Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January Through March 2018, 19769-19785 [2018-09430]

Download as PDF Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices Centers for Disease Control and Prevention Interagency Committee on Smoking and Health (ICSH) Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice of meeting. AGENCY: In accordance with the Federal Advisory Committee Act, the CDC announces the following meeting for the Interagency Committee on Smoking and Health (ICSH). This meeting is open to the public, limited only by seats available. The meeting room accommodates approximately 80 people. The public is also welcome to join the audio portion of the meeting: Telephone: (800) 779–6170 Participant Passcode: 8694592. There are 50 lines available for this meeting. DATES: The meeting will be held on June 14, 2018, 9:00 a.m. to 4:00 p.m., EDT. ADDRESSES: The Wink Hotel, New Hampshire Ballroom, 1143 New Hampshire Avenue NW, Washington, DC 20037. FOR FURTHER INFORMATION CONTACT: Monica Swann, MBA, Management Analyst, National Center for Chronic Disease Prevention and Health Promotion, CDC, 395 E. Street SW, Washington, DC 20024, telephone (202) 245–0552, email zqe0@cdc.gov. SUPPLEMENTARY INFORMATION: Purpose: The Interagency Committee on Smoking and Health shall provide advice and guidance to the Secretary, Department of Health and Human amozie on DSK3GDR082PROD with NOTICES SUMMARY: I. Background The Centers for Medicare & Medicaid Services (CMS) is responsible for VerDate Sep<11>2014 18:16 May 03, 2018 Jkt 244001 Services (HHS), regarding: (a) Coordination of research, educational programs, and other activities within the Department that relate to the effect of smoking on human health and on coordination of these activities, with similar activities of other Federal and private agencies; and (b) establishment and maintenance of liaisons with appropriate private entities, other Federal agencies, and State and local public agencies, regarding activities relating to the effect of cigarette smoking on human health. Matters to be Considered: The agenda will include discussions on the history and context of the intersection of tobacco use and behavioral health populations including those suffering from mental illness and/or substance abuse disorders. There will be presentations on the impact of tobacco use on these populations as well as the tobacco control interventions that can mitigate this impact, including innovative approaches for prevention and cessation. Agenda items are subject to change as priorities dictate. The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–9109–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—January Through March 2018 Centers for Medicare & Medicaid Services (CMS), HHS. AGENCY: ACTION: Notice. This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from January through March 2018, relating to the Medicare and Medicaid programs and other programs administered by CMS. SUMMARY: 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. FOR FURTHER INFORMATION CONTACT: Claudette Grant, Acting Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. 2018–09474 Filed 5–3–18; 8:45 am] BILLING CODE 4163–19–P administering the Medicare and Medicaid programs and coordination and oversight of private health PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 insurance. Administration and oversight of these programs involves the following: (1) Furnishing information to E:\FR\FM\04MYN1.SGM 04MYN1 EN04MY18.006</GPH> DEPARTMENT OF HEALTH AND HUMAN SERVICES 19769 19770 Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 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. amozie on DSK3GDR082PROD with NOTICES Section 1871(c) of the Act requires that we publish a list of all Medicare manual instructions, interpretive rules, VerDate Sep<11>2014 18:16 May 03, 2018 Jkt 244001 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 website 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 website list provides more timely access for beneficiaries, providers, and suppliers. We also believe the website 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 websites have listservs; that is, the public can subscribe and receive PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 immediate notification of any updates to the website. These listservs avoid the need to check the website, as notification of updates is automatic and sent to the subscriber as they occur. If assessing a website 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: April 30, 2018. Olen D. Clybourn, Deputy Director, Office of Strategic Operations and Regulatory Affairs. BILLING CODE 4120–01–P E:\FR\FM\04MYN1.SGM 04MYN1 amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00092 Fmt 4703 Addendum 1: Medicare and Medicaid Manual Instructions (January through March 2018) The CMS Manual System is used by CMS program components, partners, providers, contractors, Medicare Advantage organizations, and State Survey Agencies to administer CMS programs. It offers day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives. In 2003, we transformed the CMS Program Manuals into a web user-friendly presentation and renamed it the CMS Online Manual System. Sfmt 4725 E:\FR\FM\04MYN1.SGM 04MYN1 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 arc exceptions to tlris rule and arc still active paper-based manuals. The remaining paper-based manuals arc 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 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 are not sales outlets. Individuals may obtain information about the location of the nearest regional depository library from any library. CMS publication and transmittal numbers are shown in the listing entitled Medicare and Medicaid Manual Instructions. To help FDLs locate the materials, use the CMS publication and transmittal numbers. For example, to find the manual for Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits, use (CMS-Pub. 100-04) Transmittal No. 3949. 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. Manual/Subject/Publication Number 113 I 114 I 240 I 241 I 242 I Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instruction Internet Only Manual Updates to Pub. 100-0 I. I 00-02 and I 00-04 to Correct Errors and Omissions (SNF) (20 18) · :li41$:et~~· ~ e•~•;\:1:•,~ Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update Internet Only Manual (IOM) Update to Pub. 100-02, Chapter 11 - End Stage Renal Disease (ESRD), Section I 00 New "K" Code for Therapeutic Shoe Inserts Ther~utic Shoes for Individual with Diabetes Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (20 18) Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 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: May 5, 2017 (82 FR 21241), August 4, 2017 (82 FR 36404), October 27,2017 (82 FR 49819) and January 26,2018 (83 FR 3716). 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. 19771 EN04MY18.007</GPH> amozie on DSK3GDR082PROD with NOTICES 19772 VerDate Sep<11>2014 .•, ;;:}i 1"'~,' ''\\;r,,\ ,~';. 204 1,~''2'i~~lz~':it'Z'E 3945 3946 Jkt 244001 3947 PO 00000 3949 3948 3950 Frm 00093 3951 Fmt 4703 3952 3953 Sfmt 4725 3954 3955 E:\FR\FM\04MYN1.SGM 3956 3957 3958 3959 04MYN1 3960 3961 3962 ''/;' ~~:::,;;:~'~\;''!' New Waived Tests File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions April2018 Quarterly Average Sales Price (ASP) Medicare Part B Dmg Pricing Files and Revisions to Prior Quarterly Pricing Files Ensuring Correct Processing of Ilome Health Disaster Related Claims and Claims for Denial No Payment Billing Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory hnprovement Amendments (CLIA) Edits 2018 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Hcalthcarc Common Procedure Coding System (HCPCS) Code Jurisdiction List Issued to a specific audience, not posted to Intemetiintranet due to Sensitivity of Instmction Issued to a specific audience, not posted to Intemetiintranet due to a Confidentiality of Instmction Revisions to the Claims Processing for Grandfathered Oxygen Claims that Span Competitive Bidding Rounds Change in Suppliers for Oxygen and OJ<:ygen Equipment Issued to a specific audience, not posted to Intemetiintranet 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 Intemetiintranet due to a Confidentiality of Instmction Issued to a specific audience, not posted to Intemetiintranet due to Confidentiality of Instmction Issued to a specific audience, not posted to Intemetiintranet due to a Confidentiality of Instmction Issued to a specific audience, not posted to Intemetiintranet due to a Confidentiality of Instmction Issued to a specific audience, not posted to lntemetllntranet due to a Confidentiality of Instmction Editing Update for Mammography Services MSN Messages Remittance Advice Messages Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 3963 3964 EN04MY18.008</GPH> Line-Item Modifiers Related to Reporting of Non-covered Charges When Covered and Non-covered Services Are on the Same Outpatient Claim Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.1, Effective April 1, 2018 Issued to a specific audience, not posted to Intemetiintranet due to a 3965 3966 3967 3968 3969 3970 3971 3972 3973 3974 3975 3976 3977 3978 3979 3980 3981 3982 1981 3984 3985 3986 3987 Confidentiality of Instmction Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR 9911 Quarterly Healthcare Common Procedure Coding System (HCPCS) Dmg/Biological Code Changes- April2018 Update Issued to a specific audience, not posted to Intemetiintranet due to a Confidentiality of Instmction Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) I Levell Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs) Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports Reporting ElM Service Documentation Provided by Students (Manual Update) Evaluation and Management (ElM) Services Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018- Recurring File Update Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Diagnosis Code Cpdate for Add-on Payments for Blood Clotting Factor Payment for Blood Clotting Factor Administered to Hemophilia Inpatients Administered to Hemophilia Inpatients Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory hnprovement Amendments (CLIA) Edits Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB)- April 2018 Update Healthcare Provider Taxonomy Codes (HPTCs) April2018 Code Set Cpdate Common Edits and Enhancements Modules (CEM) Code Set Update Issued to a specific audience, not posted to Intemetiintranet due to Sensitivity of Instmction Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update Issued to a specific audience, not posted to Intemetiintranet due to a Confidentiality of Instmction Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018- Recurring File Update Issued to a specific audience, not posted to lntemetllntranet due to a Confidentiality of Instmction Issued to a specific audience, not posted to Intemetiintranet due to a Confidentiality of Instmction Instmctions for Downloading the Medicare ZIP Code File for July 2018 Issued to a specific audience, not posted to Intemetiintranet due to Sensitivity oflnstmction Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2018 Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 205 ;>;\{i,~sf Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 3988 3990 3991 3992 Jkt 244001 PO 00000 Frm 00094 3993 3994 Fmt 4703 3995 3996 Sfmt 4725 3997 3998 E:\FR\FM\04MYN1.SGM 3999 4000 4001 4002 4003 4004 4005 4006 4007 4008 4009 04MYN1 Application of Limitation on Liability to SNF and Hospital Claims for Services Furnished in Noncertified or Inappropriately Certified Beds Determining Liability for Services Furnished in a Noncertified SNF or Hospital Bed Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule April2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) April2018 Integrated Outpatient Code Editor (I!OCE) Specifications Version 19.1 Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) I Levell Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Sununary Notices (MSNs) Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) I Levell Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Sununary Notices (MSNs) Update to the Internet Only Manual (IOM) Publication 100-04- Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF) General Information About the Common Working File (CWF) System Common Working File (CWF) Operations Communication between Host and MAC's Jurisdiction Sector Records received by the CWF Hosts Beneficiary Data Streamlining (BDS) Claims Adjustments/Cancels to Posted Claims Claim Maintenance Records Records received from the CWF Hosts BlJS Basic Reply Claims Basic Reply Accepted (as is) for Payment Adjusted and Then Accepted for Payment Cancel/Void Claim Accepted Rejected l\ot in Host's File (NIF) Disposition Code 50 (Not in File) Disposition Code 51 (True Not in File on CMS Batch System) Disposition Code 52 (Beneficiary Record at Another) Disposition Code 53 (Record in CMS Alpha Match) Disposition Code 54 (Matched to Cross-referenced) Disposition Code 55 (Personal Characteristic Mismatch) Disposition Code 56 (MBI/HICN :v!ismatch) Claim Maintenance Records Basic Reply Cnsolicited Response/Informational Unsolicited Response (UR/IUR) Reviewing the Beneficiary and Claim( s) Information Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 3989 April2018 Update ofthe Hospital Outpatient Prospective Payment System (OPPS) April2018 Integrated Outpatient Code Editor (IIOCE) Specifications Version 19.1 Diagnosis Code Cpdate for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) General Billing Requirements Coding Requirements for SET Special Billing Requirements for Professional Claims Special Billing Requirements for Institutional Claims Common Working File (CWF) Requirements Applicable Medicare Summary Notice (MSN), Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Code (CARC) Messaging Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR 9911 Qualified Medicare Beneficiary (QMB) Program April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Correction to Pub. 100-04, Chapter 5 April2018 Update of the Ambulatory Surgical Center (ASC) Payment System Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes- April2018 Update File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptiom Quarterly Update for Clinical Laboratory Fcc Schedule and Laboratory Services Subject to Reasonable Charge Payment Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8 -Date of Service Policy Date of Service (DOS) for Clinical Laboratory and Pathology Specimens Internet Only Manual Updates to Pub. 100-01, 100-02 and I00-04to Correct Errors and Omissions (SNF) (20 18) Charges to Hold a Bed During SNF Absence Consolidated Billing Requirement for SNFs Furnishing Services that are Subject to Sl\F Consolidated Billing Under an "Arrangement" With an Outside Entity Other Excluded Services Beyond the Scope of a SNF Part A Benefit Dialysis and Dialysis Related Services to a Beneficiary With ESRD Other Services Excluded from SNF PPS and Consolidated Billing Ambulance Services Same Day Transfer Situations that Require a Discharge or Leave of Absence Determine Utilization on Day of Discharge, Death, or Day Beginning a Leave of Absence Leave of Absence Coverage Table for DME Claims 19773 EN04MY18.009</GPH> amozie on DSK3GDR082PROD with NOTICES 19774 VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00095 Fmt 4703 Sfmt 4725 301 E:\FR\FM\04MYN1.SGM Crossover Process Inclusion and Exclusion of Specified Categories of Adjustment Claims for Coordination of Benefits Agreement (COBA) Crossover Purposes Health Insurance Portability and Accountability Act (HIPAA) 5010 and National Council for Prescription Drug Programs (NCPDP) D.O Crossover Requirements Revisions to Medicare Claims Processing Manual for End Stage Renal Disease 4010 04MYN1 r~~,;~''l.ill\i:~;i "·~,;·. 0\i••·•;•;-;:~:· ~ ~');• None r:~;i~:;•.;;o\ 297 298 299 300 EN04MY18.010</GPH> Services (CMS) Internet Only Manual (IOM) 100-06 The Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements Federal Managers' Financial Integrity Act of 1982 (FMFIA) Control Activities CMS Contractor Internal Control Review Process and Time line Risk Assessment Risk Analysis Chart Intemal Control Objectives CMS Contractor Control Objectives Policies and Procedures Testing Methods Documentation and Working Papers Certification Package for Intemal Controls (CPIC) Requirements OMB Circular A-123 Appendix A: Internal Controls Over Financial Reporting (ICOFR) Ceiiification Statement CPIC- Repoii of Material Weaknesses CPIC - Repoii oflntemal Control Deficiencies Material Weaknesses Identified During the Repoiiing Period Statement on Standards for Attestation Engagements (SSAE) Number 18, (SSAE 18) Repoiiing on Controls at Service Providers Submission, Review, and Approval of Corrective Action Plans Corrective Action Plan (CAP) Repoiis CMS Finding Numbers Initial CAP Repoii Quarterly CAP Repoii CMS CAP Repoii Template List of CMS Contractor Control Objectives List of Commonly Used Acronyms The Fiscal Year 2018 Updates for the Centers for Medicare and Medicaid Services (CMS) Internet Only Manual (IOM) 100-06 The Medicare financial Management Manual, Chapter 7 - Internal Control Requirements Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shoiiage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) :,JuarteJ ly Repoiis y\;(.i Ji~li ···~.nm.t:~~~~iool.fi~. 302 ·:\1: ,:.; \ .••••• •• s••~1.1J • ''~'';\;•\ Notice of 'lew Interest Rate for Medicare Overpayments and Underpayments -2nd Qtr Notification for FY 2018 Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PC IP) Quarter! y Reports Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instruction The Fiscal Year 2018 Updates for the Centers for Medicare and Medicaid 763 764 765 .. ~an~'lL'>> ·~.:·.:::\;:c:•. ~i~iY21iS•t) :-~( 177 Revisions to State Operations 'v!anual (SOM) Appendix G, Guidance for Rural Health Clinics "'· ;;: : ••. :; ; i. 0\2%%i't -~·:·!);;:~·5·~0 Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instmction Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instmction Medicare Diabetes Prevention Program (MDPP) Enrollment Process Definitions Licenses, Ceiiifications, and Recognition Correspondence Address and E-mail Addresses Practice and Administrative Location Information Section 4 of the Form CMS-20134 Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Online Health Insurance Master Record (HIMR) Display CWF Provider Queries- Online Eligibility Information for Medicare Part A Providers Online Reporting (ORPT) System Display Requesting Assistance in Resolving CWF 1Jtili7ation Problems Social Security Administration (SSA) Involvement Critical Case Procedure - Establishing Entitlement RefeiTal of Critical Cases to the Regional Office Requesting or Providing Assistance to Resolve CWF Rejects Format for Requesting Assistance From Another AlB MAC or DME MAC onCWF Edits Paying Claims Outside ofCWF Requesting to Pay Claims Outside of CWF Procedures for Paying Claims Outside of CWF Contractor 'v!onthly Reports of Claims Paid Outside of CWF MAC Procedure Process Flow of a Change Request Handling Emergency Problems and Problems With Recent CWF Releases Distribution of"CWF Change Control" Reports Channels of Communication Schedule ofCWF Software Releases Disposition Codes Error Codes Beneficiary Other Insurance Information (HUBO) Maintenance Transaction Error Codes Consolidated Claims Crossover Process Claims Crossover Disposition and Coordination of Benefits Agreement ByPass Indicators Special Mass Adjustment and Other Adjustment Crossover Requirements Coordination of Benefits Agreement (COBA) Medigap Claim-Based amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00096 Fmt 4703 766 Sfmt 4725 767 76S 769 E:\FR\FM\04MYN1.SGM 770 771 04MYN1 772 773 774 775 776 777 778 Changes oflnformation and Ownership Reactivations Site V eritications Provider Enrollment Inquiries Release of Information File Maintenance Model Revalidation Letters Model Revalidation Pend Letter Model Revalidation Deactivation Letter Model Revalidation Past-Due Group Member Letter Model Deactivation Letter due to Inactive Provider/Supplier Letter Model Return Revalidation Letter Model Approval Letter Denial Letter Guidance Denial Example #6- MDPP Standards Not Met- Ineligible Coach Revocation Letter Guidance Revocation Example #3- MDPP supplier Use of an Ineligible Coach Model Documentation Request Letter Reactivations- Deactivation for Reasons Other Than Non-Submission of a Claim Reactivations- Deactivation for Non-Submission of a Claim Reactivations- Miscellaneous Policies Revocations Other Identified Revocations External Reporting Requirements Responsibility After Workload Transition Late Documentation Received by the CERT Review Contractor Administrative Relief to Damaged Areas from a Disaster Issued to a specific audience, not posted to Intcrnct/Intranct due to Confidentiality oflnstruclion Post-Payment Review Timeliness Requirements Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Clarification of Instructions Regarding the Intensive Level of Rehabilitation Therapy Services Requirements Medical Review oflnpatient Rehabilitation Facility (IRF) Services Reviewing for Intensive Level of Rehabilitation Therapy Services Requirements Issued to a specific audience, not posted to Intcrnct/Intranct due to Confidentiality oflnstruclion Form CMS-8550 Processing Guide Comprehensive Error Rate Testing (CERT) Program Dispute Process Disputing a CERT Decision Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Coni!dentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Updates to Payment Suspension Notice Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Owning and Managing Organizations Delegated Otlicials Submission of Paper and Internet-based PECOS Certification Statements Fonn CMS-855A, Form CMS-855B, and Form CMS-20134 Signatories Supporting Documents Supporting Documents for MDPP Suppliers - Recognition Status Timeliness and Accuracy Standards Standards for Initial and Revalidation Applications Fonn CMS-S55 and Form CMS-20134 Applications 'lhat Require a Site Visit Fonn CMS-855 and Form CMS-20134 Applications That Do Not Require a Site Visit Paper Applications - Accuracy Web-Based Applications- Timeliness Web-Based Applications That Require a Site Visit Web-Based Applications That Do Not Require a Site Visit Web-Based Applications- Accuracy Standards for Changes oflnformation Paper Applications - Timeliness Paper Applications - Accuracy Web-Based Applications- Timeliness Web-Based Applications- Accuracy General Timeliness Principles Application Review and Verification Activities Receipt/Review of Paper Applications Verification of Data/Processing Alternatives Processing Alternatives- Form CMS-20134 Paper Applications Receiving Missing/Clarifying Data/Documentation Paper Applications Internet-Based PECOS Applications Documentation Special Program Integrity Procedures Special Procedures for MDPP Suppliers Special Processing Guidelines for Form CMS-855A, Form CMS-855B, Form CMS-8551, and Form CMS-20114 Applications Returns Rejections Denials Approval of Medicare Diabetes Prevention Program (MDPP) Suppliers Changes of Information - General Procedures Changes oflnformation and Complete Form CMS-855 and Form CMS20134 Applications Incomplete or Unverifiable Changes oflnformation Voluntary Terminations Electronic Funds Transfers (EFT) Existing or Delinquent Overpayments 1\on-CMS-855 and Non-CMS-20134 Enrollment Activities Contractor Communications Internet-based PECOS Applications Effective Date for MDPP Suppliers Application Fees Background Scope of Site Visit 19775 EN04MY18.011</GPH> amozie on DSK3GDR082PROD with NOTICES 19776 VerDate Sep<11>2014 779 780 781 782 Jkt 244001 PO 00000 783 784 Frm 00097 t;~i);. 2003 2004 2005 2006 2007 2008 2009 2010 2011 ;·~;; None 2012 '7:.!;"',:~"'s [c10Yjj;"·::~~<~~;;~~· 1 Fmt 4703 None If>;;:;. ~-s-·~tt"~'lt}li·<~g:: 2013 2014 None ·"i\.iiiiili. Sfmt 4725 I >;< None •.•,);(;(\:;:•i>"~[\ 2015 c;,~:,;i(.\',ii'J;(;{ None . ;;\>;··?-~-~ l.i".,(!;~;,';";, E:\FR\FM\04MYN1.SGM None I <;\i~\·~;~·:~c;· ~:~~"~~ ."[iii,\~·ii'j;): 190 192 04MYN1 l1c~~j~~;ii,:,.~· 1996 1997 1999 2000 2001 ;;: z; i {ii<"i• 2016 2017 i?.ii;~'i ~ <;:c;,;;P('-i'.~' ·:"";~;;~·i,·i;\;J Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction Update to CR9341 Oncology Care Model (OCM) Restricted Care Management Code List Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction 191 1998 EN04MY18.012</GPH> 2002 2018 2019 2020 2021 :: ••~iii! <(fi\;;ii.iii_i~:~:•:'!s.·'§ Analyze Common Working File (CWF) System and Identity Layouts with Minimum FILLER Areas Available Enhancement to the Recovery Audit Contractor (RAC) 'v!ass Adjustment Input File HIGLAS Enhancement Required for Implementation of Overpayment based Denials Implementation ofthe Transitional Drug Add-On Payment Adjustment MCS Proof of Concept to Convert Existing MCSDT Window to Utilize API Technology Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction 2022 2023 2024 2025 2026 2027 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction ICD-10 and Other Coding Revisions to National Coverage Detenninations (NCDs) Monthly Status Report (MSR) Excel Data Template Updates and Implementation ofMAC/CMS Data Exchange (MDX) Portal System Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Shared System Enhancement 2015; Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) Issued to a specitic audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Analysis Only: Procedures to Handle Foreign (non US) Addresses Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Codes 46, 48, and 49 within the Fiscal Intermediary Shared System (FISS) Analysis of Reject Responses for Prior Authorization/Pre-Claim Review Requests (P AIPCR) via the Electronic Submission of Medical Documentation (esMD) System and Usage of Standardized Review Reason Codes and Statements Global Surgical Days for Critical Access Hospital (CAH) Method II Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer Updates to the Common Working File (CWF) to Allow Entry Code 9 Durable Medical Equipment (DME) Claims to Process Correctly Part B Detail Line Expansion - VMS Updates to Common Working File (CWF) Edits for Acute Kidney Injury (AKI) Claims Shared System Enhancement 2014: Implementation ofl'iscal Intennediary Shared System (FISS) Obsolete Core Reports- Phase 2 Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial Reports- Phase 2 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Shared System Enhancement 2014: Implementation of Fiscal Intennediary Shared System (FISS) Obsolete On-Request Jobs- Phase 1 Part B Detail Line Expansion- Multi-Carrier System (MCS) Phase 8 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity ofTnstruction Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Issued to a specific audience, not posted to Internet/Intranet due to Coni!dentiality of Instruction Update to Exhibit 16- Model Payment Suspension Letters in Pub. 100-08 Payment Suspension Termination Notice Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Update to Chapter 15 of Publication 100-08 - Medicare Enrollment Deactivation Policies Model Deactivation Letter Deactivation Revalidation Lists Mailing Revalidation Letters Large Group Revalidation Coordination Proof of Delivery Exceptions for Immunosuppressant Drugs Paid Under the Durable Medical Equipment (DME) Benefit Exceptions Reviewing for Adverse Legal Actions (ALA) Final Adverse Action Reviewing for Adverse Legal Actions amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 2028 2030 2031 2032 Jkt 244001 2033 2034 PO 00000 2035 2036 2037 Frm 00098 2038 2039 Fmt 4703 2040 Sfmt 4725 2041 2042 2043 E:\FR\FM\04MYN1.SGM 2044 2045 2046 04MYN1 2047 2048 2049 ~~ ;~t<!<·''. 70 71 72 <,.:, r:,>;,~. ,,,, '-~· ~m~~t~!A'i~ltatuRist.::$~'t\li§:~~Uj~\J?li'b;f:l5~ii;~\i ·•·••~'·5:1 Addendum II: Regulation Documents Published in the Federal Register (January through March 2018) 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/. 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: https://www .ems. govI quarterlyproviderupdates/downloads/Re gs1Ql8QPU.pdf For questions or additional information, contact Terri Plumb (410-786-4481 ). Addendum III: CMS Rulings (January through March 2018) 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 Hup.nwww.~.;m~.guvJKt:gmauuu~ For questions or additional information, contact Tiffany Lafferty (410-786-7548) . Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 2029 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FlSS) Obsolete Financial Reports- Phase 3 Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports- Phase 3 Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System Provider Enrollment, Chain, and Ownership System (PECOS) Extract Changes for Multi-Carrier System (MCS)- Analysis Only ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) Identifying and Eliminating Discrepancies in Shared System Emollment Data and Provider Emollment Chain and Ownership System (PECOS) Data Targeted Probe and Educate Metrics Deliverables Update and Glossary Targeted Probe and Educate Metrics Deliverables Update and Glossary Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) Appropriate Use Criteria for Advanced Diagnostic Imaging- Voluntary Participation and Reporting Period - Claims Processing Requirements HCPCS Modifier QQ Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 The Supplemental Security Income (SSJ)/Medicare Beneficiary Data for Fiscal Year 2016 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs ), and Long Term Care Hospitals (LTCH) National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation Identifying and Eliminating Discrepancies in Shared System Emollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instruction Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of2018 Fiscal Intermediary Shared System (FISS) Internal Crosswalk Modification National Supplier Clearinghouse (NSC) 'lumbers Shortage for Walgreen TI'I .. 'R~~~~t4~fi~rP'ir~lltfl:m~X~ $i:\!'Zi:<£~\' Issued to a specific audience, not posted to Internel/Intranel due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Addendum IV: Medicare National Coverage Determinations (January through March 2018) Addendum IV includes completed national coverage determinations (NCDs), or reconsiderations of completed NCDs, from the 19777 EN04MY18.013</GPH> amozie on DSK3GDR082PROD with NOTICES 19778 VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00099 Fmt 4703 Title Sfmt 4725 Supervised Exercise TI1erapy (SET) for Symptomatic Peripheral Artery NCDM Section Transmittal Nmnber Issue Date Effective Date NCD 20.35 204 02/02/2018 05/25/2017 E:\FR\FM\04MYN1.SGM 04MYN1 Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (January through March 2018) 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 investigational device exemption (IDE). Category A refers to experimental IDEs, and Category B refers to non-experimental IDEs. To obtain more information about the classes or categories, please refer to the notice published in the April21, 1997 Federal Register (62 FR 19328). IDE BB17905 BB17984 BB17991 Gl50104 Gl70052 Gl70203 Gl70265 Gl70301 Gl70304 Gl70309 Gl70312 Gl70315 Gl80004 Gl80005 Gl80007 Gl80011 Gl80015 Gl80017 Gl80018 Gl80020 Gl80021 Gl80023 Gl80026 Gl80027 Gl80030 Gl80031 Gl80034 Gl80035 Gl80037 Gl80041 G180044 Device CardiAMP CSCcll Separator (BioCardia), Autologous Bone Marrow Mononuclear Cells, Administered via Helix Transendocardial Catheter Transpose RT System Safety and Efficacy oflnjection of Adipose-Derived Regenerative Cells (ADRCs) MAGFORCE USA,INC XACTDevice Phil Embolic System DVisc40 OVD eCoin (Electroceutical Coin) e-OPRA Implant System Doston Scientific Precision Spectra Spinal Cord Stimulator and CoverEdge 32 or X32 Surgical Leads Centralized Lung Evaluation System Model name: Mercury Tigertriever; Tigertriever 17 Effectiveness of Repetitive Transcranial Stimulation (rTMS) for the Improvement of Memory in Older Adults with Traumatic Brain injury (TBI) Optune (NovoTTF 200A) Inpatient Safety and Feasibility Evaluation of the Zone-MPC Control Algorithm Integrated into the APS APP enVista Multifocal (Trifocal) Intraocular Lens RxSight Light Adjustable Lens (RxLAL); Light Delivery Device; Insesrtion Device - Cartridge; Insertion Device Injector Handle Optune- NovoTTF-200A System V-Wave Interatrial Shunt System RADIESSE (+)Lidocaine l.Scc Quantii'ERON-CMV e-OPRA Implant System aerFree (cNEP) AMS device Atom 0.5 Continuous Glucose Monitoring System, G6 Orion Continuous Glucose Monitoring System The Novo TTF-200A System Water Jet Model ERBEJET 2 System with HybridAPC Probe Obalon Balloon System with Navigation and Touch BrealhiD MCS Optilume Drug Coated Balloon (DCB) Catheter Next-Generation TECNIS Symfony Extended Range of VisioniOL Start Date 01/26/2018 03/09/2018 03/09/2018 02/09/2018 01/26/2018 01/17/2018 02/15/2018 03/08//2018 01/17/2018 01/17/2018 01/26/2018 01/26/2018 02/04/2018 02/17/2018 02/17/2018 02/15/2018 02/24/2018 02/28/2018 02/28/2018 03/02/2018 03/07/2018 03/09/2018 03/04/2018 03/28/2018 03/16/2018 03/18/2018 03/22/2018 03/23/2018 03/27/2018 03/30/2018 03/30/2018 Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 EN04MY18.014</GPH> quarter covered by this notice. Completed decisions are identified by the section of the NCD Manual (NCDM) in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. An NCD is a determination by the Secretary for whether or not a particular item or service is covered nationally under the Medicare Program (title XVIII 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 announce decisions or, in some cases, explain why it was not appropriate to issue an NCD. Information on completed decisions as well as pending decisions has also been posted on the CMS website. For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3month period. This information is available at: www.cms.gov/medicarecoverage-database/. For questions or additional information, contact Wanda Belle, MPA (410-786-7491). amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00100 Fmt 4703 Sfmt 4725 E:\FR\FM\04MYN1.SGM Addendum VII: Medicare-Approved Carotid Stent Facilities, (January through March 2018) Addendum VII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS standards for perfonning carotid artery stenting for high risk patients. On March 17, 2005, we issued our decision memorandum on carotid artery stenting. We determined that carotid artery stenting with embolic protection is reasonable and necessary only if performed in facilities that have been detennined to be competent in pcrfonning the evaluation, procedure, and follow-up necessary to ensure optimal patient outcomes. We have created a list of minimum standards for facilities modeled in part on professional society statements on competency. All facilities must at least meet our standards in order to receive coverage for carotid artery stenting for high risk patients. For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3-month period. This information is available at: https://www. ems. gov/MedicareApprovedF acilitie/CASF/list. asp#TopOfPage For questions or additional information, contact Sarah Fulton, MHS (410-786-27 49). Facility Provider Number State ..~ >:t:i,::%<(}''Yki\\ ~i'li\~)~~ ''!.'.~;;.: 04MYN1 Aultman Hospital 2600 Sixth Street S.W. Canton, OH 44710 Lake Charles Memorial Hospital 1701 Oak Park Boulevard Lake Charles, LA 7060 1 Saint Thomas Midtown Hospital 2000 Church Street Nashville, TN 37236 West Hills Hospital & Medical Center 7300 Medical Center Drive Effective Date .~ 1356376131 01103/2018 OH 1972549855 01123/2018 LA 440113 02/08/2018 TN 1023065729 03/20/2018 CA Facility Provider Number Effective Date State 171005194 07/06/2006 IN 1427493246 12/03/2008 IN 370013 04/12/2005 OK 180130 06/14/2005 KY 420002 06/14/2005 sc 180035 04/26/2005 KY 180045 11103/2005 KY 520021 12/2112007 WI West Hills, CA 91307 '''' :::: ;,;0;lt;,;'~;:;~;':.; :c.; ::;,,\; ;;;l;:;;;~,S' FROM: Franciscan St. Anthony Health - Michigan City TO: Franciscan Health Michigan City 301 West Homer Street Michigan City, IN 46360 FROM: Franciscan Physicians Hospital TO: Franciscan Health Munster 70 1 Superior Avenue Munster, IN 46321 FROM: Mercy Health Center TO: Mercy Hospital Oklahoma City 4300 W. Memorial Rd Oklahoma City, OK 73120 FROM: Baptist Hospital East TO: Baptist Health Louisville 4000 Kresge Way Louisville, KY 40207 FROM: Tenet Health System TO:Amisub of South Carolina, Inc. 222 South Herlong Avenue Rock Hill, SC 29732 D/B/A Piedmont Medical Center FROM: St. Elizabeth Medical Center South Unit TO: St. Elizabeth Healthcare Edgewood 1 Medical Village Drive Edgewood, KY 41017 FROM: St. Elizabeth Florence TO: St. Elizabeth Healthcare Florence 4900 Houston Road Florence, KY 41042 FROM: United Hospital System, Inc. TO: Froedtert South Inc. 6308 Eighth Avenue Kenosha, WI 53143-5082 Dba Kenosha Medical Center and St. Catherine's Medical Center Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Addendum VI: Approval Numbers for Collections of Information (January through March 2018) All approval numbers are available to the public at Reginfo.gov. Under the review process, approved information collection requests are assigned OMB control numbers. A single control number may apply to several related information collections. This information is available at www.reginfo.gov/public/do/PRAMain. For questions or additional infonnation, contact William Parham (410-786-4669). 19779 EN04MY18.015</GPH> amozie on DSK3GDR082PROD with NOTICES 19780 VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00101 Fmt 4703 Sfmt 4725 E:\FR\FM\04MYN1.SGM 04MYN1 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 ICD registry. Therefore, for a beneficiary to receive a Medicare-covered ICD implantation for primary prevention, the beneficiary must receive the scan in a facility that participates in the ACC-NCDR lCD registry. The entire list of facilities that participate in the ACC-NCDR ICD registry can be found at www.ncdr.com/webncdr/co111111on 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/co111111on. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). Facility I;') ;;l;~~E;~~~;.?cc't Wayne Memorial Hospital Colquitt Regional Medical Center Roger Williams Medical Center Pinnacle Healthcare, LLC Peter Munk Cardiac Centre Mount Sinai Hospital WellStar North Fulton Hospital Arcadia Outpatient Surgery Center, LP St. Francis Medical Center Avita Ontario Hospital J.C. Blair Memorial Hospital Providence Medford Medical Center Tristar Horizon Medical Center City Honesdale Moultrie Providence Crown Point Toronto Chicago Roswell Arcadia Colorado Springs Ontario Huntingdon Medford Dickson State ",i,~: ;~;>;<';;j. i\>:~.; PA GA RI IN ON IL GA CA co OH PA OR TN Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 EN04MY18.016</GPH> Addendum VIII: American College of Cardiology's National Cardiovascular Data Registry Sites (January through March 2018) 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 ICD procedure. Details of the clinical indications that are covered by Medicare and their respective data reporting requirements are available in the Medicare NCD Manual, which is on the CMS website at amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00102 Fmt 4703 Sfmt 4725 E:\FR\FM\04MYN1.SGM 04MYN1 Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (January through March 2018) 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 V ADs 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 V ADs implanted as destination therapy. For the purposes of this quarterly notice, we are providing only the specific updates to the list of Medicare-approved facilities that meet our standards that have occurred in the 3-month period. This information is available at https://www. ems. gov/MedicareApprovedF acilitie!VAD/list.asp#TopOfPage. For questions or additional information, contact Linda Gousis, JD, (410-786-8616). Facility [;\~.~.. 'i;~ \. . CJW Medical Center Johnston Willis Hospital 1401 Johnston Willis Dr. Richmond, VA 23225 < Provider Number Date Approved State ~~~c·~;. ···~;§\:;;;:·~•·' 490112 12/19/2017 VA 110035 11/08/2017 GA 450388 08/09/2017 TX 260032 11111/2017 MO Other Information: Joint Commission# 8387 Riverside Methodist Hospital 3535 Olentangy River Road Columbus, OH 43214 360006 08/30/2017 OH Other Information: Joint Commission# 7030 Lehigh Valley Hospital 1200 S. Cedar Crest Boulevard Allentown, PA 18105 390133 12/13/2017 PA Other Information: DNV-GL #252385-2017- VAD Wellstar Kennestone Hospital 677 Church Street Marietta, GA 30060 Other Infonnation: Joint Commission# 6711 [:6~'.~~~·.;;\.. i'is•:·~;~ FROM: Methodist Specialty and Transplant Hospital TO: Methodist Hospital 7700 Floyd Curl Drive San Antonio, TX 78229 Other Information: Joint Commission# 9219 Barnes-Jewish Hospital 1 Barnes Jewish Hospital Plaza Saint Louis, MO 63110 ...,.,,.!\:;: . ~~; .ii) •;i$\•.•·t,~· ~';. : Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Addendum XI: National Oncologic PET Registry (NOPR) (January through March 2018) 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 ). Other Information: Joint Commission# 4880 19781 EN04MY18.017</GPH> amozie on DSK3GDR082PROD with NOTICES 19782 VerDate Sep<11>2014 Jkt 244001 Other Information: Joint Commission# 6237 University of California San Diego Medical 200 West Arbor Drive San Diego, CA 92103 PO 00000 Frm 00103 Fmt 4703 Other Information: Joint Commission# 10071 FROM: University of Chicago Hospitals and Health System TO: University of Chicago Medical Center 5841 South Maryland Avenue Chicago, IL 60637 Sfmt 4725 Other Information: Joint Commission# 7315 Keck Hospital of CSC 1500 San Pablo Street Los Angeles, CA 90033 E:\FR\FM\04MYN1.SGM Other Information: Joint Commission # 5033 FROM: Sutter Memorial Hospital TO: Sutter Medical Center 2825 Capitol Avenue Sacramento, CA 95816 04MYN1 Other Information: Joint Commission# 2902 FROM: CJW Medical Center -Johnston Willis Hospital TO: CJW Medical CenterChippenham Hospital 7101 Jahnke Road Richmond, VA 23225 Other Information: DNV-GL #252385-2017-VAD New York-Presbyterian/Weill EN04MY18.018</GPH> Provider Number 08-0001 Date Approved 10/25/2017 State DE 050025 10/18/2017 CA 140088 10/25/2017 IL 050696 050108 10/21/2017 11/08/2017 CA CA Facility Cornell Medical Center 525 East 68th Street New York, NY, 10065 Other Information: Joint Commission# 5838 FROM: St Luke's Medical Center TO: Aurora St. Luke's Medical Center of Aurora Health Care Metro, Inc. 2900 W Oklahoma Avenue Milwaukee, WI 53215 Other Information: Joint Commission# 7675 FROM: University of Kentucky Health Care Chandler Hospital TO: University of Kentucky Hospital! UK Albert B. Chandler Hospital 800 Rose Street Lexington, KY 40536 Other Information: Joint Commission# 7760 FROM: Jackson Memorial Hospital, University of Miami TO: Jackson Memorial Hospital 1611 NW 12th Avenue Miami, FL 33136 Other Information: Joint Commission# 6850 Westchester Medical Center 100 Woods Road Valhalla, NY 10595 490112 12/19/2017 VA Other Information: Joint Commission# 2518 33-0101 10/26/2017 NY Provider Number Date Approved State 520138 11/15/2017 WI 180067/1518911338 12/06/2017 KY 100022 12/09/2017 FL 330234 12/20/2017 NY Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Facility FROM: Christiana CareChristiana Hospital TO: Christiana Hospital 4755 Ogletown-Stanton Road Newark, DE 19718 amozie on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Other Information: Joint Commission# 5958 FROM: Ochsner Clinic Foundation TO: Ochsner Medical Center 1514 JetTerson Highway New Orleans, LA 70121 Frm 00104 Fmt 4703 Other Information: Joint Commission# 8777 FROM: Scott & White Memorial Hospital TO: Scott & White Medical Center 2401 South 31st Street Temple, TX 76508 Sfmt 4725 E:\FR\FM\04MYN1.SGM Other Information: Joint Commission# 9241 University of Washington Medical Center 1959 NE Pacific Street Seattle, WA 98195 04MYN1 Other Information: Joint Commission# 9626 Mayo Clinic HospitalRochester 1216 2nd St SW Rochester, MN 55902 Other Information: Joint Commission# 8181 University of Texas Medical 301 University Boulevard Galveston, TX 77555 Other Information: Joint Commission# 9058 Provider Number 310015 Date Approved 12/13/2017 State NJ 190036 12/13/2017 LA 450054 12/20/2017 TX 500008 12/06/2017 WA Addendum XIII: Lung Volume Reduction Surgery (LVRS) (January through March 2018) 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 (L VRS): • 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 of Healthcare Organizations (JCAHO)) under their Disease Specific Certification Program for L VRS; and • Medicare approved for lung transplants. Only the first two types are in the list. There were editorial 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 Sarah Fulton, MHS (410-786-27 49). Facility i 240010 450018 03/24/2018 01/31/2018 MN TX Provider Number Date Approved FROM: The Ohio State University Hospital TO: Ohio State l:niversity Hospitals 410 West Tenth Avenue, DN 168 Columbus, OH 43210 Other Information: Joint Commission# 7029 FROM: Temple University Hospital TO: Temple University Hospital, Inc. 3401 North Broad Street Philadelphia, PA 19140 State 'i'•.<• c;.>:c,;(:.:\:b ~\~~f~),;\\\'i~'t~;<?\:.N 36-0085 10/29/2016 OH 39-0027 03/25/2017 PA Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 Facility FROM: Morristown Memorial Hospital TO: Morristown Medical Center 100 Madison Avenue Morristown, NJ 07960 Other Information: Joint Commission# 6152 19783 EN04MY18.019</GPH> amozie on DSK3GDR082PROD with NOTICES 19784 VerDate Sep<11>2014 Jkt 244001 PO 00000 Provider Number 14-0148 Date Approved 05/06/2017 State IL Frm 00105 Other Information: Joint Commission# 7431 Fmt 4703 Sfmt 4725 E:\FR\FM\04MYN1.SGM Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (January through March 2018) 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 (BMT) 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: (l) certified by the American College of Surgeons (ACS) as a Levell 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 Sarah Fulton, MHS (410-786-2749). Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials (January through March 2018) There were no FDG-PET for Dementia and Neurodegcnerative Diseases Clinical Trials published in the 3-month period. This information is available on our website at www. ems. gov/MedicareApprovedF acilitie/PETDT/list.asp#TopOfPage. For questions or additional information, contact Stuart Caplan, RN, MAS (410-786-8564 ). 04MYN1 Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices 18:16 May 03, 2018 EN04MY18.020</GPH> Facility Memorial Medical Center 701 North First Street Springfield, IL 62781-0001 Federal Register / Vol. 83, No. 87 / Friday, May 4, 2018 / Notices [FR Doc. 2018–09430 Filed 5–3–18; 8:45 a.m.] BILLING CODE 4120–01–C DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–1707–N] Medicare Program: Announcement of the Advisory Panel on Hospital Outpatient Payment (the Panel) Meeting on August 20–21, 2018 Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (DHHS). ACTION: Notice. AGENCY: This notice announces the annual meeting of the Advisory Panel on Hospital Outpatient Payment (the Panel) for 2018. The purpose of the Panel is to advise the Secretary of Department of Health and Human Services and the Administrator of the Centers for Medicare & Medicaid Services concerning the clinical integrity of the Ambulatory Payment Classification groups and their associated weights as well as hospital outpatient therapeutic services supervision issues. The advice provided by the Panel will be considered as we prepare the annual updates for the hospital outpatient prospective payment system. DATES: Meeting Dates: Monday, August 20, 2018, 9:30 a.m. to 5 p.m. EDT through Tuesday, August 21, 2018, 9:30 a.m. to 1 p.m. EDT. The times listed in this notice are Eastern Daylight Time (EDT) and are approximate times. Consequently, the meetings may last longer or be shorter than the times listed in this notice, but will not begin before the posted times: Meeting Information Updates: The actual meeting hours and days will be posted in the agenda. As information and updates regarding the onsite, webcast, and teleconference meeting and the agenda become available, they will be posted to our website at: https:// cms.gov/Regulations-and-Guidance/ Guidance/FACA/AdvisoryPanelon AmbulatoryPaymentClassification Groups.html. Deadline for Presentations and Comments: Presentations or comments and form CMS–20017, (located at https://www.cms.gov/Medicare/CMSForms/CMS-Forms/downloads/ cms20017.pdf) must be received by 5 p.m. EDT, Monday, July 23, 2018. Presentations and comments that are not amozie on DSK3GDR082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 18:16 May 03, 2018 Jkt 244001 received by the due date and time will be considered late and will not be included on the agenda. In commenting, refer to file code CMS–1707–N. Meeting Registration Timeframe: Monday, June 25, 2018, through Monday, July 30, 2018 at 5 p.m. EDT. Participants planning to attend this meeting in person must register online, during the specified timeframe at: https://www.cms.gov/apps/events/ default.asp. On this web page, double click the ‘‘Upcoming Events’’ hyperlink, and then double click the ‘‘HOP Panel’’ event title link and enter the required information. Include any requests for special accommodations. Note: Participants who do not plan to attend the meeting in person should not register. No registration is required for participants who plan to participate in the meeting via webcast or teleconference. Because of staff and resource limitations, we cannot accept comments and presentations by facsimile (FAX) transmission. Deadline for Requesting Special Accommodations: Monday, July 30, 2018 at 5 p.m. EDT. ADDRESSES: Meeting Location, Webcast, and Teleconference. The meeting will be held in the Auditorium at the CMS Single Site campus, 7500 Security Boulevard, Baltimore, MD 21244. Alternately, the public may either view this meeting via a webcast or listen by teleconference. During the scheduled meeting, webcasting is accessible online at: https://cms.gov/live. Teleconference dialin information will appear on the final meeting agenda, which will be posted on our website when available at: https:// www.cms.gov/Regulations-andGuidance/Guidance/FACA/ AdvisoryPanelonAmbulatoryPayment ClassificationGroups.html. News Media. Press inquiries are handled through the CMS Press Office at (202) 690–6145. Advisory Committees’ Information Lines. The phone number for the CMS Federal Advisory Committee Hotline is (410) 786–3985. Websites. For additional information on the Panel, including the Panel charter, and updates to the Panel’s activities, we refer readers to view our website at: https://www.cms.gov/ Regulations-and-Guidance/Guidance/ FACA/AdvisoryPanelonAmbulatory PaymentClassificationGroups.html. Information about the Panel and its membership in the Federal Advisory Committee Act database are also located at: https://facadatabase.gov/. Registration: The meeting is open to the public; but attendance is limited to PO 00000 Frm 00106 Fmt 4703 Sfmt 4703 19785 the space available and registration is required. Priority will be given to those who pre-register and attendance may be limited based on the number of registrants and the space available. Persons wishing to attend this meeting, which is located on federal property, must register by following the instructions in the DATES section of this notice under ‘‘Meeting Registration Timeframe’’. A confirmation email will be sent to the registrants shortly after completing the registration process. FOR FURTHER INFORMATION CONTACT: Elise Barringer, Designated Federal Official (DFO), 410–786–9222, email at APCPanel@cms.hhs.gov. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Mail Stop: C4–04– 25, Baltimore, MD 21244–1850. SUPPLEMENTARY INFORMATION: I. Background The Secretary of the Department of Health and Human Services (DHHS) is required by section 1833(t)(9)(A) of the Social Security Act (the Act) and is allowed by section 222 of the Public Health Service Act (PHS Act) to consult with an expert outside panel, such as the Advisory Panel on Hospital Outpatient Payment (the Panel), regarding the clinical integrity of the Ambulatory Payment Classification (APC) groups and relative payment weights. The Panel is governed by the provisions of the Federal Advisory Committee Act (Pub. L. 92–463), as amended (5 U.S.C. Appendix 2), to set forth standards for the formation and use of advisory panels. We consider the technical advice provided by the Panel as we prepare the proposed and final rules to update the Hospital Outpatient Prospective Payment System (OPPS) for the following calendar year. II. Meeting Agenda The agenda for the August 20 through August 21, 2018 Panel meeting will provide for discussion and comment on the following topics as designated in the Panel’s Charter: • Addressing whether procedures within an APC group are similar both clinically and in terms of resource use. • Evaluating APC group structure. • Reviewing the packaging of OPPS services and costs, including the methodology and the impact on APC groups and payment. • Removing procedures from the inpatient-only list for payment under the OPPS. • Using single and multiple procedure claims data for Center for Medicare & Medicaid’s (CMS’) determination of APC group weights. E:\FR\FM\04MYN1.SGM 04MYN1

Agencies

[Federal Register Volume 83, Number 87 (Friday, May 4, 2018)]
[Notices]
[Pages 19769-19785]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09430]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9109-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--January Through March 2018

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 January through March 2018, 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] TN04MY18.006

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

[[Page 19770]]

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 website 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 website list provides more timely 
access for beneficiaries, providers, and suppliers. We also believe the 
website 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 
websites have listservs; that is, the public can subscribe and receive 
immediate notification of any updates to the website. These listservs 
avoid the need to check the website, as notification of updates is 
automatic and sent to the subscriber as they occur. If assessing a 
website 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: April 30, 2018.
Olen D. Clybourn,
Deputy Director, Office of Strategic Operations and Regulatory Affairs.
BILLING CODE 4120-01-P

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[FR Doc. 2018-09430 Filed 5-3-18; 8:45 a.m.]
 BILLING CODE 4120-01-C

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