[Federal Register: March 26, 2004 (Volume 69, Number 59)]
[Notices]
[Page 15837-15850]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr26mr04-82]
[[Page 15837]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9020-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--October 2003 Through December 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 October 2003 through December 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 (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 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 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
Gwendolyn Johnson, Office of Strategic Operations and Regulatory
Affairs, Regulations Development 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, 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:
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
[[Page 15838]]
conjunction with information currently in the manuals.
Addendum IV lists all substantive and
interpretive Medicare and Medicaid regulations and general notices
published in the Federal Register during the quarter covered by this
notice. For each item, we list the--
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
(or CIM) 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'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:
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 Manual, Inpatient Hospital Services
publication, use CMS-Pub. 100-02, Transmittal No. 01.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714,
Medical Assistance Program)
Dated: March 9, 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.
November 2, 1999 (64 FR 59185)
December 7, 1999 (64 FR 68357)
[[Page 15839]]
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
[October 2003 through December 2003]
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Transmittal No. Manual/Subject/Publication No.
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Manual System (CMS-Pub. 100-00)
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01....................... Introduction.
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Medicare Benefit Policy (CMS-Pub. 100-02)
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01....................... Inpatient Hospital Services.
Inpatient Psychiatric Hospital Services.
Duration of Covered Inpatient Services.
Inpatient Psychiatric Benefit Days Reduction
and Lifetime Limitation.
Lifetime Reserve Days.
Hospital Services Covered Under Part B.
Home Health Services.
Coverage of Extended Care Skilled Nursing
Facility Services Under Hospital Coverage of
Hospice Services Under Hospital Insurance.
Ambulance Services.
End-Stage Renal Disease.
Comprehensive Outpatient Rehabilitation
Facility Coverage.
Rural Health Clinic and Federally Qualified
Health Center Services.
Medical Devices.
Covered Medical and Other Health Services.
General Exclusions from Coverage.
02....................... Provider Education Article Stopping Abuse of
the Power Wheelchair Benefit.
03....................... Fecal-Occult Blood Tests.
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Medicare National Coverage Determinations (CMS-Pub. 100-03)
------------------------------------------------------------------------
02....................... Artificial Hearts and Related Devices.
03....................... Lung Volume Reduction Surgery (Reduction
Pneumoplasty).
04....................... Provider Education Article Ventricular Assist
Devices for Destination Therapy.
05....................... Colorectal Cancer Screening Test.
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Medicare Claims Processing (CMS-Pub. 100-04)
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01....................... General Billing Requirements.
Admission and Registration Requirements.
Inpatient Part A Hospital.
Part B Hospital (Including Inpatient Hospital
Part B and Outpatient Prospective Payment
System).
Part B Outpatient Rehabilitation and
Comprehensive Outpatient Rehabilitation
Facility Services.
Skilled Nursing Facility Inpatient Part A
Billing.
Skilled Nursing Facility Part B (Including
Inpatient Part B and Outpatient Fee
Schedule).
Outpatient ESRD Hospital, Independent
Facility, and Physician/Supplier Claims.
Rural Health Clinics and Federal Qualified
Health Centers.
Home Health Agency Billing.
Hospice.
Physician/Practitioner Billing.
Radiology Services.
Ambulatory Surgical Centers.
Ambulance.
Laboratory Services from Independent Labs,
Physicians, and Providers.
Drugs and Biologicals.
Preventive and Screening Services.
Indian Health Services (not yet available).
Durable Medical Equipment, Prosthetics,
Orthotics and Supplies Parenteral and
Enteral.
Medicare Summary Notices.
Remittance Notices to Providers.
Fee Schedule Administration and Coding
Requirements.
EDI Support Requirements.
Completing and Processing UB-92 (CMS-1450)
Data Set.
Completing and Processing Form CMS-1500 Data
Set.
Contractor Instructions for Common Working
File.
Coordination With Medigap, Medicaid, and
Other Complementary Insurers.
[[Page 15840]]
Appeals of Claims Decisions.
Financial Liability Protections.
02....................... File Descriptions for Retrieving the 2004
Pricing and Health Common Coding Data Files
through Centers for Medicare & Medicaid
Services.
Mainframe Telecommunications System.
03....................... New Effective Data for CR2112 (Revisions to
the Outpatient Prospective Payment System
Pricer Software and Outpatient Code Editor).
04....................... October 2003 Update to the Health Care
Provider Taxonomy Code.
05....................... Type of Service.
06....................... Implementation of the Coding, Testing, and
Implementation Phase and Provider Education
for Change Request 2631, Revisions to the
Medicare.
Carrier Manual for Jurisdiction and
Unprocessable Claims.
07....................... Correction of Duplicate Editing in Common
Working File for Immunosuppressive Drug
Claims at the Durable Medical Equipment
Regional Carrier.
08....................... Annual Update of Healthcare Common Procedure
Coding System Codes Used for Home Health
Consolidated Billing Enforcement.
09....................... Reasonable Charge Update for 2004 for
Splints, Casts, Dialysis Supplies, Dialysis
Equipment, Therapeutic Shoes, and Certain
Intraocular Lenses.
10....................... Billing Instructions for Claims for
Ventricular Assist Devices for Beneficiaries
in a Medicare+Choice Plan.
11....................... Use of GY Modifier to Identify Clinical
Diagnostic Laboratory Services That Are Not
Covered by Medicare.
12....................... Certificate for Physician-Performed
Microscopy Procedures.
13....................... Confirming Outcome & Assessment Information
Set Assessment Items.
Therapy Threshold.
Hospitalization Within 14 Days of Start Care.
14....................... Modifier for Transportation of Portable X-
rays.
15....................... Implementation Guide Edits.
16....................... Payment Limit for Purchased Service.
17....................... Billing and Payment Procedures Regarding
Ownership and Provider Numbers.
Payment Procedures for Terminated Home Health
Agency.
18....................... Expansion of Beneficiary History and Claims
In Process Files in the Viable Information
Processing System Medicare System.
19....................... Annual Update of Healthcare Common Procedure
Coding System Codes Used For Skilled Nursing
Facility Consolidated Billing Enforcement.
20....................... Updated Skilled Nursing Facility to Pay File
Available for Download.
21....................... Update to Medicare Deductible, Coinsurance,
and Premium Rates for Calendar Year 2004.
22....................... Schedule Release for January Updates to
Software Programs and Pricing/Coding Files.
23....................... Claims Information and Claims Forms and
Formats.
Paper Claim Submission to Carriers.
Electronic Claim Submission to Carriers.
24....................... Billing Non-Covered Charges to Fiscal
Intermediaries `` Summary and New
Instructions.
25....................... Billing Non-Covered Charges to Fiscal
Intermediaries.
26....................... Lung Volume Reduction Surgery.
27....................... CPT Code for Lung Volume Reduction Surgery
and Instructions for Processing Claims for
Beneficiaries in a Risk Medicare+Choice
Plan.
28....................... Consolidation of the Claims Crossover Process
& the Adding of Common Working File.
Crossover Disposition Indicators.
29....................... Consolidation of Claims Crossover.
30....................... The Financial Limitation.
Discipline Specific Outpatient Rehabilitation
Modifiers--All Claims.
31....................... Dialysis Provider Number Series.
32....................... Remittance Advice Remark Code and Claim
Adjustment Reason Code Update.
33....................... Mammography Quality Standards Act of 1992
File.
34....................... ANSIX12 Transaction 835 Companion Document
and Flat File Change for.
Durable Medical Equipment Regional Carriers,
and Correction in the Companion Document for
Fiscal Intermediaries.
35....................... Minimum Number of Pricing Files that Must be
Maintained Online for Single Drug Pricer.
36....................... Revenue Code 068X.
37....................... Medicare Physician Fee Schedule Data Base.
38....................... Revised Skilled Nursing Facility No Pay/File--
Effective January 1, 2004.
39....................... The Supplemental Security Income Medicare
Beneficiary Data for Fiscal Year 2002 for
Inpatient Rehabilitation Facility Paid Under
the Prospective Payment System.
40....................... Healthcare Common Procedure Coding System and
Diagnosis Codes.
Roster Claims Submitted to Carriers for Mass
Immunization.
Claims Submitted to Fiscal Intermediaries for
Mass Immunizations of Influenza and
Pneumococcal Pneumonia Vaccine.
41....................... Payment for Anesthesia in a Critical Access
Hospital.
42....................... Financial Limitation on Therapy Services.
43....................... Displaying Material With CDT-4 Code.
American Dental Association's Copyright
Notice.
Point and Click License, and Shrink Wrap
License.
44....................... Mandatory Electronic Submission of Claims.
Small Providers and Full-Time Equivalent
Employee Assessments Exceptions.
Electronic and Paper Claims Implications Of
Mandatory Electronic Submission.
45....................... Outpatient Provider Specific File.
[[Page 15841]]
46....................... Outpatient Prospective Payment System
Outpatient Code Editors.
47....................... Carriers Specific Requirements for Certain
Specialties/Services.
48....................... National Council for Prescription Drug
Programs.
49....................... Fiscal Intermediaries Health Insurance
Portability and Accountability Act.
Claim Level Edits.
50....................... Description of Healthcare Common Procedure
Coding System.
51....................... January Medicare Outpatient Code Editor (OCE)
Specifications Version 19.1 For Bills From
Hospitals That Are Not Paid Under the
Outpatient Prospective Payment System.
52....................... Colorectal Cancer Screening.
53....................... January Outpatient Code Editor Specifications
Version 5.0.
54....................... Payment Allowance Limit for Drugs and
Biologicals Not Paid on a Cost or
Prospective Payment Basis.
55....................... Calculation of the Payment Allowance Limit
for Durable Medical Equipment Regional
Carrier Drugs.
56....................... Ambulance Inflation Factor.
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Medicare Secondary Payer (CMS-Pub. 100-05)
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01....................... Background and Overview.
Medicare Secondary Payer Provisions.
Medicare Secondary Providers Billing
Requirements.
Coordination of Benefits Contractor
Requirements.
Contractor Prepayment Processing
Requirements.
Medicare Secondary Payer Common Working File
Process.
Contractor MSP.
Recovery Rules.
02....................... Individuals Not Subject to the Limitation on
Payment.
03....................... Non-Employer Group Health Plan ``Send to
Common Working File''.
Switch Error.
04....................... Data Center Testing Production.
05....................... Data Center Testing Production.
06....................... Auto Notice of Change to Medicare Secondary
Payer.
Medicare Financial Management.
--------------------------
Medicare Financial Management. (CMS-Pub. 100-06)
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23....................... Clarification of Existing Instructions to
Chapters 1 and 2 of the Medicare Financial
Management.
24....................... Installation of Version 32.0 of the Provider
Statistical and Reimbursement Reporting
Stem.
25....................... Initial Interest Rate Manual Instruction and
Business Requirement.
26....................... Incremental Cost Budgeting and Reporting for
Productivity Investment Projects.
27....................... Revision to Chapters 8, 9 and 10 of the
Medicare Financial Management Manual.
28....................... Uncollectible Accounts Forms.
29....................... Revisions to Chapters 3 and 4.
--------------------------
Medicare Program Integrity (CMS-Pub. 100-08)
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52....................... The Report of Benefit Saving.
53....................... Informing Beneficiaries About Which Local
Medical Review Policy and/or National
Determination Is Associated With Their
Claims Denial.
54....................... Informing Beneficiaries About Which Lab
Negotiated National Coverage.
55....................... Quarterly Update To Correct Coding Initiative
Edit, Version 10.0, Effective January 1,
2004.
56....................... Update of Codes in the Program Integrity
Management Reporting System and the
Contractor Administrative Cost and Financial
Management System.
57....................... Quarterly Update to Correct Coding Initiative
Edits, Version 10.0, Effective January 1,
2004.
58....................... Provider Enrollment Manual Section 20.
59....................... Documentation Specifications for Areas
Selected for Prepayment or Postpayment.
Medicare Review.
60....................... Provider Enrollment, Chain and Ownership
System.
--------------------------
Medicare Contractor Beneficiary and Provider Communications (CMS Pub.
100-09)
------------------------------------------------------------------------
1........................ Contains General Instructions and
Requirements for Medicare Carriers,
Including Durable Medical Equipment Regional
Carrier and Intermediaries, for Processing
Correspondence.
2........................ Revised Disclosure Desk Reference for Call
Centers (Fourth Version).
3........................ Corrections and Reorganization of Material.
--------------------------
Medicare Quality Improvement Organizations (CMS-Pub. 100-10)
------------------------------------------------------------------------
11....................... Medicare+Choice Organizations.
12....................... Quality Improvement Organization.
13....................... Hospital Self-Generated Data
[[Page 15842]]
Medicare End-Stage Renal Disease Network Organizations (CMS Pub. 100-14)
------------------------------------------------------------------------
4........................ Confidentiality and Disclosure.
--------------------------
Medicare Managed Care (CMS Pub. 100-16)
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32....................... Contacts With Medicare+Choice Organizations.
33....................... Contacts With Medicare+Choice Organizations.
34....................... Medicare+Choice Beneficiary Grievances.
35....................... Contacts With Medicare+Choice Organizations.
36....................... Medicare+Choice Organizations.
37....................... Revisions to Chapter 15.
38....................... Medicare Cost Plan Enrollment and
Disenrollment Instructions.
39....................... Quality Assessment.
40....................... Manualization of the Plan Communication
Guide.
--------------------------
End-Stage Renal Disease (CMS-Pub. 100-14)
------------------------------------------------------------------------
1........................ Forward.
Purpose of the Network Manual.
Statutes and Regulations.
End-Stage Renal Disease Network Organizations
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........................ Forward.
Purpose of the Network Manual.
Statutes and Regulations.
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........................ 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....................... 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....................... 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....................... Streamlined Marketing Review Process.
Introduction.
Marketing Review Process.
Guidelines for Advertising Material.
[[Page 15843]]
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.
Center 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....................... 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.
Obligations of Deemed Medicare & Medicaid
Organizations.
Oversight of Accrediting Organizations.
Application Requirements.
Reporting Requirements.
Informal Hearing Procedures.
30....................... 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....................... 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.
[[Page 15844]]
General.
Enrollments.
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.
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
From 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 Act.
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.
--------------------------
One Time Notification (CMS Pub. 100-20)
------------------------------------------------------------------------
06....................... Either Impact Multiple Manuals or Have No
Manual Impact.
07....................... Common Working File Edits for Inserts for
Therapeutic Shoes.
08....................... Revised X12N 4010A1 837 Professional Flat
File.
09....................... Shared System Maintainer Hours for Resolution
of Problems Detected During Health Insurance
Portability and Accountability Act
Transaction Release Testing.
[[Page 15845]]
10....................... Changes to the Laboratory National Coverage
Determination Edit Software for January 1,
2004.
11....................... Calendar Year 2004 Participation Enrollment
and Medicare Participating Physicians and
Suppliers Directory Procedures.
12....................... New Waived Tests--January 1, 2004.
13....................... Program Integrity Management Reporting System
for Part A--Phase 3.
14....................... Comprehensive Error Rate Testing Program--
Requirements Update for Medicare Part A
Provider Address File and Sample Claims
Resolution File.
15....................... Changes in Transitional Outpatient Payment
(TOP) for 2004.
16....................... Implementation of Correction to: Changes to
the Hospital Inpatient Prospective Payment
System and Fiscal Year 2004 Rates; as
Published in the October 6, 2003, Federal
Register (68 FR 57732); and Extension of the
Provision Equalizing the Urban and Rural
Standardized Medicare Inpatient Hospital
Payments as Required by Public Law 108-89.
17....................... Fee Schedule Update for 2004 for Durable
Medical Equipment, Prosthetics, Orthotics,
and Supplies.
18....................... Change in Coding on Medicare Claims for
Darbepoetin Alfa (Trade Name Aranesp) and
Epoetin Alfa (Trade Name Epogen) of
Treatment of Anemia in End-Stage Renal
Disease Patients on Dialysis.
19....................... Change in Payment for Darbepoetin Alfa (Trade
Name Aranesp) for Treatment of Anemia In End-
Stage Renal Disease Patients on Dialysis.
20....................... 2004 Annual Update for Clinical Laboratory
Fee Schedule and Laboratory Services to
Reasonable Charge Payment.
21....................... Indian Health Service (IHS) Hospital Payment
Rates for Calendar Year 2003.
22....................... Clarification to Transmittal B-03-059 (CR
2755)--Minimum Number of Pricing Files That
Must Be Maintained Online for Medicare
Single Drug Pricer.
23....................... Payment for Ambulance Services Furnished by
New Suppliers.
24....................... Instructions for Fiscal Intermediary Standard
System (FISS) and Multi-Carrier System
Healthcare Integrated General Ledger
Accounting System Changes.
25....................... Clarification of Mammography Annual Screening
Examination.
26....................... Coding and Billing Instructions for VelcadeTM
(Bortezomib).
27....................... Emergency Correction to the 2004 Healthcare
Common Procedure Coding System File.
28....................... 2004 Medicare Physician Fee Schedule Increase
and Extension of the Annual Participation
Enrollment Period.
29....................... Revised American National Standards Institute
X12N 837 Professional Health Care Claim
Companion Document.
30....................... Changes in Transitional Outpatient Payment
(TOP) for 2004.
31....................... Emergency Revised 2004 Update of the Durable
Medical Equipment Provider of Services and
Clinical Laboratory Fee Schedules.
32....................... January 2004 Update of the Hospital
Outpatient Prospective Payment System.
33....................... Change of Medicare Part A Plan Under Contract
With the Blue Cross/Blue Shield Association
and Change of Part B Carrier in the State of
Rhode Island From Blue Cross/Blue Shield of
Rhode Island to Arkansas Blue Cross/Blue
Shield.
34....................... 2004 Medicare Physician Fee Schedule Annual
Changes.
35....................... Emergency Correction to the Fee Schedule
Update for 2004 for Durable Medical
Equipment, Prosthetics, Orthotics, and
Supplies
36....................... Additional Modification Regarding Change
Request 2963: Change in Coding on Medicare
Claims for Darbepoetin Alfa (Trade Name
Aranesp) and Epoetin Alfa (Trade Name
Epogen) for Treatment of Anemia In End-Stage
Renal Disease Patient on Dialysis.
37....................... Home Health Cost Reporting Processes.
------------------------------------------------------------------------
Addendum IV.--Regulation Documents Published in the Federal Register
[October 2003 through December 2003]
--------------------------------------------------------------------------------------------------------------------------------------------------------
FR Vol. 68
Publication date page no. CFR parts affected File code Title of regulation
--------------------------------------------------------------------------------------------------------------------------------------------------------
October 6, 2003.................... 57732 42 CFR Parts 412 and 413.................. CMS-1470-CN Medicare Program; Changes to
the Hospital Inpatient
Prospective Payment Systems
and Fiscal Year 2004 Rates;
Correction.
October 10, 2003................... 58756 42 CFR Parts 409, 411, 413, 440, 483, 488, CMS-1469-CN Medicare Program;
and 489. Prospective Payment System
and Consolidated Billing
for Skilled Nursing
Facilities; Correction.
October 24, 2003................... 61005 .......................................... CMS-1253-N Medicare Program; November
17, 2003, Meeting of the
Practicing Physicians
Advisory Council.
October 24, 2003................... 61004 .......................................... CMS-4061-N Medicare Program: Meeting of
the Advisory Panel on
Medicare Education-November
20, 2003.
October 24, 2003................... 61002 .......................................... CMS-8018-N Medicare Program; Part A
Premium for 2004 for the
Uninsured Aged and for
Certain Disabled
Individuals Who Have
Exhausted Other
Entitlement.
October 24, 2003................... 60997 .......................................... CMS-8017-N Medicare Program; Monthly
Actuarial Rates and Monthly
Supplementary Medical
Insurance Premium Beginning
January 1, 2004.
October 24, 2003................... 60995 .......................................... CMS-8016-N Medicare Program; Inpatient
Hospital Deductible and
Hospital and Extended Care
Services Coinsurance
Amounts for 2004.
November 7, 2003................... 63398 42 CFR Parts 410 and 4419................. CMS-1471-FC Medicare Program; Changes to
the Hospital Outpatient
Prospective Payment System
and Calendar Year 2004
Payment Rates.
[[Page 15846]]
November 7, 2003................... 63692 42 CFR Parts 400, 405, and 426............ CMS-3063-F Medicare Program: Review of
National Coverage
Determinations and Local
Coverage Determinations.
November 7, 2003................... 63196 42 CFR Parts 410, and 414................. CMS-1476-FC Medicare Program; Revisions
to Payment Policies Under
the Physician Fee Schedule
for Calendar Year 2004.
November 19, 2003.................. 65346 42 CFR Part 426........................... OFR Correction Medicare Program; Review of
National Coverage
Determinations and Local
Coverage Determinations.
November 28, 2003.................. 66920 42 CFR Parts 412, 413, and 424............ CMS-1213-P Medicare Program;
Prospective Payment System
for Inpatient Psychiatric
Facilities.
November 28, 2003.................. 66721 42 CFR Part 408........................... CMS-6016-F Medicare Program; Reduction
in Medicare Part B Premiums
as Additional Benefits
Under Medicare+Choice
Plans.
November 28, 2003.................. 66710 42 CFR Parts 403, 489, and 498............ CMS-1909-F Medicare Program; Religious
Nonmedical Health Care
Institutions and Advance
Directives.
December 5, 2003................... 67960 42 CFR Part 414........................... CMS-1232-FC Medicare Program; Coverage
and Payment of Ambulance
Services; Inflation Update
for CY 2004.
December 5, 2003................... 67955 42 CFR Parts 412, 413, 476, and 484....... CMS-3055-F Medicare Program;
Photocopying Reimbursement
Methodology.
December 15, 2003.................. 69928 .......................................... CMS-4063-N Medicare Program; Medicare
Prescription Drug Discount
Card.
December 15, 2003.................. 69840 42 CFR Parts 403 and 408.................. CMS-4063-IFC Medicare Program,
Prescription Drug Discount
Card.
December 15, 2003.................. 69707 .......................................... CMS 1370-N Medicare Program; The
Practicing Physicians
Advisory Council's Request
for Nominations.
December 24, 2003.................. 74792 42 CFR Parts 405 and 491.................. CMS-1910-F Medicare Program; Rural
Health Clinics: Amendments
to Participation
Requirements and Payment
Provisions; and
Establishment of a Quality
Assessment and Performance
Improvement Program.
December 24, 2003.................. 74622 .......................................... CMS-1247-N Medicare Program; Town Hall
Meeting in Calendar Year
2004 for Ambulance
Condition Codes.
December 24, 2003.................. 74621 .......................................... CMS-1254-N Medicare Program, Meeting of
the Advisory Panel on
Ambulatory Payment
Classification Groups--
February 18, 19, and 20,
2004.
December 24, 2003.................. 74613 .......................................... CMS-1226-GNC Medicare Program; Criteria
and Standards for
Evaluating Intermediary,
Carrier, and Durable
Medical Equipment,
Prosthetics, Orthotics, and
Supplies (DMEPOS) Regional
Carrier Performance During
Fiscal Year 2004.
December 24, 2003.................. 74607 .......................................... CMS-3119-PN Medicare Program; Procedures
for Maintaining Code Lists
in the Negotiated National
Coverage Determinations for
Clinical Diagnostic
Laboratory Services.
December 24, 2003.................. 74590 .......................................... CMS-9019-N Medicare and Medicaid
Programs; Quarterly Listing
of Program Issuances--July
2003 Through September
2003.
December 24, 2003.................. 74491 42 CFR Part 411........................... CMS-18089-F4 Medicare and Medicaid
Programs; Physicians'
Referrals to Health Care
Entities With Which They
Have Financial
Relationships: Extension of
Partial Delay of Effective
Date.
December 31, 2003.................. 75442 42 CFR Parts 410 and 419.................. CMS-1471-CN Medicare Program; Changes to
the Hospital Outpatient
Prospective Payment System
and Calendar Year 2004
Payment Rates; Final Rule;
Correction.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Addendum V--National Coverage Determinations [October 2003 Through
December 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
.
[[Page 15847]]
National Coverage Determinations
[October 2003 Through December 2003]
----------------------------------------------------------------------------------------------------------------
100-03 Title Issue date Effective date
----------------------------------------------------------------------------------------------------------------
20.9................................... Ventricular Assist Devices (VADs).. 10/17/03 10/01/03
240.1.................................. Lung Volume Reduction Surgery 11/04/03 10/01/03
(LVRS).
210.3.................................. Fecal Occult Blood Tests (FOBT).... 12/19/03 01/01/04
----------------------------------------------------------------------------------------------------------------
Medicare Claims Processing Manual
----------------------------------------------------------------------------------------------------------------
100-04 Title Issue date Effective date
----------------------------------------------------------------------------------------------------------------
AB03-104............................... Changes to the Laboratory NCD Edit 10/24/03 01/01/04
Software for 01/01/04.
----------------------------------------------------------------------------------------------------------------
One-Time Notification
----------------------------------------------------------------------------------------------------------------
100-20 Title Issue date Effective date
----------------------------------------------------------------------------------------------------------------
AB03-127............................... 2004 Annual Update for Clinical Lab 11/07/03 01/01/04
Fee Schedule.
----------------------------------------------------------------------------------------------------------------
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 nonexperimental 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 4th quarter, October through December 2003.
G020078
G020185
G020237
G030132
G030149
G030156
G030161
G030178
G030180
G030182
G030185
G030186
G030187
G030189
G030190
G030191
G030195
G030197
G030198
G030200
G030201
G030202
G030204
G030205
G030206
G030207
G030208
G030209
G030210
G030214
G030216
G030217
G030219
G030220
G030221
G030222
G030224
G030225
G030226
G030229
G030230
G030232
G030236
G030238
G030239
G030240
G030246
G030248
G030249
G030250
G030255
G030259
G939227
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 No. 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, 408.22
0938-0042.................. 410.40, 424.124
0938-0045.................. 405.711
0938-0046.................. 405.2133
0938-0050.................. 413.20, 413.24
0938-0062.................. 431.151, 435.1009, 440.220, 440.250, 442.1,
442.10-442.16, 442.30, 442.40, 442.42,
442.100-442.119, 483.400-483.480, 488.332,
488.400, 498.3-498.5
0938-0065.................. 485.701-485.729
0938-0074.................. 491.1-491.11
0938-0080.................. 406.7, 406.13
0938-0086.................. 420.200-420.206, 455.100-455.106
[[Page 15848]]
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, 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
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
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, 417.800-417.840, 422.6
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
0938-0564.................. 411.32
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
[[Page 15849]]
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
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
[[Page 15850]]
0938-0883.................. 45 CFR Parts 160 and 164
0938-0887.................. 45 CFR 148.316, 148.318, 148.320
0938-0897.................. 412.22, 412.533
0938-0907.................. 412.30, 412.304, 413.65
0938-0913.................. 414.707
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[FR Doc. 04-6350 Filed 3-25-04; 8:45 am]
BILLING CODE 4120-01-P