Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April Through June 2005, 55863-55885 [05-18926]

Download as PDF Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices This notice also solicits public comment on the ability of ACHC requirements to meet or exceed the Medicare conditions for participation for home health agencies. III. Evaluation of Deeming Authority Request On August 8, 2005, ACHC submitted all the necessary materials to enable us to make a determination concerning its request for approval as a deeming organization for HHAs. Under section 1865(b)(2) of the Act and our regulations at § 488.8 (Federal review of accreditation organizations), our review and evaluation of ACHC will be conducted in accordance with, but not necessarily limited to, the following factors: • The equivalency of ACHC standards for home health care as compared with our comparable home health conditions of participation. • ACHC’s survey process to determine the following: —The composition of the survey team, surveyor qualifications, and the ability of the organization to provide continuing surveyor training. —The comparability of ACHC processes to those of State agencies, including survey frequency, and the ability to investigate and respond appropriately to complaints against accredited facilities. —ACHC’s processes and procedures for monitoring providers or suppliers found out of compliance with ACHC program requirements. These monitoring procedures are used only when ACHC identifies noncompliance. If noncompliance is identified through validation reviews, the survey agency monitors corrections as specified at § 488.7(d). —ACHC’s capacity to report deficiencies to the surveyed facilities and respond to the facility’s plan of correction in a timely manner. —ACHC capacity to provide us with electronic data in ASCII comparable code, and reports necessary for effective validation and assessment of the organization’s survey process. —The adequacy of ACHC’s staff and other resources, and its financial viability. —ACHC’s capacity to adequately fund required surveys. —ACHC’s policies with respect to whether surveys are announced or unannounced. —ACHC’s agreement to provide us with a copy of the most current accreditation survey together with any other information related to the survey as we may require (including corrective action plans). VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 IV. Response to Public Comments and Notice Upon Completion of Evaluation Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the DATES section of this preamble and will respond to the public comments in the preamble to that document. Upon completion of our evaluation, including evaluation of comments received as a result of this notice, we will publish a final notice in the Federal Register announcing the result of our evaluation. V. Executive Order 12866 Statement In accordance with the provisions of Executive Order 12866, this regulation was not reviewed by the Office of Management and Budget. Authority: Section 1865 of the Social Security Act (42 U.S.C. 1395bb). (Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program; No. 93.773 Medicare—Hospital Insurance Program; and No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: September 14, 2005. Mark B. McClellan, Administrator, Centers for Medicare and Medicaid Services. [FR Doc. 05–18922 Filed 9–22–05; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–9032–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—April Through June 2005 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: SUMMARY: This notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from April 2005 through June 2005, 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 PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 55863 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. Finally, this notice includes a list of Medicare-approved carotid stent 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 have a specific information need and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing information contact persons to answer general questions concerning these items. Copies are not available through the contact persons. (See Section III of this notice for how to obtain listed material.) Questions concerning items in Addendum III may be addressed to Timothy Jennings, 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) 786–2134. 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, S3–26–10, 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 Jim Wickliffe, Office of Strategic Operations and Regulatory Affairs, E:\FR\FM\23SEN1.SGM 23SEN1 55864 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 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) 786–4596. Questions concerning Medicareapproved carotid stent facilities 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 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) VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 published during the respective 3month 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 eight 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— Æ Date published; Æ Federal Register citation; Æ Parts of the Code of Federal Regulations (CFR) that have changed (if applicable); Æ Agency file code number; and Æ 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, PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 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’s standards for performing carotid artery stenting for high risk patients. 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: https://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, E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 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 https://www.gpoaccess.gov/fr/ index.html, by using local WAIS client software, or by telnet to swais.gpoaccess.gov, then log in as guest (no password required). Dial-in users should use communications software and modem to call (202) 512–1661; type swais, then log in as guest (no password required). C. Rulings We publish rulings on an infrequent basis. Interested individuals can obtain copies from the nearest CMS Regional Office or review them at the nearest regional depository library. We have, on occasion, published rulings in the Federal Register. Rulings, beginning with those released in 1995, are available online, through the CMS Home Page. The Internet address is https://cms.hhs.gov/rulings. D. CMS’ Compact Disk-Read Only Memory (CD–ROM) Our laws, regulations, and manuals are also available on CD–ROM and may be purchased from GPO or NTIS on a subscription or single copy basis. The Superintendent of Documents list ID is HCLRM, and the stock number is 717– 139–00000–3. The following material is on the CD–ROM disk: • Titles XI, XVIII, and XIX of the Act. • CMS-related regulations. • CMS manuals and monthly revisions. • CMS program memoranda. The titles of the Compilation of the Social Security Laws are current as of January 1, 1999. (Updated titles of the Social Security Laws are available on the Internet at https://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 55865 materials, use the CMS publication and transmittal numbers. For example, to find the Medicare NCD publication titled ‘‘Percutaneous Transluminal Angioplasty,’’ use CMS–Pub. 100–03, Transmittal No. 33. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance, Program No. 93.774, Medicare— Supplementary Medical Insurance Program, and Program No. 93.714, Medical Assistance Program) Dated: September 6, 2005. Jacquelyn Y. White, Director, Office of Strategic Operations and Regulatory Affairs. Addendum I This addendum lists the publication dates of the most recent quarterly listings of program issuances. March 28, 2003 (68 FR 15196) June 27, 2003 (68 FR 38359) September 26, 2003 (68 FR 55618) December 24, 2003 (68 FR 74590) March 26, 2004 (69 FR 15837) June 25, 2004 (69 FR 35634) September 24, 2004 (69 FR 57312) December 30, 2004 (69 FR 78428) February 25, 2005 (70 FR 9338) June 24, 2005 (70 FR 36620) Addendum II—Description of Manuals, Memoranda, and CMS Rulings An extensive descriptive listing of Medicare manuals and memoranda was published on June 9, 1988, at 53 FR 21730 and supplemented on September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR 50577. Also, a complete description of the former CIM (now the NCDM) was published on August 21, 1989, at 54 FR 34555. A brief description of the various Medicaid manuals and memoranda that we maintain was published on October 16, 1992, at 57 FR 47468. ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS [April Through June 2005] Transmittal No. Manual/Subject/Publication No. Medicare General Information (CMS—Pub. 100–01) 20 .............. 21 22 23 24 .............. .............. .............. .............. VerDate Aug<31>2005 Medicare Authorization to Disclose Personal Health Information Form and Information to Help You Fill Out the Medicare Authorization to Disclose Personal Health Information Form. Removal of Medicare Number from Reimbursement Checks. Provider Extract File. Procedures for Modifying Shared Systems Edits and Capturing Audit Trail Data. 2005 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files. 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 55866 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. Manual/Subject/Publication No. Medicare Benefit Policy (CMS—Pub. 100–02) 31 .............. 32 33 34 35 .............. .............. .............. .............. 36 .............. List of Medicare Telehealth Services Telehealth Services. Payment for End-Stage Renal Disease-Related Services as a Telehealth Service Originating Site Facility Fee Payment (EndStage Renal Disease-Related Services). This Transmittal is rescinded and replaced by Transmittal 33. Issued to a specific audience, not posted to the Internet/Intranet due to the Confidentiality of Instruction. This Transmittal is rescinded and replaced by Transmittal 36. Automated Multi-Channel Chemistry for Continuous Ambulatory Peritoneal Dialysis and Non-Continuous Ambulatory Peritoneal Dialysis Patients. Pub. 100–02, Chapter 15, Section 220 and 230 Therapy Services. Coverage of Outpatient Rehabilitation Therapy Services (Physical Therapy, and Speech-Language Pathology Services) Under Medical Insurance. Conditions of Coverage and Payment for Outpatient Physical Therapy, Occupational Therapy or Speech-Language Pathology Services. Outpatient Therapy Must be Under the Care of a Physician/Non physician Practitioners (Orders/Referrals and Need for Care). Plans of Care for Outpatient Physical Therapy, Occupational Therapy, or Speech-Language Pathology Services. Certification and Recertification of Need for Treatment and Therapy Plans of Care. Requirement that Services Be Furnished on an Outpatient Basis. Reasonable and Necessary Outpatient Rehabilitation Therapy Services. Practice of Physical Therapy, Occupational Therapy, and Speech-Language Pathology. Practice of Physical Therapy. Practice of Occupational Therapy. Practice of Speech-Language Pathology. Services Furnished by a Physical or Occupational Therapist in Private Practice. Physical Therapy, Occupational Therapy, and Speech-Language Pathology. Services Provided Incident to the Services of Physicians and Non-physician Practitioners. Therapy Services Furnished Under Arrangements with Providers and Clinics. Medicare National Coverage Determinations (CMS—Pub. 100–03) 31 .............. 32 .............. 33 34 35 36 37 .............. .............. .............. .............. .............. 38 39 40 41 .............. .............. .............. .............. Positron Emission Tomography (PET) for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers. PET Scans. PET for Perfusion of the Heart. FDG PET for Lung Cancer. FDG PET for Esophageal Cancer. FDG PET for Colorectal Cancer. FDG PET for Lymphoma. FDG PET for Melanoma. FDG PET for Head and Neck Cancers. FDG PET for Myocardial Viability. FDG PET for Refractory Seizures. FDG PET for Breast Cancer. FDG PET for Thyroid Cancer. FDG PET for Soft Tissue Sarcoma. FDG PET for Dementia and Neurodegenerative Diseases. FDG PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers. FDG PET for All Other Cancer Indications Not Previously Specified. Autologous Stem Cell Transplantation. Stem Cell Transplantation. Percutaneous Transluminal Angioplasty. Abarelix for the Treatment of Prostate Cancer. Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea. Smoking and Tobacco-Use Cessation Counseling. Mobility Assistive Equipment. Durable Medical Equipment Reference List. Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials Anti-Cancer Chemotherapy for Colorectal Cancer. Cochlear Implantation. Coverage of Aprepitant for Chemotherapy-Induced Emesis. Osteogenic Stimulators. Medicare Claims Processing (CMS Pub. 100—04) 515 ............ VerDate Aug<31>2005 Update to 100–04 and Therapy Code Lists. Health Common Procedure Coding System Coding Requirement. Part B Outpatient Rehabilitation and Comprehensive Outpatient Rehabilitation. 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 55867 ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. 516 ............ 517 ............ 518 ............ 519 ............ 520 ............ 521 ............ 522 ............ 523 ............ 524 ............ 525 ............ 526 ............ 527 ............ 528 ............ 529 ............ 530 ............ 531 ............ 532 ............ 533 ............ 534 ............ 535 ............ VerDate Aug<31>2005 Manual/Subject/Publication No. Facility Services—General. Discipline Specific Outpatient Rehabilitation Modifiers—All Claims. The Financial Limitation. Reporting of Service Units With Health Common Procedure Coding System—Form CMS–1500 and Form CMS–1450. Clarification for Outpatient Prospective Payment System Hospitals Billing. Initial Preventive Exam. Outpatient Prospective Payment System Hospitals Billing. Advanced Beneficiary Notice as Applied to the IPPE. List of Medicare Telehealth Services. Submission of Telehealth Claims for Distant Site Practitioners. Carrier Editing of Telehealth Claims. This Transmittal is rescinded and replaced by Transmittal 527. This Transmittal is rescinded and replaced by Transmittal 525. Payment Policy Clarification Regarding the Healthcare Common Procedure. Coding System Q3001 Performed in an Ambulatory Surgery Center. Hemophilia Blood Clotting Factors. Billing for Hemophilia Clotting Factors. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Implementation of the Physician Scarcity Area and Revision to the Health Professional Shortage Area Payment to a Critical Access Hospital. Clarification to the Health Professional Shortage Area Language in the Medicare Claims Processing Manual. Services Eligible for Health Professional Shortage Area and Physician Scarcity Bonus Payments. Flu/PPV Revisions. Billing Requirements. Healthcare Common Procedural Coding System and Diagnosis Codes. Carrier Payment Requirements. Roster Claims Submitted to Carriers for Mass Immunization. Centralized Billing for Flu and Pneumococcal (PPV) Vaccines to Medicare. Common Working File Edits. Common Working File Edits on Carrier Claims. Updated Requirements for Autologous Stem Cell Transplantation. Autologous Stem Cell Transplantation. Billing for Stem Cell Transplantation. Stem Cell Transplantation. Health Common Procedure Coding System and Diagnosis Coding Non-Covered Conditions. New Coding for FDG PET Scans and Billing Requirements for Specific. Indications of Cervical Cancer. Positron Emission Tomography Scans—General Information. Billing Instructions. Use of Gamma Cameras and Full Ring and Partial Ring Pet Scanners for Positron Emission Tomography Scans. Positron Emission Tomography Scan Qualifying Conditions and Health. Common Procedure Coding System/Common Procedural Terminology Code Chart. Appropriate Common Procedural Terminology Codes Effective for Positron. Emission Tomography Scan Services Performed on or After January 28, 2005. Expanded Coverage of Positron Emission Tomography Scans for Breast Cancer Effective for Services on or After October 1, 2002. Coverage of Positron Emission Tomography Scans for Thyroid Cancer. Coverage of Positron Emission Tomography Scans for Dementia and Neurodegenerative Diseases. Billing Requirements for Positron Emission Tomography Scans for Specific Indications of Cervical Cancer for Services Performed on or After January 28, 2005. Billing Requirements for Positron Emission Tomography Scans for Non-Covered Conditions. July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2005. Update to Current National Uniform Billing Committee Codes. General Instructions for Completion of Form CMS–1450 for Billing. Billing Requirements for Physician Services Rendered in Method II Critical Access Hospital. Payment for Inpatient Services Furnished by a Critical Access Hospital. Optional Method for Outpatient Services: Cost-Based Facility Services Plus 115 Percent Fee Schedule Payment for Professional Services. Billing and Payment in a Physician Scarcity Area. Percutaneous Transluminal Angioplasty (Effective March 17, 2005). Abarelix for Treatment of Prostate Cancer. Modification to the Common Working File (CWF) Edit Process for Non-Assigned Medicaid Coordination of Benefits Agreement (COBA) Crossover Claims. Consolidated Claims Crossover Process. Changes to the Laboratory National Coverage Determination Edit Software for July 2005. Modification to Appeals Language on Medicare Summary Notice. Appeals Section. Back of the Medicare Summary Notice—Carriers and Intermediaries. Carrier Spanish Medicare Summary Notice Back. Intermediary Spanish MSN Back. 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 55868 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. 536 537 538 539 540 ............ ............ ............ ............ ............ 541 ............ 542 ............ 543 ............ 544 ............ 545 ............ 546 ............ 547 ............ 548 ............ 549 ............ 550 ............ 551 ............ 552 ............ 553 ............ 554 ............ 555 ............ 556 ............ 557 ............ 558 ............ 559 ............ 560 ............ 561 ............ 562 ............ 563 ............ 564 ............ 565 566 567 568 ............ ............ ............ ............ 569 570 571 572 573 ............ ............ ............ ............ ............ VerDate Aug<31>2005 Manual/Subject/Publication No. July Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics & Supplies Fee Schedule. Instructions for Downloading the Medicare Zip Code File. New Waived Tests. Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System Outpatient Code Editor. Addition to Chapter 6 of the Claims Processing Manual—Skilled Nursing Facility Inpatient Part A Billing: SNF Prospective Payment System Pricer Software. Skilled Nursing Facility Prospective Payment System Pricer Software Input/Output Record Layout. Skilled Nursing Facility Prospective Payment System Rate Components Decision Logic Used by the Pricer on Claims. Annual Updates to the Skilled Nursing Facility Pricer. Correction to the use of Group Codes for The Enforcement of Mandatory Electronic Submission of Medicare Claims Enforcement. Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills 12x and 22x). Claims Submitted to Intermediaries for Mass Immunizations of Influenza and PPV. Healthcare Provider Taxonomy Code Update. Modification of FISS Edits for Colorectal Cancer Screening Services (HCPCS Codes G0104, G0106, G0107, G0120, and G0328) Furnished at Skilled Nursing Facilities. Common Working Files Edits. The Teaching Adjustment for Inpatient Psychiatric Facility Prospective Payment System. Number of Durable Medical Equipment Prosthetic, Orthotic & Supplies Pricing Files That Must Be Maintained Online for Medicare—Durable Medical Equipment Regional Carrier, Fiscal Intermediary and Regional Home Health Intermediary Only. Online Pricing Files for Durable Medical Equipment Prosthetic, Orthotics & Supplies. This Transmittal is rescinded and replaced by Transmittal 556. New Healthcare Common Procedure Coding System (HCPCS) Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices. Update to the Place of Service Code Set to Add a Code for Pharmacy Place of Service Codes and Definitions. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Dispensing/Supply Fee Code, Payment, and Common Working File Editing for Immunosuppressive Drugs. Pharmacy Supplying Fee. Changing the Order of Medicare System Edits Affecting Hospice Claims. Submitting Bills In Sequence for a Continuous Inpatient Stay or Course of Treatment. Expansion of State Codes for Office of Standard & Certification Automated Retrieval System Provider Numbers. Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. Fiscal Intermediary Reporting of Add-on-Payments That Do Not Result in a Specific Increase or Decrease in the Amount Reported as Payable for a Claim Or a Service on a Remittance Advice. General Remittance Completion Requirements. Revision to the Health Professional Shortage Area and Physician Scarcity Area Payment Rules. Services Eligible for Health Professional Shortage Area and Physician Scarcity Bonus Payments. This Transmittal is rescinded and replaced by Transmittal 566. July Update to the 2005 Medicare Physician Fee Schedule Database. Override of Automated Health Professional Shortage Area and/or Physician Scarcity Area Bonus Payments for Globally Billed Services. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. New April 2005 Quarterly ASP Medicare Part B Drug Pricing File and Revisions to January 2005 Quarterly ASP Medicare Part B Drug Pricing File. Smoking and Tobacco-Use Cessation Counseling Services. Health Common Procedure Coding System and Diagnosis Coding. Carrier Billing Requirements. Fiscal Intermediary Billing Requirements. Remittance Advice Notices. Medicare Summary Notices. Post-Payment Review for Smoking and Tobacco-Use Cessation Counseling Services. Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.2, Effective July 1, 2005. July Update to the Medicare Outpatient Code Editor (OCE) Version 20.3 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System. This Transmittal is rescinded and replaced by Transmittal 583. This Transmittal is rescinded and replaced by Transmittal 573. Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials. July Quarterly Update to 2005 Annual Update of Health Common Procedure Codes System Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement. This Transmittal is rescinded and replaced by Transmittal 572. Common Working File: Addition of Disease Management Auxiliary File. This Transmittal is rescinded and replaced by Transmittal 575. July 2005 Outpatient Prospective Payment System Code Editor Specifications Version 6.2. Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System. Billing and Payment for Drugs and Drug Administration. Coding and Payment for Drugs and Biologicals. Separately Payable Drugs. Packaged Drugs. Pass-Through Drugs. Non-Pass Through Drugs. 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 55869 ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. 574 575 576 577 578 ............ ............ ............ ............ ............ 579 580 581 582 583 ............ ............ ............ ............ ............ 584 ............ 585 ............ 586 ............ 587 ............ 588 ............ 589 ............ 590 ............ 591 ............ 592 ............ 593 ............ 594 ............ 595 ............ 596 ............ 597 ............ VerDate Aug<31>2005 Manual/Subject/Publication No. Coding and Payment for Drug Administration. General. Administration of Chemotherapy Drugs by Infusion. Administration of Chemotherapy Drugs by a Route Other Than Infusion. Administration of Non-Chemotherapy Drugs by Infusion. Administration of Non-Chemotherapy Drugs by a Route Other Than Infusion. Use of Modifier 59. Billing for Infusion Hours. Mobility Assistive Equipment. New Remittance Advice Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims. Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12N Denial Message for Anti-Emetic Drugs. This Transmittal is rescinded and replaced by Transmittal 594. Update-Long Term Care Hospital Prospective Payment System Rate Year 2006. Provider Specific File. Facility Level Adjustments. Inputs/Outputs to Pricer. Update to the National Council for Prescription Drug Program Batch Standard 1.1 Billing Request Companion Document. New Healthcare Common Procedure Coding System (HCPCS) Drug Codes. This Transmittal is rescinded and replaced by Transmittal 587. New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims. Access Process for HIPAA 270/271. X12N Health Care Eligibility Benefit Inquiry and Response 270/271. Implementation. Background. Eligibility Workflow. Health Care Claim Status Category Codes and Health Care Codes for Use with The Health Care Claim Status Request and Response ASC X12N 276/277. Update of Health Common Procedure Coding System Codes and File Names, Descriptions and Instructions for Retrieving the 2005 Ambulatory Surgery Center Health Common Procedure Coding System Additions, Deletions and Master Listing. This Transmittal is rescinded and replaced by Transmittal 599. Modifications to the National Coordination of Benefits Agreement File. Transfer and Financial Reporting Processes. Consolidation of the Claims Crossover Process. Coordination of Benefits Agreement Detailed Error Notification Process. New Location for Contractor ID Number on Medicare Summary Notices. Title Section of the Medicare Summary Notice. Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials. Cochlear Implantation. Billing Requirements for Expanded Coverage of Cochlear Implantation. Intermediary Billing Procedures. Applicable Bill Types. Special Billing Requirements for Intermediaries. Intermediary Payment Requirements. Carrier Billing Procedures. Healthcare Common Procedural Coding System. Aprepitant for Chemotherapy-Induced Emesis. Oral Anti-Emetic Drugs Used as Full Replacement for Intravenous Anti-Emetic. Drugs as Part of a Cancer Chemotherapeutic Regimen. Health Common Procedure Coding System Codes for Oral Anti-Emetic Drugs. Billing and Payment Instructions for Fiscal Intermediaries. Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification. Social Security Administration Data for Incarcerated Beneficiaries. Disposition of Misdirected Claims to the Carrier. A Local Carrier Receives a Claim for a United Mine Workers of America Beneficiary. Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare. Coordination With the Quality Improvement Organization. Limitation on Liability (LOL) Under § 1879 Where Medicare Claims Are Disallowed. Hospital-Issued Notices of Noncoverage. Determining Beneficiary Liability in Claims for Ancillary and Outpatient Services. Application of Limitation on Liability to Skilled Nursing Facility and Hospital Claims for Services Furnished in Noncertified or Inappropriately Certified Beds. Determining Liability for Services Furnished in a Noncertified Skilled Nursing Facility or Hospital Bed. This Transmittal is rescinded and replaced by Transmittal 598. Indian Health Service or Tribal Hospitals Including Critical Access Hospital Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays. Coverage and Billing for Ultrasound Stimulation for Nonunion Fracture Healing Coverage Requirements. Intermediary Billing Requirements. Bill Types. Carrier and Intermediary Billing Instructions. Durable Medical Equipment Regional Carrier Billing Instructions. 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 55870 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. 598 ............ 599 ............ 600 ............ Manual/Subject/Publication No. Implementation of Carrier Guidelines for End Stage Renal Disease. Reimbursement for Automated Multi-Channel Chemistry Tests. (Supplemental to Change Request 2813). Automated Multi-Channel Chemistry Tests for End Stage Renal Disease. Beneficiaries—Fiscal Intermediaries. Claims Processing for Separately Billable Tests for End Stage Renal Disease Beneficiaries. July 2005 Update of the Hospital Outpatient Prospective Payment System. New Healthcare Common Procedure Coding System Drug Codes. Medicare Secondary Payer (CMS—Pub. 100–05) 28 .............. 29 .............. 30 .............. Working Aged Exception for Small Employers in Multi-Employer Group Health Plans. Assignment of Non-Payment/Denial Code Specific to the Recovery Audit Contractor Created Group Health Plan Occurrences. Identification of Recovery Audit Contractor Created Group Health Plan Records. Process to Address Freedom of Information and Subpoena Requests. Handling Freedom of Information and Subpoena Duces Tecum Received In the Medicare Secondary Payer Units . Medicare Financial Management (CMS—Pub. 100–06) 67 .............. 68 .............. 69 .............. Notice of New Interest Rate for Medicare Overpayments and Underpayments. Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor Demonstration. Affiliated Contractor and Program Safeguard Contractor Interaction with the Non-Medicare Secondary Payer Recovery Audit Contractors. Non-Medicare Secondary Payer Recovery Audit Contractors. Program Safeguard Contractor Communication with the Recovery Audit Contractors. Overview of the Recovery Audit Contractor Process. Full Program Safeguard Contractor Requirements Surrounding Recovery. Audit Contractor Non-Medicare Secondary Payer Identification Process. Providing Suppressed Cases to the Recovery Audit Contractor Database. Adjusting the Claim. Disputing/Disagreeing with a Recovery Audit Contractor Decision. Handling Overpayment and Underpayments Resulting from the Recovery. Audit Contractor Findings. Underpayments. Setting up an Accounts Receivable. Recoupments Received on a Recovery Audit Contractor Initiated Overpayment. Extended Repayments Received on a Recovery Audit Contractor Initiated Overpayment. Handling Appeals Resulting from Recovery Audit Contractor Initiated Denials. Referrals to the Department of Treasury. Tracking Overpayments and Appeals. Tracking Overpayments. Tracking Appeals. Reporting Administrative Costs Directly Associated with the Recovery Audit. Contractor Demonstration Project. Potential Fraud. Affiliated Contractor/Full Program Safeguard Contractor Requirements. Involving Recovery Audit Contractor Information Dissemination. Contacting Non-Responders. Voluntary Refunds. Working with the Recovery Audit Contractor Evaluation Contractor. Update to Debt Collection System (DCS) User Guide . Medicare State Operations Manual (CMS—Pub. 100–07) 06 .............. 07 .............. 08 .............. Expansion of State Codes for OSCAR Provider Numbers. Provider Identification Number. Home Health Agency Branch Identification Numbers. Outpatient Physical Therapy Extension Identification Numbers. This Transmittal is rescinded and replaced by Transmittal 8. Revision of Appendix PP—Section 483.25(d)—Urinary Incontinence, Tags F315 and F316. Medicare Program Integrity (CMS—Pub. 100–08) 107 ............ VerDate Aug<31>2005 Updated Chapter 1 to Reflect Changes in Program Requirements. Types of Claims for Which Contractors Are Responsible. Quality of Care Issues. 16:38 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 55871 ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. 108 ............ 109 110 111 112 113 114 ............ ............ ............ ............ ............ ............ VerDate Aug<31>2005 Manual/Subject/Publication No. The Medicare Medical Review Program. Goal of the Medical Review Program. Medical Review Manager. Annual Medical Review/Local Provider Education Training Strategy. Data Analysis and Information Gathering. Problem Identification & Prioritization. Intervention Planning. Program Management. Budget and Workload Management. Staffing and Workforce Management. Local Provider Education and Training Program. Local Provider Education Training Activities. One-on-One Provider Education. Education Delivered to a Group of Providers. Education Delivered via Electronic Media. Description of Methods of Education. Proactive Local Educational Meetings. Comprehensive Educational Interventions. Comparative Billing Report Education. Frequently Asked Question Regarding Local Education Issues. Bulletin Articles/Advisories Regarding Local Education Issues. Scripted Response Documents on Local Education Issues. Local Provider Education Training Staff. Change in Statistical Sampling Instructions. General Purpose. The Purpose of Statistical Sampling. Steps for Conducting Statistical Sampling. Determining When Statistical Sampling May be Used. Consultation With a Statistical Expert. Use of Other Sampling Methodologies. Probability Sampling. Selection of Period for Review. Defining the Universe, the Sampling Unit, and the Sampling Frame. Composition of the Universe. The Sampling Unit. Stratified Sampling. Cluster Sampling. Random Number Selection. Determining Sample Size. Documentation of Sampling Methodology. Documentation of Universe and Frame. Worksheets. Informational Copies to GTL, Co-GTL, SME or CMS RO. The Point Estimate. Actions Performed Following Selection of Provider or Supplier and Sample. Notification of Provider or Supplier of the Review and Selection of the Review Site Written Notification of the Review. Determining Review Site. Updated Standard System Changes for Provider Enrollment Chain Ownership System and Multi-Carrier System. Revise CERT Shared Systems Modules to Retrieve Claims Files Using Only Internal Control Number as a Key. Revising the Fiscal Intermediary Standard System Shared System. Requirement that Part B/Carriers Submit All Provider Addresses to the Comprehensive Error Rate Testing Program Contractor. Shared System Maintainer Hours for PECOS Problems and/or Implementation Changes. Change in Statistical Sampling Instructions. General Purpose. The Purpose of Statistical Sampling. Steps for Conducting Statistical Sampling. Determining When Statistical Sampling May Be Used. Consultation With a Statistical Expert. Use of Other Sampling Methodologies. Probability Sampling. Selection of Period for Review. Defining the Universe, the Sampling Unit, and the Sampling Frame. Composition of the Universe. The Sampling Unit. Stratified Sampling. Cluster Sampling...... Random Number Selection. Determining Sample Size. Documentation of Sampling Methodology. 16:38 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 55872 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. Manual/Subject/Publication No. Documentation of Universe and Frame. Worksheets. Informational Copies to GTL, Co-GTL, SME or CMS RO. The Point Estimate. Actions Performed Following Selection of Provider or Supplier and Sample. Notification of Provider or Supplier of the Review and Selection of the Review Site. Written Notification of the Review. Determining Review Site. Medicare Contractor Beneficiary and Provider Communications (CMS—Pub. 100–09) 09 .............. 10 .............. 11 .............. Additions and Corrections to Provider Inquiry and Provider Communications Program Requirements. This Transmittal is rescinded and replaced by Transmittal 11. FY 2005 Beneficiary Telephone Customer Services. Beneficiary Services. Guidelines for Beneficiary Telephone Services (Activity Code 13005). Toll Free Network Services. Publication of Toll Free Numbers. Call Handling Requirements. Customer Service Assessment and Management System Reporting Requirements. Customer Service Representative Training. Quality Call Monitoring. Disclosure of Information (Adherence to the Privacy Act and the Health Insurance Portability and Accountability Act Privacy Rule). Second Level Screening of Beneficiary and Provider Inquiries (Activity Code 13201). Second Level Screening of Provider Inquiries (Miscellaneous Code 13201/01). Medicare Customer Service Next Generation Desktop. Publication Requests. Medicare Participating Physicians and Suppliers Directory. Transfer of Part A Telephone/Written Inquiries Workload. Guidelines for Handling Beneficiary Written Inquiries (Activity Code 13002). Contractor Guidelines for High Quality Written Responses to Inquiries Surveys. Guidelines for High Quality Walk-In Services. Customer Service Plans (Activity Code 13004). Beneficiary Internet Web Sites. Medicare Managed Care (CMS—Pub. 100–16) 00 .............. None. Medicare Business Partners Systems Security (CMS—Pub. 100–17) 00 .............. None Demonstrations (CMS—Pub. 100–19) 22 23 24 25 .............. .............. .............. .............. Assignment of Non-Payment/Denial Code Specific to the Recovery Audit Contractor Created Group Health Plan Occurrences. This Transmittal is rescinded and replaced by 25. Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor Demonstration. Low Vision Rehabilitation Demonstration. One Time Notification (CMS—Pub. 100–20) 147 148 149 150 ............ ............ ............ ............ 151 152 153 154 155 156 157 158 ............ ............ ............ ............ ............ ............ ............ ............ VerDate Aug<31>2005 Medicare Health Insurance Portability & Accountability Act Electronic Claims Report—Second Reporting Timeframe Extension. Revised Coding Guidelines for Drug Administration Codes. Requirements for Voided, Canceled, and Deleted Claims. Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act Transaction Release Testing. Common Working File Calculation of Next Eligible Date for Preventive Services. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. This Transmittal is rescinded and replaced by Transmittal 155. Correction 2005 Clinical Laboratory Travel Fee (P9603 P9604). Payment to Ambulatory Surgery Centers for New CPT Code 66711. New Patient Status Code to Define Discharges or Transfers to a Critical Access Hospital. CD–ROM Initiative for Distribution of the Annual Disclosure, ‘‘Dear Doctor’’ Letter and Participation Enrollment Material. Instructions for Fiscal Intermediaries to Process Payment Adjustments Resulting from Data Assessment and Verification Program Safeguard Contractor Medical Review. 16:38 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 55873 ADDENDUM III.—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS—Continued [April Through June 2005] Transmittal No. 159 ............ 160 ............ Manual/Subject/Publication No. Requirements for Voided, Canceled, and Deleted Claims. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. ADDENDUM IV.—REGULATION DOCUMENTS PUBLISHED IN THE FEDERAL REGISTER [April through June 2005] Publication date FR Vol. 70 Page No. CFR Parts affected File code Title of regulation Medicare Program; Prospective Payment System for Inpatient Psychiatric Facilities; Correction. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005: Correcting Amendment. Medicare Program; Rural Hospice Demonstration. Medicare Program; Request for Nominations to the Advisory Panel on Ambulatory Payment Classification Groups; Extension of Nominations Deadline. Medicare Program; Cancellation of the April 13, 2005 Advisory Board Meeting on the Demonstration of a Bundled Case-Mix Adjusted Payment System for EndStage Renal Disease Services. Medicare Program; Request for Nominations for the Advisory Panel on Medicare Education. Final Regulations for Health Coverage Portability for Group Health Plans and Group Health Insurance Issuers Under HIPAA Titles I and IV; Correction. Medicare Program; Proposed Hospice Wage Index for Fiscal Year 2006. Medicare Program; Meeting of the Practicing Physicians Advisory Council, May 23, 2005. Medicare Program; Meeting of the Advisory Board on the Demonstration of a Bundled Case-Mix Adjusted Payment System for End-Stage Disease Services—May 24, 2005. Medicare, Medicaid, and CLIA Programs; Clinical Laboratory Improvement Amendments of 1988; Continuance of Exemption of Laboratories Licensed by the State of Washington. Medicare Program; Update of Ambulatory Surgical Center List of Covered Procedures. Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2006 Rates. Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates, Policy Changes, and Clarification. Medicare Program; Emergency Medical Treatment and Labor Act (EMTALA Technical Advisory Group (TAG) Meeting—June 15, 2005 through June 17, 2005. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2006. Medicaid Program; Establishment of the Medicaid Commission and Request for Nominations for Members. Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for FY 2006. Medicare and Medicaid Programs; Hospice Conditions of Participation. Medicare Program; Public Meeting in Calendar Year 2005 for New Clinical Laboratory Tests Payment Determinations. Medicare Program; Meeting of the Advisory Panel on Medicare Education, June 21, 2005. Medicare Program; Calendar Year 2005 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers (ASCs). April 1, 2005 ........... 16754 421 and 413 ........................ CMS–1213–CN April 1, 2005 ........... 16720 403, 405, 410, 411, 414, 418, 424, 484, and 486. CMS–1429–F2 April 7, 2005 ........... April 8, 2005 ........... 17697 18028 .............................................. .............................................. CMS–5029–N ... CMS–1296–N2 April 12, 2005 ......... 19090 .............................................. CMS–5033–N6 April 22, 2005 ......... 20916 .............................................. CMS–4107–N ... April 25, 2005 ......... 21146 45 CFR Part 146 ................. CMS–2151–F ... April 29, 2005 ......... 22394 418 ....................................... CMS–1286–P ... April 29, 2005 ......... 22321 .............................................. CMS–1314–N ... April 29, 2005 ......... 22320 .............................................. CMS–5033–N4 April 29, 2005 ......... 22317 .............................................. CMS–2207–N ... May 4, 2005 ........... 23690 416 ....................................... CMS–1478–IFC May 4, 2005 ........... 23306 405, 412, 413, 415, 419, 422, and 485. CMS–1500–P ... May 6, 2005 ........... 24168 412 ....................................... CMS–1483–F ... May 18, 2005 ......... 28541 .............................................. CMS–1269–N4 May 19, 2005 ......... 29070 424 ....................................... CMS–1282–P ... May 24, 2005 ......... 29765 .............................................. CMS–2214–N ... May 25, 2005 ......... 30188 412 ....................................... CMS–1290–P ... May 27, 2005 ......... 30840 418 ....................................... CMS–3844–P ... May 27, 2005 ......... 30734 .............................................. CMS–1293–N ... May 27, 2005 ......... 30733 .............................................. CMS–4095–N ... May 27, 2005 ......... 30731 .............................................. CMS–3144–N ... VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 55874 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices ADDENDUM IV.—REGULATION DOCUMENTS PUBLISHED IN THE FEDERAL REGISTER—Continued [April through June 2005] Publication date FR Vol. 70 Page No. CFR Parts affected File code Title of regulation Medicare Program; Electronic Submission of Cost Reports: Revision to Effective Date of Cost Reporting Period. Medicare Program; Medicare Integrity Program, Fiscal Intermediary and Carrier Functions, and Conflict of Interest Requirements. Medicare Program; Meeting of the Advisory Board on the Demonstration of a Bundled Case-Mix Adjusted Payment System for End-Stage Renal Disease Services— July 14 through July 15, 2005. Medicare Program; Inpatient Rehabilitation Facility Compliance Criteria. Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—January through March 2005. State Children’s Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2006. Medicare Program; Solicitation for Applications for the Medical Adult Day-Care Services Demonstration. Medicare Program; Update of Ambulatory Surgical Center List of Covered Procedures; Correction. Medicare Program; Changes to the Medicare Claims Appeal Procedures: Correcting Amendment to an Interim Final Rule. May 27, 2005 ......... 30640 413 ....................................... CMS–1199–IFC June 17, 2005 ........ 35204 400 and 421 ........................ CMS–6030–P2 June 24, 2005 ........ 36642 .............................................. CMS–5033–N5 June 24, 2005 ........ 36640 .............................................. CMS–1480–N ... June 24, 2005 ........ 36620 .............................................. CMS–9028–N ... June 24, 2005 ........ 36615 .............................................. CMS–2219–N ... June 24, 2005 ........ 36613 .............................................. CMS–5022–N ... June 24, 2005 ........ 36533 416 ....................................... CMS–1478–CN June 30, 2005 ........ 37700 401 and 405 ........................ CMS–4064– IFC2. Addendum V—National Coverage Determinations [January Through March 2005] A national coverage determination (NCD) is a determination by the Secretary with respect to whether or not a particular item or service is covered nationally under Title XVIII of the Social Security Act, but does not include a determination of what code, if any, is assigned to a particular item or service covered under this title, or determination with respect to the amount of payment made for a particular item or service so covered. We include below all of the NCDs that were issued during the quarter covered by this notice. The entries below include information concerning completed decisions as well as sections on program and decision memoranda, which also announce pending decisions or, in some cases, explain why it was not appropriate to issue an NCD. We identify completed decisions by the section of the NCDM in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. Information on completed decisions as well as pending decisions has also been posted on the CMS Web site at https:// cms.hhs.gov/coverage. NATIONAL COVERAGE DETERMINATIONS [April Through June 2005] NCDM section Title PET for 6 Cancers (Brain, Ovarian, Testicular, Small-Cell Lung, Pancreatic, Cervical) .. Autologous Stem Cell Transplantations for Amyloidosis ................................................... Percutaneous Transluminal Angioplasty (PTA) ................................................................. Abarelix/Plenaxis for Treatment of Prostate Cancer ......................................................... Continuous Positive Airway Pressure (CPAP) for Obstructive Sleep Apnea (OSA) ........ Smoking and Tobacco Use Cessation Counseling ........................................................... Mobility Assistive Equipment (MAE) .................................................................................. Anti-Cancer Chemotherapy for Colorectal Cancer ............................................................ Cochlear Implantation ........................................................................................................ Aprepitant for Chemotherapy-Induced Emesis ................................................................. Osteogenic Stimulators ...................................................................................................... Addendum VI.—FDA-Approved Category B IDEs [April Through June 2005] 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 VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 220.14 110.8.1 20.7 110.19 240.4 210.4 280.3 110.17 50.3 110.18 150.2 FDA assigns one of two categories to each FDA-approved IDE. Category A refers to experimental IDEs, and Category B refers to non-experimental IDEs. To obtain more information about the classes or categories, please refer to the Federal Register notice published on April 21, 1997 (62 FR 19328). PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 TN no. R31NCD R32NCD R33NCD R34NCD R35NCD R36NCD R37NCD R38NCD R39NCD R40NCD R41NCD Issue date .. .. .. .. .. .. .. .. .. .. .. 04/01/05 04/15/05 04/22/05 04/25/05 05/06/05 05/20/05 05/05/05 06/17/05 06/24/05 06/24/05 06/24/05 Effective date 01/28/05 03/15/05 03/17/05 03/15/05 04/04/05 03/22/05 03/25/05 01/28/05 04/04/05 04/04/05 04/27/05 The following list includes all Category B IDEs approved by FDA during the second quarter, April through June 2005. IDE/Category: B012305, B012314, B012410, G000119, G000165, G020211, G030161, G030165, G030219, G030230, G030263, G040078, G040102, G040158, E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices G040168, G040172, G040184, G040214, G040229, G050002, G050012, G050034, G050042, G050045, G050049, G050050, G050052, G050053, G050056, G050058, G050059, G050061, G050062, G050063, G050066, G050070, G050074, G050075, G050077, G050078, G050083, G050084, G050085, G050088, G050089, G050089, OMB Control No. 0938–0008 0938–0022 0938–0023 0938–0025 0938–0027 0938–0033 0938–0035 0938–0037 0938–0041 0938–0042 0938–0045 0938–0046 0938–0050 0938–0062 .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. 0938–0065 0938–0074 0938–0080 0938–0086 0938–0101 0938–0102 0938–0107 0938–0146 0938–0147 0938–0151 0938–0155 0938–0170 0938–0193 0938–0202 0938–0214 0938–0236 0938–0242 0938–0245 0938–0246 0938–0251 0938–0266 0938–0267 0938–0269 0938–0270 0938–0272 0938–0273 0938–0279 0938–0287 0938–0296 0938–0301 0938–0302 0938–0313 0938–0328 .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. 0938–0334 0938–0338 0938–0354 0938–0355 0938–0357 0938–0358 0938–0359 0938–0360 0938–0365 0938–0372 0938–0378 0938–0379 0938–0382 0938–0386 .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. VerDate Aug<31>2005 G050090, G050091, G050094, G050096, G050097, G050099, G050101, G050102, G050105, G050106, G050110, G960204, G970145, G980102, G990106, G990216. Addendum VII.—Approval Numbers for Collections of Information Below we list all approval numbers for collections of information in the 55875 referenced sections of CMS regulations in Title 42; Title 45, Subchapter C; and Title 20 of the Code of Federal Regulations, which have been approved by the Office of Management and Budget: Approved CFR Sections in Title 42, Title 45, and Title 20 (Note: Sections in Title 45 are preceded by ‘‘45 CFR,’’ and sections in Title 20 are preceded by ‘‘20 CFR’’) 414.40, 424.32, 424.44 413.20, 413.24, 413.106 424.103 406.28, 407.27 486.100–486.110 405.807 407.40 413.20, 413.24 408.6, 408.22 410.40, 424.124 405.711 405.2133 413.20, 413.24 431.151, 435.1009, 440.220, 440.250, 442.1, 442.10–442.16, 442.30, 442.40, 442.42, 442.100–442.119, 483.400– 483.480, 488.332, 488.400, 498.3–498.5 485.701–485.729 491.1–491.11 406.7, 406.13 420.200–420.206, 455.100–455.106 430.30 413.20, 413.24 413.20, 413.24 431.800–431.865 431.800–431.865 493.1405, 493.1411, 493.1417, 493.1423, 493.1443, 493.1449, 493.1455, 493.1461, 493.1469, 493.1483, 493.1489 405.2470 493.1269–493.1285 430.10–430.20, 440.167 413.17, 413.20 411.25, 489.2, 489.20 413.20, 413.24 442.30, 488.26 407.10, 407.11 431.800–431.865 406.7 416.41, 416.47, 416.48, 416.83 410.65, 485.56, 485.58, 485.60, 485.64, 485.66 412.116, 412.632, 413.64, 413.350, 484.245 405.376 440.180, 441.300–441.305 485.701–485.729 424.5 447.31 413.170, 413.184 413.20, 413.24 418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, 418.100 489.11, 489.20 482.12, 482.13, 482.21, 482.22, 482.27, 482.30, 482.41, 482.43, 482.45, 482.53, 482.56, 482.57, 482.60, 482.61, 482.62, 482.66, 485.618, 485.631 491.9, 491.10 486.104, 486.106, 486.110 441.60 442.30, 488.26 409.40–409.50, 410.36, 410.170, 411.4–411.15, 421.100, 424.22, 484.18, 489.21 412.20–412.30 412.40–412.52 488.60 484.10, 484.11, 484.12, 484.14, 484.16, 484.18, 484.20, 484.36, 484.48, 484.52 414.330 482.60–482.62 442.30, 488.26 442.30, 488.26 405.2100–405.2171 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 55876 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices OMB Control No. 0938–0391 0938–0426 0938–0429 0938–0443 0938–0444 0938–0445 0938–0447 0938–0448 0938–0449 0938–0454 0938–0456 0938–0463 0938–0467 0938–0469 0938–0470 0938–0477 0938–0484 0938–0501 0938–0502 0938–0512 0938–0526 0938–0534 0938–0544 0938–0564 0938–0565 0938–0566 0938–0573 0938–0578 0938–0581 0938–0599 0938–0600 0938–0610 0938–0612 .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. 0938–0618 0938–0653 0938–0657 0938–0658 0938–0667 0938–0679 0938–0685 0938–0686 0938–0688 0938–0690 0938–0691 0938–0692 0938–0701 0938–0702 0938–0703 0938–0714 0938–0717 0938–0721 0938–0723 0938–0730 0938–0732 0938–0734 0938–0739 0938–0742 0938–0749 0938–0753 0938–0754 0938–0758 0938–0760 0938–0761 0938–0763 0938–0770 0938–0778 0938–0779 0938–0781 0938–0786 0938–0787 .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. VerDate Aug<31>2005 Approved CFR Sections in Title 42, Title 45, and Title 20 (Note: Sections in Title 45 are preceded by ‘‘45 CFR,’’ and sections in Title 20 are preceded by ‘‘20 CFR’’) 488.18, 488.26, 488.28 476.104, 476.105, 476.116, 476.134 447.53 473.18, 473.34, 473.36, 473.42 1004.40, 1004.50, 1004.60, 1004.70 412.44, 412.46, 431.630, 456.654, 466.71, 466.73, 466.74, 466.78 405.2133 405.2133, 45 CFR 5, 5b; 20 CFR Parts 401, 422E 440.180, 441.300–441.310 424.20 412.105 413.20, 413.24, 413.106 431.17, 431.306, 435.910, 435.920, 435.940–435.960 417.126, 422.502, 422.516 417.143, 417.800–417.840, 422.6 412.92 424.123 406.15 433.138 486.304, 486.306, 486.307 475.102, 475.103, 475.104, 475.105, 475.106 410.38, 424.5 493.1–493.2001 411.32 411.20–411.206 411.404, 411.406, 411.408 412.230, 412.256 447.534 493.1–493.2001 493.1–493.2001 405.371, 405.378, 413.20 417.436, 417.801, 422.128, 430.12, 431.20, 431.107, 434.28, 483.10, 484.10, 489.102 493.801, 493.803, 493.1232, 493.1233, 493.1234, 493.1235, 493.1236, 493.1239, 493.1241, 493.1242, 493.1249, 493.1251, 493,1252, 493.1253, 493.1254, 493.1255, 493.1256, 493.1261, 493.1262, 493.1263, 493.1269, 493.1273, 493.1274, 493.1278, 493.1283, 493.1289, 493.1291, 493.1299 433.68, 433.74, 447.272 493.1771, 493.1773, 493.1777 405.2110, 405.2112 405.2110, 405.2112 482.12, 488.18, 489.20, 489.24 410.38 410.32, 410.71, 413.17, 424.57, 424.73, 424.80, 440.30, 484.12 493.551–493.557 486.304, 486.306, 486.307, 486.310, 486.316, 486.318, 486.325 488.4–488.9, 488.201 412.106 466.78, 489.20, 489.27 422.152 45 CFR 146.111, 146.115, 146.117, 146.150, 146.152, 146.160, 146.180 45 CFR 148.120, 148.124, 148.126, 148.128 411.370–411.389 424.57 410.33 421.300–421.318 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, 424.24 417.126, 417.470 45 CFR 5b 413.337, 413.343, 424.32, 483.20 422.300–422.312 424.57 422.000–422.700 441.151, 441.152 413.20, 413.24 Part 484 Subpart E, 484.55 484.11, 484.20 422.1–422.10, 422.50–422.80, 422.100–422.132, 422.300–422.312, 422.400–422.404, 422.560–422.622 410.2 422.64, 422.111 417.126, 417.470, 422.64, 422.210 411.404–411.406, 484.10 438.352, 438.360, 438.362, 438.364 406.28, 407.27 15:21 Sep 22, 2005 Jkt 205001 PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 55877 OMB Control No. Approved CFR Sections in Title 42, Title 45, and Title 20 (Note: Sections in Title 45 are preceded by ‘‘45 CFR,’’ and sections in Title 20 are preceded by ‘‘20 CFR’’) 0938–0790 .................. 460.12, 460.22, 460.26, 460.30, 460.32, 460.52, 460.60, 460.70, 460.71, 460.72, 460.74, 460.80, 460.82, 460.98, 460.100, 460.102, 460.104, 460.106, 460.110, 460.112, 460.116, 460.118, 460.120, 460.122, 460.124, 460.132, 460.152, 460.154, 460.156, 460.160, 460.164, 460.168, 460.172, 460.190, 460.196, 460.200, 460.202, 460.204, 460.208, 460.210 491.8, 491.11 413.24, 413.65, 419.42 419.43 410.141, 410.142, 410.143, 410.144, 410.145, 410.146, 414.63 422.568 Parts 489 and 491 483.350–483.376 431.636, 457.50, 457.60, 457.70, 457.340, 457.350, 457.431, 457.440, 457.525, 457.560, 457.570, 457.740, 457.750, 457.810, 457.940, 457.945, 457.965, 457.985, 457.1005, 457.1015, 457.1180 412.23, 412.604, 412.606, 412.608, 412.610, 412.614, 412.618, 412.626, 413.64 411.352–411.361 Part 419 Part 419 45 CFR Part 162 413.337, 483.20 422.152 45 CFR Parts 160 and 162 Part 422 Subpart F & G 45 CFR Parts 160 and 164 405.940 45 CFR 148.316, 148.318, 148.320 412.22, 412.533 412.230, 412.304, 413.65 422.620, 422.624, 422.626 426.400, 426.500 483.16 438.6, 438.8, 438.10, 438.12, 438.50, 438.56, 438.102, 438.114, 438.202, 438.206, 438.207, 438.240, 438.242, 438.402, 438.404, 438.406, 438.408, 438.410, 438.414, 438.416, 438.710, 438.722, 438.724, 438.810 414.804 45 CFR Part 142.408, 162.408, and 162.406 438.50 403.766 423 484 and 488 422.250, 422.252, 422.254, 422.256, 422.258, 422.262, 422.264, 422.266, 422.270, 422.300, 422.304, 422.306, 422.308, 422.310, 422.312, 422.314, 422.316, 422.318, 422.320, 422.322, 422.324, 423.251, 423.258, 423.265, 423.272, 423.279, 423.286, 423.293, 423.301, 423.308, 423.315, 423.322, 423.329, 423.336, 423.343, 423.346, 423.350 405.910 423.48 405.1200 and 405.1202 0938–0792 0938–0798 0938–0802 0938–0818 0938–0829 0938–0832 0938–0833 0938–0841 .................. .................. .................. .................. .................. .................. .................. .................. 0938–0842 0938–0846 0938–0857 0938–0860 0938–0866 0938–0872 0938–0873 0938–0874 0938–0878 0938–0883 0938–0884 0938–0887 0938–0897 0938–0907 0938–0910 0938–0911 0938–0916 0938–0920 .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. .................. 0938–0921 0938–0931 0938–0933 0938–0934 0938–0936 0938–0940 0938–0944 .................. .................. .................. .................. .................. .................. .................. 0938–0950 .................. 0938–0951 .................. 0938–0953 .................. Addendum VIII Medicare-Approved Carotid Stent Facilities [April Through June 2005] 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. VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 April 1, 2005 Bon Secours St. Mary’s Hospital 5801 Bremo Road Richmond, VA 23226 Medicare Provider #490059 Clear Lake Regional Medical Center 500 Medical Center Blvd Webster, TX 77598 Medicare Provider #450617 Louisiana Heart Hospital 64030 Louisiana Highway 434 Lacombe, LA 70445 Medicare Provider #190250 Phoenix Baptist Hospital Cardiac Catheterization Laboratory/ Interventional Radiology Suite 200 West Bethany Home Road Phoenix, AZ 85015 Medicare Provider #030030 Saint Joseph Medical Center Twelfth and Walnut Streets P.O. Box 316 Reading, PA 19603-0316 Medicare Provider #390096 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 St. Francis Hospital & Health Centers 1600 Albany Street Beech Grove, IN 46107 Medicare Provider #150033 University of Pennsylvania Medical CenterPresbyterian 39th and Market Streets Philadelphia, PA 19104 Medicare Provider #390223 April 4, 2005 Emory University Hospital 1364 Clifton Road, NE Atlanta, GA 30322 Medicare Provider #110010 Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92663 Medicare Provider #050224 Lakeland Hospital 1234 Napier Avenue St. Joseph, MI 49085 Medicare Provider #230021 E:\FR\FM\23SEN1.SGM 23SEN1 55878 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices April 7, 2005 The Baldwin County Eastern Shore Health Care Authority d/b/a Thomas Hospital 750 Morphy Avenue Fairhope, AL 36532 Medicare Provider #010100 Martha Jefferson Hospital 459 Locust Avenue Charlottesville, VA 22902 Medicare Provider #490077 Mercy Medical Center 701 10th Street SE. Cedar Rapids, IA 52403 Medicare Provider #160079 Mount Sinai Medical Center 4300 Alton Road Miami Beach, FL 33140 Medicare Provider #100034 Skyline Medical Center 3441 Dickerson Pike Nashville, TN 37207 Medicare Provider #440006 Union Memorial Hospital 201 East University Parkway Baltimore, MD 21218–2895 Medicare Provider #210024 April 12, 2005 Baptist Hospital East 4000 Kresage Way Louisville, KY 40207 Medicare Provider #180130 Baptist Hospital of East Tennessee 137 Blount Avenue Knoxville, TN 37920 Medicare Provider #440019 Borgess Medical Center 1521 Gull Road Kalamazoo, MI 49048 Medicare Provider #020117 The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland, OH 44195 Medicare Provider #360180 Good Samaritan Hospital 1225 Wilshire Boulevard Los Angeles, CA 90017 Medicare Provider #050471 Good Samaritan Hospital 2425 Samaritan Drive San Jose, CA 95124 Medicare Provider #050380 Harbor-UCLA Medical Center 1000 West Carson Street Torrance, CA 90502 Medicare Provider #050376 Hunterdon Medical Center 2100 Wescott Drive Flemington, NJ 08822 Medicare Provider #310005 Jewish Hospital 200 Abraham Flexner Way Louisville, KY 40202 Medicare Provider #180040 Mercy Health Center 4300 West Memorial Road Oklahoma City, OK 73120–8304 Medicare Provider #370013 Mercy Medical Center 1111 6th Avenue Des Moines, IA 50314 VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 Medicare Provider #160083 Methodist Hospital 300 West Huntington Drive P.O. Box 60016 Arcadia, CA 91066–6016 Medicare Provider #050238 North Austin Medical Center 12221 MoPac Expressway North Austin, TX 78758 Medicare Provider #450809 Ochsner Clinic Foundation Department of Cardiology 1514 Jefferson Highway New Orleans, LA 70121–2483 Medicare Provider #190036 Princeton Baptist Medical Center 701 Princeton Avenue, SW Birmingham, AL 35211–1399 Medicare Provider #010103 Resurrection Medical Center 7435 West Talcott Chicago, IL 60631 Medicare Provider #140117 South Austin Hospital 901 W. Ben White Austin, TX 78704 Medicare Provider #450713 St. Patrick Hospital and Health Sciences Center 500 West Broadway Missoula, MT 59802 Medicare Provider #270014 April 14, 2005 Fort Walton Beach Medical Center 1000 Mar Walt Drive Fort Walton Beach, FL 32547 Medicare Provider #100223 York Hospital 15 Hospital Drive York, ME 03909 Medicare Provider #200020 April 18, 2005 Alexian Brothers Medical Center 800 W. Biesterfield Road Elk Grove Village, IL 60007 Medicare Provider #140258 Arizona Heart Hospital 1930 E. Thomas Road Phoenix, AZ 85106 Medicare Provider #030102 Baptist Memorial Hospital 6019 Walnut Grove Road Memphis, TN 38102 Medicare Provider #440048 CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Drive Alexandria, LA 71301 Medicare Provider #190019 Eastern Main Medical Center 489 State Street P.O. Box 404 Bangor, ME 04402–0404 Medicare Provider #200033 Good Samaritan Hospital 375 Dixmyth Avenue Cincinnati, OH 45220–2489 Medicare Provider #360134 Iowa Methodist Medical Center 1200 Pleasant Street Des Moines, IA 50309 Medicare Provider #160082 PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 Lutheran Hospital of Indiana 7950 West Jefferson Boulevard Fort Wayne, IN 46804 Medicare Provider #150017 Moses H. Cone Memorial Hospital 1200 N. Elm Street Greensboro, NC 27401 Medicare Provider #340091 Robert Packer Hospital One Guthrie Square Sayre, PA 18840–1698 Medicare Provider #390079 Spectrum Health Hospital 100 Michigan Street NE. Grand Rapids, MI 49503 Medicare Provider #230038 St. Luke’s Medical Center 2900 W. Oklahoma Avenue P.O. Box 2901 Milwaukee, WI 53201–2901 Medicare Provider #520138 April 19, 2005 Harper–Hutzel Hospital 3990 John R Street Detroit, MI 48201 Medicare Provider #230104 North Florida Regional Medical Center 6500 Newberry Road Gainesville, FL 32605 Medicare Provider #100204 Sinai-Grace Hospital 6071 W. Outer Drive Detroit, MI 48235 Medicare Provider #230024 Sioux Valley Hospital USD Medical Center 1305 W. 18th Street Sioux Falls, SD 57117–5039 Medicare Provider #430027 St. Anthony’s Hospital 1200 7th Avenue North St. Petersburg, FL 33705 Medicare Provider #100067 St. John’s Regional Medical Center 2727 McClelland Boulevard Joplin, MO 64804–1694 Medicare Provider #260001 St. Luke’s 915 East First Street Duluth, MN 55805 Medicare Provider #240047 St. Thomas Hospital 4220 Harding Road Nashville, TN 37205 Medicare Provider #440082 Strong Memorial Hospital 601 Elmwood Avenue, Box 679 Rochester, NY 14642 Medicare Provider #330285 UC Davis Cardiac Cath Lab/UC Davis Medical Center 2315 Stockton Blvd Sacramento, CA 95817 Medicare Provider #050599 April 20, 2005 Baptist Medical Center South 2105 East South Boulevard P.O. Box 11010 Montgomery, AL 36111–0010 Medicare Provider #010023 Forsyth Medical Center E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 3333 Silas Creek Parkway Winston Salem, NC 27103 Medicare Provider #340014 Harris Methodist Fort Worth Hospital 1301 Pennsylvania Avenue Fort Worth, TX 76104 Medicare Provider #450135 Jupiter Medical Center 1210 S. Old Dixie Hwy Jupiter, FL 33458 Medicare Provider #100253 Kent Hospital 455 Toll Gate Road Warwick, RI 02886 Medicare Provider #410009 Lawnwood Medical Center, Inc. d/b/a Lawnwood Regional Medical Center and Heart Institute 1700 South 23rd Street Fort Pierce, FL 34950 Medicare Provider #100246 LDS Hospital 8th Avenue and C Street Salt Lake City, UT 84143 Medicare Provider #460010 Riverside Methodist Hospital 3535 Olentangy River Road Columbus, OH 43214 Medicare Provider #360006 Rush University Medical Center 1725 West Harrison Street Suite 364 Chicago, IL 60612–3824 Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville, MD 20850 Medicare Provider #210057 St. Mary’s Hospital and Medical Center 2635 North Seventh Street P.O. Box 1628 Grand Junction, CO 81501 Medicare Provider #060023 Terrebonne General Medical Center 8166 Main Street Houma, LA 70360 Medicare Provider #190008 The Valley Hospital 223 N. Van Dien Avenue Ridgewood, NJ 07450–2736 Medicare Provider #310012 April 26, 2005 Baptist Montclair Medical Center 800 Montclair Road Birmingham, AL 35213 Medicare Provider #010104 Caritas St. Elizabeth’s Medical Center 736 Cambridge Street Boston, MA 02135–2997 Medicare Provider #220036 Fresno Heart Hospital 15 E. Audubon Drive Fresno, CA 93720 Medicare Provider #050732 Fountain Valley Regional Hospital and Medical Center 17100 Euclid Street P.O. Box 8010 Fountain Valley, CA 92708 Medicare Provider #050570 Mountain View Regional Medical Center 4311 E. Lohman Avenue Las Cruces, NM 88011 VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 Medicare Provider #320085 Northwestern Memorial Hospital 251 East Huron Street Chicago, IL 60611 Medicare Provider #140281 SSM St. Joseph Health Center 300 First Capitol Drive St. Charles, MO 63301 Medicare Provider #260005 St. Elizabeth Medical Center South Unit 1 Medical Village Drive Edgewood, KY 41017 Medicare Provider #180035 Wyoming Valley Health Care System 575 North River Street Wilkes Barre, PA 18764 Medicare Provider #390137 April 27, 2005 Baptist Hospital-Pensacola 1000 West Moreno Street P.O. Box 17500 Pensacola, FL 32522–7500 Medicare Provider #100093 Central Baptist Hospital 1740 Nicholasville Road Lexington, KY 40503 Medicare Provider #180103 Charleston Area Medical Center 3200 MacCorkle Avenue, SE. Charleston, WV 25304 Medicare Provider #510022 Dartmouth Hitchcock Medical Center One Medical Center Drive Lebanon, NH 03756 Medicare Provider #300003 Doylestown Hospital 595 West State Street Doylestown, PA 18901 Medicare Provider #390203 Good Samaritan Hospital 255 Lafayette Avenue Suffern, NY 10901 Medicare Provider #330158 Hackensack University Medical Center 30 Prospect Avenue Hackensack, NJ 07601 Medicare Provider #310001 Medical College of Ohio 3000 Arlington Avenue Toledo, OH 43614 Medicare Provider #360048 Memorial Hospital Jacksonville 3625 University Boulevard, South Jacksonville, FL 32216 Medicare Provider #100179 [The] Ortenzio Heart Center at Holy Spirit 503 North 21st Street Camp Hill, PA 17011–2288 Medicare Provider #390004 OSF Saint Francis Medical Center 530 N.E. Glen Oak Avenue Peoria, IL 61637 Medicare Provider #140067 Saint Luke’s Hospital of Kansas City 4401 Wornall Road Kansas City, MO 64111 Medicare Provider #360138 Saints Memorial Medical Center 1 Hospital Drive Lowell, MA 01852–1389 Medicare Provider #220082 PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 55879 St. John Hospital and Medical Center 22151 Moross Road Detroit, MI 48236 Medicare Provider #230165 Union Hospital 1606 North Seventh Street Terre Haute, IN 47804–2780 Medicare Provider #150023 University Health System 4502 Medical Drive San Antonio, TX 78229 Medicare Provider #450213 Washoe Medical Center 75 Pringle Way Reno, NV 89502 Medicare Provider #290001 Willis Knighton Bossier 2400 Hospital Drive, Bossier City, LA 71111 Medicare Provider #190236 Willis Knighton Medical Center 2600 Greenwood Road Shreveport, LA 71103 Medicare Provider #190111 May 3, 2005 Advocate Christ Medical Center 4440 West 95th Street Oak Lawn, IL 60453 Medicare Provider #140208 Aurora Sinai Medical Center 945 N. 12th Street Milwaukee, WI 53201 Medicare Provider #520064 Cascade Healthcare Community d/b/a St. Charles Medical Center Bend 2500 N.E. Neff Road Bend, OR 97701 Medicare Provider #380040 CJW Medical Center Chippenham Hospital 7101 Jahnke Road Richmond, VA 23225 Medicare Provider #490112 Kaleida Health Millard Fillmore Hospital 3 Gates Circle Buffalo, NY 14209 Medicare Provider #330005 Lakeview Regional Medical Center 95 E. Fairway Drive Covington, LA 70433 Medicare Provider #190177 Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 Medicare Provider #220071 Methodist Medical Center of Oak Ridge 990 Oak Ridge Turnpike Oak Ridge, TN 37830 Medicare Provider #440034 North Oakland Medical Centers 461 W. Huron Street Pontiac, MI 48341–1651 Medicare Provider #230013 Norton Healthcare P.O. Box 35070 Louisville, KY 40232–5070 Medicare Provider #180088 Our Lady of Lourdes Regional Medical Center 611 St. Landry Street Lafayette, LA 70506 E:\FR\FM\23SEN1.SGM 23SEN1 55880 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices Medicare Provider #190102 St. John West Shore Hospital 29000 Center Ridge Road Westlake, OH 44145 Medicare Provider #360123 Swedish American Hospital 1401 East State Street Rockford, IL 61104 Medicare Provider #140228 UPMC Presbyterian Shadyside 200 Lothrop Street Pittsburgh, PA 15213 Medicare Provider #390164 May 5, 2005 Advocate Lutheran General Hospital 1775 Dempster Street Park Ridge, IL 60068 Medicare Provider #140223 Avera Heart Hospital of South Dakota 4500 West 69th Street Sioux Falls, SD 57108 Medicare Provider #430095 Baptist Medical Center 1225 North State Street Jackson, MS 39202 Medicare Provider #250102 Baptist Memorial Hospital-DeSoto 7601 Southcrest Parkway Southaven, MS 38671 Medicare Provider #250141 Barnes-Jewish Hospital One Barnes-Jewish Hospital Plaza St. Louis, MO 63110 Medicare Provider #260032 Bethesda Hospital 10500 Montgomery Road Cincinnati, OH 45242–9508 Medicare Provider #360179 Eliza Coffee Memorial Hospital P.O. Box 818 Florence, AL 35631 Medicare Provider #010006 Geisinger Medical Center 100 North Academy Avenue Danville, PA 17822 Medicare Provider #390006 Geisinger Wyoming Valley Medical Center 1000 East Mountain Boulevard Wilkes-Barre, PA 18711 Medicare Provider #390270 Grandview Hospital and Medical Center 405 Grand Avenue Dayton, OH 45405 Medicare Provider #360133 Hamot Medical Center 201 State Street Erie, PA 16550 Medicare Provider #390063 Hialeah Hospital 651 East 25th Street Hialeah, FL 33013 Medicare Provider #100053 Huntington Hospital 100 W. California Boulevard P.O. Box 7013 Pasadena, CA 91109–7013 Medicare Provider #050438 Kettering Medical Center 3535 Southern Blvd Kettering, OH 45429 Medicare Provider #360079 Loyola University Medical Center VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 2160 South First Avenue Maywood, IL 60153 Medicare Provider #140276 Mercy Hospital 500 E. Market Street Iowa City, IA 52245 Medicare Provider #160029 Mercy Hospital and Medical Center 2525 South Michigan Avenue Chicago, IL 60616 Medicare Provider #140158 New York Presbyterian Hospital 161 Ft. Washington Avenue HIP1412 New York, NY 10032 Medicare Provider #330101 Ohio State University University Medical Center 452 West 10th Avenue Columbus, OH 43210 Medicare Provider #360085 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden, NJ 08103 Medicare Provider #310029 Parkwest Medical Center 9352 Park West Boulevard Knoxville, TN 37923 Medicare Provider #440173 Parma Community General Hospital 7007 Powers Boulevard Parma, OH 44129–5495 Medicare Provider #360041 Rogue Valley Medical Center 2825 East Barnett Road Medford, OR 97504 Medicare Provider #380018 Sacred Heart Health System 5151 N. Ninth Avenue P.O. Box 2700 Pensacola, FL 32513 Medicare Provider #100025 Saint Raphael Healthcare System 1450 Chapel Street New Haven, CT 06511 Medicare Provider #070001 Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 Medicare Provider #050289 Southern Baptist Hospital of Florida, Inc. d/b/a Baptist Medical Center 800 Prudential Drive Jacksonville, FL 32207 Medicare Provider #100088 St. Bernardine Medical Center 2101 N. Waterman Avenue San Bernardino, CA 92404–4836 Medicare Provider #050129 St. David’s Medical Center 919 East 32nd Street P.O. Box 4039 Austin, TX 78765–4039 Medicare Provider #450431 Town and Country Hospital 6001 Webb Road Tampa, FL 33615–3241 Medicare Provider #100255 University of Louisville Hospital 530 South Jackson Street Louisville, KY 40202 Medicare Provider #180141 Vassar Brother Medical Center PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 45 Reade Place Poughkeepsie, NY 12601 Medicare Provider #330023 Western Baptist Hospital 2501 Kentucky Avenue Paduach, KY 42003–3200 Medicare Provider #180104 The Wisconsin Heart Hospital, LLC 10000 West Blue Mound Road Wauwatosa, WI 53226 Medicare Provider #520199 May 10, 2005 Aiken Regional Medical Centers 302 University Parkway P.O. Drawer 1117 Aiken, SC 29802–1117 Medicare Provider #420082 Aspirus Wausau Hospital, Inc. 333 Pine Ridge Boulevard Wausau, WI 54401 Medicare Provider #520030 Deaconess Medical Center P.O. Box 248 Spokane, WA 99210–0248 Medicare Provider #500044 El Camino Hospital 2500 Grant Road P.O. Box 7025 Mountain View, Ca 94039–7025 Exempla St. Joseph Hospital 1835 Franklin Street Denver, CO 80218–1191 Medicare Provider #060009 Hahnemann University Hospital/Tenet 230 N. Broad Street, Mailstop 119 Philadelphia, PA 19102–1192 Medicare Provider #390290 Irvine Regional Hospital & Medical Center 16200 Sand Canyon Avenue Irvine, CA 92618 Medicare Provider #050693 John Muir Medical Center 1601 Ygnacio Valley Road Walnut Creek, CA 94598–3194 Medicare Provider #050180 Mid Michigan Medical Center-Midland 4005 Orchard Drive Midland, MI 48670 Medicare Provider #230222 Mount Diablo Medical Center 2540 East Street P.O. Box 4110 Concord, CA 94524–4110 Medicare Provider #050496 Palomar Medical Center 555 East Valley Parkway Escondido, CA 92025 Medicare Provider #050115 Pomerado Hospital 15615 Pomerado Road Poway, CA 92064 Medicare Provider #050636 Presbyterian Hospital of Dallas 8200 Walnut Hill Lane Dallas, TX 75231–4496 Medicare Provider #450462 St. John’s Hospital 800 East Carpenter Street Springfield, IL 62769 Medicare Provider #140053 St. Joseph Regional Medical Center 5000 West Chambers Street E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices Milwaukee, WI 53210–1688 Medicare Provider #520136 St. Luke’s Hospital 1026 A Avenue NE. P.O. Box 3026 Cedar Rapids, IA 52406–3026 Medicare Provider #160045 Wentworth-Douglass Hospital 789 Central Avenue Dover, NH 03820 Medicare Provider #300018 William Beaumont Hospital 3601 W. 13 Mile Road Royal Oak, MI 48073 Medicare Provider #230130 May 11, 2005 Allegheny General Hospital 320 East North Avenue Pittsburg, PA 15212–4772 Medicare Provider #390050 Central Georgia Health Systems d/b/a The Medical Center of Central Georgia 777 Hemlock Street Macon, GA 31208 Medicare Provider #110107 Charlotte Regional Medical Center 809 East Marion Avenue Punta Gorda, FL 33950 Medicare Provider #100047 Fort Sanders Regional Medical Center 1901 W. Clinch Avenue Knoxville, TN 37916–2398 Medicare Provider #440125 Greater Baltimore Medical Center 6701 N. Charles Street Baltimore, MD 21204 Medicare Provider #210044 Northeast Methodist Hospital 12412 Judson Road Live Oak, TX 78233 Medicare Provider #450388 Parkview Hospital 2200 Randallia Drive Fort Wayne, IN 46805 Medicare Provider #150021 Provena Saint Joseph Hospital 77 North Airlite Street Elgin, IL 60123–4912 Medicare Provider #140217 St. Francis Hospital and Health Center 12935 S. Gregory Street Blue Island, IL 60406 Medicare Provider #140118 May 16, 2005 Akron General Medical Center 400 Wabash Avenue Akron, OH 44266 Medicare Provider #360027 Albany Medical Center Hospital 43 New Scotland Avenue Albany, NY 12208 Medicare Provider #330013 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Medicare Provider #220077 Brigham and Women’s Hospital 75 Francis Street Boston, MA 02115 Medicare Provider #220110 Emory Crawford Long Hospital VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 550 Peachtree Street, N.E. Atlanta, GA 30308–2225 Medicare Provider #110078 Galichia Heart Hospital 2610 N. Woodlawn Wichita, KS 67220–2729 Medicare Provider #170192 Harris Methodist HEB 1600 Hospital Parkway Bedford, TX 76022 Medicare Provider #450639 Hennepin County Medical Center 701 Park Avenue Minneapolis, MN 55415–1829 Medicare Provider #240004 High Point Regional Health System 601 North Elm Street P.O. Box HP–5 High Point, NC 27261 Medicare Provider #340004 Hillcrest Hospital 6780 Mayfield Road Mayfield Heights, OH 44124 Medicare Provider #360230 Lenox Hill Hospital 100 East 77 Street New York, NY 10021 Medicare Provider #330119 Los Robles Hospital and Medical Center 215 West Janss Road Thousand Oaks, CA 91360 Medicare Provider #050549 Medical Center of Plano 3901 West 15th Street Plano, TX 75075 Medicare Provider #450651 Memorial Medical Center 2700 Napoleon Avenue New Orleans, LA 70115 Medicare Provider #190135 Morton Plant Hospital 300 Pinellas Street Clearwater, FL 33756 Medicare Provider #100127 Phoenix Memorial Hospital Cardiac Catheterization Laboratory/ Interventional Radiology Suite 1201 South 7th Avenue Phoenix, AZ 85007 Medicare Provider #030106 Providence Portland Medical Center 4805 Northeast Glisan Street Portland, OR 97213–2967 Medicare Provider #380061 Providence St. Vincent Medical Center 9205 S.W. Barnes Road Portland, OR 97225 Medicare Provider #380004 Saint Joseph Health Center 1000 Carondelet Drive Kansas City, MO 64114 Medicare Provider #260085 Shawnee Mission Medical Center 9100 W. 74th Street Shawnee Mission, KS 66204 Medicare Provider #170104 Sierra Medical Center 1625 Medical Center Drive El Paso, TX 79902 Medicare Provider #450668 St. Joseph Mercy Hospital 5301 E. Huron River Drive PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 55881 P.O. Box 995 Ann Arbor, MI 48106 Medicare Provider #230156 St. Mary’s Medical Center 407 East Third Street Duluth, MN 55805 Medicare Provider #240002 Swedish Medical Center 501 East Hampden Ave Engelwood, CO 80113 Medicare Provider #060034 Tallahassee Memorial 1300 Miccosukee Road Tallahassee, FL 32308 Medicare Provider #100135 United Regional Health Care System Eleventh Street Campus 1600 Eleventh Street Wichita Falls, TX 76301 Medicare Provider #450010 University of Kentucky Hospital 800 Rose Street Lexington, KY 40536–0293 Medicare Provider #180067 Washington Hospital Center 110 Irving Street, NW. Washington, DC 20010 Medicare Provider #090011 Wellmont Holston Valley Medical Center Holston Valley Vascular Institute 130 W. Ravine Road Kingsport, TN 37660 Medicare Provider #440017 Westchester Medical Center 95 Grasslands Road Valhalla, NY 10595 Medicare Provider #330234 Winchester Medical Center P.O. Box 3340 Winchester, VA 22604–2540 Medicare Provider #490005 May 17, 2005 Lee’s Summit Hospital 530 N.W. Murray Road Lee’s Summit, MO 64081 Medicare Provider #260190 Mercy Hospital Fairfield 3000 Mack Road Fairfield, OH 45014 Medicare Provider #360056 Saint Louis University Hospital 3635 Vista at Grand Boulevard P.O. Box 15250 St. Louis, MO 63110 Medicare Provider #260105 Samaritan Hospital 310 South Limestone Street Lexington, KY 40508 Medicare Provider #180007 St. Joseph Medical Center Heart Institute 7601 Osler Drive Towson, MD 21204–7582 Medicare Provider #210007 St. Joseph’s Medical Center 1800 N. California Street Stockton, CA 95204 Medicare Provider #050084 St. Mary’s Medical Center 3700 Washington Avenue Evansville, IN 47740–001 Medicare Provider #150100 E:\FR\FM\23SEN1.SGM 23SEN1 55882 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices Swedish Medical Center First Hill Campus 747 Broadway Seattle, WA 98122 Medicare Provider #500027 May 23, 2005 Bakersfield Memorial Hospital 420 34th Street Bakersfield, CA 93301 Medicare Provider #050036 Banner Good Samaritan Medical Center 1111 E. McDowell Road Phoenix, AZ 85006 Medicare Provider #030002 Bay Medical Center 615 North Bonita Avenue Panama City, FL 32401 Medicare Provider #100026 Christiana Care Health Services 4755 Ogletown-Stanton Road P.O. Box 6001 Newark, DE 19718–6001 Medicare Provider #080001 Clarian Health Partners, Inc. I–65 at 21st Street P.O. Box 1367 Indianapolis, IN 46206–1367 Medicare Provider #150056 Community Health Partners 3700 Kolbe Road Lorain, OH 44052–1697 Medicare Provider #360172 EMH Regional Medical Center 630 East River Street Elyria, OH 44035 Medicare Provider #360145 Erlanger Health System 975 East Third Street Chattanooga, TN 37403 Medicare Provider #440104 Hartford Hospital 80 Seymour Street P.O. Box 5037 Hartford, CT 06102–5037 Medicare Provider #070025 Hays Medical Center 2220 Canterbury Road Hays, KS 67601 Medicare Provider #170013 Hospital of the University of Pennsylvania 3400 Spruce Street Philadelphia, PA 19104 Medicare Provider #390111 Kansas Heart Hospital 3601 N. Webb Road Wichita, KS 67226 Medicare Provider #170186 King’s Daughters Medical Center 2201 Lexington Avenue Ashland, KY 41101 Medicare Provider #180009 Los Alamitos Medical Center 3751 Katella Avenue Los Alamitos, CA 90720 Medicare Provider #050551 Maricopa Integrated Health System Maricopa Medical Center Cardiac Catheterization Laboratory 2601 E. Roosevelt Phoenix, AZ 85008 Medicare Provider #030022 Mayo Clinic Hospital VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 5777 East Mayo Boulevard Phoenix, AZ 85054 Medicare Provider #030103 Missouri Baptist Medical Center 3015 N. Ballas Road St. Louis, MO 63131 Medicare Provider #260108 Munroe Regional Medical Center 1500 S.W. 1st Avenue Ocala, FL 34474 Medicare Provider #100062 Norman Regional Hospital 901 North Porter, Box 1308 Norman, OK 73070–1308 Medicare Provider #370008 Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, OK 73120 Medicare Provider #370215 Orlando Regional Healthcare System, Inc. 1414 Kuhl Avenue Orlando, FL 32806 Medicare Provider #100006 Pinnacle Health Hospitals 111 South Front Street Harrisburg, PA 17101 Medicare Provider #390067 Plaza Medical Center of Fort Worth 900 Eighth Avenue Fort Worth, TX 76104 Medicare Provider #450672 Rapides Regional Medical Center Box 30101 211 Fourth Street Alexandria, LA 71301–8454 Medicare Provider #190026 Research Medical Center 2316 East Meyer Boulevard Kansas City, MO 64132 Medicare Provider #260027 St. Luke’s-Roosevelt Hospital Center 1000 Tenth Avenue New York, NY 10019 Medicare Provider #330046 Swedish Medical Center Providence Campus 747 Broadway Seattle, WA 98122 Medicare Provider #500025 May 25, 2005 Bakersfield Heart Hospital 3001 Sillect Avenue Bakersfield, CA 93308 Medicare Provider #050724 College Station Medical Center 1604 Rock Prairie Road College Station, TX 77845 Medicare Provider #450299 Good Samaritan Hospital 2222 Philadelphia Drive Dayton, OH 45406–1891 Medicare Provider #360052 Lakeland Regional Medical Center 1324 Lakeland Hills Boulevard Lakeland, FL 33805 Medicare Provider #100157 Mercy Medical Center 301 St. Paul Place Baltimore, MD 21202 Medicare Provider #210008 Mount Carmel St. Ann’s Hospital 500 South Cleveland Avenue PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 Westerville, OH 43081–8998 Medicare Provider #360012 Western Medical Center-Santa Ana 1001 North Tustin Avenue Santa Ana, CA 92705 Medicare Provider #050746 May 26, 2005 Benefits Healthcare 1101 26th Street South Great Falls, MT 59405 Medicare Provider #270012 Blanchard Valley Regional Health Center 145 West Wallace Street Findlay, OH 45840 Medicare Provider #360095 Central Dupage Hospital 25 North Winfield Road Winfield, IL 60190 Medicare Provider #140242 [The] Christ Hospital 2139 Auburn Avenue Cincinnati, OH 45219 Medicare Provider #360163 Fletcher Allen Health Care Medical Center Campus 111 Colchester Avenue Burlington, VT 05401–1473 Medical University of South Carolina Hospital Authority 169 Ashley Avenue P.O. Box 250347 Charleston, SC 29425 Medicare Provider #420004 [The] Mount Sinai Hospital 1 Gustave L. Levy Place New York, NY 10029 Medicare Provider #330024 North Memorial Health Care 3300 Oakdale Avenue North Robbinsdale, MN 55422 Medicare Provider #240001 Our Lady of Bellefonte Hospital St. Christopher Drive Ashland, KY 41101 Medicare Provider #180036 Rapid City Regional Hospital 353 Fairmont Boulevard Rapid City, SD 57701 Medicare Provider #430077 Sacred Heart Medical Center Oregon Heart & Vascular Institute 1255 Hilyard Street P.O. Box 10905 Eugene, OR 97440 Medicare Provider #380033 Shands Jacksonville Medical Center 655 West Eighth Street Jacksonville, FL 32209 Medicare Provider #100001 Southern Maryland Hospital Center 7503 Surratts Road Clinton, MD 20735 Medicare Provider #520054 Southwest Washington Medical Center P.O. Box 1600 Vancouver, WA 98668 Medicare Provider #500050 St. Joseph’s Mercy Health Center 300 Werner Street Hot Springs, AR 71903 Medicare Provider #040026 Texan Heart Hospital E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices 6700 IH–10 West San Antonia, TX 78201 Medicare Provider #450878 University of Alabama Hospital 619 South 19th Street Birmingham, AL 35233 Medicare Provider #010033 University Health System 1520 Cherokee Trail, Suite 200 Knoxville, TN 37920–2205 Medicare Provider #440015 Utah Valley Regional Medical Center 1034 North 500 West Provo, UT 84605 Medicare Provider #460001 West Allis Memorial Hospital 8901 West Lincoln Avenue West Allis, WI 53227 Medicare Provider #520139 June 1, 2005 Community Hospital 901 MacArthur Boulevard Munster, IN 46321 Medicare Provider #150125 Freeman Health System 1102 West 32nd Street Joplin, MO 64804 Medicare Provider #260137 Harlingen Medical Center 5501 South Expressway 77 Harlingen, TX 78550 Medicare Provider #450855 Mission Hospital Regional Medical Center 27700 Medical Center Road Mission Viejo, CA 92691 Medicare Provider #050567 Piedmont Hospital 1968 Peachtree Road, NW. Atlanta, GA 30309 Medicare Provider #110083 Portsmouth Regional Hospital 333 Borthwick Avenue P.O. Box 7004 Portsmouth, NH 03802–7004 Medicare Provider #300029 Provena St. Mary’s Hospital 500 West Court Street Kankakee, IL 60901 Medicare Provider #140155 Saint Michael’s Medical Center 268 Martin Luther King Jr. Boulevard Newark, NJ 07012 Medicare Provider #310096 St. Anthony’s Medical Center 10010 Kennerly Road St. Louis, MO 63128 Medicare Provider #260077 St. Francis Hospital 100 Port Washington Boulevard Roslyn, NY 11576–1348 Medicare Provider #330182 St. Joseph Mercy Oakland 44405 Woodward Avenue Pontiac, MI 48341–5023 Medicare Provider #230029 St. Mary Medical Center 1201 Langhorne-Newtown Road Langhorn, PA 19047 Medicare Provider #390258 University Medical Center 1501 N. Campbell Avenue Tucson, AZ 85724 VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 Medicare Provider #030064 June 2, 2005 Community Hospital 5637 Marine Parkway P.O. Box 996 New Port Richey, FL 34656 Medicare Provider #100191 Cox Medical Center South 3801 S. National Avenue Springfield, MO 65807 Medicare Provider #260040 Mary Washington Hospital 1001 Sam Perry Boulevard Fredericksburg, VA 22401 Medicare Provider #490022 Memorial Health University Medical Center 4700 Waters Avenue Savannah, GA 31404 Medicare Provider #110036 North Ridge Medical Center 5757 North Dixie Highway Ft. Lauderdale, FL 33334 Medicare Provider #100237 Oregon Health and Science University Oregon Stroke Center 3181 SW. Sam Jackson Park Road CR–131 Portland, OR 97239 Medicare Provider #380009 Riverside Medical Center 350 North Wall Street Kankakee, IL 60901 Medicare Provider #140186 Sunrise Hospital and Medical Center Sunrise Children’s Hospital 3186 South Maryland Parkway Las Vegas, NV 89109 Medicare Provider #290003 June 7, 2005 Brackenridge Hospital 601 East 15th Street Austin, TX 78701–1096 Medicare Provider #450124 Doctors Hospital at Renaissance 5501 S. McColl Road Edinburg, TX 78539 Medicare Provider #450869 Florida Hospital 601 East Rollins Street Orlando, FL 32803 Medicare Provider #100007 Gadsden Regional Medical Center 1007 Goodyear Avenue Gadsden, AL 35903 Medicare Provider #010040 Huntsville Hospital 101 Sivley Road Huntsville, AL 35801 Medicare Provider #010039 Memorial Medical Center 701 North First Street Springfield, IL 62781 Medicare Provider #140148 Ohio Valley Medical Center 2000 Eoff Street Wheeling, WV 26003 Medicare Provider #510039 Providence Alaska Medical Center 3200 Providence Drive P.O. Box 196604 Anchorage, AK 99519–6604 PO 00000 Frm 00069 Fmt 4703 Sfmt 4703 55883 Medicare Provider #020001 San Ramon Regional Medical Center 6001 Norris Canyon Road San Ramon, CA 94583 Medicare Provider #050689 St. Bernards Medical Center 225 E. Jackson Avenue Jonesboro, AR 72401 Medicare Provider #040020 St. Vincent Healthcare 1233 North 30th Street Billings, MT 59101 Medicare Provider #270049 June 8, 2005 Brotman Medical Center 3828 Delmas Terrace Culver City, CA 90231–2459 Medicare Provider #050144 Comanche County Memorial Hospital P.O. Box 129 3401 West Gore Boulevard Lawton, OK 73502 Medicare Provider #370056 Covenant Health System 3615 19th Street Lubbock, TX 79410 Medicare Provider #450040 Iberia Medical Center 2315 East Main Street P.O. Box 13338 New Iberia, LA 70562–3338 Medicare Provider #190054 Lehigh Valley Hospital and Health Network Cedar Crest Campus Cedar Crest & I–78 P.O. Box 689 Allentown, PA 18105 Medicare Provider #390133 Midwest Regional Medical Center 2825 Parklawn Drive Midwest City, OK 73110 Medicare Provider #370094 Mount Carmel Health (Mount Carmen East and Mount Carmen West) 793 West State Street Columbus, OH 43222 Medicare Provider #360035 Northwest Texas Healthcare System 1501 South Coulter Drive Amarillo, TX 79106–1770 Medicare Provider #450209 Saint Joseph’s Hospital 611 St. Joseph Avenue Marshfield, WI 54449–1898 Medicare Provider #520037 Saint Joseph’s Hospital of Atlanta 5665 Peachtree Dunwoody Road N.E. Atlanta, GA 30342–1764 Medicare Provider #110082 St. Francis Hospital and Medical Center 114 Woodland Street Hartford, CT 06105 Medicare Provider #070002 Thomas Jefferson University Hospital 111 South 11th Street Philadelphia, PA 19107 Medicare Provider #390174 Unity Health System Park Ridge Hospital 1555 Long Pond Road E:\FR\FM\23SEN1.SGM 23SEN1 55884 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices Rochester, NY 14626 Medicare Provider #330226 York Hospital/Wellspan Health 1001 South George Street P.O. Box 15198 York, PA 17405–7198 Medicare Provider #390046 June 14, 2005 Abbott Northwestern Hospital 800 East 28th Street Minneapolis, MN 55407 Medicare Provider #240057 Appleton Medical Center 1818 North Meade Street Appleton, WI 54911 Medicare Provider #520160 Brookwood Medical Center 2010 Brookwood Medical Center Drive Birmingham, AL 35209 Medicare Provider #010139 Community Memorial Hospital W 180 N8085 Town Hall Road Menomonee Falls, WI 53051 Medicare Provider #520103 Crestwood Medical Center One Hospital Drive S.E. Huntsville, AL 35801 Medicare Provider #010131 Lankenau Hospital 100 Lancaster Avenue Wynnewood, PA 19096 Medicare Provider #390195 Mission Hospitals, Inc. 509 Biltmore Avenue Asheville, NC 28801 Medicare Provider #340002 North Shore University Hospital 300 Community Drive Manhasset, NY 11030 Medicare Provider #330105 Palmetto General Hospital 2001 West 68th Street Hialeah, FL 33016 Medicare Provider #100187 Rockford Memorial Hospital 2400 North Rockton Avenue Rockford, IL 61103 Medicare Provider #140239 Saint Francis Hospital 6161 South Yale Avenue Tulsa, OK 74136 Medicare Provider #370091 Sequoia Hospital 170 Alameda de las Pulgas Redwood City, CA 94062 Medicare Provider #050197 Seton Medical Center 1201 West 38th Street Austin, TX 78705–1056 Medicare Provider #450056 St. Alexius Medical Center 900 E. Broadway P.O. Box 5510 Bismark, ND 58506–5510 Medicare Provider #350002 St. John’s Regional Health Center 1235 East Cherokee Street Springfield, MO 65804–2263 Medicare Provider #260065 Tenet Health System d/b/a Piedmont Medical Center VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 222 South Herlong Avenue Rock Hill, SC 29732 Medicare Provider #420002 Theda Clark Medical Center 130 2nd Street P.O. Box 2021 Neenah, WI 54947–2021 Medicare Provider #520045 Trinity Medical Center West Campus 2701 17th Street Rock Island, IL 61201 Medicare Provider #140280 University of Connecticut Health Center John Dempsey Hospital 263 Farmington Avenue Farmington, CT 06030 Medicare Provider #070036 Washington Adventist Hospital 7600 Carroll Avenue Takoma Park, MD 29859 Medicare Provider #210016 June 20, 2005 Augusta Medical Center 78 Medical Center Drive Fisherville, VA 22939 Medicare Provider #490018 Deaconess Hospital Inc. 600 Mary Street Evansville, IN 47747 Medicare Provider #150082 Froedtert Memorial Lutheran Hospital 9200 West Wisconsin Avenue Milwaukee, WI 53226 Medicare Provider #520177 Greenville Memorial Hospital 701 Grove Road Greenville, SC 29605 Medicare Provider #420078 Heart Hospital of New Mexico 504 Elm Street NE. Albuquerque, NM 87102 North Arundel Hospital 301 Hospital Drive Glen Burnie, MD 21061 Medicare Provider #210043 Overlake Hospital Medical Center 1035 116th Avenue NE. Bellevue, WA 98004 Medicare Provider #050051 Penn State Milton S. Hershey Medical Center 500 University Drive Hershey, PA 17033 Medicare Provider #390256 Pomona Valley Hospital Medical Center 1798 North Garey Avenue Pomona, CA 91767 Medicare Provider #050231 Providence St. Peter Hospital 413 Lilly Road Northeast Olympia, WA 98506–5166 Medicare Provider #500024 Regional Medical Center Bayonet Point 14000 Fivay Road Hudson, FL 34667 Medicare Provider #100256 Saint Francis Hospital 5959 Park Avenue Memphis, TN 38199–5198 Medicare Provider #440183 Scripps Memorial Hospital La Jolla 9888 Genesee Avenue PO 00000 Frm 00070 Fmt 4703 Sfmt 4703 La Jolla, CA 92037 Medicare Provider #050324 Seven Rivers Regional Medical Center 6201 North Suncoast Blvd Crystal River, FL 34428–6712 Medicare Provider #100249 St. Anthony Hospital 1000 North Lee Street Oklahoma City, OK 73101 Medicare Provider #370037 St. Joseph’s Hospital and Medical Center 350 West Thomas Road Phoenix, AZ 85013 Medicare Provider #030024 University of Wisconsin Hospitals and Clinics 600 Highland Avenue Madison, WI 53792 Medicare Provider #520098 June 27, 2005 Atlanta Medical Center 303 Parkway Drive, NE. Atlanta, GA 30312–1212 Medicare Provider #110115 Bronson Methodist Hospital 601 John Street Kalamazoo, MI 49007 Medicare Provider #230017 Bryn Mawr Hospital 130 South Bryn Mawr Avenue Bryn Mawr, PA 19010 Medicare Provider #390139 Cleveland Clinic Hospital 3100 Weston Road Weston, FL 33331 Medicare Provider #100289 Lake Cumberland Regional Hospital 305 Langdon Street Somerset, KY 42503 Medicare Provider #180132 Memorial Hospital 1400 East Boulder Street Colorado Springs, CO 80909 Medicare Provider #060022 Menorah Medical Center 5721 West 119th Street Overland Park, KS 66209 Medicare Provider #170182 Methodist Medical Center of Illinois 221 Northeast Glen Oak Avenue Peoria, IL 61636–0002 Medicare Provider #014209 North Carolina Baptist Hospital Medical Center Blvd Winston-Salem, NC 27157 Medicare Provider #340047 Osceola Regional Medical Center 700 West Oak Street P.O. Box 458004 Kissimmee, FL 34745–8004 Medicare Provider #100110 Palm Beach Garden’s Medical Center 3360 Burns Road Palm Beach Gardens, FL 33410 Medicare Provider #100176 Presbyterian Healthcare Services P.O. Box 26666 Albuquerque, NM 87125–6666 Medicare Provider #320021 Providence Hospital 16001 West Nine Mile Road Southfield, MI 48075 E:\FR\FM\23SEN1.SGM 23SEN1 Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Notices Medicare Provider #230019 Saint Joseph Medical Center Creighton University Medical Center 601 North 30th Street Omaha, NE 68131–2197 Medicare Provider #280030 Shasta Regional Medical Center 1100 Butte Street Redding, CA 96001 Medicare Provider #050733 South Jersey Healthcare 1505 West Sherman Avenue Vineland, NJ 08360 Medicare Provider #310032 St. Joseph’s Hospital 69 West Exchange Street St. Paul, MN 55102 Medicare Provider #240063 St. Mary’s Hospital 1601 West St. Mary’s Road Tucson, AZ 85745 Medicare Provider #030010 Trident Medical Center 9330 Medical Plaza Drive Charleston, SC 29406 Medicare Provider #420079 University of Iowa Hospitals and Clinics Neurointerventional Radiology Department of Radiology 200 Hawkins Drive Iowa City, IA 52242 Medicare Provider #160058 Venice Regional Medical Center 540 The Rialto Venice, FL 34285 Medicare Provider #100070 Virginia Mason Medical Center 1100 Ninth Avenue P.O. Box 98111 Seattle, WA 98111 Medicare Provider #500005 WellStar Cobb Hospital 805 Sandy Plains Road Marietta, GA 30060 Medicare Provider #110143 WellStar Kennestone Hospital 805 Sandy Plains Road Marietta, GA 30060 Medicare Provider #110035 June 29, 2005 Arkansas Heart Hospital 1701 S. Shackleford Road Little Rock, AR 72211 Medicare Provider #040134 Baptist Healthcare of Oklahoma, Inc. d/b/a INTEGRIS Bass Baptist Health Center 600 S. Monroe P.O. Box 3168 Enid, OK 73702 Medicare Provider #370016 Boca Raton Community Hospital 800 Meadows Road Boca Raton, FL 33486 Medicare Provider #100168 Carolinas Medical Center 1000 Blythe Blvd Charlotte, NC 28203 Medicare Provider #340113 Decatur Memorial Hospital 2300 North Edward Street Decatur, IL 62526 Medicare Provider #140135 VerDate Aug<31>2005 15:21 Sep 22, 2005 Jkt 205001 Doctors Community Hospital 8118 Good Luck Road Lanham, MD 20706–3586 Medicare Provider #210051 Duke University Medical Center Department of Radiology P.O. Box 3808 Durham, NC 27710 Medicare Provider #340030 Heartland Health 5325 Faraon Street St. Joseph, MO 64506–3398 Medicare Provider #260006 INTEGRIS Baptist Medical Center, Inc. 3300 Northwest Expressway Oklahoma City, OK 73112 Medicare Provider #370028 Lehigh Valley Hospital Muhlenberg Campus 2545 Schoenersville Road Bethlehem, PA 18017 Medicare Provider #390263 McLaren Regional Medical Center 401 South Ballenger Highway Flint, MI 48532–3685 Medicare Provider #230141 Mountain States Health Alliance 400 North State of Franklin Road Johnson City, TN 37604–6094 Medicare Provider #440063 New York University Medical Center 550 First Avenue, HCC–15 New York, NY 10016–6481 Medicare Provider #330214 Overlook Hospital 99 Beauvoir Avenue P.O. Box 220 Summit, NJ 07802–0220 Medicare Provider #310051 Saint Marys Hospital 1216 Second Street S.W. Rochester, MN 55902 Medicare Provider #240010 Sarasota Memorial Hospital 1700 S. Tamiami Trail Sarasota, FL 34239 Medicare Provider #100087 Shands Hospital at the University of Florida P.O. Box 100326 Gainesville, FL 32610–0326 Medicare Provider #100113 Sisters of Charity Hospital 2157 Main Street Buffalo, NY 14214 Medicare Provider #330078 St. Luke’s Hospital 4202 Belfort Road Jacksonville, FL 32216–5898 Medicare Provider #100151 University Medical Center 602 Indiana Avenue Lubbock, TX 79415 Medicare Provider #450686 Vanderbilt University Medical Center D–3300 Medical Center North Nashville, TN 37232–2104 Medicare Provider #440039 West Virginia University Hospitals, Inc. Medical Center Drive P.O. Box 8059 Morgantown, WV 36506 PO 00000 Frm 00071 Fmt 4703 Sfmt 4703 55885 Medicare Provider #510001 [FR Doc. 05–18926 Filed 9–22–05; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–8026–N] RIN 0938–AO00 Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for Calendar Year 2006 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: SUMMARY: This notice announces the inpatient hospital deductible and the hospital and extended care services coinsurance amounts for services furnished in calendar year (CY) 2006 under Medicare’s Hospital Insurance program (Medicare Part A). The Medicare statute specifies the formulae used to determine these amounts. For CY 2006, the inpatient hospital deductible will be $952. The daily coinsurance amounts for CY 2006 will be: (a) $238 for the 61st through 90th day of hospitalization in a benefit period; (b) $476 for lifetime reserve days; and (c) $119.00 for the 21st through 100th day of extended care services in a skilled nursing facility in a benefit period. EFFECTIVE DATE: This notice is effective on January 1, 2006. FOR FURTHER INFORMATION CONTACT: Clare McFarland, (410) 786–6390. For case-mix analysis only: Gregory J. Savord, (410) 786–1521. SUPPLEMENTARY INFORMATION: I. Background Section 1813 of the Social Security Act (the Act) provides for an inpatient hospital deductible to be subtracted from the amount payable by Medicare for inpatient hospital services furnished to a beneficiary. It also provides for certain coinsurance amounts to be subtracted from the amounts payable by Medicare for inpatient hospital and extended care services. Section 1813(b)(2) of the Act requires us to determine and publish, between September 1 and September 15 of each year, the amount of the inpatient hospital deductible and the hospital and extended care services coinsurance amounts applicable for services E:\FR\FM\23SEN1.SGM 23SEN1

Agencies

[Federal Register Volume 70, Number 184 (Friday, September 23, 2005)]
[Notices]
[Pages 55863-55885]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-18926]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9032-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--April Through June 2005

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 April 2005 through June 2005, 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. Finally, this notice 
includes a list of Medicare-approved carotid stent 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 have a specific information need and not be able to determine 
from the listed information whether the issuance or regulation would 
fulfill that need. Consequently, we are providing information contact 
persons to answer general questions concerning these items. Copies are 
not available through the contact persons. (See Section III of this 
notice for how to obtain listed material.)
    Questions concerning items in Addendum III may be addressed to 
Timothy Jennings, 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) 
786-2134.
    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, S3-26-
10, 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 Jim Wickliffe, Office 
of Strategic Operations and Regulatory Affairs,

[[Page 55864]]

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) 786-4596.
    Questions concerning Medicare-approved carotid stent facilities 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 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 eight 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's standards 
for performing carotid artery stenting for high risk patients.

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: https://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,

[[Page 55865]]

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 https://www.gpoaccess.gov/fr/, by using local WAIS client 
software, or by telnet to swais.gpoaccess.gov, then log in as guest (no 
password required). Dial-in users should use communications software 
and modem to call (202) 512-1661; type swais, then log in as guest (no 
password required).

C. Rulings

    We publish rulings on an infrequent basis. Interested individuals 
can obtain copies from the nearest CMS Regional Office or review them 
at the nearest regional depository library. We have, on occasion, 
published rulings in the Federal Register. Rulings, beginning with 
those released in 1995, are available online, through the CMS Home 
Page. The Internet address is https://cms.hhs.gov/rulings.

D. CMS' Compact Disk-Read Only Memory (CD-ROM)

    Our laws, regulations, and manuals are also available on CD-ROM and 
may be purchased from GPO or NTIS on a subscription or single copy 
basis. The Superintendent of Documents list ID is HCLRM, and the stock 
number is 717-139-00000-3. The following material is on the CD-ROM 
disk:
     Titles XI, XVIII, and XIX of the Act.
     CMS-related regulations.
     CMS manuals and monthly revisions.
     CMS program memoranda.
    The titles of the Compilation of the Social Security Laws are 
current as of January 1, 1999. (Updated titles of the Social Security 
Laws are available on the Internet at https://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 NCD publication titled 
``Percutaneous Transluminal Angioplasty,'' use CMS-Pub. 100-03, 
Transmittal No. 33.


(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714, 
Medical Assistance Program)
    Dated: September 6, 2005.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.

Addendum I

    This addendum lists the publication dates of the most recent 
quarterly listings of program issuances.

March 28, 2003 (68 FR 15196)
June 27, 2003 (68 FR 38359)
September 26, 2003 (68 FR 55618)
December 24, 2003 (68 FR 74590)
March 26, 2004 (69 FR 15837)
June 25, 2004 (69 FR 35634)
September 24, 2004 (69 FR 57312)
December 30, 2004 (69 FR 78428)
February 25, 2005 (70 FR 9338)
June 24, 2005 (70 FR 36620)

Addendum II--Description of Manuals, Memoranda, and CMS Rulings

    An extensive descriptive listing of Medicare manuals and memoranda 
was published on June 9, 1988, at 53 FR 21730 and supplemented on 
September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR 
50577. Also, a complete description of the former CIM (now the NCDM) 
was published on August 21, 1989, at 54 FR 34555. A brief description 
of the various Medicaid manuals and memoranda that we maintain was 
published on October 16, 1992, at 57 FR 47468.

        Addendum III.--Medicare and Medicaid Manual Instructions
                        [April Through June 2005]
------------------------------------------------------------------------
   Transmittal  No.              Manual/Subject/Publication No.
------------------------------------------------------------------------
                      Medicare General Information
                           (CMS--Pub. 100-01)
------------------------------------------------------------------------
20....................  Medicare Authorization to Disclose Personal
                         Health Information Form and Information to Help
                         You Fill Out the Medicare Authorization to
                         Disclose Personal Health Information Form.
21....................  Removal of Medicare Number from Reimbursement
                         Checks.
22....................  Provider Extract File.
23....................  Procedures for Modifying Shared Systems Edits
                         and Capturing Audit Trail Data.
24....................  2005 Scheduled Release for July Updates to
                         Software Programs and Pricing/Coding Files.
-----------------------

[[Page 55866]]

 
                         Medicare Benefit Policy
                           (CMS--Pub. 100-02)
------------------------------------------------------------------------
31....................  List of Medicare Telehealth Services
                        Telehealth Services.
                        Payment for End-Stage Renal Disease-Related
                         Services as a Telehealth Service Originating
                         Site Facility Fee Payment (End-Stage Renal
                         Disease-Related Services).
32....................  This Transmittal is rescinded and replaced by
                         Transmittal 33.
33....................  Issued to a specific audience, not posted to the
                         Internet/Intranet due to the Confidentiality of
                         Instruction.
34....................  This Transmittal is rescinded and replaced by
                         Transmittal 36.
35....................  Automated Multi-Channel Chemistry for Continuous
                         Ambulatory Peritoneal Dialysis and Non-
                         Continuous Ambulatory Peritoneal Dialysis
                         Patients.
36....................  Pub. 100-02, Chapter 15, Section 220 and 230
                         Therapy Services.
                        Coverage of Outpatient Rehabilitation Therapy
                         Services (Physical Therapy, and Speech-Language
                         Pathology Services) Under Medical Insurance.
                        Conditions of Coverage and Payment for
                         Outpatient Physical Therapy, Occupational
                         Therapy or Speech-Language Pathology Services.
                        Outpatient Therapy Must be Under the Care of a
                         Physician/Non physician Practitioners (Orders/
                         Referrals and Need for Care).
                        Plans of Care for Outpatient Physical Therapy,
                         Occupational Therapy, or Speech-Language
                         Pathology Services.
                        Certification and Recertification of Need for
                         Treatment and Therapy Plans of Care.
                        Requirement that Services Be Furnished on an
                         Outpatient Basis.
                        Reasonable and Necessary Outpatient
                         Rehabilitation Therapy Services.
                        Practice of Physical Therapy, Occupational
                         Therapy, and Speech-Language Pathology.
                        Practice of Physical Therapy.
                        Practice of Occupational Therapy.
                        Practice of Speech-Language Pathology.
                        Services Furnished by a Physical or Occupational
                         Therapist in Private Practice.
                        Physical Therapy, Occupational Therapy, and
                         Speech-Language Pathology.
                        Services Provided Incident to the Services of
                         Physicians and Non-physician Practitioners.
                        Therapy Services Furnished Under Arrangements
                         with Providers and Clinics.
-----------------------
                Medicare National Coverage Determinations
                           (CMS--Pub. 100-03)
------------------------------------------------------------------------
31....................  Positron Emission Tomography (PET) for Brain,
                         Cervical, Ovarian, Pancreatic, Small Cell Lung,
                         and Testicular Cancers.
                        PET Scans.
                        PET for Perfusion of the Heart.
                        FDG PET for Lung Cancer.
                        FDG PET for Esophageal Cancer.
                        FDG PET for Colorectal Cancer.
                        FDG PET for Lymphoma.
                        FDG PET for Melanoma.
                        FDG PET for Head and Neck Cancers.
                        FDG PET for Myocardial Viability.
                        FDG PET for Refractory Seizures.
                        FDG PET for Breast Cancer.
                        FDG PET for Thyroid Cancer.
                        FDG PET for Soft Tissue Sarcoma.
                        FDG PET for Dementia and Neurodegenerative
                         Diseases.
                        FDG PET for Brain, Cervical, Ovarian,
                         Pancreatic, Small Cell Lung, and Testicular
                         Cancers.
                        FDG PET for All Other Cancer Indications Not
                         Previously Specified.
32....................  Autologous Stem Cell Transplantation.
                        Stem Cell Transplantation.
33....................  Percutaneous Transluminal Angioplasty.
34....................  Abarelix for the Treatment of Prostate Cancer.
35....................  Continuous Positive Airway Pressure Therapy for
                         Obstructive Sleep Apnea.
36....................  Smoking and Tobacco-Use Cessation Counseling.
37....................  Mobility Assistive Equipment.
                        Durable Medical Equipment Reference List.
38....................  Coverage of Colorectal Anti-Cancer Drugs
                         Included in Clinical Trials Anti-Cancer
                         Chemotherapy for Colorectal Cancer.
39....................  Cochlear Implantation.
40....................  Coverage of Aprepitant for Chemotherapy-Induced
                         Emesis.
41....................  Osteogenic Stimulators.
-----------------------
                       Medicare Claims Processing
                           (CMS Pub. 100--04)
------------------------------------------------------------------------
515...................  Update to 100-04 and Therapy Code Lists.
                        Health Common Procedure Coding System Coding
                         Requirement.
                        Part B Outpatient Rehabilitation and
                         Comprehensive Outpatient Rehabilitation.

[[Page 55867]]

 
                        Facility Services--General.
                        Discipline Specific Outpatient Rehabilitation
                         Modifiers--All Claims.
                        The Financial Limitation.
                        Reporting of Service Units With Health Common
                         Procedure Coding System--Form CMS-1500 and Form
                         CMS-1450.
516...................  Clarification for Outpatient Prospective Payment
                         System Hospitals Billing.
                        Initial Preventive Exam.
                        Outpatient Prospective Payment System Hospitals
                         Billing.
                        Advanced Beneficiary Notice as Applied to the
                         IPPE.
517...................  List of Medicare Telehealth Services.
                        Submission of Telehealth Claims for Distant Site
                         Practitioners.
                        Carrier Editing of Telehealth Claims.
518...................  This Transmittal is rescinded and replaced by
                         Transmittal 527.
519...................  This Transmittal is rescinded and replaced by
                         Transmittal 525.
520...................  Payment Policy Clarification Regarding the
                         Healthcare Common Procedure.
                        Coding System Q3001 Performed in an Ambulatory
                         Surgery Center.
521...................  Hemophilia Blood Clotting Factors.
                        Billing for Hemophilia Clotting Factors.
522...................  Issued to a specific audience, not posted to
                         Internet/Intranet due to Confidentiality of
                         Instruction.
523...................  Implementation of the Physician Scarcity Area
                         and Revision to the Health Professional
                         Shortage Area Payment to a Critical Access
                         Hospital.
524...................  Clarification to the Health Professional
                         Shortage Area Language in the Medicare Claims
                         Processing Manual.
                        Services Eligible for Health Professional
                         Shortage Area and Physician Scarcity Bonus
                         Payments.
525...................  Flu/PPV Revisions.
                        Billing Requirements.
                        Healthcare Common Procedural Coding System and
                         Diagnosis Codes.
                        Carrier Payment Requirements.
                        Roster Claims Submitted to Carriers for Mass
                         Immunization.
                        Centralized Billing for Flu and Pneumococcal
                         (PPV) Vaccines to Medicare.
                        Common Working File Edits.
                        Common Working File Edits on Carrier Claims.
526...................  Updated Requirements for Autologous Stem Cell
                         Transplantation.
                        Autologous Stem Cell Transplantation.
                        Billing for Stem Cell Transplantation.
                        Stem Cell Transplantation.
                        Health Common Procedure Coding System and
                         Diagnosis Coding Non-Covered Conditions.
527...................  New Coding for FDG PET Scans and Billing
                         Requirements for Specific.
                        Indications of Cervical Cancer.
                        Positron Emission Tomography Scans--General
                         Information.
                        Billing Instructions.
                        Use of Gamma Cameras and Full Ring and Partial
                         Ring Pet Scanners for Positron Emission
                         Tomography Scans.
                        Positron Emission Tomography Scan Qualifying
                         Conditions and Health.
                        Common Procedure Coding System/Common Procedural
                         Terminology Code Chart.
                        Appropriate Common Procedural Terminology Codes
                         Effective for Positron.
                        Emission Tomography Scan Services Performed on
                         or After January 28, 2005.
                        Expanded Coverage of Positron Emission
                         Tomography Scans for Breast Cancer Effective
                         for Services on or After October 1, 2002.
                        Coverage of Positron Emission Tomography Scans
                         for Thyroid Cancer.
                        Coverage of Positron Emission Tomography Scans
                         for Dementia and Neurodegenerative Diseases.
                        Billing Requirements for Positron Emission
                         Tomography Scans for Specific Indications of
                         Cervical Cancer for Services Performed on or
                         After January 28, 2005.
                        Billing Requirements for Positron Emission
                         Tomography Scans for Non-Covered Conditions.
528...................  July 2005 Quarterly Average Sales Price (ASP)
                         Medicare Part B Drug Pricing File, Effective
                         July 1, 2005.
529...................  Update to Current National Uniform Billing
                         Committee Codes.
                        General Instructions for Completion of Form CMS-
                         1450 for Billing.
530...................  Billing Requirements for Physician Services
                         Rendered in Method II Critical Access Hospital.
                        Payment for Inpatient Services Furnished by a
                         Critical Access Hospital.
                        Optional Method for Outpatient Services: Cost-
                         Based Facility Services Plus 115 Percent Fee
                         Schedule Payment for Professional Services.
                        Billing and Payment in a Physician Scarcity
                         Area.
531...................  Percutaneous Transluminal Angioplasty (Effective
                         March 17, 2005).
532...................  Abarelix for Treatment of Prostate Cancer.
533...................  Modification to the Common Working File (CWF)
                         Edit Process for Non-Assigned Medicaid
                         Coordination of Benefits Agreement (COBA)
                         Crossover Claims.
                        Consolidated Claims Crossover Process.
534...................  Changes to the Laboratory National Coverage
                         Determination Edit Software for July 2005.
535...................  Modification to Appeals Language on Medicare
                         Summary Notice.
                        Appeals Section.
                        Back of the Medicare Summary Notice--Carriers
                         and Intermediaries.
                        Carrier Spanish Medicare Summary Notice Back.
                        Intermediary Spanish MSN Back.

[[Page 55868]]

 
536...................  July Quarterly Update for 2005 Durable Medical
                         Equipment, Prosthetics, Orthotics & Supplies
                         Fee Schedule.
537...................  Instructions for Downloading the Medicare Zip
                         Code File.
538...................  New Waived Tests.
539...................  Expansion of Various Alpha and Numeric Fields
                         with in the Outpatient Prospective Payment
                         System Outpatient Code Editor.
540...................  Addition to Chapter 6 of the Claims Processing
                         Manual--Skilled Nursing Facility Inpatient Part
                         A Billing: SNF Prospective Payment System
                         Pricer Software.
                        Skilled Nursing Facility Prospective Payment
                         System Pricer Software Input/Output Record
                         Layout.
                        Skilled Nursing Facility Prospective Payment
                         System Rate Components Decision Logic Used by
                         the Pricer on Claims.
                        Annual Updates to the Skilled Nursing Facility
                         Pricer.
541...................  Correction to the use of Group Codes for The
                         Enforcement of Mandatory Electronic Submission
                         of Medicare Claims Enforcement.
542...................  Modification of Roster Billing for Mass
                         Immunizers Billing for Inpatient Part B
                         Services (Type of Bills 12x and 22x).
                        Claims Submitted to Intermediaries for Mass
                         Immunizations of Influenza and PPV.
543...................  Healthcare Provider Taxonomy Code Update.
544...................  Modification of FISS Edits for Colorectal Cancer
                         Screening Services (HCPCS Codes G0104, G0106,
                         G0107, G0120, and G0328) Furnished at Skilled
                         Nursing Facilities.
                        Common Working Files Edits.
545...................  The Teaching Adjustment for Inpatient
                         Psychiatric Facility Prospective Payment
                         System.
546...................  Number of Durable Medical Equipment Prosthetic,
                         Orthotic & Supplies Pricing Files That Must Be
                         Maintained Online for Medicare--Durable Medical
                         Equipment Regional Carrier, Fiscal Intermediary
                         and Regional Home Health Intermediary Only.
                        Online Pricing Files for Durable Medical
                         Equipment Prosthetic, Orthotics & Supplies.
547...................  This Transmittal is rescinded and replaced by
                         Transmittal 556.
548...................  New Healthcare Common Procedure Coding System
                         (HCPCS) Codes and Systems Edits for Supplies
                         and Accessories for Ventricular Assist Devices.
549...................  Update to the Place of Service Code Set to Add a
                         Code for Pharmacy Place of Service Codes and
                         Definitions.
550...................  Issued to a specific audience, not posted to
                         Internet/Intranet due to Confidentiality of
                         Instruction.
551...................  Dispensing/Supply Fee Code, Payment, and Common
                         Working File Editing for Immunosuppressive
                         Drugs.
                        Pharmacy Supplying Fee.
552...................  Changing the Order of Medicare System Edits
                         Affecting Hospice Claims.
                        Submitting Bills In Sequence for a Continuous
                         Inpatient Stay or Course of Treatment.
553...................  Expansion of State Codes for Office of Standard
                         & Certification Automated Retrieval System
                         Provider Numbers.
554...................  Issued to a specific audience, not posted to
                         Internet/Intranet due to Sensitivity of
                         Instruction.
555...................  Fiscal Intermediary Reporting of Add-on-Payments
                         That Do Not Result in a Specific Increase or
                         Decrease in the Amount Reported as Payable for
                         a Claim Or a Service on a Remittance Advice.
                        General Remittance Completion Requirements.
556...................  Revision to the Health Professional Shortage
                         Area and Physician Scarcity Area Payment Rules.
                        Services Eligible for Health Professional
                         Shortage Area and Physician Scarcity Bonus
                         Payments.
557...................  This Transmittal is rescinded and replaced by
                         Transmittal 566.
558...................  July Update to the 2005 Medicare Physician Fee
                         Schedule Database.
559...................  Override of Automated Health Professional
                         Shortage Area and/or Physician Scarcity Area
                         Bonus Payments for Globally Billed Services.
560...................  Issued to a specific audience, not posted to
                         Internet/Intranet due to Confidentiality of
                         Instruction.
561...................  New April 2005 Quarterly ASP Medicare Part B
                         Drug Pricing File and Revisions to January 2005
                         Quarterly ASP Medicare Part B Drug Pricing
                         File.
562...................  Smoking and Tobacco-Use Cessation Counseling
                         Services.
                        Health Common Procedure Coding System and
                         Diagnosis Coding.
                        Carrier Billing Requirements.
                        Fiscal Intermediary Billing Requirements.
                        Remittance Advice Notices.
                        Medicare Summary Notices.
                        Post-Payment Review for Smoking and Tobacco-Use
                         Cessation Counseling Services.
563...................  Quarterly Update to Correct Coding Initiative
                         (CCI) Edits, Version 11.2, Effective July 1,
                         2005.
564...................  July Update to the Medicare Outpatient Code
                         Editor (OCE) Version 20.3 for Bills From
                         Hospitals That Are Not Paid Under The
                         Outpatient Prospective Payment System.
565...................  This Transmittal is rescinded and replaced by
                         Transmittal 583.
566...................  This Transmittal is rescinded and replaced by
                         Transmittal 573.
567...................  Coverage of Colorectal Anti-Cancer Drugs
                         Included in Clinical Trials.
568...................  July Quarterly Update to 2005 Annual Update of
                         Health Common Procedure Codes System Codes Used
                         for Skilled Nursing Facility Consolidated
                         Billing Enforcement.
569...................  This Transmittal is rescinded and replaced by
                         Transmittal 572.
570...................  Common Working File: Addition of Disease
                         Management Auxiliary File.
571...................  This Transmittal is rescinded and replaced by
                         Transmittal 575.
572...................  July 2005 Outpatient Prospective Payment System
                         Code Editor Specifications Version 6.2.
573...................  Clarifying Manual Instructions for Coding and
                         Payment for Drug Administration Under the
                         Hospital Outpatient Prospective Payment System.
                        Billing and Payment for Drugs and Drug
                         Administration.
                        Coding and Payment for Drugs and Biologicals.
                        Separately Payable Drugs.
                        Packaged Drugs.
                        Pass-Through Drugs.
                        Non-Pass Through Drugs.

[[Page 55869]]

 
                        Coding and Payment for Drug Administration.
                        General.
                        Administration of Chemotherapy Drugs by
                         Infusion.
                        Administration of Chemotherapy Drugs by a Route
                         Other Than Infusion.
                        Administration of Non-Chemotherapy Drugs by
                         Infusion.
                        Administration of Non-Chemotherapy Drugs by a
                         Route Other Than Infusion.
                        Use of Modifier 59.
                        Billing for Infusion Hours.
574...................  Mobility Assistive Equipment.
575...................  New Remittance Advice Message for Referred
                         Clinical Diagnostic/Purchased Diagnostic
                         Service Duplicate Claims.
576...................  Correction to Chapter 17, Section 80.2.3, MSN/
                         ANSI X12N Denial Message for Anti-Emetic Drugs.
577...................  This Transmittal is rescinded and replaced by
                         Transmittal 594.
578...................  Update-Long Term Care Hospital Prospective
                         Payment System Rate Year 2006.
                        Provider Specific File.
                        Facility Level Adjustments.
                        Inputs/Outputs to Pricer.
579...................  Update to the National Council for Prescription
                         Drug Program Batch Standard 1.1 Billing Request
                         Companion Document.
580...................  New Healthcare Common Procedure Coding System
                         (HCPCS) Drug Codes.
581...................  This Transmittal is rescinded and replaced by
                         Transmittal 587.
582...................  New Remittance Advice (RA) Message for Referred
                         Clinical Diagnostic/Purchased Diagnostic
                         Service Duplicate Claims.
583...................  Access Process for HIPAA 270/271.
                        X12N Health Care Eligibility Benefit Inquiry and
                         Response 270/271.
                        Implementation.
                        Background.
                        Eligibility Workflow.
                        Health Care Claim Status Category Codes and
                         Health Care Codes for Use with The Health Care
                         Claim Status Request and Response ASC X12N 276/
                         277.
584...................  Update of Health Common Procedure Coding System
                         Codes and File Names, Descriptions and
                         Instructions for Retrieving the 2005 Ambulatory
                         Surgery Center Health Common Procedure Coding
                         System Additions, Deletions and Master Listing.
585...................  This Transmittal is rescinded and replaced by
                         Transmittal 599.
586...................  Modifications to the National Coordination of
                         Benefits Agreement File.
                        Transfer and Financial Reporting Processes.
                        Consolidation of the Claims Crossover Process.
                        Coordination of Benefits Agreement Detailed
                         Error Notification Process.
587...................  New Location for Contractor ID Number on
                         Medicare Summary Notices.
                        Title Section of the Medicare Summary Notice.
588...................  Coverage of Colorectal Anti-Cancer Drugs
                         Included in Clinical Trials.
589...................  Cochlear Implantation.
                        Billing Requirements for Expanded Coverage of
                         Cochlear Implantation.
                        Intermediary Billing Procedures.
                        Applicable Bill Types.
                        Special Billing Requirements for Intermediaries.
                        Intermediary Payment Requirements.
                        Carrier Billing Procedures.
                        Healthcare Common Procedural Coding System.
590...................  Aprepitant for Chemotherapy-Induced Emesis.
                        Oral Anti-Emetic Drugs Used as Full Replacement
                         for Intravenous Anti-Emetic.
                        Drugs as Part of a Cancer Chemotherapeutic
                         Regimen.
                        Health Common Procedure Coding System Codes for
                         Oral Anti-Emetic Drugs.
                        Billing and Payment Instructions for Fiscal
                         Intermediaries.
591...................  Medicare Contractor Annual Update of the
                         International Classification of Diseases, Ninth
                         Revision, Clinical Modification.
592...................  Social Security Administration Data for
                         Incarcerated Beneficiaries.
593...................  Disposition of Misdirected Claims to the
                         Carrier.
                        A Local Carrier Receives a Claim for a United
                         Mine Workers of America Beneficiary.
594...................  Preliminary Instructions: Expedited
                         Determinations/Reviews for Original Medicare.
                        Coordination With the Quality Improvement
                         Organization.
                        Limitation on Liability (LOL) Under Sec.   1879
                         Where Medicare Claims Are Disallowed.
                        Hospital-Issued Notices of Noncoverage.
                        Determining Beneficiary Liability in Claims for
                         Ancillary and Outpatient Services.
                        Application of Limitation on Liability to
                         Skilled Nursing Facility and Hospital Claims
                         for Services Furnished in Noncertified or
                         Inappropriately Certified Beds.
                        Determining Liability for Services Furnished in
                         a Noncertified Skilled Nursing Facility or
                         Hospital Bed.
595...................  This Transmittal is rescinded and replaced by
                         Transmittal 598.
596...................  Indian Health Service or Tribal Hospitals
                         Including Critical Access Hospital Payment
                         Methodology for Inpatient Social Admissions and
                         Outpatient Services Occurring During Concurrent
                         Stays.
597...................  Coverage and Billing for Ultrasound Stimulation
                         for Nonunion Fracture Healing Coverage
                         Requirements.
                        Intermediary Billing Requirements.
                        Bill Types.
                        Carrier and Intermediary Billing Instructions.
                        Durable Medical Equipment Regional Carrier
                         Billing Instructions.

[[Page 55870]]

 
598...................  Implementation of Carrier Guidelines for End
                         Stage Renal Disease.
                        Reimbursement for Automated Multi-Channel
                         Chemistry Tests.
                        (Supplemental to Change Request 2813).
                        Automated Multi-Channel Chemistry Tests for End
                         Stage Renal Disease.
                        Beneficiaries--Fiscal Intermediaries.
                        Claims Processing for Separately Billable Tests
                         for End Stage Renal Disease Beneficiaries.
599...................  July 2005 Update of the Hospital Outpatient
                         Prospective Payment System.
600...................  New Healthcare Common Procedure Coding System
                         Drug Codes.
-----------------------
                        Medicare Secondary Payer
                           (CMS--Pub. 100-05)
------------------------------------------------------------------------
28....................  Working Aged Exception for Small Employers in
                         Multi-Employer Group Health Plans.
29....................  Assignment of Non-Payment/Denial Code Specific
                         to the Recovery Audit Contractor Created Group
                         Health Plan Occurrences.
                        Identification of Recovery Audit Contractor
                         Created Group Health Plan Records.
30....................  Process to Address Freedom of Information and
                         Subpoena Requests.
                        Handling Freedom of Information and Subpoena
                         Duces Tecum Received In the Medicare Secondary
                         Payer Units .
-----------------------
                      Medicare Financial Management
                           (CMS--Pub. 100-06)
------------------------------------------------------------------------
67....................  Notice of New Interest Rate for Medicare
                         Overpayments and Underpayments.
68....................  Instructions for Affiliated Contractors Involved
                         in the Recovery Audit Contractor Demonstration.
                        Affiliated Contractor and Program Safeguard
                         Contractor Interaction with the Non-Medicare
                         Secondary Payer Recovery Audit Contractors.
                        Non-Medicare Secondary Payer Recovery Audit
                         Contractors.
                        Program Safeguard Contractor Communication with
                         the Recovery Audit Contractors.
                        Overview of the Recovery Audit Contractor
                         Process.
                        Full Program Safeguard Contractor Requirements
                         Surrounding Recovery.
                        Audit Contractor Non-Medicare Secondary Payer
                         Identification Process.
                        Providing Suppressed Cases to the Recovery Audit
                         Contractor Database.
                        Adjusting the Claim.
                        Disputing/Disagreeing with a Recovery Audit
                         Contractor Decision.
                        Handling Overpayment and Underpayments Resulting
                         from the Recovery.
                        Audit Contractor Findings.
                        Underpayments.
                        Setting up an Accounts Receivable.
                        Recoupments Received on a Recovery Audit
                         Contractor Initiated Overpayment.
                        Extended Repayments Received on a Recovery Audit
                         Contractor Initiated Overpayment.
                        Handling Appeals Resulting from Recovery Audit
                         Contractor Initiated Denials.
                        Referrals to the Department of Treasury.
                        Tracking Overpayments and Appeals.
                        Tracking Overpayments.
                        Tracking Appeals.
                        Reporting Administrative Costs Directly
                         Associated with the Recovery Audit.
                        Contractor Demonstration Project.
                        Potential Fraud.
                        Affiliated Contractor/Full Program Safeguard
                         Contractor Requirements.
                        Involving Recovery Audit Contractor Information
                         Dissemination.
                        Contacting Non-Responders.
                        Voluntary Refunds.
                        Working with the Recovery Audit Contractor
                         Evaluation Contractor.
69....................  Update to Debt Collection System (DCS) User
                         Guide .
-----------------------
                    Medicare State Operations Manual
                           (CMS--Pub. 100-07)
------------------------------------------------------------------------
06....................  Expansion of State Codes for OSCAR Provider
                         Numbers.
                        Provider Identification Number.
                        Home Health Agency Branch Identification
                         Numbers.
                        Outpatient Physical Therapy Extension
                         Identification Numbers.
07....................  This Transmittal is rescinded and replaced by
                         Transmittal 8.
08....................  Revision of Appendix PP--Section 483.25(d)--
                         Urinary Incontinence, Tags F315 and F316.
-----------------------
                       Medicare Program Integrity
                           (CMS--Pub. 100-08)
------------------------------------------------------------------------
107...................  Updated Chapter 1 to Reflect Changes in Program
                         Requirements.
                        Types of Claims for Which Contractors Are
                         Responsible.
                        Quality of Care Issues.

[[Page 55871]]

 
                        The Medicare Medical Review Program.
                        Goal of the Medical Review Program.
                        Medical Review Manager.
                        Annual Medical Review/Local Provider Education
                         Training Strategy.
                        Data Analysis and Information Gathering.
                        Problem Identification & Prioritization.
                        Intervention Planning.
                        Program Management.
                        Budget and Workload Management.
                        Staffing and Workforce Management.
                        Local Provider Education and Training Program.
                        Local Provider Education Training Activities.
                        One-on-One Provider Education.
                        Education Delivered to a Group of Providers.
                        Education Delivered via Electronic Media.
                        Description of Methods of Education.
                        Proactive Local Educational Meetings.
                        Comprehensive Educational Interventions.
                        Comparative Billing Report Education.
                        Frequently Asked Question Regarding Local
                         Education Issues.
                        Bulletin Articles/Advisories Regarding Local
                         Education Issues.
                        Scripted Response Documents on Local Education
                         Issues.
                        Local Provider Education Training Staff.
108...................  Change in Statistical Sampling Instructions.
                        General Purpose.
                        The Purpose of Statistical Sampling.
                        Steps for Conducting Statistical Sampling.
                        Determining When Statistical Sampling May be
                         Used.
                        Consultation With a Statistical Expert.
                        Use of Other Sampling Methodologies.
                        Probability Sampling.
                        Selection of Period for Review.
                        Defining the Universe, the Sampling Unit, and
                         the Sampling Frame.
                        Composition of the Universe.
                        The Sampling Unit.
                        Stratified Sampling.
                        Cluster Sampling.
                        Random Number Selection.
                        Determining Sample Size.
                        Documentation of Sampling Methodology.
                        Documentation of Universe and Frame.
                        Worksheets.
                        Informational Copies to GTL, Co-GTL, SME or CMS
                         RO.
                        The Point Estimate.
                        Actions Performed Following Selection of
                         Provider or Supplier and Sample.
                        Notification of Provider or Supplier of the
                         Review and Selection of the Review Site
                        Written Notification of the Review.
                        Determining Review Site.
109...................  Updated Standard System Changes for Provider
                         Enrollment Chain Ownership System and Multi-
                         Carrier System.
110...................  Revise CERT Shared Systems Modules to Retrieve
                         Claims Files Using Only Internal Control Number
                         as a Key.
111...................  Revising the Fiscal Intermediary Standard System
                         Shared System.
112...................  Requirement that Part B/Carriers Submit All
                         Provider Addresses to the Comprehensive Error
                         Rate Testing Program Contractor.
113...................  Shared System Maintainer Hours for PECOS
                         Problems and/or Implementation Changes.
114...................  Change in Statistical Sampling Instructions.
                        General Purpose.
                        The Purpose of Statistical Sampling.
                        Steps for Conducting Statistical Sampling.
                        Determining When Statistical Sampling May Be
                         Used.
                        Consultation With a Statistical Expert.
                        Use of Other Sampling Methodologies.
                        Probability Sampling.
                        Selection of Period for Review.
                        Defining the Universe, the Sampling Unit, and
                         the Sampling Frame.
                        Composition of the Universe.
                        The Sampling Unit.
                        Stratified Sampling.
                        Cluster Sampling......
                        Random Number Selection.
                        Determining Sample Size.
                        Documentation of Sampling Methodology.

[[Page 55872]]

 
                        Documentation of Universe and Frame.
                        Worksheets.
                        Informational Copies to GTL, Co-GTL, SME or CMS
                         RO.
                        The Point Estimate.
                        Actions Performed Following Selection of
                         Provider or Supplier and Sample.
                        Notification of Provider or Supplier of the
                         Review and Selection of the Review Site.
                        Written Notification of the Review.
                        Determining Review Site.
-----------------------
       Medicare Contractor Beneficiary and Provider Communications
                           (CMS--Pub. 100-09)
------------------------------------------------------------------------
09....................  Additions and Corrections to Provider Inquiry
                         and Provider Communications Program
                         Requirements.
10....................  This Transmittal is rescinded and replaced by
                         Transmittal 11.
11....................  FY 2005 Beneficiary Telephone Customer Services.
                        Beneficiary Services.
                        Guidelines for Beneficiary Telephone Services
                         (Activity Code 13005).
                        Toll Free Network Services.
                        Publication of Toll Free Numbers.
                        Call Handling Requirements.
                        Customer Service Assessment and Management
                         System Reporting Requirements.
                        Customer Service Representative Training.
                        Quality Call Monitoring.
                        Disclosure of Information (Adherence to the
                         Privacy Act and the Health Insurance
                         Portability and Accountability Act Privacy
                         Rule).
                        Second Level Screening of Beneficiary and
                         Provider Inquiries (Activity Code 13201).
                        Second Level Screening of Provider Inquiries
                         (Miscellaneous Code 13201/01).
                        Medicare Customer Service Next Generation
                         Desktop.
                        Publication Requests.
                        Medicare Participating Physicians and Suppliers
                         Directory.
                        Transfer of Part A Telephone/Written Inquiries
                         Workload.
                        Guidelines for Handling Beneficiary Written
                         Inquiries (Activity Code 13002).
                        Contractor Guidelines for High Quality Written
                         Responses to Inquiries Surveys.
                        Guidelines for High Quality Walk-In Services.
                        Customer Service Plans (Activity Code 13004).
                        Beneficiary Internet Web Sites.
-----------------------
                          Medicare Managed Care
                           (CMS--Pub. 100-16)
------------------------------------------------------------------------
00....................  None.
-----------------------
               Medicare Business Partners Systems Security
                           (CMS--Pub. 100-17)
------------------------------------------------------------------------
00....................  None
-----------------------
                             Demonstrations
                           (CMS--Pub. 100-19)
------------------------------------------------------------------------
22....................  Assignment of Non-Payment/Denial Code Specific
                         to the Recovery Audit Contractor Created Group
                         Health Plan Occurrences.
23....................  This Transmittal is rescinded and replaced by
                         25.
24....................  Instructions for Affiliated Contractors Involved
                         in the Recovery Audit Contractor Demonstration.
25....................  Low Vision Rehabilitation Demonstration.
-----------------------
                          One Time Notification
                           (CMS--Pub. 100-20)
------------------------------------------------------------------------
147...................  Medicare Health Insurance Portability &
                         Accountability Act Electronic Claims Report--
                         Second Reporting Timeframe Extension.
148...................  Revised Coding Guidelines for Drug
                         Administration Codes.
149...................  Requirements for Voided, Canceled, and Deleted
                         Claims.
150...................  Shared System Maintainer Hours for Resolution of
                         Problems Detected During Health Insurance
                         Portability and Accountability Act Transaction
                         Release Testing.
151...................  Common Working File Calculation of Next Eligible
                         Date for Preventive Services.
152...................  Issued to a specific audience, not posted to
                         Internet/Intranet due to Confidentiality of
                         Instruction.
153...................  This Transmittal is rescinded and replaced by
                         Transmittal 155.
154...................  Correction 2005 Clinical Laboratory Travel Fee
                         (P9603 P9604).
155...................  Payment to Ambulatory Surgery Centers for New
                         CPT Code 66711.
156...................  New Patient Status Code to Define Discharges or
                         Transfers to a Critical Access Hospital.
157...................  CD-ROM Initiative for Distribution of the Annual
                         Disclosure, ``Dear Doctor'' Letter and
                         Participation Enrollment Material.
158...................  Instructions for Fiscal Intermediaries to
                         Process Payment Adjustments Resulting from Data
                         Assessment and Verification Program Safeguard
                         Contractor Medical Review.

[[Page 55873]]

 
159...................  Requirements for Voided, Canceled, and Deleted
                         Claims.
160...................  Issued to a specific audience, not posted to
                         Internet/Intranet due to Confidentiality of
                         Instruction.
------------------------------------------------------------------------


                      Addendum IV.--Regulation Documents Published in the Federal Register
                                            [April through June 2005]
----------------------------------------------------------------------------------------------------------------
                               FR Vol. 70
      Publication date          Page No.    CFR Parts affected         File code           Title of regulation
----------------------------------------------------------------------------------------------------------------
April 1, 2005...............        16754  421 and 413........  CMS-1213-CN............  Medicare Program;
                                                                                          Prospective Payment
                                                                                          System for Inpatient
                                                                                          Psychiatric
                                                                                          Facilities;
                                                                                          Correction.
April 1, 2005...............        16720  403, 405, 410, 411,  CMS-1429-F2............  Medicare Program;
                                            414, 418
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.