Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April Through June 2014, 43475-43491 [2014-17488]

Download as PDF Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices part of its function to provide consumers with assistance when they need it. Navigators will assist consumers by providing education about and facilitating selection of qualified health plans (QHPs) within Marketplaces, as well as other required duties. Section 1311(i) requires that a Marketplace operating as of January 1, 2014, must establish a Navigator Program under which it awards grants to eligible individuals or entities who satisfy the requirements to be Exchange Navigators. For Federally-facilitated Marketplaces (FFMs) and State Partnership Marketplaces (SPMs), we will be awarding these grants. Navigator awardees must provide weekly, monthly, quarterly, and annual progress reports to us on the activities performed during the grant period and any subawardees receiving funds. We have modified the data collection requirements for the weekly, monthly, quarterly, and annual reports that were provided in the 60-day Federal Register notice (79 FR 20211). Form Number: CMS–10463 (OMB control number: 0938–1215); Frequency: Annually; Quarterly, Monthly, Weekly; Affected Public: Private sector; Number of Respondents: 99; Total Annual Responses: 5,148; Total Annual Hours: 49,512. (For policy questions regarding this collection contact Julia Dreier at 301–492–4123.) I. Background Medicaid programs and coordination and oversight of private health insurance. Administration and oversight of these programs involves the following: (1) furnishing information to The Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare and VerDate Mar<15>2010 19:44 Jul 24, 2014 Jkt 232001 Dated: July 22, 2014. Martique Jones, Deputy Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2014–17555 Filed 7–24–14; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–9086–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—April Through June 2014 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from April through June 2014, relating to the Medicare and Medicaid programs and other programs administered by CMS. FOR FURTHER INFORMATION CONTACT: It is possible that an interested party may need specific information and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing contact persons to answer general questions concerning each of the addenda published in this notice. SUMMARY: BILLING CODE 4120–01–C PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 Medicare and Medicaid beneficiaries, health care providers, and the public; and (2) maintaining effective communications with CMS regional offices, state governments, state E:\FR\FM\25JYN1.SGM 25JYN1 EN25JY14.000</GPH> emcdonald on DSK67QTVN1PROD with NOTICES the following proposed collection(s) of information for public comment: 1. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services State Survey; Use: The survey will be used to gain a better understanding of state efforts to increase the utilization of preventive services and to develop resources (including educational and outreach resources) to help states increase the utilization of these services. The results will provide a baseline regarding the coverage of preventive services and will help us identify ways to assist states with materials focusing on prevention and technical assistance. The survey has been revised subsequent to the publication of the 60-day Federal Register notice (79 FR 20211). Form Number: CMS–10521 (OMB control number: 0938—New); Frequency: Once; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 51; Total Annual Responses: 51; Total Annual Hours: 128. (For policy questions regarding this collection contact Mary Beth Hance at 410–786–4299.) 2. Type of Information Collection Request: Revision to a currently approved collection; Title of Information Collection: Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges; Use: Section 1311(i) of the Affordable Care Act requires Exchanges (Marketplaces) to establish a Navigator grant program as 43475 43476 Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices emcdonald on DSK67QTVN1PROD with NOTICES Medicaid agencies, state survey agencies, various providers of health care, all Medicare contractors that process claims and pay bills, National Association of Insurance Commissioners (NAIC), health insurers, and other stakeholders. 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) and Public Health Service Act. We also issue various manuals, memoranda, and statements necessary to administer and oversee the programs efficiently. Section 1871(c) 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. VerDate Mar<15>2010 18:34 Jul 24, 2014 Jkt 232001 II. Format for the Quarterly Issuance Notices This quarterly notice provides only the specific updates that have occurred in the 3-month period along with a hyperlink to the full listing that is available on the CMS Web site or the appropriate data registries that are used as our resources. This information is the most current up-to-date information and will be available earlier than we publish our quarterly notice. We believe the Web site list provides more timely access for beneficiaries, providers, and suppliers. We also believe the Web site offers a more convenient tool for the public to find the full list of qualified providers for these specific services and offers more flexibility and ‘‘real time’’ accessibility. In addition, many of the Web sites have listservs; that is, the public can subscribe and receive immediate notification of any updates to the Web site. These listservs avoid the PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 need to check the Web site, as notification of updates is automatic and sent to the subscriber as they occur. If assessing a Web site proves to be difficult, the contact person listed can provide information. III. How to Use the Notice This notice is organized into 15 addenda so that a reader may access the subjects published during the quarter covered by the notice 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 should view the manuals at https:// www.cms.gov/manuals. Dated: July 18, 2014. Kathleen Cantwell, Director, Office of Strategic Operations and Regulatory Affairs. E:\FR\FM\25JYN1.SGM 25JYN1 emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00090 Fmt 4703 Addendum 1: Medicare and Medicaid Manual Instructions (April through June 2014) The CMS Manual System is used by CMS program components, partners, providers, contractors, Medicare Advantage organizations, and State Survey Agencies to administer CMS programs. It offers day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives. In 2003, we transformed the CMS Program Manuals into a web user-friendly presentation and renamed it the CMS Online Manual System. Sfmt 4725 E:\FR\FM\25JYN1.SGM 25JYN1 How to Obtain Manuals The Internet-only Manuals (IOMs) are a replica of the Agency's official record copy. Paper-based manuals are CMS manuals that were officially released in hardcopy. The majority of these manuals were transferred into the Internet-only manual (10M) or retired. Pub 15-1, Pub 15-2 and Pub 45 are exceptions to this rule and are still active paper-based manuals. The remaining paper-based manuals are for reference purposes only. If you notice policy contained in the paper-based manuals that was not transferred to the 10M, send a message via the CMS Feedback tool. Those wishing to subscribe to old versions of CMS manuals should contact the National Technical Information Service, Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone (703605-6050 ). You can download copies of the listed material free of charge at: ="'-'-'--'-"-'-'==-'-"-=""-'-="'· How to Review Transmittals or Program Memoranda Those wishing to review transmittals and program memoranda can access this information at a local Federal Depository Library (FDL). Under the FDL program, government publications are sent to approximately I ,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. This information is available at=~'-'-'-'-'--"~~=~~!!!.!"-"'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 fonn, 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. CMS publication and transmittal numbers are shown in the listing entitled Medicare and Medicaid Manual Instructions. To help FDLs locate the materials, use the CMS publication and transmittal numbers. For example, to find the Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)use CMS-Pub. 100-03, Transmittal No. 167. Addendum I lists a unique CMS transmittal number for each instruction in our manuals or program memoranda and its subject number. 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 manual. For the purposes of this quarterly notice, we list only the specific updates to the list of manual instructions that have occurred in the 3-month period. This information is available on our website at ..!!.2.!.2:!~~~~~~~· Manual/Subject/Publication Number 85 86 188 Issued to a specific audience, not posted to Internet/ Intranet due to Confidentiality of Instruction Contractor Implementation of Change Requests and Compliance with Technical Direction Letters Sample Cover Letter/Attestation Statement CR Implementation Report (CRlR) Template TDL Comoliance Renort ITCR) Temolate Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 Publication Dates for the Previous Four Quarterly Notices We publish this notice at the end of each quarter reflecting information released by CMS during the previous quarter. The publication dates of the previous four Quarterly Listing of Program Issuances notices are: July 26,2013 (78 FR 45233), November 8, 2013 (78 FR 67153), January 31, 2014 (79 FR 5419), and April25, 2014 (79 FR 22976). For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3-month period along with a hyperlink to the website to access this infonnation and a contact person for questions or additional information. Update to the Medicare Benefit Policy Manual to Restore Missing Air Ambulance Definitions Air Ambulance Services Updates and Clarifications tn the Hospice Policy Chapter ofthe Benefit Policy Manual Requirements- General Timing and Content ofCetiitication Election, Revocation, and Change of Hosnice 43477 EN25JY14.001</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43478 VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00091 189 Fmt 4703 Sfmt 4725 166 E:\FR\FM\25JYN1.SGM 167 16li 25JYN1 169 2919 2920 2921 EN25JY14.002</GPH> I Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014) Positron Emission Tomography (FDG PET) for Oncologic Conditions I Percutaneous Image-guided I .umbar Decompression (PH D) for f .umbar Spinal Stenosis (LSS) Percutaneous image-guided lumbar decompression for lumbar spinal Stenosis I Fluorodcoxyglucosc (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated Februmy 6, 2014) Positron Emission Tomography (FDG PET) for Oncologic Conditions I Analysis and Implementation of Non-Medical Code Set Edit Bypass for Contractor Initiated Adjustment Claims in the Fiscal Intermediary Shared System (FISS) New Waived Tests Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions 2922 2923 2924 2925 2926 Provider Charges to Beneficiaries Annual Updates to the SNF Pricer Other Excluded Services Beyond the Scope of a SNF Pmt A Benefit Other Services Excluded from SNF PPS and Consolidated Billing Ambulance Services Screening and Preventive Services Physician's Services and Other Professional Services Excluded Prom Part PPS Payment and the Consolidated Billing Requirement Medicare Claims Processing Pub. I 00-04 Chapter 25 Update Uniform Bill- f'orm C.\t!S-1450 Form Locators 43-81 Disposition of Copies of Completed Forms General Instructions for Completion of Form CMS-1450 for Billing Form Locators l-15 Form Locators 3 l-41 Unitonn Billing with Form CMS-1450 April Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) July 20131ntegrated Outpatient Code Editor (I/OCE) Specifications Version 14.2 Corrections to the Medicare Claims Processing Manual Foreword Liability Considerations for Bundled Services CWF General Instruction Liability Considerations for Bundled Services Line-Item Modifiers Related to Reporting of Non-covered Charges When Covered and Non-covered Services Are on the Same Outpatient Claim Claims Processing Requirements for Financial Limitations Physician Fee Schedule Payment Policy Indicator File Record Layout General Billing Requirements Payment Coding That Results from Processing Noncovered Charges Chapter 29 Appeals Update (Includes Post-DOMA Guidance and Signature Requirement for Appointment of Representatives and Assignment of Appeal Rights CMS Decisions Subject to the Administrative Appeals Process Who May Appeal Steps in the Appeals Process: Overview Where to Appeal Procedures to Follow When a Party Fails to Establish Good Cause Amount in Controversy General Requirements Principles tor Determining Amount in Controversy Aggregation of Claims to Meet the Amount in Controversy Appointment of Representative - Introduction How to Make and Revoke an Appointment When and Where to Submit the Appointment Rights and Responsibilities of a Representative Duration of Appointment Curing a Defective Appointment of Representative How to Make and Revoke a Transfer of Appeal Rights Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 Hospice Discharge Election by Managed Care Enrollees Drugs and Biologicals Coinsurance Respite Care Coinsurance Benetit Coverage Nursing Care Physicians' Services Nurse Practitioners as Attending Physicians Short-Term Inpatient Care Medical Appliances and Supplies Other Items and Services Continuous Home Care (CHC Respite Care Other Issues Non-core Services Limitation on Liability for Certain Hospice Coverage Denials Documentation Limitations on Payments for Inpatient Care Counting Beneficiaries for Calculation Special Modalities Invalidation ofNational Coverage Determination 140.3- Transsexual Surgery Services Related to and Required as a Result of Services Which Are Not Covered Under Medicare Services Related to and Required as a Result of Services Which Are Not Covered Under Medicare emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00092 Fmt 4703 Sfmt 4725 E:\FR\FM\25JYN1.SGM 2928 2929 2930 2931 25JYN1 2932 2933 2934 2935 2936 2937 (MPFSDB) Issued to a specitic audience, not posted to lnternet/lntranet due to Sensitivity oflnstruction July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files Medicare Claims Processing Pub. I 00-04 Chapter 31 Update Health Care Claim Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12 276/277 Claim Status Request and Response Transmission Requirements Batch Transactions Online Direct Data Entry Interactive/Online (Non-DOE Summary of the ASC Xl2 276/277 Claim Status Request and Response Process for AlB Medicare Administrative Contractors, DME MACs, 2938 2939 2940 2941 2942 2943 2944 2945 2946 2947 2948 2949 CEDI Flat File Translation Requirements Transmission Mode Claim Status Request/Response Transaction Standard Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to lnternet/lntranet due to Confidentiality of Instmction Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP)- July 2014 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Tnternet/Tntranet due to Confidentiality of Instruction Issued to a specific audience, not posted to lntcrnct/lntranet due to Confidentiality of Instruction Issued to a specitic audience, not posted to lnternet/lntranet due to Sensitivity oflnstruction Issued to a specific audience, not posted to Internet/Intranet due to Contidentiality of Instruction Tssued to a specific audience, not posted to lntcrnct/lntranct due to Confidentiality ofTnstruction Medicare System Updates to Include Splints, Casts and Cctiain Intraocular Lenses Payment Category Indicators in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule File and Alpha-Numeric HCPCS file Calendar Year (CY) 2014 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment -REVISION Adjustment to Fiscal Intermediary Shared System (F!SS) Consistency Edit to Implement J\'ational Uniform Billing Committee (NUBC) Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 2927 Curing a Defective Transfer of Appeal Rights Medicare Secondary Payer (MSP) Specific Limitations or Additional Requirements With Respect to the Appointment of Representatives Fraud and Abuse- Authority Appeals of Claims Involving Excluded Providers, Physicians, or Other Suppliers Required Elements in Appeals Correspondence General Information Appeal Decision Involving Multiple Beneficiaries Filing a Request for Redetermination The Redetermination The Redetermination Decision Dismissals Dismissal Letters Requests for U.S. District Court Review by a Party Medicare Redetennination Notice (For Partly or Fully Unfavorable Redeterminations) Medicare Redetermination Notice (For Fully Favorable Redeterminations) System and Processing requirements for Use of Secure Internet Portal/Application to Support Appeals Activities Reconsideration -The Second Level of Appeal Filing a Request for a Reconsideration Administrative Law Judge (ALl) Hearing- The Third Level of Appeal Departmental Appeals Board- Appeals Council- The Fourth Level of Appeal District Court Review - The Filth Level of Appeal Model Dismissal "Jotices April2014 Update ofthe Ambulatory Surgical Center (ASC) Payment System Enforcement of the 5 day Payment Limit for Respite Care Onder the Hospice Medicare Benefit Update to Pub. I 00-04, Medicare Claims Processing Manual, Chapter II to Provide Language-Only Changes for Updating !CD-I 0 and ASC X 12 Requirement for RNHCI Election Update to Pub. I 00-04, Medicare Claims Processing Manual, Chapter II to Provide Language-Only Changes for Updating ICD-10 and ASC X12 Aprepitant for Chemotherapy-Induced Emesis Billing and Payment Instructions for A/B MAC IICPCS Codes for Oral Anti-Emetic Drugs Claims Processing Jurisdiction for Oral Anti-Emetic Drugs Oral Anti-Emetic Drugs Used as Full Replacement for Intravenous AntiEmetic Drugs as Part of a Cancer Chemotherapeutic Regimen Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014 Addition of New Fields and Expansion of Existing Model I Discount Percentage Field in the Inpatient Hospital Provider Specific File (PSF) and Addition of New Fields and Renaming Payment Fields in the Inpatient Prospective Payment System (IPPS) Pricer Output April Update to the CY 2014 Medicare Physician Fee Schedule Database 43479 EN25JY14.003</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43480 VerDate Mar<15>2010 2950 2952 Jkt 232001 2953 2954 2955 PO 00000 2956 2957 Frm 00093 2958 Fmt 4703 2960 2959 Sfmt 4725 2Y61 2962 E:\FR\FM\25JYN1.SGM 2963 2964 2965 25JYN1 -- EN25JY14.004</GPH> ----------------- 2966 2967 2968 2969 2970 2971 2972 2973 2974 2975 2976 2977 F -Notice that determination reached that the provider is eligible to submit paper claims G- Notice from the Railroad Board Specialty Medicare Administrative Contractor (RRB SMAC) to a Provider that Has Just Begun to Submit Claims that Paper Claims Submitted by that Provider Will be Denied Network Service Vendor (NSV) Agreement Instructions for Downloading the Medicare ZIP Code File for October 2012 Claim Status Categmy and Claim Status Codes Update Quarterly Update for the Durable Medical Equipment, Prosthetics, 01thotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) -October 2014 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 20.3, Effective October l, 20 I 4 July 2014 Update of the Ambulatory Surgical Center (ASC) Payment System July 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS Type of Bill Method of Payment for Clinical Laboratory Tests - Place of Service Variation Hospital Billing Under Part B Critical Access Hospital (CAH) Outpatient Laboratory Service Issued to a specific audience, not posted to Internet/ Intranet due to Confidentiality of Instmction Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction July Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) Issued to a specific audience, not posted to Internet/ Intranet due to Confidentiality of Instruction Changes to the Laboratory National Coverage Determination (NCD) Soflware Claritlcation of Billing Instructions Related to the Home Health Benefit Split Percentage Payment of Episodes Home health Consolidated Billing Edits in Medicare Systems More Than One Agency Furnished Home Health Services Grouper Links Assessment and Payment Submission of Request for Anticipated Payment (RAP) Claim Submission and Processing Payment, Claim Adjustments and Cancellations Adjustments of Episode Payment- Low Utilization Payment Adjustments (LUPAs) Adjustments of Episode Payment- Early or Later Episodes Adjustments of Episode Payment- Outlier Payments Glossmy and Acronym List Home Health Prospective Payment System (HH PPS) Consolidated Billing General Guidelines for Processing !lome Health Agency (I UclA) Claims Therapy Editing Nonroutine Supply Editing Other Editing Related to Home Health Consolidated Billing Home Health Consolidated Billing and Supplies Provided by DMEPOS Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 2951 Revision to Occurrence Span Code (OSC) Definition for Code 72. Adjustment to Fiscal Intermedimy Shared System (FISS) Consistency Edit to Implement l\ational Uniform Billing Committee (NUBC) Revision to Occurrence Span Code (OSC) Definition for Code 72. Issued to a specific audience, not posted to Internet! Intranet due to Sensitivity oflnstruction Issued to a specific audience, not posted to lnternet/Intranet due to Sensitivity of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality ofTnstruction Issued to a specific audience, not posted to lntcrnct/lntranct due to Confidentiality of Instruction Mandatmy Rep011ing of an 8-Digit Clinical Trial Number on Claims General Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of lnstmction July 2014 Integrated Outpatient Code Editor (IiOCE) Specifications Version 15.2 Issued to a specific audience, not posted to lnternet/lntranct due to Confidentiality of Instruction Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis ( LSS) Issued to a specific audience, not posted to Intcrnct/Intranct due to Confidentiality of Instruction Issued to a specific audience, not posted to lnternet/lntranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranct due to Confidentiality of Instruction Common Edits and Enhancem~nts Modules (CEM) Code Set Update Indian Health Services (HIS) Hospital Payment Rates for Calendar Year 2014 Medicare Claims Processing Pub. 100-04 Chapter 24 Update A - Response to a non - "unusual circumstance" waiver request Number of ASCS Enforcement Reviews to he Conducted by the RRB SMAC EDI Enrollment and ED! Claim Record Retention H- Notice from the Railroad Retirement Board Speciality MAC to a Provider with a Pre-Established Record in PES that Paper Claims Will be Denied as Result of the Requirements that a Provider Submit Claims to One or More Other Medicare Contractors Electronically B - Denial of an "unusual circumstance" waiver request C - Request for Documentation from Provider Selected for Review to Establish Entitlement to Submit Claims on Paper D -Notice that paper claims will be denied effective with the 9 I st calendar day after the original letter as result of non-response to that letter E- Notice that paper claims will he denied effective with the 91st calendar day after the original letter as result of determination that they provider is not cligiblcto sub!Tiit paper clain1s -------- emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00094 Fmt 4703 Sfmt 4725 101 E:\FR\FM\25JYN1.SGM 1 Additional Electronic CoJTespondence Referral System (ECRS) Reason Codes COBC Electronic 236 115 116 New to State Operations Manual (SOM) Appendix Y- Organ Procurement Organization (OPO) Interpretive Guidance Revised State Operations Manual (SOM), Appendix A, Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 25JYN1 Survey Protocol, Regulations and Interpretive Guidelines for Hospitals/A0957 /§482.51 (b)( 4 )!There must be adequate provisions for immediate postoperative care. Survey Protocol, Regulations and Interpretive Guidelines for Hospitals/A0409/§482.23(e)(4)/Blood transfusions and intravenous medications must be administered in a~cordan~e with State law and approved medical slaiT policies and procedures Survey Protocol, Regulations and Interpretive Guidelines for Hospitals/A0412/§482.23(c)(6)/The hospital may allow a patient (or his or her caregiver/support person where appropriate) to sell~administer both hospitalissued medications and the patient's own medications brought into the hospitals defined and specified in the hospital's policies and procedures 117 118 Survey Protocol, Regulations and Interpretive Guidelines for Hospitals/A0405/§482.23(c)Standard: Preparation and Administration of Drugs Revision to Medicare State Operations Manual (SOM), Chapter 9 Exhibits 37 Model Letter Announcing Validation Survey of Deemed Status Provider/Supplier 162 Model Letter: Request for a Plan of Correction Following an Initial Survey for Swing-bed Approval in a Hospital 196 Model Letter Announcing to Deemed Status Provider/Supplier afler a Validation Survey that it does not Comply with all Medicare Conditions 199 Model Letter Announcing to Deemed Status Provider/Supplier atler a Substantial Allegation Survey that it will Undergo a Full Survey Authorization by Deemed Provider/Supplier Selected for Validation Survey Report of a Hospital Death Associated with Restraint or Seclusion (Form CMS-10455) New Guidance Added to Chapter 7- Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities Definitions and Acronyms Informal Dispute Resolution After Request to Waive Hearing Mandatory Elements of Informal Dispute Resolution Independent Informal Dispute Resolution (Independent !DR) Introduction Purpose Independent Informal Dispute Resolution Requirements Applicability of the Independent Informal Dispute Resolution Process Key F:lements oflndependent Informal Dispute Resolution Qualifications of an Independent Informal Dispute Resolution Entity or Pcrson(s Approval of an Independent Informal Dispute Resolution process State Budget and Payment for Expenses Independent Informal Dispute Resolution Recommendation and Final Decision Additional Elements for Federal Independent Informal Dispute Resolution process Notice Requirements When Immediate Jeopardy Exists Reduction of a Civil Money Penalty by 50 Percent for Self-Reporting and Prompt Correction ofNoncompliance When Penalty Is Due and Payable When a Civil Money Penalty Subject to Being Collected and Placed in an Escrow Account is Imposed After Final Administrative Decision No Hearing Requested MODEL LETTER TO INVOLVED RESIDENT, RESIDENT REPRESENTATIVE AND/OR STATE OMBUDSMAN OPPORTUNITY TO PROVIDE WRITTEN COMMENT (INDEPENDENT INFORMAL DISPUTE RESOLUTJON (!DR) HAS BEEN REQUESTED) After Substantial Compliance is Achieved After Effective Date ofTennination Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 2978 Suppliers National Home Health Prospective Payment Episode History File Other Editing for HH PPS Episodes Coordination of I Ill PPS Claims Episodes With Inpatient Claim Types Request for Anticipated Payment (RAP HH PPS Claims Collection of Deductible and Coinsurance from Patient Billing for Nonvisit Charges Beneficiary-Driven Demand Billing Under HH PPS No Payment Billing General lnpuUOutput Record Layout Decision Logic Used by the Pricer on RAPs Decision Logic Used by the Pricer on Claims Medical and Other Health Services Not Covered Under the Plan of Care (Type of Bill 034x Osteoporosis Injections as HHA Benefit Billing and Payment Procedures Regarding Ownership and CMS Certification Numbers (CCl\s) Billing Procedures for an Agency Being Assigned Vlultiple CCNs or a Change in CCN Timeliness and Limitations ofCWF Response I Issued to a specific audience, not posted to Internet/ Intranet due to 43481 EN25JY14.005</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43482 VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00095 Fmt 4703 Sfmt 4725 E:\FR\FM\25JYN1.SGM 25JYN1 EN25JY14.006</GPH> 510 1511 512 513 514 I Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual Evaluation of Local Coverage Determination (LCD) Topics for National Coverage Determination (NCD) Consideration I Issued to a specific audience not posted to lntemet/ Intranet due to Confidentiality oflnstruction I Revision to the Program Integrity Manual, Chapter 3, section 3.3 Policies and Guidelines Applied During Review I Issued to a specific audience not posted to Intemeti Intranet due to Confidentiality of lnstmction I Update to CMS Publication 100-08, Chapter 15 Potential Changes of Ownership Under the Principles of§ 489.18 Direct Referral to the Regional Office Required Radiation Therapy Centers Practice Location lnformation Form CMS-855A and Form CMS-855B Signatories Delegated Officials Submission of Registration Applications Registration Letters Certified Providers and Certified Suppliers Temporary Moratoria 515 516 517 518 519 520 521 522 523 Model Approval Recommended Letters Initial Enrollments Requiring Retimal to the State Initial Enrollments Requiring Direct Referral to the Regional Office (Including Federally Qualified Health Centers) Changes oflnformation Changes oflnformation Requiring Referral to the State Changes oflnfonnation Requiring Direct Referral to the Regional Office Potential Changes of Ownership Under the Principles of§ 489.18 Potential Changes of Ownership Under the Principles of§ 489.18Referral to the State Required Federally Qualified Health Centers (FQHCs) Issued to a specific audience not posted to Internet! Intranet due to Conlidentiality of lnstmction Issued to a specific audience not posted to Internet/ 1ntranet due to Confidentiality of Instruction Update to Surety Bond Collection Procedures Model Letters tor Claims against Surety Bonds Claims against Surety Bonds Issued to a specific audience not posted to lntemetl Intranet due to Confidentiality of Instruction\ Revision to CMS Publication 100-08, Chapter 15 Individual Practitioners Speech Language Pathologists in Private Practice Audiologists Certified Nurse-Midwives Certified Registered Nurse Anesthetists (CRNAs Clinical Nurse Specialists Clinical Psychologists Clinical Social Workers Nurse Praditioners Occupational Therapists in Private Prac Physical Therapists in Private Practice Physicians Physician Assistants (PAs) Psychologists Practicing Independently Registered Dietitians Anesthesiology Assistants Issued to a specific audience not posted to Internet/ Intranet due to Confidentiality of Instruction Submission of Community Mental Health Center (CMHC) Certifications of Compliance with Section 485.918(b)(l) Release of Information CMHC 40 Percent Rule Section 4 of the Form CMS-855I Special Procedures for Physicians and Non-Physician Practitioners Community 'v!ental Health Centers (CMHCs) Issued to a specific audience not posted to Internet! Intranet due to Confidentiality of Instruction Update to CMS Pub. I 00-08, Chapter 3 Reimbursing Providers and HIHs for Additional Documentation Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 Disposition of Collected Civil Money Penalty Collected From Medicare or Dually-Participating Facility Entities Other Than Nursing Homes May Receive Collected Civil Money Penalty Funds From the State Entities Other Than Nursing Homes May Receive Collected Civil Money Penalty Funds From the State Collected Amounts From Dually-Participating Facility or Medicare Facility and Held in Esc Use of Civil Money Penalty Funds MODEL LETTER TO PROVIDER (SEND WITH FORM CMS-2567) (IMMEDIATE JEOPARDY DOES NOT EXIST) MODEL LETTER NOTIFYING PROVIDER OF RESULTS OF REVISIT MODEL LETTER TO PROVIDER (IMPOSITION OF REMEDIES) (IMMEDIATE JEOPARDY DOES NOT EXIST) MODEL LETTER TO PROVIDER (IMPOSITION OF REMEDIES) (IMMEDIATE JEOPARDY EXISTS) NOTICE OF IMPOSITION OF A CIVIL MONEY PENALTY (INSERT TO FORMAL NOTICE) NOTICE OF PAYMENT AMOUNT DUE AND PAY ABLE NOTICE OF PAYMENT AMOUNT DUE FOR PLACEMENT IN ESCROW (IIDR COMPLETE OR NOT TJMEL Y REQUESTED-FACILITY IS FILING FORMAL APPEAL) Purpose -To Provide Facilities an Opportunity To Informally Dispute Cited emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 524 Jkt 232001 PO 00000 Frm 00096 Fmt 4703 Sfmt 4725 526 527 E:\FR\FM\25JYN1.SGM 528 1\\'t 28 25JYN1 Revision of Pub. 100-09, Chapter 6, Medicare Contractor Beneficiary and Provider Communications Manual; Clearance of MAC Internet-Based Provider Portal Handbook; and Deletion of!OM Pub. 100-09, Chapter 3, Provider Inquiries. Introduction to Provider Customer Service Program (PCSP) PCSP Electronic Mailing Lists (Listservs) Provider Customer Service Program User Group (PCUG) Calls PCSP Contractor Sharing and Collaboration Team Room Integration of POE, PCC and PSS Activities in the PCSP Provider Outreach and Education (POE) Internal Development of Provider Issues Partnering with External Entities Data Analysis Error Rate Reduction Data Inquiry Analysis Medical Review Referrals Provider Education Provider Bulletins/Newsletters Direct Mailings for the PCSP rraining for New Medicare Providers Training Tailored for Small Medicare Providers Educational Topics Local Coverage Determinations (LCDs) Education Resulting from Medical Review Referrals Medicare Preventive Service Benefits Electronic Claims Submissions Remittance Advice (RA POE Materials POE Advisory Groups (POE AGs) Ask-the-Contractor" Teleconferences (ACTs POE Reporting Provider Service Plan (PSP) Provider Customer Service Program Activity Repott (PAR) Error Rate Reduction Plan (ERRP Additional Reporting charging Fees to Providers for Medicare Education and Training No Charge Fair and Reasonable Fees Fees for Materials Available on Contractors' Provider Education Websites Fees for Education and Training Activities Fees for Videotapes or Recordings of Education and Training Activities Prohibitions Reimbursement Jrom Providers for POE Staff Attendance at Provider Meetings Excess Revenues from Provider Participant Fees Refunds/Credits for Cancellation of Education and Training Activities Considerations and Recordkeeping for Fee Collection Provider Contact Center (PCC) Inquiry Triage Process Responding to Coding Questions Provider Telephone Inquiries General Inquiries Line Teletypewriter (TTY) Lines Inbound Calls Troubleshooting Problems Requesting Changes to Telephone Configurations !lours of Operation PCC Closures Pre-Approved PCC Closures Planned PCC Closures that are not Pre-Approved Closures Emergency PCC Closures Providing Busy Signals Queue Message PCC Staffing CSR Equipment Requirements CSR Identilieation to Callers Remote Monitoring Access Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 525 Issued to a specific audience not posted to Internet/ Intranet due to Conlidentiality oflnstruction Update to Form CMS-855 Application Processing Sections ofCMS Pub. 100-08, Chapter 15 Sections of the Forms CMS-855A, CMS-855B, and CMS-855[ Medicare Contractor Duties Changes ofinformation and Complete l'orm CMS-855 Applications Correspondence Address and E-mail Addn:sscs Contact Persons Application Review and Verification Activities Receipt/Review of Application and Verification ofData Receipt/Review of Paper Applications Receipt/Review of Internet-Based PECOS Applications Verification of Data Requesting Missing/Clarifying Data/Documentation Paper Applications Internet-Based PECOS Applications General Principles Paper and Internet-Based PECOS Applications Receiving Missing/ClarifYing Data/Documentation Failure to Submit Requested Data/Documentation Paper Applications Internet-Based PECOS Applications Reserved for Future Use Reserved for Future Usc Requesting and Receiving ClarifYing lnforn1ation Basic Information (Section I of the Form CMS-855) Issued to a specific audience not posted to Internet/ Intranet due to Confidentialitv of Instruction Provider Notice on MAC Web Sites Provider Notice Proof of Delivery Supplier Documentation 43483 EN25JY14.007</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43484 VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00097 Fmt 4703 Sfmt 4725 E:\FR\FM\25JYN1.SGM 25JYN1 29 lntemet-based Provider Educational Offerings Provider Edncation Website Promotion Electronic Mailing List (Listserv) Targeted Electronic Mailing Lists (Listservs) Electronic Mailing List (Listserv) Promotion Social Media Contractor Intcmct-bascd Provider Portals PCSP PerJormance Management POE- Electronic Mailing List (Listserv) Subscribership Telephone Standards Customer Service Representative (CSR) Callback Rate Call Completion Average Speed of Answer (ASA) Callbacks QCM Performance Standards Written Inquiries QWCM Pertormance Standards General Inquiries Timeliness PRRS Timeliness- Provider Inquiries PRRS Timeliness-- Complex Bene11ciary Inquiries Congressional Inquiries Timeliness PCSP Data Reporting Provider Inquiries Evaluation System (PIES Access to PIES Due Date for Data Submission Data to be Repmied Monthly Provider Customer Service Program Contractor Information Database (PCID) Access to PCID Contract Data tD be Reported in PCID Other Data to be Reported in PCID Inquiry Tracking Data to be Reported in PCID Disclosure of Information POE Data to be Reported in PCID Provider Electronic Mailing List (Listserv) Subscriber Data to be Reported in PCID Special Initiatives to be Reported in PCID Emergency PCC Closure Data to Be Reported in PCID lclecommunications Service Interruptions to be Reported in PCIU QCM Data Reporting QWCM Data Reporting Reporting Provider and Beneficiary Inquiry Workload Data in the Contractor Reporting of Operational Workload Data (CROWD PCC Training Closure Information to be Reported in PCID Revision of Pub. 100-09, Chapter 6, Medicare Contractor Benet1cimy and Provider Inquiries. Introduction to Provider Customer Service Program (PCSP) PCSP Electronic Mailing Lists (Listservs) Provider Customer Service Program User Group (PCUG) Calls PCSP Contractor Sharing and Collaboration Team Room Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 EN25JY14.008</GPH> Contingency Plans Guidelines for High Quality Responses to Telephone Inquiries Telephone Response Quality Monitoring Program Telephone Responses -- Quality Call Monitoring (QCM) Program Minimum Requirements Recording Calls QCM Calibration CMS Monitoring Provider Written Inquiries Controlling Wri!ten Inquiries Telephone Responses to Written Inquiries E-mail and Fax Responses to Written Inquiries Guidelines for High Quality Responses to Written Inquiries Stock Language/Form Letters Written Response Quality Monitoring Program Written Responses-- Quality Written Correspondence Monitoring (QWCM) Program Minimum Requirements QWCM Calibration Replying to Correspondence from Members of Congress Walk-In Inquiries Guidelines for Walk-In Service Complex Provider Inquiries Complex Bene11ciary Inquiries Inquiry Tracking Updates for the CMS Standardized Provider Inquiry Chart Fraud and Abuse Surveys Provider Satisfaction Survey Telephone Satisfaction Survey Provider Edu<.:atiun Website Satisfaction Survey PCSP Staff Development and Education POE Staff Training PCC Staff Development and Training Required Training PCC Training Program Training Schedule Training Closures of More Than Four Hours Provider Noti11cations !raining Closure Information Reporting PRRS StaffTraining Provider Self-Service (PSS) Technology Interactive Voice Response System (IVR) Provider Education Website General Requirements Webmastcr and Attestation Requirements Feedback Mechanism Contents Dissemination oflnformation from CMS to Providers Frequently Asked Questions (FAQs) Quarterly Provider Update (QPU emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00098 Fmt 4703 Sfmt 4725 E:\FR\FM\25JYN1.SGM 25JYN1 Pre-Approved PCC Closures Planned PCC Closures that are not Pre-Approved Closures Emergency PCC Closures Providing Busy Signals Queue Message PCC Staffing CSR Equipment Requirements CSR Identification to Callers Remote Monitoring Access Contingency Plans Guidelines for High Quality Responses to Telephone Inquiries Telephone Response Quality Monitoring Program Telephone Responses-- Quality Call Monitoring (QCM) Program Minimum Requirements Recording Calls QCM Calibration CMS Monitoring Provider Written Inquiries Controlling Written Inquiries Telephone Responses to Written Inquiries E-mail and Fax Responses to Written Inquiries Guidelines for lligh Quality Responses to Written Inquiries Stock Language/Form Letters Written Response Quality Monitoring Program Written Responses-- Quality Written Correspondence Monitoring (QWCM) Program Minimum Requirements QWCM Calibration Replying to Correspondence from Members of Congress Walk-In Inquiries Guidelines for Walk-In Service Complex Provider Inquiries Complex Beneficiary Inquiries Inquiry Tracking Updates for the CMS Standardized Provider Inquiry Chart Fraud and Abuse Surveys Provider Satisfaction Survey Telephone Satisfaction Survey Provider Education Website Satisfaction Survey PCSP Staff Development and Education POE Stall Training PCC Staff Development and Training Required Training PCC Training Program !'raining Schedule rraining Closures of More Than Four Hours Provider Notifications Training Closure Information Reporting PRRS StaffTraining Provider Seli:Service (PSS) Technology Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 Integration of POE, PCC and PSS Activities in the PCSP Provider Outreach and Education (POE) Internal Development of Provider Issues Partnering with External Entities Data Analysis Error Rate Reduction Data Inquiry Analysis Medical Review Referrals Provider Education Provider Bulletins/Newsletters Direct Mailings for the PCSP Training for New Medicare Providers Training Tailored for Small Medicare Providers Educational Topics Local Coverage Determinations (LCDs) Education Resulting from Medical Review Referrals Medicare Preventive Service Benelils Electronic Claims Submissions Remittance Advice (RA POE Materials POE Advisory Groups (POE AGs) Ask-the-Contractor" Teleconferences (ACTs POE Reporting Provider Service Plan (PSP) Provider Customer Service Program Activity Report (PAR) Error Rate Reduction Plan (ERRP Additional Reporting charging Fees to Providers for Medicare Education and Training No Charge Fair and Reasonable Fees Fees for Materials Available on Contractors' Provider Education Websites Fees for Education and Training Activities Fees for Videotapes or Recordings of Education and Training Activities Prohibitions Reimbursement from Providers for POE Staff Attendance at Provider Meetings Excess Revenues from Provider Participant Fees Refunds/Credits for Cancellation of Education and Training Activities Considerations and Recordkceping for Fee Collection Provider Contact Center (PCC) Inquiry Triage Process Responding to Coding Questions Provider Telephone Inquiries General Inquiries Line Teletype\vriter (TTY) Lines Inbound Calls Troubleshooting Problems Requesting Changes to Telephone Configurations Hours of Operation PCC Closures 43485 EN25JY14.009</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43486 VerDate Mar<15>2010 Reporting of Operational Workload Data (CROWD PCC Training Closure Information to be Reported in PCID None 2 Issued to a specific audience not posted to Internet/ Intranet due to Confidentiality of Instruction Jkt 232001 None PO 00000 98 Affordable Care Act Bundled Payments for Care Improvement Initiative- B-~~~~J!J.g_F_i_l~_{JJl.~!~~-M_o_cl~l~-~-<llld 4 July_1QJilfl'~~~------- Frm 00099 100 101 Fmt 4703 102 103 Sfmt 4725 104 105 E:\FR\FM\25JYN1.SGM 1366 1367 25JYN1 1368 1369 1370 1371 1372 lssued to a specific audience not posted to Internet/ Intranet due to Sensitivity oflnstruction Issued to a specific audience not posted to Internet/ Intranet due to Sensitivity of Instruction Correction to CR 8599-Implementation of the Intravenous Immune Globulin (IVIG) demonstration Issued to a specific audience not posted to Internet/ Intranet due to Sensitivity oflnstruction Issued to a specific audience not posted to Internet/ Intranet due to Confidentiality oflnstruction Implementing Payment Changes for FCHIP (Frontier Community Health Integration Project), Mandated by section 123 ofMIPPA 2008 and as amended by section 3126 of the ACA of2010 Affordable Care Act Bundled Payments for Care Improvement Initiative Recurring File Models 2 and 4 October 2014 Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA) Termination of the Common Working File ELGA, ELGH, HIQA, HlQH, and HUQA Part A Provider Queries Implementation ofNACIIA Operating Rules for Health Care Electronic Funds Transfers (EFT) Int~mational Classifi"ation ofDis~ases, I Oth R<:vi;ion (lCD-I 0) T<:sting with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI)- Additional Testing Week Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems Implement Operating Rules- Phase lll ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule- Update li·om CAQH CORE- february I, 2014 version 3.0.4 Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA)- Preservation of Resident Cap Positions from Closed Teaching Hospitals Rounds l, 2, 3 and After Affordable Care Act (ACA) Bundled Payments for Care Improvement Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 EN25JY14.010</GPH> Interactive Voice Response System (!VR) Provider Education Website Genera 1 Requirements Webmaster and Attestation Requirements Feedback Mechanism Contents Dissemination ofinformation from CMS to Providers Frequently Asked Questions (FAQs) Quarterly Provider Update (QPU Internet-based Provider Educational Offerings Provider Education Website Promotion Electronic Mailing List (Listscrv) Targeted Electronic Mailing Lists (Listservs) Electronic Mailing List (Listserv) Promotion Social Media Contractor Intemet-based Provider Portals PCSP Performance Management POE- Electronic Mailing List (Listserv) Subscribership Telephone Standards Customer Service Representative (CSR) Callback Rate Call Completion Average Speed of Answer (ASA) Callbacks QCM Performance Standards Written Inquiries QWCM Perfonnance Standards General Inquiries Timeliness PRRS Timeliness - Provider Inquiries PRRS Timeliness-- Complex Beneficiary Inquiries Congressional Inquiries Timeliness PCSP Data Reporting Provider Inyuiries Evaluation System (PIES Access to PIES Due Date for Data Submission Data to be Reported Monthly Provider Customer Service Program Contractor Information Database (PCID) Access to PCID Contract Data to be Repmied in PCID Other Data to be Reported in PCID Inquiry Tracking Data to be Reported in PCID Disclosure of Information POE Data to be Repmied in PCID Provider Electronic Mailing List (Listserv) Subscriber Data to be Reported in PClD Special Initiatives to be Reported in PCID Emergency PCC Closure Data to Be Reported in PCID Telecommunications Service Interruptions to be Reported in PCID QCM Data Reporting QWCM Data Reporting Reporting Provider and Beneficiary Inquiry Workload Data in the Contractor emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 1375 1376 1377 Jkt 232001 1378 PO 00000 1379 Frm 00100 1380 Fmt 4703 1381 1382 1383 1384 Sfmt 4725 1385 E:\FR\FM\25JYN1.SGM 1386 1387 1388 25JYN1 1389 Periodic Financial Transactions CWF Editing for Vaccines Furnished at Hospice- Correction Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2014 Adding New MSP Data Fields to the CWF Daily File Return Maintenance of the ANSILIST to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs). Hewlett Packard Enterprise Services, LLC (HPES) Shared Systems Maintainer (SSM) support for Medicare Administrator Contractors (MACs) testing and inquiries for the Combined Common Edits/Enhancements Module (CCEM) for Part A and Part B Implement Operating Rules- Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule- Update from CAQH CORE- June 1, 2014 version 3.0.5 Anesthesiologist/Certified Registered Nurse Anesthetist (CRNA) Related Services in a Method II Critical Access Hospital (CAH) Present on Admission (POA) Indicator Editing for Maryland Waiver Hospitals CEM Zip Code Analysis and Design Analysis and Design ofthe ASC X12 278 Transactions Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs) Posting the Limiting Charge after Applying the Electronic Health Record (EHR) and Physician Quality Reporting System (PQRS) Negative Adjustments Additional States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Update to CR 3959 and CR 8390 ModifYing the Daily Common Working File (CWF) to Medicare Bcncficiaty Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems ICD-I 0 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--Maintenance CR CWF, MCS and VMS Date of Birth (DOB) Analysis Addendum II: Regulation Documents Published in the Federal Register (April through June 2014) Regulations and Notices Regulations and notices are published in the daily Federal Register. To purchase individual copies or subscribe to the Federal Register, contact GPO at 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 available 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) through the present date and can be accessed at The following website provides information on how to access electronic editions, printed editions, and reference copies. This information is available on our website at: For questions or additional information, contact Terri Plumb (410-786-4481 ). Addendum III: CMS Rulings CMS Rulings are decisions of the Administrator that serve as precedent final opinions and orders and statements of policy and interpretation. They provide clarification and interpretation of complex or ambiguous provisions of the law or regulations relating to Medicare, Medicaid, Utilization and Quality Control Peer Review, private health insurance, and related matters. The rulings can be accessed at nup:llwww.cms.gov/Kcgumuu!l::;£!!.!'~~~~~~~~~~~· For questions or additional infonnation, contact Tiffany Lafferty (410-786-7548). Addendum IV: Medicare National Coverage Determinations (April through June 2014) Addendrun IV includes completed national coverage determinations (NCDs ), or reconsiderations of completed NCDs, from the quarter covered by this notice. Completed decisions are identified by the section of the NCD Manual (NCDM) in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. An NCD is a determination by the Secretary for whether or not a particular item or service is covered nationally under the Medicare Program (title XVIII ofthe Act), but does not include a determination of the code, if any, that is assigned to a particular covered item or service, or payment determination for a particular covered item or service. The entries below include information concerning completed decisions, as well as sections on program and decision memoranda, which also announce decisions or, in some cases, explain why it was not appropriate to issue an NCD. Information on completed decisions as well as pending decisions has also Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 1373 1374 43487 EN25JY14.011</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43488 VerDate Mar<15>2010 Title Jkt 232001 PO 00000 NCDM Section Frm 00101 Percutaneous Image-guided Lumbar Decompression for Lumbar Spinal Stenosis ICD-10 Conversion/Coding Infrastructure Revisions/lCD-9 Updates to National Coverage Determinations (NCDs) Transmittal Number Issue Date Effective Date NCD150.13 Rl67 05/16/2014 01/09/2013 N/A R133 05/23/2014 07/0]/2014 Fmt 4703 Sfmt 4725 E:\FR\FM\25JYN1.SGM 25JYN1 Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (April through June 2014) Addendum V includes listings of the FDA-approved investigational device exemption (IDE) numbers that the FDA assigns. The listings are organized according to the categories to which the devices are assigned (that is, Category A or Category B), and identified by the IDE number. For the purposes of this quarterly notice, we list only the specific updates to the Category B lDEs as of the ending date of the period covered by this notice and a contact person for questions or additional information. For questions or additional information, contact John Manlove (410-7866877). 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 investigational device exemption (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 notice published in the April21, 1997 Federal Register (62 FR 19328). G140054 Gl40040 Gl30286 Gl30072 0140043 Gl40046 BB15998 ()140048 G140049 G\40050 BBI5978 BB\5983 Gl40056 G140058 Gl40059 Gl40060 Gl40065 0130264 ()140024 Gl40018 ()140077 Gl40083 Gl40080 G140087 G140084 Gl40082 (l] 40091 G140092 IDE G140034 !3!315945 Gl40035 Gl40039 Gl30185 BBI5963 EN25JY14.012</GPH> Device ROCHE COBAS EGFR MUTATION TEST ReCell Autologous Cell Harvesting Device (ReCell) Strattice Reconstructive Tissue Matrix EVERA MRI SURESCAN lCD SYSTEM CLINICAL STUDY BARREL VASCULAR RECONSTRUCTION DEVICE Dermagraft, Human Fibroblast-Derived Dermal Replacement Start Date 04/03/2014 04/03/2014 04/04/2014 04/09/2014 041!0/2014 04/11/2014 G\40027 Gl30256 G 140093 G140099 Medtronic Specify 5-6-5 I \1edtronic Restore Advance Blanketrollll WEB Aneurysm Embolization System Ovinium DH Hip System Transcava1 Access For Transcathctcr Ortic Valve Replacement in Patients With No Good Options For Aortic Access PerMIT:Warfarin Magnetic-Activated Cell Sorter(CliniMACS, Miltenyi) for CD34 Selection, Allogeneic, Matched-related PBPC Inferior Vcna Cava Filters EON Implantable Pulse Generator (lPG) System (Model3688), Libra Implantable Deep Brain Stimulation (DI3S) Electrodes (Model 6145), Swift-Lock Anchor (Model 1192) Mi 1000 Med-FI, Concert Cochlear Implant Nstride APS Kit Magnetic Activated Cell Sorter (CiiniMACS, Miltenyi) for CD34+ Selected Allogeneic Mismatched/Haplocompatible Related, 0-CSF Mobilized Hematopoietic Stem Cells(HSCs); following Fludarbine and rATG, with or without Radiation Model400 Aotiic Valve Bioprothesis Thcrascrccn BRAF V600E RGQ PCR Kit Corevalve Evolut R System Gore Tag Thoracic Branch Endoprothesis VENT ANA anti-ALK (D5F3) Rabbit Monoclonal Primary Antibody !lot Axios Stend And Delivery System (With I Omm x 1Omm Stent) HXS-10-10, Hot Axios Stend And Delivery System (With 15mmx lOmm Stent)HXS-15-10 Saluda Medical External Trial System Saluda Medical External Trial System Liposorber LA-40S Adsorption Column Zeltiq Coolsculpting System XpreESS Multi-Sinus Dilation Tool, PathAssist LED Light Fiber, PathAssist Light Fiber, PathAssist Light Seeker Sinopsys Lacrimal Stent Pipeline Embolization Device Model FA-772XX-XX-FA775XX-XX, Pipeline Embolization Device Model FA-712XXXX-FA-715XX-XX ExAblate 4000 Typer 1.0 Tnmscranial magnetic resonance image Read/Read Block Compressible Microspheres (ReadRiock) Cardiac Resynchronization Therapy Efficacy Enhancements (CRTee) Clinical Study Transarterial embolization to avoid open prostatectomy in patients with severe benign prostatic hyperplasia (Embosphere Microspheres) SCULPTRA-20 13-01 Custom-Made, Non-Biodegradable, Antibiotic Cement Spacer VenaCure EVL T 400um Procedure Kit - - - - - --------- --- - - - - - - - - - 04/11/2014 04/17/2014 04/17/2014 04/22/2014 04/23/2014 04/23/2014 04/24/2014 04/25/2014 04/25/2014 04/25/2014 04/27/2014 04/30/2014 05/01/2014 05/01/2014 05/02/2014 05/02/2014 05/07/2014 05/08/2014 05/16/2014 05/16/2014 05/22/2014 05/30/2014 05/30/2014 06/03/2014 06/04/2014 06/04/2014 06113/2014 06/13/2014 06/13/2014 06/20/2014 06/26/2014 06/27/2014 Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 been posted on the CMS website. For the purposes of this quarterly notice, we list only the specific updates that have occurred in the 3-month period. This information is available at: .!Y.!~_,_£!:!lli.:£Q~i!l,;£!1.£l~::£~~m~ For questions or additional infom1ation, contact Wanda Belle (410-786-7491). emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 Jkt 232001 PO 00000 Frm 00102 Fmt 4703 Sfmt 4725 E:\FR\FM\25JYN1.SGM Addendum VII: Medicare-Approved Carotid Stent Facilities, (April through June 2014) Addendum VII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS standards for performing carotid artery stenting for high risk patients. On March 17, 2005, we issued our decision memorandum on carotid artery stenting. We determined that carotid artery stenting with embolic protection is reasonable and necessary only if performed in facilities that have been determined to be competent in performing the evaluation, procedure, and follow-up necessary to ensure optimal patient outcomes. We have created a list of minimum standards for facilities modeled in part on professional society statements on competency. All facilities must at least meet our standards in order to receive coverage for carotid artery stenting for high risk patients. For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3-month period. This information is available at: For questions or additional information, contact Lori Ashby (41 0-786-6322). 25JYN1 Facility Provider Number Penrose-St. Francis Health Services 2222 N. Nevada A venue Colorado Sprin s, CO 80907 The Heart Hospital Baylor Denton 2809 S. Mayhill Road Denton, TX 76208 060031 1194753590 06/02/2014 TX Addendum VIII: American College of Cardiology's National Cardiovascular Data Registry Sites (April through June 2014) Addendum VIII includes a list of the American College of Cardiology's National Cardiovascular Data Registry Sites. We cover implantable cardioverter defibrillators (ICDs) for certain clinical indications, as long as infonnation about the procedures is reported to a central registry. Detailed descriptions of the covered indications are available in the NCO. In January 2005, CMS established the ICD Abstraction Tool through the Quality Network Exchange (QNet) as a temporary data collection mechanism. On October 27, 2005, CMS announced that the American College of Cardiology's National Cardiovascular Data Registry (ACC-NCDR) ICD Registry satisfies the data reporting requirements in the NCD. Hospitals needed to transition to the ACC-NCDR ICD Registry by April2006. Effective January 27, 2005, to obtain reimbursement, Medicare NCO policy requires that providers implanting lCDs tor primary prevention clinical indications (that is, patients without a history of cardiac arrest or spontaneous arrhythmia) report data on each primary prevention ICD procedure. Details of the clinical indications that are covered by Medicare and their respective data reporting requirements are available in the Medicare NCD Manual, which is on the CMS website at A provider can use either of two mechanisms to satisfY the data reporting requirement. Patients may be enrolled either in an Investigational Device Exemption trial studying I COs as identified by the FDA or in the ACC-NCDR ICD registry. Therefore, for a beneficiary to receive a Medicare-covered ICD implantation for primary prevention, the beneficiary must receive the scan in a facility that participates in the ACC-NCDR ICD registry. The entire list offacilities that participate in the ACC-NCDR lCD registry can be found at -'-'-'-'-'-'-=~=='-'-'-="-""=--"--"-== For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3-month period. This information is available by accessing our website and clicking on the link for the American College of Cardiology's National Cardiovascular Data Registry at: For questions or additional information, contact Marie Casey, BSN, MPH (410-786-7861 ). Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 Addendum VI: Approval Numbers for Collections oflnformation (April through June 2014) All approval numbers are available to the public at Reginfo.gov. Under the review process, approved information collection requests are assigned OMB control numbers. A single control number may apply to several related information collections. This information is available at -""-'"-"'.'-'-"'~~~~~~~'-'-'-~'-'-'-"'-'-'-'' For questions or additional information, contact Mitch Btyman (41 0-786-5258). 43489 EN25JY14.013</GPH> emcdonald on DSK67QTVN1PROD with NOTICES 43490 VerDate Mar<15>2010 Facility City ;;'.\>.l:'t,:l Jkt 232001 PO 00000 Frm 00103 Houston Medical Center Tahlequah City Hospital South County Hospital Wolfson Children's Hospital West Park Hospital MaryVale Hospital Parkland Medical Center Sentara Northern Virginia Medical Center Lovelace Regional Hospital Wheaton Franciscan ? Elm brook Memorial Campus Kaiser Foundation Hospital Prairie Ridge Hospital and Health Services Hanover Hospital St. Barnabas Hospital Wellington Regional Medical Center Carilion \few River Valley Medical Center Warner Robins Tahlequah Waleficld Jackonsville Cody Phoenix Derry Woodbridge Roswell Brookticld Fontana Elbow Lake Hanover Bronx Wellington \,!•:!~\!;;.;;,:;:,;,'\\. Fmt 4703 Summit Medical Center (6/16/14) Yakima Valley Memorial Hospital (6/30/14) State .~'t' ;':'\;~\\\;)!'~/{ GA OK RI FL WY AZ NH VA NM WI CA MN PA NY FL VA :\);>!i.~;,i>) :'~\(!i~\'\i: Van Buren Yakima AR WA Sfmt 4725 E:\FR\FM\25JYN1.SGM Addendum IX: Active CMS Coverage-Related Guidance Documents (April through June 2014) There were no CMS coverage-related guidance documents published in the April through June 2014 quarter. To obtain the document, visit the CMS coverage website at lli!!l;Lt~~:.&Iillh@:\:L.!l~l_\g!I.Q::£QYS<l]!gS2: 25JYN1 For questions or additional information, contact JoAnna Baldwin (41 0-786-7205). Addendum X: List of Special One-Time Notices Regarding National Coverage Provisions (April through June 2014) There were no special one-time notices regarding national coverage provisions published in the April through June 2014 quarter. This information is available at For questions or additional information, contact JoAnna Baldwin (410 786 7205). Addendum XI: National Oncologic PET Registry (NOPR) (April through June 2014) Addendum XI includes a listing of National Oncologic Positron Emission Tomography Registry (NOPR) sites. We cover positron emission EN25JY14.014</GPH> tomography (PET) scans for particular oncologic indications when they are performed in a facility that participates in the NOPR. In January 2005, we issued our decision memorandum on positron emission tomography (PET) scans, which stated that CMS would cover PET scans for particular oncologic indications, as long as they were performed in the context of a clinical study. We have since recognized the National Oncologic PET Registry as one of these clinical studies. Therefore, in order for a beneficiary to receive a Medicare-covered PET scan, the beneficiary must receive the scan in a facility that participates in the registry. There were no additions, deletions, or editorial changes to the listing of National Oncologic Positron Emission Tomography Registry (NOPR) in the April through June 2014 quarter. This information is available at For questions or additional information, contact Stuart Caplan, RN, MAS (41 0-786-8564). Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (April through June 2014) Addendum XII includes a listing of Medicare-approved facilities that receive coverage for ventricular assist devices (VADs) used as destination therapy. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. On October 1, 2003, we issued our decision memorandum on VADs for the clinical indication of destination therapy. We determined that VADs used as destination therapy are reasonable and necessary only if performed in facilities that have been determined to have the experience and infrastructure to ensure optimal patient outcomes. We established facility standards and an application process. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. For the purposes of this quarterly notice, we are providing only the specific updates that have occurred to the list of Medicare-approved facilities that meet our standards in the 3-month period. This information is available at For questions or additional information, contact Marie Casey, BSN, MPH (410-786-7861 ). Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices 18:34 Jul 24, 2014 ;\\\j.~l.l!;, emcdonald on DSK67QTVN1PROD with NOTICES I Provider Number Date Approved State ,~';''"'"'' New York-Presbyterian/Weill Cornell 133-0101 Medical Center 525 East 68th Street New York, NY I 0065 08/22/2013 NY PO 00000 Frm 00104 Fmt 4703 Sfmt 9990 E:\FR\FM\25JYN1.SGM Addendum XIII: Lung Volume Reduction Surgery (LVRS) (April through June 2014) Addendum XIII includes a listing of Medicare-approved facilities that are eligible to receive coverage for lung volume reduction surgery. Until May 17, 2007, facilities that participated in the National Emphysema Treatment Trial were also eligible to receive coverage. The following three types of facilities are eligible for reimbursement for Lung Volume Reduction Surgery (LVRS): • National Emphysema Treatment Trial (NETT) approved (Beginning 05/07/2007, these will no longer automatically qualifY and can qualify only with the other programs); • Credentialed by the Joint Commission (formerly, the Joint Commision on Accreditation ofHealthcare Organizations (JCAHO)) under their Disease Specific Certification Program for L VRS; and • Medicare approved for lung transplants. Only the first two types are in the list. There were no updates to the listing of facilities for lung volume reduction surgery published in the April through June 2014 quarter. This information is available at For questions or additional infonnation, contact Marie Casey, BSN, MPH (410-786-7861). 25JYN1 Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (April through June 2014) Addendum XIV includes a listing of Medicare-approved facilities that meet minimum standards for facilities modeled in part on professional society statements on competency. All facilities must meet our standards in order to receive coverage for bariatric surgery procedures. On February 21, 2006, we issued our decision memorandum on bariatric surgery procedures. We determined that bariatric surgical procedures are reasonable and necessary for Medicare beneficiaries who have a body-mass index (BMI) greater than or equal to 35, have at least one co-morbidity related to obesity and have been previously unsuccessful with medical treatment for obesity. This decision also stipulated that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery Center (program standards and requirements in effect on February 15, 2006); or (2) certified by the American Society for Bariatric Surgery (ASBS) as a Bariatric Surgery Center of Excellence (BSCOE) (program standards and requirements in effect on February 15, 2006). There were no additions, deletions, or editorial changes to Medicare-approved facilities that meet CMS 's minimum facility standards for bariatric surgery that have been certified by ACS and/or ASMBS in the April through June 2014 period. This information is available at For questions or additional information, contact Jamie Hermansen ( 41 0-786-2064). Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials (April through June 2014) There were no FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials published in the April through June 2014 quarter. This information is available on our website at For questions or additional information, contact Stua1t Caplan, RN, MAS ( 41 0-786-8564). Federal Register / Vol. 79, No. 143 / Friday, July 25, 2014 / Notices Jkt 232001 [FR Doc. 2014–17488 Filed 7–24–14; 8:45 am] 18:34 Jul 24, 2014 BILLING CODE 4120–01–C VerDate Mar<15>2010 Facility 43491 EN25JY14.015</GPH>

Agencies

[Federal Register Volume 79, Number 143 (Friday, July 25, 2014)]
[Notices]
[Pages 43475-43491]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-17488]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9086-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--April Through June 2014

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

ACTION: Notice.

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SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published from April through June 2014, relating to 
the Medicare and Medicaid programs and other programs administered by 
CMS.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may need specific information and not be able to determine from 
the listed information whether the issuance or regulation would fulfill 
that need. Consequently, we are providing contact persons to answer 
general questions concerning each of the addenda published in this 
notice.
BILLING CODE 4120-01-C
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I. Background

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs and coordination 
and oversight of private health insurance. Administration and oversight 
of these programs involves the following: (1) furnishing information to 
Medicare and Medicaid beneficiaries, health care providers, and the 
public; and (2) maintaining effective communications with CMS regional 
offices, state governments, state

[[Page 43476]]

Medicaid agencies, state survey agencies, various providers of health 
care, all Medicare contractors that process claims and pay bills, 
National Association of Insurance Commissioners (NAIC), health 
insurers, and other stakeholders. 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) and Public Health Service Act. We also issue 
various manuals, memoranda, and statements necessary to administer and 
oversee the programs efficiently.
    Section 1871(c) 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.

II. Format for the Quarterly Issuance Notices

    This quarterly notice provides only the specific updates that have 
occurred in the 3-month period along with a hyperlink to the full 
listing that is available on the CMS Web site or the appropriate data 
registries that are used as our resources. This information is the most 
current up-to-date information and will be available earlier than we 
publish our quarterly notice. We believe the Web site list provides 
more timely access for beneficiaries, providers, and suppliers. We also 
believe the Web site offers a more convenient tool for the public to 
find the full list of qualified providers for these specific services 
and offers more flexibility and ``real time'' accessibility. In 
addition, many of the Web sites have listservs; that is, the public can 
subscribe and receive immediate notification of any updates to the Web 
site. These listservs avoid the need to check the Web site, as 
notification of updates is automatic and sent to the subscriber as they 
occur. If assessing a Web site proves to be difficult, the contact 
person listed can provide information.

III. How to Use the Notice

    This notice is organized into 15 addenda so that a reader may 
access the subjects published during the quarter covered by the notice 
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 should view the 
manuals at https://www.cms.gov/manuals.

    Dated: July 18, 2014.
Kathleen Cantwell,
Director, Office of Strategic Operations and Regulatory Affairs.

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[FR Doc. 2014-17488 Filed 7-24-14; 8:45 am]
BILLING CODE 4120-01-C
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