Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July through September 2015, 70218-70231 [2015-28870]
Download as PDF
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
• Regulations.gov: https://
www.regulations.gov.
Submit comments via the Federal
eRulemaking portal by searching the
OMB control number. Select the link
‘‘Submit a Comment’’ that corresponds
with ‘‘Information Collection 9000–
0053, Permits, Authorities, or
Franchises’’. Follow the instructions
provided at the ‘‘Submit a Comment’’
screen. Please include your name,
company name (if any), and
‘‘Information Collection 9000–0053,
Permits, Authorities, or Franchises’’ on
your attached document.
• Mail: General Services
Administration, Regulatory Secretariat
Division (MVCB), 1800 F Street NW.,
Washington, DC 20405. ATTN: Ms.
Flowers/IC 9000–0053, Permits,
Authorities, or Franchises.
Instructions: Please submit comments
only and cite ‘‘Information Collection
9000–0053, Permits, Authorities, or
Franchises,’’ in all correspondence
related to this collection. Comments
received generally will be posted
without change to https://
www.regulations.gov, including any
personal and/or business confidential
information provided. To confirm
receipt of your comment(s), please
check www.regulations.gov,
approximately two to three days after
submission to verify posting (except
allow 30 days for posting of comments
submitted by mail).
FOR FURTHER INFORMATION CONTACT: Mr.
Michael O. Jackson, Procurement
Analyst, Office of Governmentwide
Acquisition Policy, GSA 202–208–4949
or email michaelo.jackson@gsa.gov.
SUPPLEMENTARY INFORMATION:
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A. Purpose
The FAR requires insertion of clause
52.247–2, Permits, Authorities, or
Franchises, when regulated
transportation is involved. The clause
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requires the contractor to indicate
whether it has the proper authorization
from the Federal Highway
Administration (or other cognizant
regulatory body) to move material. The
contractor may be required to provide
copies of the authorization before
moving material under the contract. The
clause also requires the contractor, at its
expense, to obtain and maintain any
permits, franchises, licenses, and other
authorities issued by State and local
governments. The Government may
request to review the documents to
ensure that the contractor has complied
with all regulatory requirements.
B. Annual Reporting Burden
Respondents: 255.
Responses per Respondent: 1.
Annual Responses: 255.
Hours per Response: 0.5.
Total Burden Hours: 128.
C. Public Comments
Public comments are particularly
invited on: Whether this collection of
information is necessary for the proper
performance of functions of the Federal
Acquisition Regulations (FAR), and
whether it will have practical utility;
whether our estimate of the public
burden of this collection of information
is accurate, and based on valid
assumptions and methodology; ways to
enhance the quality, utility, and clarity
of the information to be collected; and
ways in which we can minimize the
burden of the collection of information
on those who are to respond, through
the use of appropriate technological
collection techniques or other forms of
information technology.
Obtaining Copies of Proposals:
Requesters may obtain a copy of the
information collection documents from
the General Services Administration,
Regulatory Secretariat Division (MVCB),
PO 00000
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1800 F Street NW., Washington, DC
20405 telephone 202–501–4755.
Please cite OMB Control No. 9000–
0053, Permits, Authorities, or
Franchises, in all correspondence.
Edward Loeb,
Acting Director, Federal Acquisition Policy
Division, Office of Governmentwide
Acquisition Policy, Office of Acquisition
Policy, Office of Governmentwide Policy.
[FR Doc. 2015–28802 Filed 11–12–15; 8:45 am]
BILLING CODE 6820–EP–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–9093–N]
Medicare and Medicaid Programs;
Quarterly Listing of Program
Issuances—July through September
2015
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This quarterly notice lists
CMS manual instructions, substantive
and interpretive regulations, and other
Federal Register notices that were
published from July through September
2015, relating to the Medicare and
Medicaid programs and other programs
administered by CMS.
FOR FURTHER INFORMATION CONTACT: It is
possible that an interested party may
need specific information and not be
able to determine from the listed
information whether the issuance or
regulation would fulfill that need.
Consequently, we are providing contact
persons to answer general questions
concerning each of the addenda
published in this notice.
SUMMARY:
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Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
I. Background
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The Centers for Medicare & Medicaid
Services (CMS) is responsible for
administering the Medicare and
Medicaid programs and coordination
and oversight of private health
insurance. Administration and oversight
of these programs involves the
following: (1) Furnishing information to
Medicare and Medicaid beneficiaries,
health care providers, and the public;
and (2) maintaining effective
communications with CMS regional
offices, state governments, state
Medicaid agencies, state survey
agencies, various providers of health
care, all Medicare contractors that
process claims and pay bills, National
Association of Insurance Commissioners
(NAIC), health insurers, and other
stakeholders. To implement the various
statutes on which the programs are
based, we issue regulations under the
authority granted to the Secretary of the
Department of Health and Human
Services under sections 1102, 1871,
1902, and related provisions of the
Social Security Act (the Act) and Public
Health Service Act. We also issue
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various manuals, memoranda, and
statements necessary to administer and
oversee the programs efficiently.
Section 1871(c) of the Act requires
that we publish a list of all Medicare
manual instructions, interpretive rules,
statements of policy, and guidelines of
general applicability not issued as
regulations at least every 3 months in
the Federal Register.
II. Format for the Quarterly Issuance
Notices
This quarterly notice provides only
the specific updates that have occurred
in the 3-month period along with a
hyperlink to the full listing that is
available on the CMS Web site or the
appropriate data registries that are used
as our resources. This is the most
current up-to-date information and will
be available earlier than we publish our
quarterly notice. We believe the Web
site list provides more timely access for
beneficiaries, providers, and suppliers.
We also believe the Web site offers a
more convenient tool for the public to
find the full list of qualified providers
for these specific services and offers
more flexibility and ‘‘real time’’
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accessibility. In addition, many of the
Web sites have listservs; that is, the
public can subscribe and receive
immediate notification of any updates to
the Web site. These listservs avoid the
need to check the Web site, as
notification of updates is automatic and
sent to the subscriber as they occur. If
assessing a Web site proves to be
difficult, the contact person listed can
provide information.
III. How to Use the Notice
This notice is organized into 15
addenda so that a reader may access the
subjects published during the quarter
covered by the notice to determine
whether any are of particular interest.
We expect this notice to be used in
concert with previously published
notices. Those unfamiliar with a
description of our Medicare manuals
should view the manuals at https://
www.cms.gov/manuals.
Dated: November 6, 2015.
Kathleen Cantwell,
Director, Office of Strategic Operations and
Regulatory Affairs.
BILLING CODE 4120–01–P
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Addendum 1: Medicare and Medicaid Manual Instructions
(July through September 2015)
The CMS Manual System is used by CMS program components,
partners, providers, contractors, Medicare Advantage organizations, and
State Survey Agencies to administer CMS programs. It offers day-to-day
operating instructions, policies, and procedures based on statutes and
regulations, guidelines, models, and directives. In 2003, we transfmmed the
CMS Program Manuals into a web user-friendly presentation and renamed
it the CMS Online Manual System.
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How to Obtain Manuals
The Internet-only Manuals (IOMs) are a replica of the Agency's
official record copy. Paper-based manuals are CMS manuals that were
officially released in hardcopy. The majority of these manuals were
transferred into the Internet-only manual (10M) or retired. Pub 15-1, Pub
15-2 and Pub 45 are exceptions to this rule and are still active paper-based
manuals. The remaining paper-based manuals are for reference purposes
only. If you notice policy contained in the paper-based manuals that was
not transferred to the 10M, send a message via the CMS Feedback tool.
Those wishing to subscribe to old versions of CMS manuals should
contact the National Technical Information Service, Department of
Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone
(703-605-6050). You can download copies of the listed material free of
charge at: https://cms.gov/manuals.
How to Review Transmittals or Program Memoranda
Those wishing to review transmittals and program memoranda can
access this information at a local Federal Depository Library (FDL). Under
the FDL program, government publications are sent to approximately 1,400
EN13NO15.003
designated libraries throughout the United States. Some FDLs may have
arrangements to transfer material to a local library not designated as an
FDL. Contact any library to locate the nearest FDL. This information is
available at https://www.gpo.gov/libraries/
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 arc not sales outlets. Individuals may obtain information
about the location of the nearest regional depository library from any
library. CMS publication and transmittal numbers are shown in the listing
entitled Medicare and Medicaid Manual Instructions. To help FDLs locate
the materials, use the CMS publication and transmittal numbers. For
example, to find the manual for Quarterly Healthcare Common Procedure
Coding System (HCPCS) Drug/Biological Code Changes- October 2015
Update, use Medicare Claims Processing
(CMS-Pub. 100-04)Transmittal No. 3304.
Addendum I lists a unique CMS transmittal number for each
instruction in our manuals or program memoranda and its subject number.
A transmittal may consist of a single or multiple instruction(s). Often, it is
necessary to use information in a transmittal in conjunction with
information currently in the manual. For the purposes of this quarterly
notice, we list only the specific updates to the list of manual instructions
that have occurred in the 3-month period. This information is available on
our website at www.cms.gov/Manuals.
Transmittal
Number
Manual/Subject/Publication Number
..
' '0····•·::;•:;<\':<;:'; ;.:
93
~.i:C)\t•\,.;!•:i;ii;i •;\i~:~;.~.·
Internet Only Manual (IOM) Publication 100-01- General Information,
Eligibility, and Entitlement, Chapter 7 - Contract Administrative
Requirements, Section 40 -Shared System Maintainer Responsibilities for
Systems Releases
Shared System Maintainer and Part NPart B (NB)/Durable Medical
Equipment (DME) Medicare Administrative Contractor (MAC) and the
Shared System Maintainer and Part A/Part B (A/B)/Durable Medical
Equipment (DME) Medicare Administrative Contractor (MAC) and the
Single Testing Contractor (STC) Responsibilities for Systems Releases
Standardized Tenninology for Claims Processing Systems
Standard Terminology Chart
Release Software
Implementing Validated Workarounds for Shared System Claims Processing
by All Medicare DME MACs
Next Generation Desktop (NGD) Requirements
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
Publication Dates for the Previous Four Quarterly Notices
We publish this notice at the end of each quarter reflecting
information released by CMS during the previous quarter. The publication
dates of the previous four Quarterly Listing of Program Issuances notices
are: November 14, 2014 (79 FR 68253), February 2, 2015 (80 FR 5537),
April24, 2015 (80 FR 23013) and August 3, 2015 (80 FR 45980). For the
purposes of this quarterly notice, we are providing only the specific updates
that have occurred in the 3-month period along with a hyperlink to the
website to access this information and a contact person for questions or
additional information.
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,,,
National Coverage Determination (NCD) for Screening for Colorectal Cancer
Using Colo guard™- A Multitarget Stool DNA Test
Kational Coverage Determination (NCD) for Screening for Colorectal
Cancer Using Cologuard™- A Multitarget Stool DNA Test
Update to Pub. 100-03, National Coverage Determination .\i!anual, Chapter 1,
Part 1, Section 50.1 Speech Generating Device
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
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Medicare Internet Only Manual Publication 100-04 Chapter 22 Remittance
Advice
Background
Remittance Balancing
Electronic Remittance Advice- ERA or ASC X12 835
ASC X12 835
Medicare Standard Electronic PC-Print Software for Institutional Providers
Medicare Remit Easy Print Software for Professional Providers and
Suppliers
Standard Paper Remittance Advice
Claim Adjustment Reason Codes
Remittance Advice Remark Codes
Requests for Additional Codes
The Council for Affordable Quality Healthcare (CAQH) Committee on
Operating Rules for Information Exchange (CORE) Mandated Operating
Rules
Health Care Claim Payment/Advice (835) Infrastructure Rule
Lniform Use ofCARCs and RARCs Rule
EFT Enrollment Data Rule
ERA Enrollment Form
Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System
(PPS) Pricer Update FY 2016
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3303
3304
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3307
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3309
October 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug
Pricing Files and Revisions to Prior Quarterly Pricing Files
Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2015
Quarterly Healthcare Common Procedure Coding System (HCPCS)
Drug/Biological Code Changes- July 2015 Update Average Sales Price
(ASP) Payment Methodology
Issued to a specific audience, not posted to Intemel/Intrantl due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Issued to a specitic audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Remittance Advice Remark and Claims Adjustment Reason Code and
Medicare Remit Easy Print and PC Print Update
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
oflnstruclion
Issued to a specitlc audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Claims Processing Instructions for Diagnostic Digital Breast Tomosynthesis
Digital Breast Tomosynthesis
Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark
Codes (RARCs), Group Codes, and Medicare Summary Notice (MS"\1)
Messages
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Quarterly Healthcare Common Procedure Coding System (HCPCS)
Drug/Biological Code Changes- October 2015 Update
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics
and Supplies (UMEPOS) Competitive Bidding Program (CBP)- October
2015
Applying Therapy Caps to Maryland Hospitals
Determining Payment Amounts- Institutional Claims
Application of Financial Limitations
Exceptions to Therapy Caps - General
Exceptions Process
Cse of the KX Modifier for Therapy Cap Exceptions
Therapy Cap Manual Review Threshold
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
Shared System Testing Requirements for Shared System Maintainers
Single Testing Contractor (STC), and UME MACs
Minimum Testing Standards for Shared System Maintainers and the Single
Testing Contractor (STC)/Beta Testers
Testing Standards Applicable to all Beta Testers
Part A/Part B (AlB) Durable Medical Equipment (DME) Medicare
Administrative Contractor (MAC) (User) Testing Requirements
Testing Requirements Applicable to all CWF Data Centers (Hosts)
Timeframe Requirements for all Testing Entities
Testing Documentation Requirements
Definitions
Test Case Specification Standard
Shared System Testing Requirements for Shared System Maintainers, Single
Testing Contractor (STC)/Beta Testers, and Part A/Part B (AlB) Durable
Medical Equipment (DME) Medicare Administrative Contractors (MACs)
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Issued to a specitlc audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
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New Waived Tests
October 2015 Integrated Outpatient Code Editor (I!OCE) Specifications
Version 16.3
Update to Puh. 100-04, Chapter 1S to Provide T,anguage-Only Changes for
Updating ICD-10, the 02/12 version of the Form CMS-1500, and ASC X12
Hcalthcare Common Procedure Coding System (HCPCS) and Diagnosis
Codes
Roster Claims Submitted to AlB MACs (B) for Mass Immunization
Centralized Billing for Influenza Vims and Pneumococcal Vaccines to
Medicare AlB MACs (B)
Claims Submitted to AlB MACs (A) for Mass Immunizations of Influenza
Vims and Pneumococcal Vaccinations
HCPCS and Diagnosis Codes for Mammography Services
Billing Requirements -AlB MAC (B) Claims
Remittance Advice Messages
Pap Smears On and After July 1, 2001
HCPCS Codes for Billing
Diagnoses Codes
Remittance Advice Codes
Screening Pelvic Examinations on and After July 1, 2001
Diagnoses Codes
Revenue Code and HCPCS Codes for Billing
Remittance Advice Codes
Diagnosis Coding
Remittance Advice Notices Payment
Determining High Risk for Developing Colorectal Cancer
Billing Requirements for Claims Submitted to AlB MACs
Remittance Advice Notices
Claims Submission Requirements and Applicable HCPCS Codes
HCPCS and Diagnosis Coding
Remittance Advice Notices
AlB Medicare Administrative Contractor (MAC) (B) and Contractor Billing
Requirements
AlB MAC (B) Billing Requirements
Modifier Requirements for Pre-diabetes
AID MAC (A) Dilling Requirements
Modifier Requirements for Pre-diabetes
Diagnosis Code Reporting
Medicare Summary Kotices
AlB MAC (B) Billing Requirements
AlB MAC (A) Billing Requirements
Diagnosis Code Reporting
Medicare Summary Kotice Billing Requirements
Diagnosis Code Reporting
Medicare Summary Kotice (MSN) and Claim Adjustment Reason Codes
(CARCs)
Medicare Summary Kotices (MSNs), Remittance Advice Remark Codes
(RARCs), Claims Adjustment Reason Codes (CARCs), and Advance
Beneficiary Notices ( ABN s)
Healthcare Common Procedure Coding Svstem (HCPCS) and Diagnosis
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
3310
Identifying the Certifying Physician
lv!SN Messages Regarding the Therapy Cap
Part B Outpatient Rehabilitation and Comprehensive Outpatient
Rehabilitation Facility (CORF) Services- General
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
End Stage Renal Disease (ESRD) Home Dialysis Policy Guidelines for
Physician or Practitioner Billing-- (Per Diem)
None
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Procedure for Medicare Contractors to Perfonn and Record Outlier
Reconciliation Adjustments
New and Revised Place of Service Codes (POS) for Outpatient Hospital
Part B Medicare Administrative Contractor (MAC) Instructions for Place of
Service (POS) Codes
Selection ofT .evel of Evaluation and Management Service Payment for
Office or Other Outpatient Evaluation and Management (E/M) Visits (Codes
99201- 99215)
Place of Service (POS) Instructions for the Professional Component (PC or
Interpretation) and the Technical Component (TC) of Diagnostic Tests
Professional Billing Requirements
Items 14-33 - Provider of Service or Supplier Information
Place of Service Codes (POS) and Definitions
Site of Service Payment Differential
Issued to a specific audience, not posted to Intcmct/Intranct due to Sensitivity
of Instruction
Quarterly Update to the Medicare Physician Fee Schedule Database
(MPFSDB)- October CY 2015 Update
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instmction
National Coverage Determination (NCD) for Screening for Colorcctal Cancer
Using Colo guard™- A Multitarget Stool DNA Test
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instmction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instmction
Issued to a specific audience, not posted to Intcmct/Intranct due to a
Confidentiality of Instruction
October Quarterly Update for 2015 Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Fee Schedule
Clarification of the Policy for Competitively-Bid Wheelchair Accessories
Furnished with Non-Competitively Bid Wheelchair Base Equipment
Exception for Wheelchair Accessories Furnished with !\on-Competitively Bid
Wheelchair Base Equipment
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instmction
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instmction
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i;';::c;J;
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114
of Instmction
Additional Fields Added to the Outlier Reconciliation Lump Sum Utility
October 2015 Update of the Hospital Outpatient Prospective Payment System
(OPPS)
Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.0,
Effective January I, 2016
January 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug
Pricing Files and Revisions to Prior Quarterly Pricing Files
Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and
Implementation
Maintenance and Update of the Temporary Hook Created to Hold OPPS
Claims that Include Certain Drug HCPCS Codes
Maintenance and Update of the Temporary Hook Created to Hold OPPS
Claims that Include Certain Drug HCPCS Codes
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instmction
Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures
Regarding Ongoing Responsibility for Medicals (ORM)
October 2015 Integrated Outpatient Code Editor (IIOCE) Specifications
Version 16.3
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instmction
October 2015 Update of the Ambulatory Surgical Center (ASC) Payment
System
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Quarterly Update to the Medicare Physician Fee Schedule Database
(MPFSDB)- October CY 2015 Update
2016 Healthcare Common Procedure Coding System (HCPCS) Almual
Update Reminder
Changes to the Laboratory National Coverage Determination (NCD) Edit
Software for January 2016
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Instmctions for the Shared Systems and Medicare Administrative Contractors
(MACs) to follow when a Medicare Residual Payment must be Paid on
Workers' Compensation Medicare Set-aside Arrangement (WCMSA) or for
Ongoing Responsibility of Medicals (ORM) Non-Group Health Plan (NGHP)
Medicare
TOC Secondary Payer (MSP) Claims.
MSP "W' Record and Accompanying Processes
Medicare Residual Payments Due When On-going Responsibility for
Medicals (ORM) Benefits Terminate, or Deplete, During a Beneficiary's
Provider Facility
Stay or Upon a Physician, or Supplier, Vis it.
Workers' Compensation (WC)
Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures
Regarding Ongoing Responsibility for Medicals CORM)
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
3330
Coding
Common Working File (CWF) Edits
Diagnosis Code Reporting
Billing Requirements Policy
ProfeS
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EN13NO15.007
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251
Notice of 'lew Interest Rate for Medicare Overpayments and Underpayments
-4th Qtr. Notification for FY 20 15
252
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
253
Update the Contractor Reporting of Operational and Workload Data
(CROWD) CMS-2592 Report to Indicate Requests Received in Claims and
Requests Received That Are Recovery Audit Related
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141
Revisions to the State Operations Manual (SOM), Appendix A- Survey
Protocol, Regulations and Interpretive Guidelines for Hospitals
142
Revisions to State Operations Manual (SOM) Chapter 9 Exhibits
143
Revisions to State Operations Manual (SOM) Chapter 2, The Certification
Process and Appendix W, Survey Protocol, Regulations and Interpretive
Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs
Revisions to State Operations Manual (SOM) Appendix J, Part II144
Interpretive Guidelines- Responsibilities of Intermediate Care Facilities for
Individuals with Intellectual Disabilities
Revisions to Medicare State Operations Manual (SOM), Chapter 9- Exhibits
145
146
State Operations Manual (SOM), Section 2185- Home Health Agencies
(HHAs), Change of Address to a Medical Administrative Contractor (MAC)
within 90 Days
Home Health Agencies (HHAs)/2185-HHA Change of Address
(;;? i'\2:;, ;;:;,;;{(;f,;i;it''
rr,?:Jp,;;;~;r,~;;;~';,~x~ ''"'!,?~:
600
601
602
Workload Reporting
Prepay Complex Service Specific Review
Prepay Complex Provider Specific Review
Review of Home Health Claims
Home Health
Medical Review of Home Health Services
Table of Contents
Medical Review of Home Health Services
Physician Certification of Patient Eligibility for the Medicare Home Health
Benefit
Certification Requirements
Physician Recertification
Recertification Elements
The Usc of the Patient's Medical Record Documentation to Support the
603
604
605
606
607
608
609
610
611
612
613
Home Health Certification Coding
Medical Necessity of Services Provided
Examples of Sufficient Documentation Incorporated Into a Physician's
Medical Record
Medical Review of Home Health Demand Bills
Medical Review of Home Health Services
Table of Contents
Medical Review of Home Health Services
Physician Certification of Patient Eligibility for the Medicare Home Health
Benefit
Certification Requirements
Physician Recertification
Recertification Elements
The Use ofthe Patient's Medical Record Documentation to Support the
Home Health Certification Coding
Medical Necessity of Services Provided
Examples of Sufficient Documentation Incorporated Into a Physician's
Medical Record
Medical Review of Home Health Demand Bills
Signature Requirements
Clarification Regarding the Processing of Certain Provider EnrollmentRelated Transactions
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Workload Reporting
Prepay Complex Provider Specific Review
Update to Pub. 100-08 to Provide Language-Only Changes for Updating lCD10 and ASC X12
Clarification Regarding the Processing of Certain Provider EnrollmentRelated Transactions
Denials
Licenses and Certifications
Final Adverse Action
Supporting Documents
Special Processing Guidelines for Form CMS-855A, Form CMS-855B,
Form
CMS-8551 and Form CMS-855R Applications
Sole Proprietorships
CMHC 40 Percent Rule
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
Changes to Supplier Documentation and Evidence of Medical Necessity for 3
Oxygen Claims
Supplier Documentation
Evidence of Medical Necessity for the Ox')'gen Claims
Changes to Supplier Documentation and Evidence of Medical Necessity for
Oxygen Claims
Evidence of Medical Necessity for the Oxygen Claims
Postpayment Review Requirements
Complex Medical Review
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
MSP Utilization Edits and Resolutions for Claims Submitted to CWF
Identification of Liability and No-Fault Situations
Identify Claims with Possible WC Coverage
Identification of On-Going Responsibility for Medicals (ORM) in Liability,
No-Fault, and Workers' Compensation Situations
Background Regarding ORM for Contractors
Policy Regarding OR.\1
Operationalizing ORM for Liability, No-Fault, and Workers' Compensation
Situations
MSP Auxiliary File Errors
Sources That May Identify Other Insurance Coverage
jstallworth on DSK7TPTVN1PROD with NOTICES
VerDate Sep<11>2014
614
Issued to a specific audience, not posted to Intemet/Intranet due to a
Confidentiality of Instruction
1531
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1532
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1533
1534
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'I:D;;:
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121
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1516
1517
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1518
E:\FR\FM\13NON1.SGM
1519
1520
1521
1522
1523
13NON1
1524
1525
1526
1527
1528
1529
1530
1
i;'~,il~:<;:
1538
s);l;(j
Medicare Care Choices Model (MCCM)- Per Beneficiary per Month
Payment (PBPM) - Implementation
'1<\:t,,\,l\:1·,;\1,\::1 ~\:,'i~±l
1514
ti,t;f; 1), 1~1\*zciJ\
1539
·'>,,+,:?>~:; 'i>;,'~>(f~ ~>l;'\~1(~{\;~~~':
Award of Medicare Administrative Contractor (MAC) Contract for
Jurisdiction J
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Analysis and Design for Part B Detail Line Expansion
Tester Resolution Reports for International Classification of Diseases, Tenth
Revision (ICD-10) Limited End to End Testing with Submitters
Contractor Reporting of Operational and Worldoad Data (CROWD) Form 5
Remittance Advice Reporting
Medicare Appeals System (MAS) Upgrade
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
CMS Information Security Acceptable Risk Safeguards Update - Multifactor
Authentication
Data Act Treasury Referral Timeframe and Reporting - DME MAC Changes
Procedures for Processing Cnder Tolerance Part A 935, Part A-Other, Part A
and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider
Recovery Audit Contractor (RAC) Identified debts in the Healthcare
Integrated General Ledger Accounting System (HIGLAS)
Medicare Remit Easy Print (MREP) Cpgrade
Add Original Common Working Files (CWF) Occurrence Number to the
CWF Feed to MBD
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Update for Paper Claims Processing Cnder the Administrative Simplification
Compliance Act (ASCA)
Reporting of Anti-Cancer and Anti-Emetic Drugs
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
1540
1541
1542
1543
1544
1545
1546
i!:
None
i'\
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
,';,;
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Update Hard Coded Audit 205A MSP Return Code 3925 and Edit 152D
Health Insurance Portability and Accountability Act (HIPAA) ED! Front End
Updates for January 2016
International Classification of Diseases, lOth Revision (ICD-1 0) Additional
Acknowledgement Testing Reporting
Increasing Tax Withholding to I 00 Percent for Internal Revenue Service
(IRS) Federal Payment Levy Program (FPLP)
ICD-10 Conversion/Coding Infrastmcture Revisions to National Coverage
Determinations (NCDs)--3rd Maintenance CR
Medicare Prior Authorization of Power Mobility Devices (PMDs)
Demonstration: Advance Determination of Medicare Coverage (ADMC)
Reviews for Beneficiaries Who Have Representative Payees
Implementing the Insertion of a Sheet of Paper Promoting the Electronic
Medicare Summary Notices (eMSNs) into Mailed Medicare Summary
Notices (MSNs)
Modification to the Telehealth Originating Site Facility Fee Billing
Requirements for Rural Health Clinics (RHCs) and Federally Qualified
Health Centers (F QHCs)
Health Insurance Portability and Accountability Act (HIP AA) ED! Front End
Updates for October 2015
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
of Instruction
Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity
ofTnstruction
Implementation of Long-Term Care Hospital (LTCH) Prospective Payment
System (PPS) Based on Specific Clinical Criteria
Procedures for Processing Cnder Tolerance Part A 935, Part A-Other, Part A
and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider
Recovery Audit Contractor (RAC) Identified debts in the Healthcare
Integrated
General
Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
Instruction
70225
EN13NO15.008
jstallworth on DSK7TPTVN1PROD with NOTICES
70226
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13NON1
Addendum III: CMS Rulings
CMS Rulings are decisions of the Administrator that serve as
precedent final opinions and orders and statements of policy and
interpretation. They provide clarification and interpretation of complex or
ambiguous provisions of the law or regulations relating to Medicare,
Medicaid, Utilization and Quality Control Peer Review, private health
insurance. and related matters.
The rulings can be accessed at ""1!·11 w" w .~.u.,. 16uvi "-q,;uMuvu:>ill!~~~.!l\:.!~!.!!tlli!!~~i.!!!~· For questions or additional information,
contact Tiffany Lafferty (410-786-7548).
Addendum IV: Medicare National Coverage Determinations
(July through September 2015)
Addendum IV includes completed national coverage
determinations (NCDs), or reconsiderations of completed NCDs, from the
quarter covered by this notice. Completed decisions are identified by the
section of the NCD Manual (NCDM) in which the decision appears, the
title, the date the publication was issued, and the effective date of the
EN13NO15.009
decision. An NCD is a determination by the Secretary for whether or not a
particular item or service is covered nationally under the Medicare Program
(title XVIII of the Act), but does not include a determination of the code, if
any, that is assigned to a particular covered item or service, or payment
determination for a particular covered item or service. The entries below
include information concerning completed decisions, as well as sections on
program and decision memoranda. which also armounce decisions or, in
some cases, C-"1Jlain why it was not appropriate to issue an NCD.
Information on completed decisions as well as pending decisions has also
been posted on the CMS website. For the purposes of this quarterly notice,
we list only the specific updates that have occurred in the 3-month period.
This information is available at: www.cms.gov/medicare-coveragedatabase/. For questions or additional information, contact Wanda Belle
(410-786-7491).
Title
Medicare Coverage of
Screening for Lung Cancer
with Low Dose Computed
Tomography (LDCT)
National Coverage
Determination (NCD) for
Screening for Colorectal
Cancer Using Colo guard™
- A Multitarget Stool DNA
Test
NCDM
Sedion
Transmittal
Number
Issue Date
Effedive
Date
NCD 210.14
R185
08/21/2015
02/05/2015
NCD 210.3
R183
08/06/2015
10/09/2014
Addendum V: FDA-Approved Category B Investigational Device
Exemptions (IDEs) (July through September 2015)
Addendum V includes listings of the FDA-approved
investigational device exemption (IDE) numbers that the FDA assigns. The
listings are organized according to the categories to which the devices are
assigned (that is, Category A or Category B), and identified by the IDE
number. For the purposes of this quarterly notice, we list only the specific
updates to the Category BIDEs as of the ending date of the period covered
by this notice and a contact person for questions or additional information.
For questions or additional information, contact John Manlove (410-7866877).
Under the Food, Drug, and Cosmetic Act (21 U.S. C. 360c) devices
fall into one of three classes. To assist CMS under this categorization
process, the FDA assigns one of two categories to each FDA -approved
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
Addendum II: Regulation Documents Published
in the Federal Register (July through September 2015)
Regulations and Notices
Regulations and notices are published in the daily Federal
Register. To purchase individual copies or subscribe to the Federal
Register, contact GPO at www.gpo.gov/fdsys. When ordering individual
copies, it is necessary to cite either the date of publication or the volume
number and page number.
The Federal Register is available as an online database through
GPO Access. The online database is updated by 6 a.m. each day the
Federal Register is published. The database includes both text and
graphics from Volume 59, Number 1 (January 2, 1994) through the present
date and can be accessed at https://www.gpoaccess.gov/fr/index.htnli. The
following website https://www.archives.gov/federal-register/ provides
information on how to access electronic editions, printed editions, and
reference copies.
This information is available on our website at:
http :1/www. ems. gov/quarterlyproviderupdates/downloads/Regs3Ql5QPU.pdf
For questions or additional information, contact Terri Plumb
(410-786-4481).
jstallworth on DSK7TPTVN1PROD with NOTICES
VerDate Sep<11>2014
IDE
Gl30235
Jkt 238001
Gl40192
PO 00000
Gl40202
Gl40221
Gl40243
Gl50029
Gl50119
Frm 00044
Gl50120
Fmt 4703
Gl50123
Gl50125
G150127
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E:\FR\FM\13NON1.SGM
Gl50131
Gl50132
Gl50134
G150136
Gl50138
Gl50140
Gl50143
Gl50145
Gl50147
13NON1
Gl50150
G150155
Gl50161
Gl50167
G150169
Gl50170
Gl50171
Gl50173
Device
ACTIGAIT L\1PLANTABLE DROP FOOT STL\1ULATOR
SYSTEM
Organ Care System (OCS)- Liver, Organ Care System (OCS)Liver Console, OCS Liver Perfusion Set
AEQUALIS PYROCARBON HUMERALHEAD
Intergraft System
Organox Metra System
Tack Endovascular System
Mag Venture MagProXlOO with MagOption stimulator, C-D60
butterfly coil and MagPro Cool Coil B65 AlP
Pilot Study ofNovottf- 100A System in Conjunction with
Temozolomide Chemoradiation For Newly Diagnosed
Glioblastoma
Argus II Retinal Prosthesis System
BreathiD MCS System C-Methacetin Breath Test
SalnSTIM, a transcntaneous electrical nerve stimulation (TENS)
device
Monovisc
University of Minnesota Medical School
HiResolution Bionic Ear System
Percutaneous Osseointegrated Prosthesis Implant
FLT3 Mutation Assay
CP81 0 Sound Processor
Juvederm Voluma XC For Chin Augmentation
Modulight Laser, Isotropic Probe, Cylindrical Light Diffuser,
and Diffusing Balloon Catheter
SENTUS OTW QP L-75/ SENTUS OTW QP L-85/ SENTUS
OTW QP L-95; SENTUS OTW QP S-75/ SENTUS OTW QP Sg5; SENTUS OTW QP S-95 MODF.T .1g9 g151 1g6 g16/ 1g6
837I 400 719/ 400 720/ 400 721
REPLICATE Svstem
Osseointegrated Prostheses for the Rehabilitation of Amputees
(OPRA)
Boston Scientific Vessix system
Medtronic Restore ULTRA 37712 spinal cord stimulator,
Medtronic Specify 5-6-5, 16-electrode surgical lead
Visualase Thermal Therapy System
Mitralign Percutaneous Tricuspid Valve Annuloplasty System
(PTVAS)
ELUVIA Drug-Eluting Vascular Stent System
MemoryGel Breast Implant UHP-L Smooth Round UHP-L
Start Date
09/18/15
07/09/15
08/26/15
07/31115
08/21115
08/14/15
07/02/15
07/15/15
07/08/15
07/31115
07/10/15
07/16/15
08/11115
07/16/15
07/22/15
07/23/15
07/23/15
07/31115
07/31115
08/05/15
08/07/15
08/14/15
08/19/15
08/28/15
08/28/15
OS/2S/15
IDE
Gl50174
Gl50175
G150177
Gl50178
G150179
Gl50180
Gl50182
Gl501S3
Device
Silicone Gel-Filled Breast Implant, MemoryGel Breast Implant
UHP-L Siltex Round UHP-L Silicone Gel-Filled Breast Implant
Cutera Excel V
QUARTET MODEL 1457Q IDE STUDY
Cardiac Resynchronization Therapy Pacemakers
StimGuard Protect Chronic Tibial Nerve Stimulator (CDJS)
System
SCD (Selective Cytopheretic Device)
Cook Antimicrobial Hernia Repair Device
VENT ANA PD-Ll (SP142) CDx Assay
Cochlear Nucleus Cl532 Cochlear Implant
Start Date
09/02/15
09/03/15
09/11115
09/18/15
09/17115
09/17/15
09/17/15
09/1S/15
Addendum VI: Approval Numbers for Collections of Information
(July through September 2015)
All approval numbers arc available to the public at Rcginfo.gov.
Under the review process, approved information collection requests are
assigned OMB control numbers. A single control number may apply to
several related information collections. This information is available at
www.reginfo.gov/public/do/PRAMain. For questions or additional
information, contact Mitch Bryman (410-786-5258).
Addendum VII: Medicare-Approved Carotid Stent Facilities,
(July through September 2015)
Addendum VII includes listings of Medicare-approved carotid
stent facilities. All facilities listed meet CMS standards for performing
carotid artery stenting for high risk patients. On March 17, 2005, we issued
our decision memorandum on carotid artery stenting. We detemrined 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 nrinimum standards for
facilities modeled in part on professional society statements on competency.
All facilities must at least meet our standards in order to receive coverage
for carotid artery stenting for high risk patients. For the purposes of tlris
quarterly notice, we are providing only the specific updates that have
occurred in the 3-month period. This information is available at:
https://www .ems. gov/MedicareApprovedF acilitie/CASF!list. asp#TopOfPage
For questions or additional information, contact Lori Ashby
(410-786-6322).
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
investigational device exemption (IDE). Category A refers to experimental
IDEs, and Category B refers to non-experimental IDEs. To obtain more
infmmation about the classes or categories, please refer to the notice
published in the April21, 1997 Federal Register (62 FR 19328).
09/02/15
09/03/15
70227
EN13NO15.010
jstallworth on DSK7TPTVN1PROD with NOTICES
70228
VerDate Sep<11>2014
Provider
Number
,'£':!,< ;\'{';;.::
•;;;£
1467595793
09/22/2015
:{,::::;~~:,:
Pikeville Medical Center
911 Bypass Road Pikeville, KY 41501
Truman Medical Center
2301 Holmes Street Kansas City, MO 64108
12·~~:.;,:;,
180044
Effective
State
Date
c:·:~ci! 1 ~'~ :'}f;;\~::.~\1
09/22/2015
KY
(\~;;:~:;:~~
'."f
Jkt 238001
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FROM: University Medical Center
TO: Banner University Medical Center Tucson
15011\. Campbell Avenue Tucson, AZ 85724
FROM: University Physicians Hospital
TO: Banner University Medical Center South
2800 East Ajo Way Tucson, AZ 85713
FROM: Orlando Regional Hcalthcarc System,
Inc.
TO: Orlando Health
52 West Underwood Street Orlando, FL 32806
FROM: Medcenter One
TO: Sanford Health Bismarck
300 North 7th Street Bismarck, ND 58506
030064
MO
;I :;~ .~~1')\: ;;:z:\1;; i~ ~,.;. 'I;<;
06/01/2005
AZ
030111
06/2112012
AZ
100006
04/05/2006
FL
350015
05/26/2005
ND
A provider can use either of two mechanisms to satisfy the data
reporting requirement. Patients may be enrolled either in an Investigational
Device Exemption trial studying ICDs as identified by the FDA or in the
ACC-NCDR lCD registry. Therefore, for a beneficiary to receive a
Medicare-covered ICD implantation for primary prevention, the beneficiary
must receive the scan in a facility that participates in the ACC-NCDR lCD
registry. The entire list of facilities that participate in the ACC-NCDR lCD
registry can be found at www.ncdr.com/webncdr/common
For the purposes of this quarterly notice, we are providing only the
specific updates that have occurred in the 3-month period. This information
is available by accessing our website and clicking on the link for the
American College of Cardiology's National Cardiovascular Data Registry
at: www.ncdr.com/webncdr/common. For questions or additional
information, contact Marie Casey, BSN, MPH (410-786-7861).
Fmt 4703
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Sfmt 4725
E:\FR\FM\13NON1.SGM
13NON1
Addendum VIII:
American College of Cardiology's National Cardiovascular Data
Registry Sites (July through September 2015)
Addendum VIII includes a list of the American College of
Cardiology's National Cardiovascular Data Registry Sites. We cover
implantable cardioverter defibrillators (ICDs) for certain clinical
indications, as long as information about the procedures is reported to a
central registry. Detailed descriptions of the covered indications are
available in the NCD. In January 2005, CMS established the lCD
Abstraction Tool through the Quality Network Exchange (QNet) as a
temporary data collection mechanism. On October 27, 2005, CMS
announced that the American College of Cardiology's National
Cardiovascular Data Registry (ACC-NCDR) lCD Registry satisfies the data
reporting requirements in the NCD. Hospitals needed to transition to the
ACC-NCDR lCD Registry by April2006.
Effective January 27, 2005, to obtain reimbursement, Medicare
NCD policy requires that providers implanting ICDs for primary prevention
clinical indications (that is, patients without a history of cardiac arrest or
spontaneous arrhythmia) report data on each primary prevention lCD
procedure. Details of the clinical indications that are covered by Medicare
and their respective data reporting requirements are available in the
Medicare NCD Manual. which is on the CMS website at
Mountain Point Medical Center
University Health Conway
Sentara Albemarle Medical Center
I'ort Hamilton Ilosoital
b,!:~~~~~~ Hospital
Baton Rouge General Medical Center (Mid City)
Unity Medical and Surgical Hospital
Lehi
Monroe
Elizabeth City
Hamilton
Newnan
I LA
I NC
I Oil
UT
Baton Rouge
Mishawaka
I LA
I IN
Addendum IX: Active CMS Coverage-Related Guidance Documents
(July through September 2015)
CMS issued a guidance document on November 20, 2014 titled
"Guidance for the Public, Industry, and CMS Staff: Coverage with
Evidence Development Document". Although CMS has several policy
vehicles relating to evidence development activities including the
investigational device exemption (IDE), the clinical trial policy, national
coverage determinations and local coverage determinations, this guidance
document is principally intended to help the public understand CMS 's
implementation of coverage with evidence development (CED) tlrrough the
national coverage determination process. The document is available at
https://www. ems. gov/medicare-coverage-database/details/medicarecovcragc-documcnt-dctails.aspx?MCDid=27. There arc no additional
Active CMS Coverage-Related Guidance Documents for the 3-month
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
EN13NO15.011
Facility
jstallworth on DSK7TPTVN1PROD with NOTICES
VerDate Sep<11>2014
Jkt 238001
Addendum X:
List of Special One-Time Notices Regarding National Coverage
Provisions (July through September 2015)
There were no special one-time notices regarding national
coverage provisions published in the 3-month period. This information is
available at www.cms.hhs.gov/coverage. For questions or additional
information, contact JoAnna Baldwin (410-786 7205).
PO 00000
Frm 00046
Fmt 4703
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E:\FR\FM\13NON1.SGM
Addendum XI: National Oncologic PET Registry (NOPR)
(July through September 2015)
Addendum XI includes a listing of National Oncologic Positron
Emission Tomography Registry (NOPR) sites. We cover positron emission
tomography (PET) scans for particular oncologic indications when they are
performed in a facility that participates in the NOPR.
In January 2005, we issued our decision memorandum on positron
emission tomography (PET) scans, which stated that CMS would cover
PET scans for particular oncologic indications, as long as they were
performed in the context of a clinical study. We have since recognized the
National Oncologic PET Registry as one of these clinical studies.
Therefore, in order for a beneficiary to receive a Medicare-covered PET
scan, the beneficiary must receive the scan in a facility that participates in
the registry. There were no additions, deletions, or editorial changes to the
listing of National Oncologic Positron Emission Tomography Registry
(NOPR) in the 3-month period. This information is available at
https://www.cms.gov/MedicareApprovedFacilitie/NOPR/list.asp#TopOfPage.
For questions or additional information, contact Stuart Caplan, RN, MAS
(410-786-8564 ).
13NON1
Addendum XII: Medicare-Approved Ventricular Assist Device
(Destination Therapy) Facilities (July through September 2015)
Addendum XII includes a listing of Medicare-approved facilities
that receive coverage for ventricular assist devices (VADs) used as
destination therapy. All facilities were required to meet our standards in
order to receive coverage for V ADs implanted as destination therapy. On
October 1, 2003, we issued our decision memorandum on VADs for the
clinical indication of destination therapy. We determined that V ADs used
as destination therapy are reasonable and necessary only if performed in
facilities that have been determined to have the experience and
infrastructure to ensure optimal patient outcomes. We established facility
standards and an application process. All facilities were required to meet
our standards in order to receive coverage for VADs implanted as
destination therapy.
For the purposes of this quarterly notice, we are providing only the
specific updates that have occurred to the list of Medicare-approved
facilities that meet our standards in the 3-month period. This information is
available at
https://www. ems. gov/MedicareApprovedFacilitieNAD/list. asp#TopOfPage.
For questions or additional information, contact Marie Casey, BSN, MPH
(410-786-7861).
Facility
Provider Number
C\,'''''':
Riverside Methodist Hospital
3535 Olentangy River Road
Columbus, OH 43214
Delrav Medical Center, Inc
5352 Linton Boulevard Delray Beach, FL
:C\i:~:t;:~~':
State
,:,·. ;,,\;'.,;:c(;>;;:·
360006
8111!2015
OH
100258
8/12/2015
l'L
050696
01/09/2004
~· F~t'i'c;;~~~~' ., .<}''''\
TO: Keck Hospital of USC
FROM: USC University Hospital
1500 San Pablo Street
Los Angeles, CA 90033
Date Approved
···:::':' 1' (:;'' '"' '
~t;,:';":::
CA
Addendum XIII: Lung Volume Reduction Surgery (LVRS)
(July through September 2015)
Addendum XIII includes a listing of Medicare-approved facilities
that are eligible to receive coverage for lung volume reduction surgery.
Until May 17, 2007, facilities that participated in the National Emphysema
Treatment Trial were also eligible to receive coverage. The following three
types of facilities are eligible for reimbursement for Lung Volume
Reduction Surgery (LVRS):
• National Emphysema Treatment Trial (NETT) approved (Beginning
05/07/2007, these will no longer automatically qualify and can qualify only
with the other programs);
• Credentialed by the Joint Commission (formerly, the Joint
Commision on Accreditation ofHcalthcarc Organizations (JCAHO)) under
their Disease Specific Certification Program for L VRS; and
• Medicare approved for lung transplants.
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
period. For questions or additional information, contact JoAnna Baldwin
(410-786-7205).
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Addendum XIV: Medicare-Approved Bariatric Surgery Facilities
(July through September 2015)
Addendum XIV includes a listing of Medicare-approved facilities
that meet minimum standards for facilities modeled in part on professional
society statements on competency. All facilities must meet our standards in
order to receive coverage for bariatric surgery procedures. On February 21,
2006, we issued our decision memorandum on bariatric surgery procedures.
We determined that bariatric surgical procedures are reasonable and
necessary for Medicare beneficiaries who have a body-mass index (BMI)
greater than or equal to 35, have at least one co-morbidity related to obesity
and have been previously unsuccessful with medical treatment for obesity.
This decision also stipulated that covered bariatric surgery procedures are
reasonable and necessary only when performed at facilities that are: (1)
certified by the American College of Surgeons (ACS) as a Level 1 Bariatric
Surgery Center (program standards and requirements in effect on February
15, 2006); or (2) certified by the American Society for Bariatric Surgery
(ASBS) as a Bariatric Surgery Center of Excellence (ESCOE) (program
standards and requirements in effect on February 15, 2006).
There were no additions, deletions, or editorial changes to
Medicare-approved facilities that meet CMS' s minimum facility standards
for bariatric surgery that have been certified by ACS and/or ASMBS in the
3-month period. This information is available at
www. ems. gov/MedicareApprovedF acilitie/B SF/list. asp#TopOfPage. For
questions or additional information, contact Jamie Hermansen
(410-786-2064 ).
Addendum XV: FDG-PET for Dementia and Neurodegenerative
Diseases Clinical Trials (July through September 2015)
There were no FDG-PET for Dementia and Neurodegenerative
Diseases Clinical Trials published in the 3-month period.
This information is available on our website at
www .cms.gov/MedicareApprovedFacilitie/PETDT/list.asp#TopOfPage.
For questions or additional information, contact Stuart Caplan, RN, MAS
(410-786-8564 ).
13NON1
Federal Register / Vol. 80, No. 219 / Friday, November 13, 2015 / Notices
15:03 Nov 12, 2015
EN13NO15.013
Only the first two types are in the list. There were no updates to
the listing of facilities for lung volume reduction surgery published in the
3-month period. This information is available at
www .cms.gov/MedicareApprovedFacilitie/L VRS/list.asp#TopOfPage. For
questions or additional information, contact Marie Casey, BSN, MPH
(410-786-7861).
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[FR Doc. 2015–28870 Filed 11–12–15; 8:45 am]
BILLING CODE 4120–01–C
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Head Start Family and Child
Experiences Survey (FACES).
OMB No.: 0970–0151.
Description: The Office of Planning,
Research and Evaluation (OPRE),
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS), is
proposing to collect data for a new
round of the Head Start Family and
Child Experiences Survey (FACES).
Featuring a new ‘‘Core Plus’’ study
design, FACES will provide data on a
set of key indicators, including
information for performance measures.
The design allows for more rapid and
frequent data reporting (Core studies)
and serves as a vehicle for studying
more complex issues and topics in
greater detail and with increased
efficiency (Plus studies).
The FACES Core study will assess the
school readiness skills of Head Start
children, survey their parents, and ask
their Head Start teachers to rate
children’s social and emotional skills. In
addition, FACES will include
observations in Head Start classrooms,
and program director, center director,
and teacher surveys. FACES Plus
studies include additional survey
content of policy or programmatic
interest, and may include additional
programs or respondents beyond those
participating in the Core FACES study.
Previous notices provided the
opportunity for public comment on the
proposed Head Start program
recruitment and center selection process
(FR V.78, pg. 75569 12/12/2013; FR
V.79, pg. 8461 02/12/2014), the childlevel data collection in fall 2014 and
spring 2015(FR V. 79, pg. 11445 02/28/
2014; FR V. 79; pg. 27620 5/14/2014),
the program- and classroom-level spring
2015 data collection activities (FR v.79;
pg. 73077 12/09/2014), and the
American Indian and Alaska Native
Head Start Family and Child
Experiences Survey (AI/AN FACES)
child-level data collection activities in
fall 2015 and spring 2016 (FR V. 80, pg.
30250 08/07/2015). This 30-day notice
describes the planned additional data
collection activities for AI/AN FACES in
spring 2016, including surveys with
parents, teachers, program directors,
and center directors.
AI/AN FACES spring 2016 data
collection includes site visits to 37
centers in 22 Head Start programs. As in
fall 2015, parents of sampled children
will complete surveys on the Web or by
telephone (or in person if needed) about
their children, activities family
members engage in with their children,
and family and household background
characteristics. Head Start teachers,
program directors, and center directors
will complete surveys about the Head
Start classroom or program and their
own background using the Web or
paper-and-pencil forms.
The purpose of the Core data
collection is to support the 2007
reauthorization of the Head Start
program (Pub. L. 110–134), which calls
for periodic assessments of Head Start’s
quality and effectiveness. As additional
information collection activities are
fully developed, in a manner consistent
with the description provided in the 60day notice (79 FR 11445) and prior to
use, we will submit these materials for
a 30-day public comment period under
the Paperwork Reduction Act.
Respondents: Parents of Head Start
children, Head Start teachers and Head
Start staff.
ANNUAL BURDEN ESTIMATES—CURRENT INFORMATION COLLECTION REQUEST
Total
number of
respondents
Instrument
Head Start core parent survey for plus study (AI/AN
FACES Spring 2016) ........................................................
Head Start core teacher survey for plus study (AI/AN
FACES) ............................................................................
Head Start program director core survey for plus study
(AI/AN FACES) .................................................................
Head Start center director core survey for plus study (AI/
AN FACES) ......................................................................
jstallworth on DSK7TPTVN1PROD with NOTICES
Total ..............................................................................
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Planning, Research and Evaluation, 370
L’Enfant Promenade SW., Washington,
DC 20447, Attn: OPRE Reports
Clearance Officer. All requests should
be identified by the title of the
information collection. Email address:
OPREinfocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
VerDate Sep<11>2014
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Number
of responses
per
respondent
Annual
number of
respondents
Estimated
annual
burden
hours
800
267
1
0.50
134
80
27
1
0.58
16
22
7
1
0.33
2
37
12
1
0.33
4
........................
........................
........................
........................
156
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Fax: OIRA_
SUBMISSION@OMB.EOP.GOV, Attn:
Desk Officer for the Administration for
Children and Families.
Robert Sargis,
ACF Reports Clearance Officer.
[FR Doc. 2015–28815 Filed 11–12–15; 8:45 am]
BILLING CODE 4184–22–P
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burden
hour per
response
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: State Self-Assessment Review
and Report.
OMB No.: 0970–0223.
Description: Section 454(15)(A) of the
Social Security Act, as amended by the
Personal Responsibility and Work
Opportunity Reconciliation Act of 1996,
requires each State to annually assess
E:\FR\FM\13NON1.SGM
13NON1
Agencies
[Federal Register Volume 80, Number 219 (Friday, November 13, 2015)]
[Notices]
[Pages 70218-70231]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-28870]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9093-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--July through September 2015
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This quarterly notice lists CMS manual instructions,
substantive and interpretive regulations, and other Federal Register
notices that were published from July through September 2015, relating
to the Medicare and Medicaid programs and other programs administered
by CMS.
FOR FURTHER INFORMATION CONTACT: It is possible that an interested
party may need specific information and not be able to determine from
the listed information whether the issuance or regulation would fulfill
that need. Consequently, we are providing contact persons to answer
general questions concerning each of the addenda published in this
notice.
[GRAPHIC] [TIFF OMITTED] TN13NO15.002
[[Page 70219]]
I. Background
The Centers for Medicare & Medicaid Services (CMS) is responsible
for administering the Medicare and Medicaid programs and coordination
and oversight of private health insurance. Administration and oversight
of these programs involves the following: (1) Furnishing information to
Medicare and Medicaid beneficiaries, health care providers, and the
public; and (2) maintaining effective communications with CMS regional
offices, state governments, state Medicaid agencies, state survey
agencies, various providers of health care, all Medicare contractors
that process claims and pay bills, National Association of Insurance
Commissioners (NAIC), health insurers, and other stakeholders. To
implement the various statutes on which the programs are based, we
issue regulations under the authority granted to the Secretary of the
Department of Health and Human Services under sections 1102, 1871,
1902, and related provisions of the Social Security Act (the Act) and
Public Health Service Act. We also issue various manuals, memoranda,
and statements necessary to administer and oversee the programs
efficiently.
Section 1871(c) of the Act requires that we publish a list of all
Medicare manual instructions, interpretive rules, statements of policy,
and guidelines of general applicability not issued as regulations at
least every 3 months in the Federal Register.
II. Format for the Quarterly Issuance Notices
This quarterly notice provides only the specific updates that have
occurred in the 3-month period along with a hyperlink to the full
listing that is available on the CMS Web site or the appropriate data
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our
quarterly notice. We believe the Web site list provides more timely
access for beneficiaries, providers, and suppliers. We also believe the
Web site offers a more convenient tool for the public to find the full
list of qualified providers for these specific services and offers more
flexibility and ``real time'' accessibility. In addition, many of the
Web sites have listservs; that is, the public can subscribe and receive
immediate notification of any updates to the Web site. These listservs
avoid the need to check the Web site, as notification of updates is
automatic and sent to the subscriber as they occur. If assessing a Web
site proves to be difficult, the contact person listed can provide
information.
III. How to Use the Notice
This notice is organized into 15 addenda so that a reader may
access the subjects published during the quarter covered by the notice
to determine whether any are of particular interest. We expect this
notice to be used in concert with previously published notices. Those
unfamiliar with a description of our Medicare manuals should view the
manuals at https://www.cms.gov/manuals.
Dated: November 6, 2015.
Kathleen Cantwell,
Director, Office of Strategic Operations and Regulatory Affairs.
BILLING CODE 4120-01-P
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[[Page 70231]]
[FR Doc. 2015-28870 Filed 11-12-15; 8:45 am]
BILLING CODE 4120-01-C