[Federal Register: June 26, 2009 (Volume 74, Number 122)] [Notices] [Page 30689-30899] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr26jn09-197] [[Page 30689]] ----------------------------------------------------------------------- Part II Department of Health and Human Services ----------------------------------------------------------------------- Centers for Medicare & Medicaid Services ----------------------------------------------------------------------- Medicare and Medicaid Programs; Quarterly Listing of Program Issuances- January Through March 2009; Notice [[Page 30690]] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-9052-N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--January Through March 2009 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from January 2009 through March 2009, relating to the Medicare and Medicaid programs. This notice provides information on national coverage determinations (NCDs) affecting specific medical and health care services under Medicare. Additionally, this notice identifies certain devices with investigational device exemption (IDE) numbers approved by the Food and Drug Administration (FDA) that potentially may be covered under Medicare. This notice also includes listings of all approval numbers from the Office of Management and Budget for collections of information in CMS regulations and a list of Medicare-approved carotid stent facilities. Included in this notice is a list of the American College of Cardiology's National Cardiovascular Data registry sites, active CMS coverage-related guidance documents, and special one-time notices regarding national coverage provisions. Also included in this notice is a list of National Oncologic Positron Emissions Tomography Registry sites, a list of Medicare-approved ventricular assist device (destination therapy) facilities, a list of Medicare-approved lung volume reduction surgery facilities, a list of Medicare-approved clinical trials for fluorodeoxyglucose positron emissions tomography for dementia, and a list of Medicare-approved bariatric surgery facilities. Section 1871(c) of the Social Security Act requires that we publish a list of Medicare issuances in the Federal Register at least every 3 months. Although we are not mandated to do so by statute, for the sake of completeness of the listing, and to foster more open and transparent collaboration efforts, we are also including all Medicaid issuances and Medicare and Medicaid substantive and interpretive regulations (proposed and final) published during this 3-month time frame. FOR FURTHER INFORMATION CONTACT: It is possible that an interested party may 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 these items. Copies are not available through the contact persons. (See Section III of this notice for how to obtain listed material.) Questions concerning CMS manual instructions in Addendum III may be addressed to Ismael Torres, Office of Strategic Operations and Regulatory Affairs, Centers for Medicare & Medicaid Services, C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-1864. Questions concerning regulation documents published in the Federal Register in Addendum IV may be addressed to Gwendolyn Johnson, Office of Strategic Operations and Regulatory Affairs, Centers for Medicare & Medicaid Services, C4-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6954. Questions concerning Medicare NCDs in Addendum V may be addressed to Patricia Brocato-Simons, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-0261. Questions concerning FDA-approved Category B IDE numbers listed in Addendum VI may be addressed to John Manlove, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-13- 04, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6877. Questions concerning approval numbers for collections of information in Addendum VII may be addressed to Melissa Musotto, Office of Strategic Operations and Regulatory Affairs, Regulations Development and Issuances Group, Centers for Medicare & Medicaid Services, C5-14- 03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6962. Questions concerning Medicare-approved carotid stent facilities in Addendum VIII may be addressed to Sarah J. McClain, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-09- 06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-2994. Questions concerning Medicare's recognition of the American College of Cardiology-National Cardiovascular Data Registry sites in Addendum IX may be addressed to JoAnna Baldwin, MS, 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) 786-7205. Questions concerning Medicare's active coverage-related guidance documents in Addendum X may be addressed to Beverly Lofton, 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) 786-7136. Questions concerning one-time notices regarding national coverage provisions in Addendum XI may be addressed to Beverly Lofton, 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) 786-7136. Questions concerning National Oncologic Positron Emission Tomography Registry sites in Addendum XII may be addressed to Stuart Caplan, RN, MAS, 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) 786-8564. Questions concerning Medicare-approved ventricular assist device (destination therapy) facilities in Addendum XIII may be addressed to JoAnna Baldwin, MS, 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) 786-7205. Questions concerning Medicare-approved lung volume reduction surgery facilities listed in Addendum XIV may be addressed to JoAnna Baldwin, MS, 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) 786-7205. Questions concerning Medicare-approved bariatric surgery facilities listed in Addendum XV may be addressed to Kate Tillman, RN, MA, 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) 786-9252. Questions concerning fluorodeoxyglucose positron emission [[Page 30691]] tomography for dementia trials listed in Addendum XVI may be addressed to Stuart Caplan, RN, MAS, 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) 786-8564. Questions concerning all other information may be addressed to Gwendolyn Johnson, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Centers for Medicare & Medicaid Services, C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6954. SUPPLEMENTARY INFORMATION: I. Program Issuances The Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare and Medicaid programs. These programs pay for health care and related services for 39 million Medicare beneficiaries and 35 million Medicaid recipients. Administration of the two programs involves (1) furnishing information to Medicare beneficiaries and Medicaid recipients, health care providers, and the public and (2) maintaining effective communications with regional offices, State governments, State Medicaid agencies, State survey agencies, various providers of health care, all Medicare contractors that process claims and pay bills, and others. To implement the various statutes on which the programs are based, we issue regulations under the authority granted to the Secretary of the Department of Health and Human Services under sections 1102, 1871, 1902, and related provisions of the Social Security Act (the Act). We also issue various manuals, memoranda, and statements necessary to administer the programs efficiently. Section 1871(c)(1) of the Act requires that we publish a list of all Medicare manual instructions, interpretive rules, statements of policy, and guidelines of general applicability not issued as regulations at least every 3 months in the Federal Register. We published our first notice June 9, 1988 (53 FR 21730). Although we are not mandated to do so by statute, for the sake of completeness of the listing of operational and policy statements, and to foster more open and transparent collaboration, we are continuing our practice of including Medicare substantive and interpretive regulations (proposed and final) published during the respective 3-month time frame. II. How To Use the Addenda This notice is organized so that a reader may review the subjects of manual issuances, memoranda, substantive and interpretive regulations, NCDs, and FDA-approved IDEs published during the subject quarter to determine whether any are of particular interest. We expect this notice to be used in concert with previously published notices. Those unfamiliar with a description of our Medicare manuals may wish to review Table I of our first three notices (53 FR 21730, 53 FR 36891, and 53 FR 50577) published in 1988, and the notice published March 31, 1993 (58 FR 16837). Those desiring information on the Medicare NCD Manual (NCDM, formerly the Medicare Coverage Issues Manual (CIM)) may wish to review the August 21, 1989, publication (54 FR 34555). Those interested in the revised process used in making NCDs under the Medicare program may review the September 26, 2003, publication (68 FR 55634). To aid the reader, we have organized and divided this current listing into 11 addenda: Addendum I lists the publication dates of the most recent quarterly listings of program issuances. Addendum II identifies previous Federal Register documents that contain a description of all previously published CMS Medicare and Medicaid manuals and memoranda. Addendum III lists a unique CMS transmittal number for each instruction in our manuals or Program Memoranda and its subject matter. A transmittal may consist of a single or multiple instruction(s). Often, it is necessary to use information in a transmittal in conjunction with information currently in the manuals. Addendum IV lists all substantive and interpretive Medicare and Medicaid regulations and general notices published in the Federal Register during the quarter covered by this notice. For each item, we list the-- [cir] Date published; [cir] Federal Register citation; [cir] Parts of the Code of Federal Regulations (CFR) that have changed (if applicable); [cir] Agency file code number; and [cir] Title of the regulation. Addendum V includes completed NCDs, or reconsiderations of completed NCDs, from the quarter covered by this notice. Completed decisions are identified by the section of the NCDM in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. Addendum VI includes listings of the FDA-approved IDE categorizations, using the IDE numbers the FDA assigns. The listings are organized according to the categories to which the device numbers are assigned (that is, Category A or Category B), and identified by the IDE number. Addendum VII includes listings of all approval numbers from the Office of Management and Budget (OMB) for collections of information in CMS regulations in title 42; title 45, subchapter C; and title 20 of the CFR. Addendum VIII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS standards for performing carotid artery stenting for high risk patients. Addendum IX includes a list of the American College of Cardiology's National Cardiovascular Data registry sites. We cover implantable cardioverter defibrillators (ICDs) for certain indications, as long as information about the procedures is reported to a central registry. Addendum X includes a list of active CMS guidance documents. As required by section 731 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108- 173, enacted on December 8, 2003), we will begin listing the current versions of our guidance documents in each quarterly listings notice. Addendum XI includes a list of special one-time notices regarding national coverage provisions. We are publishing a list of issues that require public notification, such as a particular clinical trial or research study that qualifies for Medicare coverage. Addendum XII includes a listing of National Oncologic Positron Emission Tomography Registry (NOPR) sites. We cover positron emission tomography (PET) scans for particular oncologic indications when they are performed in a facility that participates in the NOPR. Addendum XIII includes a listing of Medicare-approved facitilites that receive coverage for ventricular assist devices used as destination therapy. All facilities were required to meet our standards in order to receive coverage for ventricular assist devices implanted as destination therapy. Addendum XIV 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 are also eligible to receive coverage. Addendum XV includes a listing of Medicare-approved facilities that meet minimum standards for facilities modeled in part on professional society statements on competency. All facilities [[Page 30692]] must meet our standards in order to receive coverage for bariatric surgery procedures. Addendum XVI includes a listing of Medicare-approved clinical trials for fluorodeoxyglucose positron emission tomography (FDG-PET) for dementia and neurodegenerative diseases. 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. 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. Interested individuals can obtain copies from the nearest CMS Regional Office or review them at the nearest regional depository library. We have, on occasion, published rulings in the Federal Register. Rulings, beginning with those released in 1995, are available online, through the CMS Home Page. The Internet address is http:// cms.hhs.gov/rulings. D. CMS' Compact Disk-Read Only Memory (CD-ROM) Our laws, regulations, and manuals are also available on CD-ROM and may be purchased from GPO or NTIS on a subscription or single copy basis. The Superintendent of Documents list ID is HCLRM, and the stock number is 717-139-00000-3. The following material is on the CD-ROM disk: Titles XI, XVIII, and XIX of the Act. CMS-related regulations. CMS manuals and monthly revisions. CMS program memoranda. The titles of the Compilation of the Social Security Laws are current as of January 1, 2005. (Updated titles of the Social Security Laws are available on the Internet at http://www.ssa.gov/OP_Home/ ssact/comp-toc.htm.) The remaining portions of CD-ROM are updated on a monthly basis. Because of complaints about the unreadability of the Appendices (Interpretive Guidelines) in the State Operations Manual (SOM), as of March 1995, we deleted these appendices from CD-ROM. We intend to re- visit this issue in the near future and, with the aid of newer technology, we may again be able to include the appendices on CD-ROM. Any cost report forms incorporated in the manuals are included on the CD-ROM disk as LOTUS files. LOTUS software is needed to view the reports once the files have been copied to a personal computer disk. IV. How To Review Listed Material Transmittals or Program Memoranda can be reviewed at a local Federal Depository Library (FDL). Under the FDL program, government publications are sent to approximately 1,400 designated libraries throughout the United States. Some FDLs may have arrangements to transfer material to a local library not designated as an FDL. Contact any library to locate the nearest FDL. In addition, individuals may contact regional depository libraries that receive and retain at least one copy of most Federal Government publications, either in printed or microfilm form, for use by the general public. These libraries provide reference services and interlibrary loans; however, they are not sales outlets. Individuals may obtain information about the location of the nearest regional depository library from any library. For each CMS publication listed in Addendum III, CMS publication and transmittal numbers are shown. To help FDLs locate the materials, use the CMS publication and transmittal numbers. For example, to find the Medicare Benefit Policy publication titled ``Heartsbreath Test for Heart Transplant Rejection,'' use CMS-Pub. 100-03, Transmittal No. 99. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare--Hospital Insurance, Program No. 93.774, Medicare-- Supplementary Medical Insurance Program, and Program No. 93.714, Medical Assistance Program) Dated: June 4, 2009. Jacquelyn Y. White, Director, Office of Strategic Operations and Regulatory Affairs. 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Quarterly Listing of Program Issuances--January Through March 2009 [[Continued from page 30738]] [[Page 30739]] [GRAPHIC] [TIFF OMITTED] TN26JN09.046 [[Page 30740]] [GRAPHIC] [TIFF OMITTED] TN26JN09.047 [[Page 30741]] [GRAPHIC] [TIFF OMITTED] TN26JN09.048 [[Page 30742]] [GRAPHIC] [TIFF OMITTED] TN26JN09.049 [[Page 30743]] [GRAPHIC] [TIFF OMITTED] TN26JN09.050 [[Page 30744]] [GRAPHIC] [TIFF OMITTED] TN26JN09.051 [[Page 30745]] [GRAPHIC] [TIFF OMITTED] TN26JN09.052 [[Page 30746]] [GRAPHIC] [TIFF OMITTED] TN26JN09.053 [[Page 30747]] [GRAPHIC] [TIFF OMITTED] TN26JN09.054 [[Page 30748]] [GRAPHIC] [TIFF OMITTED] TN26JN09.055 [[Page 30749]] [GRAPHIC] [TIFF OMITTED] TN26JN09.056 [[Page 30750]] [GRAPHIC] [TIFF OMITTED] TN26JN09.057 [[Page 30751]] [GRAPHIC] [TIFF OMITTED] TN26JN09.058 [[Page 30752]] [GRAPHIC] [TIFF OMITTED] TN26JN09.059 [[Page 30753]] [GRAPHIC] [TIFF OMITTED] TN26JN09.060 [[Page 30754]] [GRAPHIC] [TIFF OMITTED] TN26JN09.061 [[Page 30755]] [GRAPHIC] [TIFF OMITTED] TN26JN09.062 [[Page 30756]] [GRAPHIC] [TIFF OMITTED] TN26JN09.063 [[Page 30757]] [GRAPHIC] [TIFF OMITTED] TN26JN09.064 [[Page 30758]] [GRAPHIC] [TIFF OMITTED] TN26JN09.065 [[Page 30759]] [GRAPHIC] [TIFF OMITTED] TN26JN09.066 [[Page 30760]] [GRAPHIC] [TIFF OMITTED] TN26JN09.067 [[Page 30761]] [GRAPHIC] [TIFF OMITTED] TN26JN09.068 [[Page 30762]] [GRAPHIC] [TIFF OMITTED] TN26JN09.069 [[Page 30763]] [GRAPHIC] [TIFF OMITTED] TN26JN09.070 [[Page 30764]] [GRAPHIC] [TIFF OMITTED] TN26JN09.071 [[Page 30765]] [GRAPHIC] [TIFF OMITTED] TN26JN09.072 [[Page 30766]] [GRAPHIC] [TIFF OMITTED] TN26JN09.073 [[Page 30767]] [GRAPHIC] [TIFF OMITTED] TN26JN09.074 [[Page 30768]] [GRAPHIC] [TIFF OMITTED] TN26JN09.075 [[Page 30769]] [GRAPHIC] [TIFF OMITTED] TN26JN09.076 [[Page 30770]] [GRAPHIC] [TIFF OMITTED] TN26JN09.077 [[Page 30771]] [GRAPHIC] [TIFF OMITTED] TN26JN09.078 [[Page 30772]] [GRAPHIC] [TIFF OMITTED] TN26JN09.079 [[Page 30773]] [GRAPHIC] [TIFF OMITTED] TN26JN09.080 [[Page 30774]] [GRAPHIC] [TIFF OMITTED] TN26JN09.081 [[Page 30775]] [GRAPHIC] [TIFF OMITTED] TN26JN09.082 [[Page 30776]] [GRAPHIC] [TIFF OMITTED] TN26JN09.083 [[Page 30777]] [GRAPHIC] [TIFF OMITTED] TN26JN09.084 [[Page 30778]] [GRAPHIC] [TIFF OMITTED] TN26JN09.085 [[Page 30779]] [GRAPHIC] [TIFF OMITTED] TN26JN09.086 [[Page 30780]] [GRAPHIC] [TIFF OMITTED] TN26JN09.087 [[Page 30781]] [GRAPHIC] [TIFF OMITTED] TN26JN09.088 [[Page 30782]] [GRAPHIC] [TIFF OMITTED] TN26JN09.089 [[Page 30783]] [GRAPHIC] [TIFF OMITTED] TN26JN09.090 [[Page 30784]] [GRAPHIC] [TIFF OMITTED] TN26JN09.091 [[Page 30785]] [GRAPHIC] [TIFF OMITTED] TN26JN09.092 [[Page 30786]] [GRAPHIC] [TIFF OMITTED] TN26JN09.093 [[Page 30787]] [GRAPHIC] [TIFF OMITTED] TN26JN09.094 [[Page 30788]] [GRAPHIC] [TIFF OMITTED] TN26JN09.095 [[Continued on page 30789]] From the Federal Register Online via GPO Access [wais.access.gpo.gov] ] [[pp. 30789-30838]] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--January Through March 2009 [[Continued from page 30788]] [[Page 30789]] [GRAPHIC] [TIFF OMITTED] TN26JN09.096 [[Page 30790]] [GRAPHIC] [TIFF OMITTED] TN26JN09.097 [[Page 30791]] [GRAPHIC] [TIFF OMITTED] TN26JN09.098 [[Page 30792]] [GRAPHIC] [TIFF OMITTED] TN26JN09.099 [[Page 30793]] [GRAPHIC] [TIFF OMITTED] TN26JN09.100 [[Page 30794]] [GRAPHIC] [TIFF OMITTED] TN26JN09.101 [[Page 30795]] [GRAPHIC] [TIFF OMITTED] TN26JN09.102 [[Page 30796]] [GRAPHIC] [TIFF OMITTED] TN26JN09.103 [[Page 30797]] [GRAPHIC] [TIFF OMITTED] TN26JN09.104 [[Page 30798]] [GRAPHIC] [TIFF OMITTED] TN26JN09.105 [[Page 30799]] [GRAPHIC] [TIFF OMITTED] TN26JN09.106 [[Page 30800]] [GRAPHIC] [TIFF OMITTED] TN26JN09.107 [[Page 30801]] [GRAPHIC] [TIFF OMITTED] TN26JN09.108 [[Page 30802]] [GRAPHIC] [TIFF OMITTED] TN26JN09.109 [[Page 30803]] [GRAPHIC] [TIFF OMITTED] TN26JN09.110 [[Page 30804]] [GRAPHIC] [TIFF OMITTED] TN26JN09.111 [[Page 30805]] [GRAPHIC] [TIFF OMITTED] TN26JN09.112 [[Page 30806]] [GRAPHIC] [TIFF OMITTED] TN26JN09.113 [[Page 30807]] [GRAPHIC] [TIFF OMITTED] TN26JN09.114 [[Page 30808]] [GRAPHIC] [TIFF OMITTED] TN26JN09.115 [[Page 30809]] [GRAPHIC] [TIFF OMITTED] TN26JN09.116 [[Page 30810]] [GRAPHIC] [TIFF OMITTED] TN26JN09.117 [[Page 30811]] [GRAPHIC] [TIFF OMITTED] TN26JN09.118 [[Page 30812]] [GRAPHIC] [TIFF OMITTED] TN26JN09.119 [[Page 30813]] [GRAPHIC] [TIFF OMITTED] TN26JN09.120 [[Page 30814]] [GRAPHIC] [TIFF OMITTED] TN26JN09.121 [[Page 30815]] [GRAPHIC] [TIFF OMITTED] TN26JN09.122 [[Page 30816]] [GRAPHIC] [TIFF OMITTED] TN26JN09.123 [[Page 30817]] [GRAPHIC] [TIFF OMITTED] TN26JN09.124 [[Page 30818]] [GRAPHIC] [TIFF OMITTED] TN26JN09.125 [[Page 30819]] [GRAPHIC] [TIFF OMITTED] TN26JN09.126 [[Page 30820]] [GRAPHIC] [TIFF OMITTED] TN26JN09.127 [[Page 30821]] [GRAPHIC] [TIFF OMITTED] TN26JN09.128 [[Page 30822]] [GRAPHIC] [TIFF OMITTED] TN26JN09.129 [[Page 30823]] [GRAPHIC] [TIFF OMITTED] TN26JN09.130 [[Page 30824]] [GRAPHIC] [TIFF OMITTED] TN26JN09.131 [[Page 30825]] [GRAPHIC] [TIFF OMITTED] TN26JN09.132 [[Page 30826]] [GRAPHIC] [TIFF OMITTED] TN26JN09.133 [[Page 30827]] [GRAPHIC] [TIFF OMITTED] TN26JN09.134 [[Page 30828]] [GRAPHIC] [TIFF OMITTED] TN26JN09.135 [[Page 30829]] [GRAPHIC] [TIFF OMITTED] TN26JN09.136 [[Page 30830]] [GRAPHIC] [TIFF OMITTED] TN26JN09.137 [[Page 30831]] [GRAPHIC] [TIFF OMITTED] TN26JN09.138 [[Page 30832]] [GRAPHIC] [TIFF OMITTED] TN26JN09.139 [[Page 30833]] [GRAPHIC] [TIFF OMITTED] TN26JN09.140 [[Page 30834]] [GRAPHIC] [TIFF OMITTED] TN26JN09.141 [[Page 30835]] [GRAPHIC] [TIFF OMITTED] TN26JN09.142 [[Page 30836]] [GRAPHIC] [TIFF OMITTED] TN26JN09.143 [[Page 30837]] [GRAPHIC] [TIFF OMITTED] TN26JN09.144 [[Page 30838]] [GRAPHIC] [TIFF OMITTED] TN26JN09.145 [[Continued on page 30839]] From the Federal Register Online via GPO Access [wais.access.gpo.gov] ] [[pp. 30839-30888]] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--January Through March 2009 [[Continued from page 30838]] [[Page 30839]] [GRAPHIC] [TIFF OMITTED] TN26JN09.146 [[Page 30840]] [GRAPHIC] [TIFF OMITTED] TN26JN09.147 [[Page 30841]] [GRAPHIC] [TIFF OMITTED] TN26JN09.148 [[Page 30842]] [GRAPHIC] [TIFF OMITTED] TN26JN09.149 [[Page 30843]] [GRAPHIC] [TIFF OMITTED] TN26JN09.150 [[Page 30844]] [GRAPHIC] [TIFF OMITTED] TN26JN09.151 [[Page 30845]] [GRAPHIC] [TIFF OMITTED] TN26JN09.152 [[Page 30846]] [GRAPHIC] [TIFF OMITTED] TN26JN09.153 [[Page 30847]] [GRAPHIC] [TIFF OMITTED] TN26JN09.154 [[Page 30848]] [GRAPHIC] [TIFF OMITTED] TN26JN09.155 [[Page 30849]] [GRAPHIC] [TIFF OMITTED] TN26JN09.156 [[Page 30850]] [GRAPHIC] [TIFF OMITTED] TN26JN09.157 [[Page 30851]] [GRAPHIC] [TIFF OMITTED] TN26JN09.158 [[Page 30852]] [GRAPHIC] [TIFF OMITTED] TN26JN09.159 [[Page 30853]] [GRAPHIC] [TIFF OMITTED] TN26JN09.160 [[Page 30854]] [GRAPHIC] [TIFF OMITTED] TN26JN09.161 [[Page 30855]] [GRAPHIC] [TIFF OMITTED] TN26JN09.162 [[Page 30856]] [GRAPHIC] [TIFF OMITTED] TN26JN09.163 [[Page 30857]] [GRAPHIC] [TIFF OMITTED] TN26JN09.164 [[Page 30858]] [GRAPHIC] [TIFF OMITTED] TN26JN09.165 [[Page 30859]] [GRAPHIC] [TIFF OMITTED] TN26JN09.166 [[Page 30860]] [GRAPHIC] [TIFF OMITTED] TN26JN09.167 [[Page 30861]] [GRAPHIC] [TIFF OMITTED] TN26JN09.168 [[Page 30862]] [GRAPHIC] [TIFF OMITTED] TN26JN09.169 [[Page 30863]] [GRAPHIC] [TIFF OMITTED] TN26JN09.170 [[Page 30864]] [GRAPHIC] [TIFF OMITTED] TN26JN09.171 [[Page 30865]] [GRAPHIC] [TIFF OMITTED] TN26JN09.172 [[Page 30866]] [GRAPHIC] [TIFF OMITTED] TN26JN09.173 [[Page 30867]] [GRAPHIC] [TIFF OMITTED] TN26JN09.174 [[Page 30868]] [GRAPHIC] [TIFF OMITTED] TN26JN09.175 [[Page 30869]] [GRAPHIC] [TIFF OMITTED] TN26JN09.176 [[Page 30870]] [GRAPHIC] [TIFF OMITTED] TN26JN09.177 [[Page 30871]] [GRAPHIC] [TIFF OMITTED] TN26JN09.178 [[Page 30872]] [GRAPHIC] [TIFF OMITTED] TN26JN09.179 [[Page 30873]] [GRAPHIC] [TIFF OMITTED] TN26JN09.180 [[Page 30874]] [GRAPHIC] [TIFF OMITTED] TN26JN09.181 [[Page 30875]] [GRAPHIC] [TIFF OMITTED] TN26JN09.182 [[Page 30876]] [GRAPHIC] [TIFF OMITTED] TN26JN09.183 [[Page 30877]] [GRAPHIC] [TIFF OMITTED] TN26JN09.184 [[Page 30878]] [GRAPHIC] [TIFF OMITTED] TN26JN09.185 [[Page 30879]] [GRAPHIC] [TIFF OMITTED] TN26JN09.186 [[Page 30880]] [GRAPHIC] [TIFF OMITTED] TN26JN09.187 [[Page 30881]] [GRAPHIC] [TIFF OMITTED] TN26JN09.188 [[Page 30882]] [GRAPHIC] [TIFF OMITTED] TN26JN09.189 [[Page 30883]] [GRAPHIC] [TIFF OMITTED] TN26JN09.190 [[Page 30884]] [GRAPHIC] [TIFF OMITTED] TN26JN09.191 [[Page 30885]] [GRAPHIC] [TIFF OMITTED] TN26JN09.192 [[Page 30886]] [GRAPHIC] [TIFF OMITTED] TN26JN09.193 [[Page 30887]] [GRAPHIC] [TIFF OMITTED] TN26JN09.194 [[Page 30888]] [GRAPHIC] [TIFF OMITTED] TN26JN09.195 [[Continued on page 30889]] From the Federal Register Online via GPO Access [wais.access.gpo.gov] ] [[pp. 30889-30899]] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--January Through March 2009 [[Continued from page 30888]] [[Page 30889]] [GRAPHIC] [TIFF OMITTED] TN26JN09.196 [[Page 30890]] [GRAPHIC] [TIFF OMITTED] TN26JN09.197 [[Page 30891]] [GRAPHIC] [TIFF OMITTED] TN26JN09.198 [[Page 30892]] [GRAPHIC] [TIFF OMITTED] TN26JN09.199 [[Page 30893]] [GRAPHIC] [TIFF OMITTED] TN26JN09.200 [[Page 30894]] [GRAPHIC] [TIFF OMITTED] TN26JN09.201 [[Page 30895]] [GRAPHIC] [TIFF OMITTED] TN26JN09.202 [[Page 30896]] [GRAPHIC] [TIFF OMITTED] TN26JN09.203 [[Page 30897]] [GRAPHIC] [TIFF OMITTED] TN26JN09.204 [[Page 30898]] [GRAPHIC] [TIFF OMITTED] TN26JN09.205 [[Page 30899]] [GRAPHIC] [TIFF OMITTED] TN26JN09.206 [FR Doc. E9-14486 Filed 6-25-09; 8:45 am] BILLING CODE 4120-01-C
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