
Physical, Occupational, and Speech Language Pathology Services,'' use
CMS-Pub. 100-02, Transmittal No. 09.
(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: September 7, 2004.
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.
May 30, 2000 (65 FR 34481)
June 28, 2002 (67 FR 43762)
[[Page 57314]]
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 (68 FR 55618)
December 24, 2003 (68 FR 74590)
March 26, 2004 (69 FR 15837)
June 25, 2004 (69 FR 35634)
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
[April through June 2004]
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Manual/subject/publication
Transmittal No. No.
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Medicare General Information (CMS--Pub. 100-01)
------------------------------------------------------------------------
04........................................ Scheduled Release for April
Updates to Software and
Pricing/Codes Files.
05........................................ Release of Software.
06........................................ Shared System Maintainer and
Medicare Contractor
Responsibilities for System
Release.
Shared System Testing
Requirements for
Maintainers, Beta Testers,
and Contractors.
Maintainers and Beta
Testers--Required Levels of
Testing.
Minimum Testing Standards
for Maintainers and Beta
Testers.
Testing Standards Applicable
to All Beta Testers.
Testing Requirements
Applicable to the Common
Working File Data Centers.
Timeframe Requirements for
All Testing Entities.
Testing Documentation
Requirements.
Definitions.
Test Care Specification
Standard.
07........................................ The Health Insurance
Portability and
Accountability Act Privacy
Rule.
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Medicare Benefit Policy (CMS--Pub. 100-02)
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09........................................ Arrangements for Physical,
Occupational, and Speech
Language Pathology
Services.
10........................................ Chapter 6.
General Partial
Hospitalization Services.
11........................................ Nurse Practitioner as
Attending Physician in
Hospice.
Requirements--General.
Timing and Content of
Certification.
Election by Health
Maintenance Organization
Enrollees.
Benefit Coverage.
Nursing Care.
Physicians' Services.
Short-Term Inpatient Care.
Continuous Home Care.
Contracting With Physicians.
12........................................ New Requirements for
Chiropractic Billing of
Active/Corrective Treatment
and Maintenance Therapy.
Chiropractor's Services.
Necessity for Treatment.
Treatment Parameters.
13........................................ Diabetes Self-Management
Training Services.
Coverage Requirements.
Certified Providers.
Coding and Frequency of
Training.
Payment for Diabetes Self-
Management Training.
Incident-To Provision.
Bill Processing Requiring.
Special Claims Processing
Instructions for Fiscal
Intermediaries.
14........................................ Changes in the Medicare
Benefit Policy Manual--
Chapter 10.
The Destination.
Institution to Institution.
Separately Payable Ambulance
Transport Under Part B
Versus Patient.
Transportation That Is
Covered Under a Packaged
Institutional Services.
Transports to and From
Medical Services for
Beneficiaries Who Are Not
Inpatients.
Multiple Patient Ambulance
Transport.
15........................................ Chapter 9.
Requirements--General.
Timing and Content of
Content of Certification.
Election by Health
Maintenance Organization
Enrollees.
Benefit Coverage.
Nursing Care.
Physicians' Services.
16........................................ Confidential.
17........................................ Incident-To Services on Form
CMS-1500.
Incident to Physician's
Professional Services.
Incident to Physician's
Service In Clinic.
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[[Page 57315]]
Medicare National Coverage Determinations (CMS--Pub. 100-03)
------------------------------------------------------------------------
09........................................ NCD--Ocular Photodynamic
Therapy with Verteporfin
for Age-Related Macular
Degeneration.
10........................................ Chapter 1--NCD Manual.
11........................................ Reconsideration of NCD for
Acupuncture.
11........................................ Acupuncture for
Fibromyalgia.
Acupuncture for
Osteoarthritis
13........................................ Removal of Coding From NCD
on Stem Cell
Transplantation.
Stem Cell Transplantation.
14........................................ NCD--Arthroscopic Lavage and
Arthroscopic Debridement
for the Osteoarthritic
Knee.
15........................................ Reconsideration of NCD for
Sensory Nerve Conduction
Threshold Test (Note that
Change Request CR 3339
constitutes a technical
correction to previously
issued CR 2988 dated 03/19/
04. CR 2988 should be
discarded and replaced with
3339).
Sensory Nerve Conduction
Threshold Test.
16........................................ Internal Reconsideration of
NCD for Cardiac Pacemakers.
Cardiac Pacemakers.
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Medicare Claims Processing (CMS--Pub. 100-04)
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212....................................... Confidential.
213....................................... Payment To Be Sent to the
Bank Similar Financial
Institution in the Name of
a Provider.
214....................................... MSN Message.
Remittance Advice Messages.
Preventive Care.
215....................................... Implementation of Skilled
Nursing Facility
Consolidated Billing
Common.
Working File Edit for
Therapy Codes Considered
Separately Physician
Services.
Edit for Therapy Services
Separately Payable When
Furnished by a Physician.
216....................................... Chapter 32.
Coverage and Billing for
Home Prothrombin Time
Monitoring for
Anticoagulation Management.
Coverage Requirements.
Intermediary Payment
Requirements.
Part A Payment Methods.
Intermediary Billing
Procedures.
Bill Types.
Revenue Codes.
Intermediary Allowable
Codes.
Allowable Covered Diagnosis
Codes.
Healthcare Common Procedure
Coding System for
Intermediaries.
Carriers Billing
Instructions.
Healthcare Common Procedure
Coding System for Carriers.
Applicable Diagnosis Code
for Carriers.
Carrier Claims Requirements.
Carrier Payment
Requirements.
Carrier and Intermediary
General Claims Processing
Instructions.
Remittance Advice Notice.
Medicare Summary Notice
Message.
217....................................... CR 3318, Full Replacement of
CR3223, Implementation of
the Analysis and Design
Phases of the Physician
Scarcity Bonus. CR 3318
rescinds CR 3223.
Billing and Payment in a
Physician Scarcity Area.
Provider Education.
Identifying Physician
Scarcity Area Locations.
Claims Coding Requirements.
Payment.
Services Eligible for the
Physician Scarcity Bonus.
Remittance Messages.
Post-Payment Review.
Administrative and Judicial
Review.
218....................................... Implementation of the
Analysis and Design Phases
of the Revision to the
Health Professional
Shortage Area Bonus
Payment.
Provider Education.
HPSA Designations.
Claims Coding Requirements.
Services Eligible for Health
Professional Shortage Area
Bonus Payment.
Remittance Messages.
Post-Payment Review.
Administrative and Judicial
Review.
219....................................... This CR fully replaces CR
3215, Implementation of the
Analysis and Design Phases
of the Revision to the
Health Professional
Shortage Area Bonus
Payment.
[[Page 57316]]
220....................................... Implementation of Section
414 of the Medicare
Prescription Drug,
Improvement, and
Modernization Act of 2003.
General Coverage and Payment
Policies.
Billing Methods.
Definitions.
Carrier Calculation of
Payment Amount.
General.
Components of the Ambulance
Fee Schedule.
Zip Codes Determine Fee
Schedule Amounts.
Transition Overview.
221....................................... Medicare Inpatient
Rehabilitation Facilities
Classification
Requirements.
Criteria That Must Be Met by
Inpatient Rehabilitation
Hospitals Counting a
Comorbidity as One of the
Listed Medical Conditions.
Criteria That Must Be Met by
Inpatient Rehabilitation
Units.
Verification Process To Be
Used To Determine if the
Inpatient Rehabilitation
Facility Met the
Classification Criteria.
Hospitals That Have Not
Previously Participated in
Medicare.
Changes in the Status of an
Inpatient Rehabilitation
Facility Unit.
New and Converted Inpatient
Rehabilitation Facility
Units.
Retroactive Adjustments for
Provisionally Excluded
Inpatient Rehabilitation
Facilities or Beds.
Verification of Compliance
Using ICD-9-CM and
Impairment Group Codes.
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Medicare Secondary Payer (CMS--Pub. 100-05)
------------------------------------------------------------------------
14........................................ MSP Manual Update CR 2074.
Fiscal and Intermediaries
and Carriers Claim
Processing Rules.
15........................................ Change in Interest
Calculation for Medicare
Overpayment and
Underpayments.
Medicare Secondary Payer
Recovery Claims (Re-Named
and Revised).
16........................................ Update Medicare Secondary
Payer Group Health Recovery
Demand Letters to Employers
and Insurers for Data Match
and Non-Data Match Debts.
Insurer Letter.
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Medicare Financial Management (CMS--Pub. 100-06)
------------------------------------------------------------------------
38........................................ Consolidation of Claims
Crossover--Small Scale
Initial Implementation.
Consolidation of Medicare
and Medicare Supplemental
(Medigap) Health Insurance
Policies.
39........................................ Installation of Version 34.0
of the Provider Statistical
and Reimbursement (PS&R)
Reporting System.
40........................................ Modification of Contractor
Reporting of Operational
and Workload Data Form 5.
Body of Report.
41........................................ Change in Interest
Calculation for Medicare
Overpayments and
Underpayments and Medicare
Secondary Payer Recoveries.
Sample Demand Letter for
Claims Accounts
Receivables.
Interest Accruals.
Procedures for Applying
Interest During Overpayment
Recoupment.
Notification to Provider
Regarding Interest
Assessment.
Waiver and Adjustment of
Interest Charges.
42........................................ Unsolicited/Voluntary
Refunds.
General Information.
Office of Inspector General
Initiatives.
Unsolicited/Voluntary Refund
Accounts.
Receiving and Processing
Unsolicited/Voluntary
Refund Checks When
Identifying Information Is
Provided.
Handling Checks or
Associated Correspondence
With Conditional
Endorsements.
Receiving and Processing
Unsolicited/Voluntary
Refund Checks When
Identifying Information Is
Provided.
CMS Reporting Requirements.
Overpayment Refund Form.
Unsolicited/Voluntary Refund
Checks--Summary Report.
Education.
43........................................ Expanded Identification and
Workload Reporting for CMS
Medicare System.
Provider Overpayment
Requirements System User
Manual.
Request Provider Overpayment
Debt From the Provider
Overpayment Requesting
System.
General Information.
Structure of the Workload
Identifier.
Initial Implementation.
Basic Requirements and Uses
of the Identifier.
Maintenance of Contractor
Workload Identifiers.
44........................................ Notices of New Interest Rate
for Medicare Overpayments
and Underpayments CR 2830.
45........................................ Addition of Instructions for
Form CMS-2591 to Chapter 6.
Monthly Intermediary Part A
and Part B Appeals Report
(Form CMS-2591).
Purpose and Scope.
Due Date.
Completion of Items on Form
CMS-2591.
Heading.
[[Page 57317]]
A--Intermediary Appeal
Request.
B--Part B Hearing Results.
C--Part A and Part B ALJ
Hearings.
D--Limitation of Liability.
E--Part A and Part B
Reopenings.
Checking Reports.
46........................................ Installation of Version 33.0
of the Provider Statistical
and Reimbursement Reporting
System-Modification of CR
3131.
47........................................ Expanded Identification and
Workload Reporting for CMS
Medicare Systems.
Provider Overpayment
Requirements System User
Manual.
Request Provider Debts from
the Provider Overpayment
Requirements.
History File.
Request Ad Hoc Reports from
ARMS.
General Information.
Structure of the Workload
Identifier.
Initial Implementation.
Basic Requirements and Uses
of the Identifier.
Maintenance of Contractor
Workload Identifier.
48........................................ This transmittal is
rescinded and Replaced With
Transmittal 50, dated July
30, 2004.
-------------------------------------------
Medicare State Operations Manual) (Pub. 100-07)
------------------------------------------------------------------------
1......................................... Release of Basic Manual.
-------------------------------------------
Medicare Program Integrity (CMS--Pub.100-08)
------------------------------------------------------------------------
770....................................... New Requirements for Self-
Administered Drug Exclusion
List Articles in the
Medicare Coverage Database
Articles.
71........................................ Program Integrity Manual
Revisions 72 Automated
Prepayment Review.
73........................................ Program Integrity Management
Reporting System Section
7.2 of the Program
Integrity Manual.
74........................................ Skilled Nursing Facility
Certification and
Recertification.
Medical Review of
Certification and
Recertification of
Residents in Skilled
Nursing Facilities.
75........................................ Informing Beneficiaries
About Which Local Medical
Review Policy and /or Local
Coverage Determination and
or National Coverage
Determination Is Associated
with Their Claim Denial.
76........................................ Clarification of Complex
Medical Review.
Types of Prepayment and
Postpayment Review.
77........................................ Instructions for Carriers,
DMERCs, FIs, and Full PSCs
When Interacting With the
Comprehensive Error Rate
Testing (CERT) Contractor
(i.e., Handling Appeals of
CERT-Initiated Denials,
Contracting Non-Responders,
Tracking Over/
Underpayments).
Affiliated Contractor Full
PSC Communication With the
CERT Contractor.
Providing Sample Information
to the CERT Contractor.
Providing Review Information
to the CERT Contractor.
Disputing Disagreeing with a
CERT Decision. Handling
Overpayments and
Underpayments Resulting
from the CERT Findings.
Handling Appeals Resulting
from CERT Initiated
Denials.
Tracking Overpayments and
Appeals.
Tracking Overpayments.
Tracking Appeals.
AC/Full PSC Requirements
Involving CERT Information
Dissemination.
Contracting Non-Responders.
Late Documentation.
Voluntary Refunds.
LMRP/NCD.
Medicare Program Integrity
Manual Exhibits Table of
Contents.
CERT Formats for Carrier and
DMERC Standard System.
CERT PSC Contractor Feedback
Data Entry Screen Version
1.01.
Data Items Included on CERT
Reports.
Acceptable No Resolution
Reasons.
Types of Referral of Non-
Responding Providers.
OIG Referral of Non-
Responding Providers.
Offices of Audit Services--
Regions.
Fee-For-Services-Appeal
Processes.
78........................................ Medical Review Progressive
Corrective Action for Part
A.
-------------------------------------------
Medicare Contractor Beneficiary and Provider Communications (CMS--Pub.
100-09)
------------------------------------------------------------------------
05........................................ Manual Instruction for
Updated Beneficiary
Services Sections 5104 and
2958, and Beneficiary
Services Section 20 of the
Internet-Only Manual.
Beneficiary Services.
Guidelines for Telephone
Services.
Call Handling Requirements.
[[Page 57318]]
Customer Service Assessment
and Management System
Reporting Requirements.
Disclosure of Information
(Adherence to the Privacy
Act and the Health
Insurance Portability and
Accountability Act Privacy
Rule).
Second Level Screening of
Beneficiary and Provider
Inquiries (Activity Code
13201) (CR-2719).
Second Level Screening of
Provider Inquiries
(Miscellaneous Code 13201/
01).
Medicare Customer Service
Next Generation Desktop.
Publication Requests.
Medicare Participating
Physicians and Suppliers
Directory.
Transfer of Part A Telephone/
Written Inquiries Workload.
Local Medical Review Policy
Local Coverage
Determination Requests.
Guidelines for Handling
Beneficiary Written
Inquiries (Activity Code
13002).
Customer Service Plan
(Activity Code 13004).
06........................................ Provider/Supplier
Communications--Revisions
and Additions to Existing
Contractor Requirements.
Provider Services.
Guidelines for Telephone
Service.
Toll Free Network Services.
Publication of Toll Free
Numbers.
Call Handling Requirements.
Customer Service Assessment
and Management System
Reporting Requirements.
CSR Qualifications.
Staff Development and
Training.
Quality Call Monitoring.
Disclosure of Information
(Adherence to the Privacy
Act).
Fraud and Abuse.
Next Generation Desktop.
Call Center User Group.
Performance Improvements.
Guidelines for Handling
Written Inquiries.
Contractor Guidelines for
High Quality Written
Responses to Inquiries.
Walk-In-Inquiries.
Guidelines for High Quality
Walk-In-Service.
Surveys.
-------------------------------------------
Medicare Managed Care (CMS--Pub. 100-16)
------------------------------------------------------------------------
48........................................ Grievances, Organization
Determinations, and
Appeals.
49........................................ Chapter 4--Benefits and
Beneficiary Protections.
50........................................ Chapter 20--Plan
Communications Guide.
51........................................ Revisions to Chapter 2--
Medicare+Choice Enrollment
and Disenrollment.
52........................................ Chapter 17a and 17b.
53........................................ Chapter 11--Revisions.
54........................................ Chapter 19--Revisions.
55........................................ Chapter 10, Organization
Compliance With State Law
and Preemption by Federal
Law.
-------------------------------------------
One Time Notification (CMS--Pub. 100-20)
------------------------------------------------------------------------
67........................................ Transmittal 67, Dated April
2, 2004, Was Rescinded and
Replaced With Transmittal
81 dated May 14, 2004.
68........................................ Transmittal 49
Implementation Data
Extension.
69........................................ Carrier Only Shared System
Maintainer Hours for
Resolution of Problems
Detected as a Result of
Implementation of CR 2525
and CR 2527.
70........................................ How Fiscal Intermediaries
Are To Record Coinsurance
Amounts From the Provider.
Statistical and
Reimbursement Report for
Providers Who Elected To
Accept Reduced Coinsurance
for Outpatient Prospective
Payment System Services.
71........................................ Update to the Healthcare
Provider Taxonomy Codes
Version 4.0.
72........................................ Pub. 100-20, Transmittal 72,
dated April 16, 2004, Is
Rescinded and Replaced With
Pub. 100-20, Transmittal 82
Dated May 14, 2004.
73........................................ Revised American National
Standards Institute X12N
837 Professional Health
Care Claims Companion
Document.
74........................................ Emergency Correction
Regarding Correction to
Healthcare Common
Procedure.
Coding System Codes for Low
Osmolar Contrast Material.
75........................................ One Time Instructions for
Audit Intermediary Cost
Reporting Processes To
Accommodate Claims
Processing Error That
Prevented Some Supply
Charges From Being Reported
on Home Health Prospective
Payment System Claim.
76........................................ Shared System Maintainer
Hours for Resolution of
Problems Detected During
Health Insurance
Portability and
Accountability Act
Transaction Release
Testing.
77........................................ Instructions Related to
Redistribution of Unused
Resident Positions, Section
422 of the Modernization
Act of 2003 (MMA), P.L. 108-
173, for Purposes of
Graduate Medical Education
Payment.
78........................................ Renovate Override Code
Processing in Common
Working File.
79........................................ 18-Month Moratorium on
Physician Self-Referrals to
Specialty Hospitals;
Processing of Form CMS-855A
Applications To Become a
Medicare Certified
Hospital.
80........................................ Medicare System Acceptance
of New Provider Numbers for
Home Health Agencies.
[[Page 57319]]
81........................................ Requirement for Carriers,
Durable Medical Equipment
Regional Carriers, Fiscal
Intermediaries, and Full
Program Safeguard
Contractors To Encourage
Providers To Submit Medical
Records to the
Comprehensive Error Rate
Testing Contractor for Use
in the November 2004
Improper Medicare Fee-For-
Service Payment Report.
82........................................ This OTN Replaces Pub. 100-
20, Transmittal 72, dated
April 16, 2004.
Changes in Determining Rural
Status of Hospitals for
Transitional Outpatient
Payments for 2004.
83........................................ Additional Health Insurance
Health Insurance
Portability and
Accountability Act
Coordination of Benefits
Information for Trading
Partners.
84........................................ Reporting Medicare Secondary
Payer Information on the
Health Insurance
Portability and
Accountability Act of 1996
X12N 837 Created via Free
Billing Software.
85........................................ CD-ROM Initiative for
Distribution of the Annual
Disclosure, Dear Doctor
Letter and Participation
Enrollment Material.
86........................................ Interface File From Recovery
Management and Accounting
System.
87........................................ Instructions Related to
Redistribution of Unused
Resident Positions, Section
422 of the Medicare
Modernization Act of 2003,
P.L. 108-173, for Purpose
of Graduate Medical
Education Payments.
88........................................ Clarification and Revision
of Change Request 3084,
Implementation of Section
508 of the Medicare
Prescription Drug,
Improvement, and
Modernization Act of 2003,
(Public Law 108-173).
89........................................ Shared System Maintainer
Hours for Resolution of
Problems Detected As a
Result of Implementation of
CR 2525 and CR 2527.
90........................................ MMA Drug Pricing Update-
Payment Limits for J7308
(Levulan Kerastick) and
J9395 (Faslodex).
------------------------------------------------------------------------
Addendum IV.--Regulation Documents Published in the Federal Register
[April 2004 through June 2004]
----------------------------------------------------------------------------------------------------------------
FR Vol. 69 CFR parts
Publication date page no. affected File code Title of regulation
----------------------------------------------------------------------------------------------------------------
April 6, 2004................... 17935 42 CFR part 414... CMS-1380-IFC Medicare Program;
Manufacturer
Submission of
Manufacturer's Average
Sales Price (ASP) Data
for Medicare Part B
Drugs and Biologicals.
April 6, 2004................... 17933 42 CFR parts 411 CMS-1810-CN Medicare Program;
and 424. Physicians' Referrals
to Health Care
Entities With Which
They Have Financial
Relationships (Phase
II); Correction.
April 23, 2004.................. 22083 .................. CMS-1363-N Medicare Program;
Meeting of the
Practicing Physicians
Advisory Council.
April 23, 2004.................. 22081 .................. CMS-4071-N2 Medicare Program;
Listening Sessions on
Performance Measures
for Public Reporting
on the Quality of
Hospital Care During
April, May, and June
2004.
April 23, 2004.................. 22080 .................. CMS-4066-N Medicare Program;
Meeting of the
Advisory Panel on
Medicare Education--
May 11, 2004, Friday,
April 23, 2004.
April 23, 2004.................. 22079 .................. CMS-1273-N Medicare Program;
Public Meetings in
Calendar Year 2004 for
New Durable Medical
Equipment Coding and
Payment
Determinations.
April 23, 2004.................. 22065 .................. CMS-5004-N Medicare Program;
Voluntary Chronic Care
Improvement Under
Traditional Fee-for-
Service Medicare.
April 23, 2004.................. 21963 42 CFR part 424... CMS-1185-F Medicare Program;
Elimination of
Statement of Intent
Procedures for Filing
Medicare Claims.
May 7, 2004..................... 25752 42 CFR part 412... CMS-1262-F Medicare Program;
Changes to the
Criteria for Being
Classified as an
Inpatient
Rehabilitation
Facility.
May 7, 2004..................... 25674 42 CFR part 412... CMS-126-F Medicare Program;
Prospective Payment
System for Long-Term
Care Hospitals: Annual
Payment Rate Updates
and Policy Changes,
Part II.
May 18, 2004.................... 28196 42 CFR parts 403, CMS-1428-P Medicare Program;
412, 413, 418, Proposed Changes to
460, 480, 482, the Hospital Inpatient
483, 485, and 489. Prospective Payment
Systems and Fiscal
Year 2005 Rates, Part
II.
May 18, 2004.................... 28133 .................. CMS-2189-N Medicaid Program; Real
Choice Systems Change
Grants.
May 28, 2004.................... 30660 .................. CMS-3130-N Medicare Program;
Meeting of the
Medicare Coverage
Advisory Committee--
July 14, 2004.
May 28, 2004.................... 30659 .................. CMS-4069-N Medicare Program; Open
Public Meeting To
Discuss Definitions of
Regions for Regional
Medicare Preferred
Provider Organizations
and Prescription Drug
Plans Under the
Medicare Modernization
Act--July 21, 2004.
May 28, 2004.................... 30658 .................. CMS-1266-N Medicare Program;
Public Meeting in
Calendar Year 2004 for
New Clinical
Laboratory Tests
Payment
Determinations.
May 28, 2004.................... 30656 .................. CMS-2195-N Medicaid Program;
Demonstration To
Improve the Direct
Service Community
Workforce.
[[Page 57320]]
May 28, 2004.................... 30654 .................. CMS-1269-N Medicare Program;
Establishment of the
Emergency Medical
Treatment and Labor
Act (EMTALA) Technical
Advisory Group (TAG)
and Request for
Nominations for
Members.
May 28, 2004.................... 30580 42 CFR part 440... CMS-2132-F Medicaid Program;
Provider
Qualifications for
Audiologists.
June 2, 2004.................... 31248 42 CFR part 484... CMS-1265-P Medicare Program; Home
Health Prospective
Payment System Rate
Update for Calendar
Year 2005, Part IV.
June 2, 2004.................... 31125 .................. CMS-1279-N Medicare Program;
Request for
Nominations for the
Program Advisory
Oversight Committee
for the Competitive
Acquisition of Durable
Medical Equipment and
Other Items.
June 2, 2004.................... 31123 .................. CMS-5033-N Medicare Program;
Establishment of the
Advisory Board on the
Demonstration of a
Bundled Case-Mix
Adjusted Payment
System for End Stage
Renal Disease Services
and Request for
Nominations for
Members.
June 18, 2004................... 34169 .................. CMS-2200-N3 Medicare Program;
Meeting of the State
Pharmaceutical
Assistance Transition
Commission--July 7,
2004.
June 22, 2004................... 34585 42 CFR part 412... OFR-generated Prospective Payment
correction Systems for Inpatient
Hospital Services--OFR
Correction.
June 25, 2004................... 35920 42 CFR parts 403, CMS-1428-CN Medicare Program;
412, 413, 418, Proposed Changes to
460, 480, 482, the Hospital Inpatient
483, 485, and 489. Prospective Payment
Systems and Fiscal
Year 2005 Rates;
Correction, Part V.
June 25, 2004................... 35716 42 CFR parts 405, CMS-1727-P Medicare Program;
413, and 417. Provider Reimbursement
Determinations and
Appeals, Part II.
June 25, 2004................... 35650 .................. CMS-3134-N Medicare Program; Town
Hall Meeting on
Potential Facility
Qualifications for
Expanded Coverage of
Percutaneous
Transluminal
Angioplasty for
Carotid Stenting
Procedures
June 25, 2004................... 35634 .................. CMS-9022-N Medicare and Medicaid
Programs; Quarterly
Listing of Program
Issuances--January
2004 Through March
2004.
June 25, 2004................... 35634 .................. CMS-2189-CN Medicaid Program; Real
Choice Systems Change
Grants; Correction
Notice.
June 25, 2004................... 35529 42 CFR part 411... CMS-1809-F5 Medicare and Medicaid
Programs; Physicians'
Referrals to Health
Care Entities With
Which They Have
Financial
Relationships:
Extension of Partial
Delay of Effective
Date.
June 25, 2004................... 35529 42 CFR part 409... CMS-1469-F2 Medicare Program;
Prospective Payment
System and
Consolidated Billing
for Skilled Nursing
Facilities; Correcting
Amendment.
June 25, 20043.................. 35527 42 CFR parts 405 CMS-1372-CN2 Medicare Program;
and 414. Changes to Medicare
Payment for Drugs and
Physician Fee Schedule
Payments for Calendar
Year 2004: Correction.
June 29, 2004................... 38898 .................. CMS-5025-N Medicare Program;
Medicare Replacement
Drug Demonstration.
----------------------------------------------------------------------------------------------------------------
Addendum V--National Coverage Determinations
[April 2004 Through June 2004]
A national coverage determination (NCD) is a determination by
the Secretary with respect to whether or not a particular item or
service is covered nationally under Title XVIII of the Social
Security Act, but does not include a determination of what code, if
any, is assigned to a particular item or service covered under this
title, or determination with respect to the amount of payment made
for a particular item or service so covered. We include below all of
the NCDs that were issued during the quarter covered by this notice.
The entries below include information concerning completed decisions
as well as sections on program and decision memoranda, which also
announce pending decisions or, in some cases, explain why it was not
appropriate to issue an NCD. We identify completed decisions by the
section of the NCDM in which the decision appears, the title, the
date the publication was issued, and the effective date of the
decision. Information on completed decisions as well as pending
decisions has also been posted on the CMS Web site at http://cms.hhs.gov/coverage
.
[[Page 57321]]
National Coverage Determinations
[April 2004 Through June 2004]
------------------------------------------------------------------------
Effective
Pub. 100-03 NCDM Title Issue Date Date
------------------------------------------------------------------------
80.2......................... Ocular 4/01/04 4/01/04
Photodynamic
Therapy With
Verteporfin
for Age-
Related
Macular
Degeneration.
30.3......................... Acupuncture for 4/16/04 4/16/04
Fibromyalgia.
30.3......................... Acupuncture for 4/16/04 4/16/04
Osteoarthritis.
110.8.1...................... Stem Cell 5/28/04 7/06/04
Transplantatio
n.
150.9........................ Arthroscopic 6/10/04 7/11/04
Lavage and
Arthroscopic
Debridement
for the
Osteoarthritic
Knee.
160.23....................... Sensory Nerve 6/18/04 4/01/04
Conduction
Threshold
Tests.
20.8......................... Cardiac 6/25/04 4/30/04
Pacemakers.
------------------------------------------------------------------------
Addendum VI.--FDA-Approved Category B IDEs
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 2nd quarter, April 2004 through June 2004.
------------------------------------------------------------------------
IDE Category
------------------------------------------------------------------------
G010048.................................... B
G030067.................................... B
G030123.................................... B
G030163.................................... B
G030242.................................... B
G030251.................................... B
G040003.................................... B
G040004.................................... B
G040011.................................... B
G040036.................................... B
G040038.................................... B
G040050.................................... B
G040053.................................... B
G040054.................................... B
G040055.................................... B
G040056.................................... B
G040058.................................... B
G040059.................................... B
G040060.................................... B
G040061.................................... B
G040062.................................... B
G040066.................................... B
G040067.................................... B
G040068.................................... B
G040069.................................... B
G040075.................................... B
G040076.................................... B
G040077.................................... B
G040078.................................... B
G040079.................................... B
G040080.................................... B
G040083.................................... B
G040085.................................... B
G040087.................................... B
G040089.................................... B
G040093.................................... B
G040106.................................... 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:
OMB control numbers
[Approved CFR sections in title 42, title 45, and title 20 (Note:
Sections in Title 45 are preceded by ``45 CFR,'' and sections in Title
20 are preceded by ``20 CFR'')]
------------------------------------------------------------------------
OMB No. Approved CFR sections
------------------------------------------------------------------------
0938-0008.............................. 414.40, 424.32, 424.44.
0938-0022.............................. 413.20, 413.24, 413.106.
0938-0023.............................. 424.103.
0938-0025.............................. 406.28, 407.27.
0938-0027.............................. 486.100-486.110.
0938-0033.............................. 405.807.
0938-0035.............................. 407.40.
0938-0037.............................. 413.20, 413.24.
0938-0041.............................. 408.6, 408.22.
0938-0042.............................. 410.40, 424.124.
0938-0045.............................. 405.711.
0938-0046.............................. 405.2133.
0938-0050.............................. 413.20, 413.24.
0938-0062.............................. 431.151, 435.1009, 440.250,
440.220, 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.
[[Page 57322]]
0938-0202.............................. 413.17, 413.20.
0938-0214.............................. 411.25, 489.2, 489.20.
0938-0236.............................. 413.20, 413.24.
0938-0242.............................. 488.26, 442.30.
0938-0245.............................. 407.10, 407.11.
0938-0246.............................. 431.800-431.865.
0938-0251.............................. 406.7.
0938-0266.............................. 416.41, 416.83, 416.47, 416.48.
0938-0267.............................. 485.56, 485.58, 485.60, 485.64,
485.66, 410.65.
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.
0938-0300.............................. 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, 482.13, 482.21, 482.22,
482.27, 482.30, 482.41,
482.43, 482.45, 482.53,
482.56, 482.57, 482.60,
482.61, 482.62, 482.66,
485.618, 485.631.
0938-0334.............................. 491.9, 491.10.
0938-0338.............................. 486.104, 486.106, 486.110.
0938-0354.............................. 441.60.
0938-0355.............................. 488.26, 442.30.
0938-0357.............................. 409.40-409.50, 410.36, 410.170,
411.4-411.15, 421.100, 424.22,
484.18, 489.21.
0938-0358.............................. 412.20-412.30.
0938-0359.............................. 412.40-412.52.
0938-0360.............................. 488.60.
0938-0365.............................. 484.10, 484.11, 484.12, 484.14,
484.16, 484.18, 484.20,
484.36, 484.48, 484.52.
0938-0372.............................. 414.330.
0938-0378.............................. 482.60-482.62.
0938-0379.............................. 488.26, 442.30.
0938-0382.............................. 488.26, 442.30.
0938-0386.............................. 405.2100-405.2171.
0938-0391.............................. 488.18, 488.26, 488.28.
0938-0426.............................. 476.104, 476.105, 476.116,
476.134.
0938-0429.............................. 447.53.
0938-0443.............................. 473.18, 473.34, 473.36, 473.42.
0938-0444.............................. 1004.40, 1004.50, 1004.60,
1004.70.
0938-0445.............................. 412.44, 412.46, 431.630,
456.654, 466.71, 466.73,
466.74, 466.78.
0938-0447.............................. 405.2133.
0938-0448.............................. 405.2133, 45 CFR 5, 5b; 20 CFR
part 401 and part 422, subpart
E.
0938-0449.............................. 440.180, 441.300-441.310.
0938-0454.............................. 424.20.
0938-0456.............................. 412.105.
0938-0463.............................. 413.20, 413.24, 413.106.
0938-0467.............................. 431.17, 431.306, 435.910,
435.920, 435.940-435.960.
0938-0469.............................. 417.107, 417.478.
0938-0470.............................. 417.143, 422.6, 417.800-
417.840.
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, 412.230.
0938-0578.............................. 447.534.
0938-0581.............................. 493.1-493.2001.
0938-0599.............................. 493.1-493.2001.
0938-0600.............................. 405.371, 405.378, 413.20.
0938-0610.............................. 417.436, 417.801, 422.128,
430.12, 431.20, 431.107,
434.28, 483.10, 484.10,
489.102.
[[Page 57323]]
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.
0938-0659.............................. 456.700, 456.705, 456.709,
456.711, 456.712.
0938-0667.............................. 482.12, 488.18, 489.20, 489.24.
0938-0679.............................. 410.38.
0938-0685.............................. 410.32, 410.71, 413.17, 424.57,
424.73, 424.80, 440.30,
484.12.
0938-0686.............................. 493.551-493.557.
0938-0688.............................. 486.304, 486.306, 486.307,
486.310, 486.316, 486.318,
486.325.
0938-0690.............................. 488.4-488.9, 488.201.
0938-0691.............................. 412.106.
0938-0692.............................. 466.78, 489.20, 489.27.
0938-0701.............................. 422.152.
0938-0702.............................. 45 CFR 146.111, 146.115,
146.117, 146.150, 146.152,
146.160, 146.180.
0938-0703.............................. 45 CFR 148.120, 148.124,
148.126, 148.128.
0938-0713.............................. 441.16, 489.66, 489.67.
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.............................. 484 subpart E, 484.55.
0938-0761.............................. 484.11, 484.20.
0938-0763.............................. 422.1-422.10, 422.50-422.80,
422.100-422.132, 422.300-
422.312, 422.400-422.404,
422.560-422.622.
0938-0770.............................. 410.2.
0938-0778.............................. 422.111, 422.64.
0938-0779.............................. 417.470, 417.126, 422.210,
422.64.
0938-0781.............................. 411.404-411.406, 484.10.
0938-0783.............................. 422.66, 422.562, 422.564,
422.568, 422.570, 422.572,
422.582, 422.584, 422.586,
422.590, 422.594, 422.602,
422.612, 422.618, 422.619,
422.620, 422.622.
0938-0786.............................. 438.352, 438.360, 438.362,
438.364.
0938-0787.............................. 406.28, 407.27.
0938-0790.............................. 460.12, 460.22, 460.26, 460.30,
460.32, 460.52, 460.60,
460.70, 460.71, 460.72,
460.74, 460.80, 460.82,
460.98, 460.100, 460.102,
460.104, 460.106, 460.110,
460.112, 460.116, 460.118,
460.120, 460.122, 460.124,
460.132, 460.152, 460.154,
460.156, 460.160, 460.164,
460.168, 460.172, 460.190,
460.196, 460.200, 460.202,
460.204, 460.208, 460.210.
0938-0792.............................. 491.8, 491.11.
0938-0798.............................. 413.24, 413.65, 419.42.
0938-0802.............................. 419.43.
0938-0818.............................. 410.141, 410.142, 410.143,
410.144, 410.145, 410.146,
414.63.
0938-0829.............................. 422.568.
0938-0832.............................. 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.............................. 412.23, 412.604, 412.606,
412.608, 412.610, 412.614,
412.618, 412.626, 413.64.
0938-0846.............................. 411.1, 411.350-411.357, 424.22.
0938-0857.............................. 419.
0938-0860.............................. 419.
0938-0866.............................. 45 CFR part 162.
0938-0872.............................. 483.20, 413.337.
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.
0938-0884.............................. 405.940.
0938-0887.............................. 45 CFR 148.316, 148.318,
148.320.
[[Page 57324]]
0938-0897.............................. 412.22, 412.533.
0938-0907.............................. 412.230, 412.304, 413.65.
0938-0910.............................. 422.624, 422.626, 422.620.
0938-0911.............................. 426.400, 426.500.
0938-0916.............................. 483.16.
0938-0920.............................. 438.6, 438.8, 438.10, 438.12,
438.50, 438.56, 438.102,
438.114, 438.202, 438.206,
438.207, 438.240, 438.242,
438.402, 438.404, 438.406,
438.408, 438.410, 438.414,
438.416, 438.710, 438.722,
438.724, 438.810.
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[FR Doc. 04-21202 Filed 9-23-04; 8:45 am]
BILLING CODE 4120-03-P