Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April through June 2018, 40043-40054 [2018-17316]

Download as PDF Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES [FR Doc. 2018–17318 Filed 8–10–18; 8:45 am] [CMS–9110–N] Centers for Medicare & Medicaid Services BILLING CODE 4120–01–P Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—April through June 2018 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice AGENCY: This quarterly notice lists CMS manual instructions, substantive SUMMARY: sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 20:42 Aug 10, 2018 Jkt 244001 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’’ PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 and interpretive regulations, and other Federal Register notices that were published from April through June 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. 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 http:// www.cms.gov/manuals. Dated: August 3, 2018. Olen D. Clybourn, Deputy Director, Office of Strategic Operations and Regulatory Affairs. BILLING CODE 4120–01–P E:\FR\FM\13AUN1.SGM 13AUN1 EN13AU18.020</GPH> Dated: August 8, 2018. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. 40043 sradovich on DSK3GMQ082PROD with NOTICES 40044 VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00064 Fmt 4703 Addendum 1: Medicare and Medicaid Manual Instructions (April through June 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 transfmmed the CMS Program Manuals into a web user-friendly presentation and renamed it the CMS Online Manual System. Sfmt 4725 E:\FR\FM\13AUN1.SGM 13AUN1 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 tlris 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: http://cms.gov/manuals. How to Review Transnrittals 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 EN13AU18.021</GPH> 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 http://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 nricrofilm 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 transnrittal numbers arc shown in the listing entitled Medicare and Medicaid Manual Instructions. To help FDLs locate the materials, use the CMS publication and transnrittal numbers. For example, to find the manual for Bundled Payments for Care Improvement Advanced (BPCI Advanced Skilled Nursing Facility (SNF) Waiver, use (CMS-Pub. 100-01) Transnrittal No. 115. Addendum I lists a mrique CMS transnrittalnumber for each instruction in our manuals or program memoranda and its subject number. A transnrittal may consist of a single or multiple instruction(s). Often, it is necessary to use information in a transnrittal 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 4016 Manual/Subject/Publication Number Issued to a specific audience, not posted to Internet/Intranet due to a Confidentialit of Instruction Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 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: August 4, 2017 (82 FR 36404), October 27, 2017 (82 FR 49819), January 26, 2018 (83 FR 3716) and May 4, 2018 (83 FR 19769). We are providing only the specific updates that have occurred in the 3-month period along with a hypcrlink to the website to access this information and a contact person for questions or additional information. sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 4018 4019 4020 Frm 00065 4021 Fmt 4703 4022 4023 Sfmt 4725 4024 4025 E:\FR\FM\13AUN1.SGM 4026 4027 13AUN1 4028 4029 4010 4031 4032 4013 4034 4015 4036 4037 4038 4039 4040 4041 4042 4043 4044 4045 4046 4047 4048 4049 4050 4051 4052 4053 Confidentiality of Instruction Issued to a specific audience, not posted to Intemet/Intranet due to a Confidentiality of Instruction Enhancements to Processing of Hospice Routine Home Care Payments Payer Only Codes Utilized by Medicare Data Required on the Institutional Claim to AlB MAC (HHH) Input/Output Record Layout Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP)- July 2018 Removal of KH Modifier from Capped Rental Claims Showing Whether Rented or Purchased Notification of Change in Instructions for Handling IRF Active Provider List New Physician Specialty Code for Medical Genetics and Genomics Revision to the Skilled Nursing Facility (SNF) Pricer to Support ValueBased Purchasing (VBP) --Billing SNF PPS Services --Input/Output Record Layout --Billing in Benefits Exhaust and No-Payment Situations Issued to a specific audience, not posted to Intemet/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 Internet/Intranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to Intemet/Intrantl due to a Confidentiality of Instruction Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Extensions per the Advancing Chronic Care, E>.ienders, and Social Services (ACCESS) Act Included in the Bipartisan Budget Act 2018 Updates to Publication 100-04, Chapters I and 27 to Replace Remittance Advice Remark Code (RARC) MA61 with N382 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Rio logical Code Changes- July 201 S Update Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) General Dilling Requirements --Coding Requirements for SET --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 Issued to a specific audience, not posted to Internet/Intranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to Intemet/Intranet due to a Confidentiality of Instruction Removal ofKH Modifier from Capped Rental Claims Payment System (PPS) Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB)- July 2018 Update Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 4017 --Table ofContents/390-Supervised Exercise Therapy (SET) for Treatment of 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 Increased Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities Payment for Non-Emergency BLS Trips to/from ESRD Facilities New Waived Tests 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 Ambulance Transportation for a Skilled Nursing Facility (SNF) Resident in a Stay Not Covered by Part A- Medicare Benefit Policy Manual, --Chapter I 0 and Medicare Claims Processing Manual, Chapter 15 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.2 Effective July I, 2018 Update ofTntemet Only Manual (TOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 37- Department of Veterans Affairs (VA) Claims Adjudication Services Project File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding Svstem (HCPCS) Descriptions Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes- July 2018 Update Revisions to the Telehealth Billing Requirements for Distant Site Services Inexpensive or Routinely Purchased Durable Medical Equipment (D.Y!E) --Payment Classification for Speech Generating Devices (SGD) and Accessories --Inexpensive or Other Routinely Purchased DME --Billing for Inexpensive or Other Routinely Purchased DME --Inexpensive or Other Routinely Purchased DME --Billing for Inexpensive or Other Routinely Purchased DME Issued to a specific audience, not posted to Internet/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 Tntemet/Tntranet 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 specific audience, not posted to Intemet/Intranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to Tntemet/Tntranet due to a 40045 EN13AU18.022</GPH> sradovich on DSK3GMQ082PROD with NOTICES 40046 VerDate Sep<11>2014 4054 Jkt 244001 4056 4057 4058 4059 PO 00000 4060 Frm 00066 4062 4061 Fmt 4703 4063 4064 4065 Sfmt 4725 E:\FR\FM\13AUN1.SGM 4066 4067 4068 4069 13AUN1 Crossover Process 4070 4071 EN13AU18.023</GPH> --Electronic Transmission- General Requirements Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (UMEPOS) Competitive Bidding Program (CBP)- October 2018 Update oflntemet Only Manual (!OM), Medicare Claims Processing Manual, 4072 4073 4074 4075 117 118 119 120 121 303 304 178 Publication I 00-04, Chapter 18- Preventive and Screening Services, and Chapter 35 -Independent Diagnostic Testing Facility (IUTF) July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule I Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) I July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications I July 2018 Update of the Hospital Outpatient Prospective Payment System None Remote Identity Proofing (RIDP) and Multi-Factor Authentication (Ml' A) for Electronic Correspondence Referral System (ECRS) Web Users Individuals Not Subject to the Limitation on Medicare Secondary Payment (MSP) Implement the International Classification of Diseases, Tenth Revision (ICD10) 201S General Equivalence Mappings (GEMs) Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims Electronic Correspondence Referral System (ECRS) User Guide Medicare Beneficiary Identifier (MBI) Modifications including Updated Enterprise Identity Management (EIDM) Multi-Factor Authentication (MF A)/Remote Identity Proofing (RIDP) Screen Shots Update the International Classification of Diseases, Tenth Revision (ICD-10) 2019 Tables in the Common Working File (CWF) for Purposes of Processing Non- Group Ilealth Plan (NGIIP) Medicare Secondary Payer (MSP) Records and Claims Notice of 'lew Interest Rate for Medicare Overpayments and Underpayments 3rd Qtr Notification for FY 2018 New Physician Specialty Code for Medical Genetics and Genomics Part D(1)- Claims Processing Timeliness- All Claims Part E - Interest Payment Data Classification of Claims for Counting Physician/Limited License Physician Specialty Codes Exhibit I Revisions to State Operations Manual (SOM) Appendix J, Part I Survey Protocol for Intermediate Care Facilities for Individuals with Intellectual Disabilities 786 787 788 789 I Reimbursing Providers and Health Information Handlers (HIHs) for Additional Documentation Issued to a specific audience, not posted to Intemel/Intrantl due to Confidentiality of Instruction Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instruction Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 4055 Implement Operating Rules- Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE Atumal Updates to the Prior Authorization/Pre-Claim Review federal Holiday Schedule Tables for Generating Reports Instructions for Downloading the Medicare ZIP Code File for October Files Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easv Print (MREP) and PC Print Update Common Edits and Enhancements Modules (CEM) Code Set Update Issued to a specific audience, not posted to Intemel/Intrantl due to a Sensitivity Issued to a specific audience, not posted to Intemet/Intranet due to a Sensitivity July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files Diagnosis Code Cpdate for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients --Payment for Blood Clotting Factor Administered to Hemophilia Inpatients New Q Code for In-Line Cartridge Containing Digestive Enzyme(s) July 2018 Update of the Hospital Outpatient Prmpective Payment System COPPS) July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 Claim Status Category and Claim Status Codes Update July 2018 Update of the Ambulatory Surgical Center (ASC) Payment System ElM Service Documentation Provided by Students (Manual Update) Alignment of Coordination of Benefits Agreement (COBA) Internet Only Manual References --Assignment of Claims and Transfer Policy --MSN Messages --Returned Medigap Notices --Coordination of Medicare With Medigap and Other Complementary Health Insurance Policies --Standard Medicare Charges for COB Records --Consolidation of the Claims Crossover Process --Coordination of Benefits Agreement (COBA) Full Claim File Repair Process --Coordination of Benefits Agreement (COBA) Eligibility File Claims Recovery Process --Coordination of Benefits Agreement (COBA) Medigap Claim-Based sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 790 Jkt 244001 794 792 793 795 PO 00000 796 797 798 Frm 00067 799 800 Wireless Access Monitoring Malicious Software White listing Data Encryption Security Level by Information Type Minimum System Security Requirements-HIGH Internet Security Introduction Safeguards against Employee Fraud Attachment 1/MAC ARS • t.zz•~;\•"c;i;;;;" {ii ,~\ii~§ .("i\. . ;':'";:~<;~;'"'"'' {,7.<'•2 193 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instmction 194 Medicare Diabetes Prevention Program (MDPP) Model Expansion Medicare Beneficiary Database (MBD) File Data for the Health Insurance Portability and Accountability Act (HIP AA) Eligibility Transaction System (HETS) 195 Update to CR9341 Oncology Care Model (OCM) Restricted Care Management Code List Comprehensive ESRD Care (CEC) Model Telehealth- Implementation 196 \j:~·~-~~ 2050 Fmt 4703 lt<~z'' 2051 None ?i;<+o"z'•" t,z,z~;,~,-,:;z,._;,.,; None 2052 Sfmt 4725 .2 ~{'\~:(zl' 2053 None l''"i••'i'S 2054 E:\FR\FM\13AUN1.SGM None l.$;>i.•;•;.'£;<i ~'•'•!:;~;~:~·st ~~:~) ;,~'Ki _;;7,;: .. z;;v ~78i';_r·: i:cz~~Fl"' None II5~:n~;1'i'~tr~~.; 14 ·:t-:t•ll:";l'~~ ;~;;z;,;Z~,'/i •;~ 13AUN1 !OM 100-17 Updates Additional Requirements for MACs Principal Systems Security Officer (SSO) Control Components Reporting Requirements Risk Assessment (RAJ Certification Annual FISMA Assessment (FA) Plan of Action and Milestones Timing Requirements for Compliance Conditions Security Incident Reporting and Response Patch Management Security Configuration Management Security Technical Implementation Guides (STIG) National Institute of Standards and Technology (NIST) End of Life Technology Components Cloud Computing MAC ARS Control Tailoring Data Loss Prevention 2055 2056 2057 2058 2059 2060 2061 2062 2063 ,.• ~¥~i'r,, \!~\i;c\i;~izi.;i)'zit;>\:>~(i3&0:";'1A' ~; Modifications to the Implementation of the Paperwork (PWK) Segment ofthe Electronic Submission of Medical Documentation (esMD) System Claims Processing Actions to Implement Certain Provisions ofthe Bipartisan Rudget Act of 20 1S Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Change in Type of Service (TOS) for Current Procedural Terminology (CPT) Code 77067 Update to the Hospital Transfer Policy for Early Discharges to Hospice Care User CR: Develop Enhanced Claims Search Repmting in Fiscal Intennediary Shared System (FISS)- Phase 1 Common Working File (CWF) to Increase Next Eligible Date Occurrences to 99 for Preventative Services Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Updates to Peritoneal Dialysis Claims Processing, Provider Statistical and Reimbursement Report (PSR) and Payment for Ultrafiltration for Beneficiaries with Acute Kidney Injury (AKI) Processing Instructions to Update the Identification Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NMl- Patient Name Segment in the 835 Guide Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 791 Issued to a specific audience, not posted to Internet/Intranet due to Coni!dentiality of Instruction Restoring Section 3.2.3 B. and Section 3.2.3 C. to Chapter 3 of Publication (Pub.) 100-08 in the Internet Only Manual (IOM Requesting Additional Documentation During Prepayment and Postpayment Review Issued to a specific audience, not posted to Intcrnct/Intranct 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 Instmction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instmction Intent to Reopen Reviewing for Adverse Legal Actions (ALA) Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instmction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruclion Comprehensive Error Rate Testing (CERT) Update to Chapter 12 of Publication (Pub.)l00-08 40047 EN13AU18.024</GPH> sradovich on DSK3GMQ082PROD with NOTICES 40048 VerDate Sep<11>2014 2067 2068 Jkt 244001 2069 2070 PO 00000 2071 2072 Frm 00068 Fmt 4703 2073 2074 2075 2076 2077 Sfmt 4725 2on 2079 E:\FR\FM\13AUN1.SGM 2080 2081 2082 13AUN1 2083 2084 2085 2086 2087 EN13AU18.025</GPH> Part B Detail Line Expansion- Fiscal Intermediary Shared System (FISS) Part B Detail Line Expansion- Multi-Carrier System (MCS) Phase 9 Enhancement for Undeliverable Pay Medicare Summarv Notices (MSNs) for Multi-Carrier System (MCS) Users Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (I'ISS) Obsolete On-Request Jobs- Phase 2 Common Working File (CWF) Split Medicare Part A Claims to Carry 50 Lines per Segment Rather than I 00 Lines per Segment Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs- Phase 3 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System (Removing/Archiving Demonstration Codes 51 and 56) Phase 4- Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers Implementation of Business Requirements to Increase Claim Counter Maximum and Create Auto-Deletion Utility Use the V\1AP/4D States Table in all VMS Address Processing Modifying FISS Part B Claims Overlap Edits Medicare Cost Report E-Filing (MCReF) International Code of Diseases_ Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarter! y Reports Issued to a specitlc audience, not posted to Internet/ Intranet due to a Sensitivity Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) Fee-For-Service (FFS) Shared System Maintainers (SSMs) Standardized Release Identification (!D) Format Transition Letter Writing from Client Letter Software to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) Analysis for Mandatory Support of Review Contractors to Send Electronic Medical Documentation Requests (eMDR)to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System Implementation of Changes to the Pre-Payment Additional Documentation Request (AIJR) Letters for Medical Review Analysis and Design for Fiscal Intermediary Shared System (FISS), \1ultiCarrier System (MCS), and Viable Information Processing System (VIPS) Medicare System (VMS) Prepayment Review Report Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) and Summary MSNs for Previously Undeliverable MSNs for FISS and MCS (No-Pav onlv) Combined Common Edits/Enhancements Module (CCEM) Cpdates for Apache POI (version 3.14.0) to Apache POI (version 3.17) and Analysis from .TAV A (version 6) to .TA VA (version 7) Issued to a specific audience, not posted to Internet/ Intranet due to a 2088 2089 2090 2091 2092 Sensitivity Issued to a specific audience, not posted to Internet/ Intranet due to a Sensitivity Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) Use the V\1AP/4D States Table in all VMS Address Processing Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) Analysis for First Coast Service Options (FCSO) and Novitas for the Security Asse1tion Markup Language 2.0 (SAML 2.0) Migration ~,·,; iX~~:~;~:·•· 76 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction :.:"iJ<;: 5 ··~·······'···;~;.~)* {S/i.•;\\7'3 Issued to a specific audience, not posted to Intcrnct/Intranct due to Confidentiality of Instmction Addendum II: Regulation Documents Published in the Federal Register (April through June 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 l (January 2, 1994) through the present date and can be accessed at http://www.gpoaccess.gov/fr/index.html. The following website http://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://www.cms.gov/quarterlyproviderupdates/downloads/Regs2Ql8QPU.pdf For questions or additional information, contact Terri Plumb (410-786-4481 ). Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 2064 2065 2066 sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00069 Fmt 4703 Sfmt 4725 E:\FR\FM\13AUN1.SGM 13AUN1 Addendum IV: Medicare National Coverage Determinations (April through June 2018) 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 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. There were no national coverage determinations (NCDs), or reconsiderations of completed NCDs published in the 3-month period. This information is available at: www.cms.gov/medicare-coverage-database/. For questions or additional information, contact Wanda Belle, MP A (410-786-7491). 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 BB18107 BB18136 BB18220 Gl60220 Gl70030 Gl70190 Gl70209 Gl70274 Gl80001 Gl80033 Gl80045 Gl80048 Gl80049 Gl80052 Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (April through June 2018) Addendum V includes listings of the FDA-approved investigational device exemption (IDE) numbers that the FDA assigns. The Gl80053 Gl80057 Gl80058 Device Miltenyi CliniMACS System Miltenyi CliniMACS TCRalpha/beta, CD19, CD45RA System Magnetic-Activated Cell Sorter (CliniMACS, Miltenyi) for CD45RA+ Depletion; Allogeneic Unrelated and Partially Matched Related, G-CSF Mobiized Peripheral Blood Stem Cell Addback with TCRab+ and CD19 Depletion following Chemotherapy Stellarex 0.014" OTW Drug-coated Angioplasty Balloon MiStent Sirolimus Eluting Absorbable Polymer Coronary Stent System (MiStent II) in the CRYSTAL Clinical Study AXIOS Stent and Electrocautery Enhanced Delivery System lOmmxlOmm; AXIOS Stent and Electrocautery Enhanced Delivery System 15mmxl0mm WVEDERM VOLUX XC AtriCure Synergy Ablation System iStent infinite Model iS3 Edwards Transcatheter Atrial Shunt System CENTERA Transcatheter Heart Valve System Boston Scientific Embozene Color-Advanced Microspheres for Embolization Exablate Model4000 Type-2 for Blood-Brain Barrier Disruption (BBBD) XIE'ICE Alpine Everolimus Eluting Coronary Stent System, XIE'ICE Xpedition Everolimus Coronary Stent System t:slim X2 with Control-IQ Technology Effectiveness of spinal cord stimulation for the management of freezing of gait and locomotion in Parkinson's disease SYNCHRONY Cochlear Implant Start Date 04/12/2018 05/01/2018 06/08/2018 05/03/2018 06/15/2018 04/10/2018 04/26/2018 04/27//2018 04/1112018 05/24/2018 04/04/2018 04/05/2018 04/04/2018 Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 Addendum III: CMS Rulings (April through June 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 ""P·" " " "·'"""·&v" ,,._..., 5 cum,vu"For questions or additional information, contact Tiffany Lafferty (410-786-7548). 04/13/2018 04/13/2018 04/19/2018 04/13/2018 40049 EN13AU18.026</GPH> sradovich on DSK3GMQ082PROD with NOTICES 40050 VerDate Sep<11>2014 IDE Gl80059 Jkt 244001 PO 00000 G180085 Gl80090 Gl80091 Frm 00070 Fmt 4703 Gl80092 Gl80093 Gl80094 Gl80096 Gl80097 Gl80100 Gl80102 Sfmt 4725 Gl80109 Gl80110 Gl80113 E:\FR\FM\13AUN1.SGM Gl80115 Start Date 04/20/2018 04/27/2018 04/27/2018 05/02/2018 05/04/2018 05/04/2018 05/11/2018 05/16/2018 06/13/2018 06/06/2018 06/18/2018 06/07/2018 06/09/2018 06/10/2018 06/14/2018 06/14/2018 06/14/2018 06/28/2018 06/29/2018 06/01/2018 06/29/2018 06/29/2018 13AUN1 Addendum VI: Approval Numbers for Collections of Information (April through June 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 information, contact William Parham (410-786-4669). Addendum VII: Medicare-Approved Carotid Stent Facilities, (April through June 2018) Addendum VII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS standards for performing carotid artery stenting for high risk patients. On March 17, 2005, we issued our decision memorandum on carotid artery stenting. We determined that EN13AU18.027</GPH> carotid artery stcnting with embolic protection is reasonable and necessary only if performed in facilities that have been determined to be competent in performing the evaluation, procedure, and follow-up necessary to ensure optimal patient outcomes. We have created a list of minimum standards for facilities modeled in part on professional society statements on competency. All facilities must at least meet our standards in order to receive coverage for carotid artery stenting for high risk patients. For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3-month period. This information is available at: http://www. ems. gov/MedicareApprovedFacilitie/CASF/list. asp#TopO:lPage For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). Facility Provider Number Effective Date Western Maryland Health System 12500 Willowbrook Road Cumberland, MD 21 502 Methodist Health Centers 17201 Interstate 45 South The Woodlands, TX 77385 1609831247 04/10/2018 I MD 1184179194 04/23/2018 TX 1578550174 05/09/2018 MI I 310016 05/25/2018 I NJ I 12/2112007 I IN Other Information: d/b/a Houston Methodist- The Woodlands Hospital Garden City Hospital 6425 Inkster Road Garden City, MI 48136 Christ Hospital, CarePoint Health System 176 Palisade Avenue Jersey City, NJ 07306 State Other Locations: Bayonne Medical Center 29th Street at Avenue E Bayonne, NJ 07002 Hoboken University Medical Center 308 Willow Avenue Hoboken, NJ 07030 lf:;'i' 0 Froedtert South Inc. 6308 Eighth Avenue Kenosha, WI 53143-5082\1ichigan City, IN 46360 Dba Kenosha Medical Center and St. Catherine's Medical Center 520021 Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 G180063 Gl80064 Gl80068 Gl80070 G180071 Gl80073 Gl80074 Device VENT ANA PATHWAY HER-2/neu ( 4B5) Rabbit Monoclonal Primary Antibody Assay Restylane Defyne Juvederm Volite XC Guardant360 CDx Test Slit Stent II Lacrimal Stent PN40082 (with lidocaine) for Lip Augmentation DES BTK Dmg-Eluting Vascular Stent System Next-Generation Sequencing Minimal Residual Disease Assay (NGS MRD Assay) Mag Venture MagPro R30 transcranial stimulator Synergy Disc Abbott Laboratories Infinity implantable deep brain stimulation system Celcuity CELx HER2 Signaling Function Test NovoTTF-100\1 System NeVa VS SERF (Saline Enhanced Radio-Frequency) Ablation System Medtronic Summit RC+S System Easytech Reversed Shoulder System Accelerated rTMS as a treatment for post-stroke depression in the subacute phase: an open label pilot study LUM Imaging System Boston Scientific Precision Spectra Spinal Cord Stimulator and CoverEdge X32 Surgical Leads Pneumatic Vitreolysis on Vitreomacular Traction (Protocol AG); Pneumatic Vitreolysis for Macular Hole (Protocol AH) HydroPearl Microspheres sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 Facility Jkt 244001 PO 00000 Effective Date State 360172 05/23/2005 OH 370047 1386741635 09/06/2006 i ;.,;l\z'•,~~:• ;~}' ~~:~~~;.l~it; OK Frm 00071 Fmt 4703 Sfmt 4725 E:\FR\FM\13AUN1.SGM Addendum VIII: American College of Cardiology's National Cardiovascular Data Registry Sites (April through June 2018) The initial data collection requirement through the American College of Cardiology's National Cardiovascular Data Registry (ACCNCDR) has served to develop and improve the evidence base for the use of ICDs in certain Medicare beneficiaries. The data collection requirement ended with the posting of the final decision memo for Implantable Cardioverter Defibrillators on February 15, 2018. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). 13AUN1 Addendum IX: Active CMS Coverage-Related Guidance Documents (April through June 2018) 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) through the national coverage determination process. The document is available at http://www. ems. gov/medicare-coverage-database/details/medicarecoverage-document-details.aspx?MCDid=27. There are no additional Active CMS Coverage-Related Guidance Documents for the 3-month period. For questions or additional information, contact JoAnna Baldwin, MS (410-786-7205). Addendum X: List of Special One-Time Notices Regarding National Coverage Provisions (April through June 2018) 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, MS (410-786 7205). Addendum XI: National Oncologic PET Registry (NOPR) (April through June 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 http//WW\v. ems. govll\tledicareApprovedF acilitie/NOPR/list. asp#T opOfPage. For questions or additional infonnation, contact Stuart Caplan, RN, MAS (410-786-8564). Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (April through June 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 VADs implanted as destination therapy. On October 1, 2003, we issued our decision memorandum on VADs for the clinical indication of destination therapy. We determined that VADs used Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 St. Catherine's Medical Center Address: 9555 S 76th St Pleasant Prairie, WI 53158 Provider# 520021 FROM: Community Health Partners TO: Mercy Health- Regional Medical Center LLC 3700 Kolbe Road Lorain, OH 44053-1697 0 H~ ;;} :~~~ \,, Si;' ..·. ~~~(7~2.\:•· Mercy Hospital Ardmore, Inc 1011 4th Avenue NW Ardmore, OK 734010klahoma City, OK 73120 Provider Number 40051 EN13AU18.028</GPH> sradovich on DSK3GMQ082PROD with NOTICES 40052 VerDate Sep<11>2014 Jkt 244001 PO 00000 Frm 00072 Facility ..:•.:.·· Fmt 4703 Provider Number :;s;: 340014 Date of Recertification 04/20/2018 .·; . i0~i:''iS Novant Health Forsyth Medical Center 3333 Silas Creek Parkway Winston Salem, NC 27103 Sfmt 4725 E:\FR\FM\13AUN1.SGM Other information: DNV GL Certified on 2018-04-20 Northeast Georgia Medical Center 743 Spring Street Gainesville, GA 30501 Other Information: Joint Commission# 6711 z' r~·~i~·~;;:': '':\I:~~ :•; l ~•• 110029 ,:,., 13AUN1 FROM: NYU Hospitals Center TO: NYU Medical Center, Tisch Hospital 550 1ST Avenue New York, NY 10016 Joint Commission ID # 5820 Previous Re-certification Dates: 2014-01-14; 2016-03-08 FROM: York Hospital TO: WellSpan York Hospital 1001 S. Georee St. EN13AU18.029</GPH> Date of Initial Certification 390046 GA •.;.,·;:,·,, . •.:;: ;)~:{,1*;~ ; 330214 ····~';:; NC 04/26/2018 ..... ;.~ State .:~.a:~: 02114/2012 11119/2013 03/28/2018 01/24/2018 NY PA Facility Pro">ider Number Date of Initial Certification Date of Recertification State 050599 10/06/2015 02/07/2018 CA 310002 02/06/2009 02/07/2018 NJ 340091 01/08/2014 02/14/2018 NC 360137 02/09/2010 02/10/2018 OH 380004 12/06/2011 02/14/2018 OR York, PA 17403 Other Information: Joint Commission ID # 6228 Previous Re-certification Dates: 2015-12-15 University of California, Davis Medical Center (UCDMC) 2315 Stockton Boulevard Sacramento, CA 95817 Other Information: Joint Commission# 7030 Newark Beth Israel Medical Center 201 Lyons Avenue Newark, NJ 07112 Joint Commission ID # 5965 Previous Re-certification Dates: 2011-09-20; 2013-1001; 2015-12-15 Moses H. Cone Memorial Hospital 1200 North Elm Street Greensboro NC 27401-1020 Joint Commission ID # 6504Joint Commission ID # 6504 Previous Re-certification Dates: 2016-02-09 FROM: University Hospitals - Case Medical Center TO: University Hospitals Cleveland Medical Center 11100 Euclid Avenue Cleveland. OH 44106 Joint Commission ID # 7017 Previous Re-certification Dates: 2012-01-24; 2014-0130; 2016-02-23 Providence St Vincent Medical Center 9205 Southwest Barnes Road Portland, OR Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 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 http://www. ems. gov/MedicareApprovedF acilitie/VAD/list.asp#TopOfPage. For questions or additional information, contact Linda Gousis, JD, (410-786-8616). sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 Jkt 244001 PO 00000 Joint Connnission ID # 9705 Previous Re-certification Dates: 2013-12-10; 2016-01-26 Other Infonnation: Joint Connnission # 7315 FROM: Bon Secours - St. Mary's Hospital TO: Bon Secours St. Mary's Hospital 5801 Bremo Road Richmond, VA 23226 Frm 00073 Fmt 4703 Joint Connnission ID # 6387 Previous Re-certification Dates: 2013-12-17; 2016-01-26 Jolms Hopkins Hospital 600 N Wolfe Street Baltimore, MD 21287 Sfmt 4725 E:\FR\FM\13AUN1.SGM Joint Connnission ID #6252 Previous Re-certification Dates: 2009-12-15; 2011-1129; 2013-12-03; 2016-01-12 TO: University Cincinnati Medical Center FROM: University of Cincinnati Medical Center 234 Goodman Street Cincinnati, OH 45219 13AUN1 Joint Connnission ID # 6988 Previous Re-certification Dates: 2014-01-07; 2016-02-23 Mercy General Hospital 4001 J Street Sacramento, CA 95819 Joint Connnission ID # 10053 Previous Re-certification Dates: 2016-03-08 Provider Number 490059 Date of Initial Certification 1211112007 Date of Recertification 02/22/2018 State Facility Pro">ider Number VA FROM: The University of Kansas Hospital Authority TO: University of Kansas Health System 4000 Cambridge Street Kansas City, KS 66160 Joint Connnission ID # 8567 The Christ Hospital 2139 Auburn Avenue Cincinnati, Oil 45219 210009/1 79070090 4 360003 050017 1211112007 12113/2011 02112/2014 02/14/2018 03/14/2018 03/14/2018 MD OH CA Joint Connnission ID # 6987 Previous Re-certification Dates: 2014-02-20; 2016-04-05 UPMC Presb;terian 200 Lothrop Street Pittsburgh, PA 15213 Joint Connnission ID # 6169 Previous Re-certification Dates: 2010-05-21; 2012-0412; 2014-03-25; 2016-04-13 Saint Cloud Hospital 1406 Sixth Avenue North Saint Cloud, MN 56303 Joint Connnission ID # 8183 FROM: University of Utah Hospital TO: University of Utah Health Care - Hospitals and Clinics 50 N Medical Drive Salt Lake City, UT 84132 DNV GL Certificate#: 264328-2018-VAD Previous Re-certification Dates: 2011-07-13; 2013-0618; 2015-06-23; 2017-08-08 Date of Recertification State 17-0040 Date of Initial Certification 03/08/2016 03/07/2018 KS 360163 02/17/2012 03/21/2018 OH 390164 06/10/2008 03/21/2018 PA 240036 04/13/2016 04/04/2018 MN 460009 01/13/2009 05/25/2018 UT Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices 20:42 Aug 10, 2018 Facility 40053 EN13AU18.030</GPH> 40054 Federal Register / Vol. 83, No. 156 / Monday, August 13, 2018 / Notices [FR Doc. 2018–17316 Filed 8–10–18; 8:45 am] VerDate Sep<11>2014 20:42 Aug 10, 2018 Jkt 244001 PO 00000 Frm 00074 Fmt 4703 Sfmt 9990 E:\FR\FM\13AUN1.SGM 13AUN1 EN13AU18.031</GPH> sradovich on DSK3GMQ082PROD with NOTICES BILLING CODE 4120–01–P

Agencies

[Federal Register Volume 83, Number 156 (Monday, August 13, 2018)]
[Notices]
[Pages 40043-40054]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-17316]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9110-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--April through June 2018

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

ACTION: Notice

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SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published from April through June 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] TN13AU18.020

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 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 http://www.cms.gov/manuals.

    Dated: August 3, 2018.
Olen D. Clybourn,
Deputy Director, Office of Strategic Operations and Regulatory Affairs.
 BILLING CODE 4120-01-P

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[FR Doc. 2018-17316 Filed 8-10-18; 8:45 am]
 BILLING CODE 4120-01-P