Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January Through March 2021, 23373-23384 [2021-09081]
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Federal Register / Vol. 86, No. 83 / Monday, May 3, 2021 / Notices
Secretary of Health and Human
Services, the Assistant Secretary for
Health, and the Director, CDC, regarding
the elimination of tuberculosis.
Specifically, the Council makes
recommendations regarding policies,
strategies, objectives, and priorities;
addresses the development and
application of new technologies; and
reviews the extent to which progress has
been made toward eliminating
tuberculosis.
Matters to be Considered: The agenda
will include discussions on (1) 2020 TB
provisional surveillance data; (2)
Tuberculosis Trials Consortium Update;
(3) COVID impact on TB programs; (4)
Perceptions of non-U.S.-born persons on
the link between country of birth and
TB risk; (5) Using Big Data to
Understand Latent Tuberculosis Care in
the United States; and (6) Bacillus
Calmette-Guerin Vaccine Guidance
Development. Agenda items are subject
to change as priorities dictate.
The Director, Strategic Business
Initiatives Unit, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
Kalwant Smagh,
Director, Strategic Business Initiatives Unit,
Office of the Chief Operating Officer, Centers
for Disease Control and Prevention.
[FR Doc. 2021–09006 Filed 4–30–21; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–9130–N]
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
2021, 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:
Medicare and Medicaid Programs;
Quarterly Listing of Program
Issuances—January Through March
2021
Centers for Medicare &
Medicaid Services (CMS), HHS.
AGENCY:
Addenda
Contact
I CMS Manual Instructions .........................................................................................................
II Regulation Documents Published in the Federal Register ...................................................
III CMS Rulings ..........................................................................................................................
IV Medicare National Coverage Determinations ........................................................................
V FDA-Approved Category B IDEs ............................................................................................
VI Collections of Information ......................................................................................................
VII Medicare-Approved Carotid Stent Facilities .........................................................................
VIII American College of Cardiology-National Cardiovascular Data Registry Sites ..................
IX Medicare’s Active Coverage-Related Guidance Documents ................................................
X One-time Notices Regarding National Coverage Provisions .................................................
XI National Oncologic Positron Emission Tomography Registry Sites .....................................
XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities ..................
XIII Medicare-Approved Lung Volume Reduction Surgery Facilities .........................................
XIV Medicare-Approved Bariatric Surgery Facilities ..................................................................
XV Fluorodeoxyglucose Positron Emission Tomography for Dementia Trials ..........................
All Other Information .....................................................................................................................
Ismael Torres .....................
Terri Plumb .........................
Tiffany Lafferty ...................
Wanda Belle, MPA .............
John Manlove .....................
William Parham ..................
Sarah Fulton, MHS ............
Sarah Fulton, MHS ............
JoAnna Baldwin, MS ..........
JoAnna Baldwin, MS ..........
David Dolan, MBA ..............
David Dolan, MBA ..............
Sarah Fulton, MHS ............
Sarah Fulton, MHS ............
David Dolan, MBA ..............
Annette Brewer ..................
SUPPLEMENTARY INFORMATION:
I. Background
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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.
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
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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
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Phone No.
(410) 786–1864
(410) 786–4481
(410)786–7548
(410) 786–7491
(410) 786–6877
(410) 786–4669
(410) 786–2749
(410) 786–2749
(410) 786–7205
(410) 786–7205
(410) 786–3365
(410) 786–3365
(410) 786–2749
(410) 786–2749
(410) 786–3365
(410) 786–6580
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
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Federal Register / Vol. 86, No. 83 / Monday, May 3, 2021 / Notices
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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.
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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.
The Director of the Office of Strategic
Operations and Regulatory Affairs of the
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Centers for Medicare & Medicaid
Services (CMS), Kathleen Cantwell,
having reviewed and approved this
document, authorizes Trenesha FultzMimms, who is the Federal Register
Liaison, to electronically sign this
document for purposes of publication in
the Federal Register.
Dated: April 16, 2021.
Trenesha Fultz-Mimms,
Federal Register Liaison, Department of
Health and Human Services.
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How to Review Transmittals or Program Memoranda
Those wishing to review transmittals and progrnm memoranda can
access this infonnation at a local Federal Depository Librnry (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/librnries/
Tn addition, individuals may contact regional depository libraries
that receive and retain at least one copy of most federal government
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 (IOM) or retired. Pub 15-1, Pub
15-2 and Pub 45 are exceptions to this rule and are still active paper-based
manuals. The remaining paper-based manuals are for reference purposes
only. If you notice policy contained in the paper-based manuals that was
not transferred to the IOM, 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.
Addendum I: Medicare and Medicaid Manual Instructions
(January through March 2021)
The CMS Manual System is used by CMS progrnm components,
partners, providers, contractors, Medicare Advantage organizations, and
State Survey Agencies to administer CMS progrnms. 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.
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 Progrnm Issuances notices
are: April 24, 2020 (85 FR 23030), August 12, 2020 (85 FR 48691),
November 4, 2020 (85 FR 70168) and March 17, 2021 (86 FR 14629). We
are providing only the specific updates that have occurred in the 3-month
period along with a hyperlink to the website to access this information and a
contact person for questions or additional information
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10559
10557
10550
10551
10568
Transmittal
Number
Instructions for Retrieving: the 2021 Pricing: and Healthcare Common
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivitv of Instruction
January 2021 Update of the Ambulatory Surgical Center (ASC) Payment
System
Modernization of the Electronic Files Transfer (EFn Associated with the
National Coordination of Benefits Agreement (COBA)
Consolidated Claims Crossover Process
Coordination of Benefits A<>reement (COBA) Detailed Error Reoort
None
Implementation of Changes in the End-Stage Renal Disease (ESRD)
Prospective Payment System (PPS) and Payment for Dialysis Furnished for
Acute Kidnev lniurv (AKI) in ESRD Facilities for Calendar Year (CY) 2021
None
Manual/Subject/Publication Number
Fee-For Service Transmittal Numbers
Please Note: Beginning Friday, March 20, 2020, there will be the
following change regarding the Advance Notice of Instructions due to a
CMS internal process change. Fee-For Service Trnnsmittal Numbers will
no longer be detennined by Publication The Transmittal numbers will be
issued by a single numerical sequence beginning with Transmittal Number
10000.
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.
publications, either in printed or microfilm form, for use by the general
public. These librnries provide reference services and interlibrary loans;
however, they are not sales outlets. Individuals may obtain information
about the location of the nearest regional depository librd.l)' from any
librnry. 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. 10564.
Addendum I lists a unique CMS transmittal number for each
instruction in our manuals or progrnm 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.
Federal Register / Vol. 86, No. 83 / Monday, May 3, 2021 / Notices
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Notification Process
Coordination of Benefits Agreement (COHA) Eligibility File Claims
Recovery Process
Crossover Process
April 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug
Pricing Files and Revisions to Prior Ouarterlv Pricing Files
Issued to a specific audience, not posted to hrternet/hrtranet due to a
Confidentialitv of Instruction
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to
and Excluded from Clinical Laboratory Improvement Amendments (CLIA)
Edits
Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics,
and Supplies (DMEPOS) Comoetitive Bidding Program (CBP) - April 2021
Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model
(PDPM) Claims Patient Readmitted Within 30 Days After Discharge Total
and Noncovered Charges
Fiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS) and
Long Term Care Hosoital (LTCH) PPS Changes
April 2021 Update to the Fiscal Ycar (FY) 2021 Inpatient Prospective
Pavmenl Svslem OPPS)
Shared Svstem Support Hours for Application Programming hrterfaces ( APis)
Calendar Year (CY) 2021 Annual Update for Clinical Laboratory Fee
Schedule and Laboratorv Services Subiect to Reasonable Charge Pavment
Special Provisions for Radiology Additional Documentation Requests
Pile Conversions Related to the Spanish Translation of the Ilealthcare
Common Procedure Coding Svstem (HCPCS) Descriptions
Fiscal Intermediary Shared System (FISS)- Eliminate Multiple Common
Working File (CWF) Reolies Received in the Same Cvcle
Modernization of the Electronic Files Transfer (EFT) Processes Associated
with Medicare Integrated Systems Testing (MIST) Contractor Testing and
Fiscal Intermediary Shared System (FISS) Alpha Testing with the
Coordination of Benefits and Recovery (COB and R) System on Behalf of the
Benefits Coordination and Recoverv Center 2014
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None
None
None
None
None
Overview of the CERT Process
Providing Sample Information to the CERT Review Contractor
Providing Feedback Information to the CERT Review Contractor
Disputing a CERT Decision
Handling Overpayments and Underpayments Resulting from the CERT
Findings
Ilandling Appeals Resulting from CERT-Initiated Denials
CERT Appeal Results
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity
oflnstructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Addendum II: Regulation Documents Published
in the Federal Register (January through March 2021)
None
None
None
Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared
System (FISS) module FSSD6001, Common Working File (CWF)
Unsolicited Response Function
Send Electronic Funds Transfer (EFT) Information from Provider Enrollment
Chain and Ownership System (PECOS) to Multi-Carrier System (MCS)
Phase 2
Modification to Existing Common Working File (CWF) Edits for
Osteoporosis Drug Codes Billable on Home Health Claims
International Classification of Diseases, 10th Revision (ICD-10) and Other
Coding Revisions to National Coverage Determination (NCDs)-Aoril 2021
Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New
Outpatient Provider Specific File Supplemental Wage Index Fields, the
Network Reduction Calculation and New Value Code for Time on Machine
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity
of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity
of Instructions
User CR: ViPS Medicare System (VMS) - Update Interactive
Correspondence Online Reporting (ICOR) Mail Date Calculation
Mobile Personal Identity Verification (PIV) Station Installation
Revisions to Medicare Administrative Contractor (MAC) Standardized
Monthly Status Reoort (MSR) Narrative Template
Modification to Existing Common Working File (CWF) Edits for
Osteoporosis Drug Codes Dillable on Ilome Ilealth Claims
Send Electronic Funds Transfer (EFT) Information from Provider Enrollment
Chain and Ownership System (PECOS) to Multi-Carrier System (MCS)
Phase 2
Create a Kew Media Preference Indicator Custom Format and New
eMedicare Correspondence Preference Indicator
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity
of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity
of Instructions
Regulations and Notices
Regulations and notices are published in the daily Federal
Register. To purchase individual copies or subscribe to the Federal
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Addendum IV: Medicare National Coverage Determinations
(January through March 2021)
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 setVice 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 setVice. 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,
Addendum ID: CMS Rulings
(January through March 2021)
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 mlings can be accessed at https://www.cms.gov/Regulationsand-Guidance/Guidance/Rulings. For questions or additional information,
contact Tiffany Lafferty (410-786-7548).
For questions or additional information, contact Terri Plumb
(410-786-4481).
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.cms.gov/fi1es/document/regslq2lqpu.pdf
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NCD20.4
NCDM
Section
10635
Transmittal
Number
03/23/2021
Issue Date
02/15/2018
Effective
Date
Addendum VII: Medicare-Approved Carotid Stent Facilities
(January through March 2021)
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
carotid artery stenting with embolic protection is reasonable and necessary
only if performed in facilities that have been determined to be competent in
performing the evaluation, procedure, and follow-up necessary to ensure
optimal patient outcomes. We have created a list of minimum standards for
facilities modeled in part on professional society statements on competency.
All facilities must at least meet our standards in order to receive coverage
for carotid artery stenting for high risk patients. 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.cms.gov/MedicareApprovedFacilitie/CASF/list.asp#TopOfPage
For questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
Addendum VI: Approval Numbers for Collections of Information
(January through March 2021)
All approval numbers are available to the public at Reginfo.gov.
Under the review process, approved information collection requests are
assigned 0MB 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 V: FDA-Approved Category B Investigational Device
Exemptions (IDEs) (January through March 2021)
(Inclusion of this addenda is under discussion internally.)
Claims Processing
Instructions for National
Coverage Determination
(NCD) 20.4 hnplantable
Cardiac Defibrillators (ICDs)
Title
we are providing only the specific updates to 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, MFA (410-786-7491).
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03MYN1
FROM: J D Archbold Memorial
Hospital
TO: John D. Archbold Memorial
915 Gordon A venue
Thomasville GA 31792-6614
CA
OR
03/16/2021
03/16/2021
050382
380017
GA
WA
03/16/2021
500150
06/22/2006
TX
03/16/2021
1932152337
110038
AL
FL
03/02/2021
03/02/2021
FL
010104
1184709057
03/02/2021
IN
03/02/2021
150183
1336221019
NY
CA
02/09/2021
01/26/2021
1487812624
050503
ID
01/19/2021
1992798409
OH
VA
02/12/2021
State
01/11/2021
360234
Mercy Health West
3300 Mercy West Boulevard
Cincinnati, OH 45211
Sentara Williamsburg Regional
Medical Center
I 00 Sentara Circle
Williamsburg, VA 23188
Kootenai Hospital District dba
Kootenai Health
2300 Kootenai Health Way
Coeur d'Alene ID 83814
Scripps Memorial Hospital Encinitas
354 Santa Fe Drive PO Box 230817
Encinitas CA 92024
Bellevue Hospital
462 First Avenue
New York NY 10016
Prime Healthcare Services-Monroe
LLC
4011 S Monroe Medical Park
Boulevard
Bloomington, IN 47403
Other information: dba Monroe
Hospital
Orlando Health South Lake Hospital
1900 Don Wickham Drive
Clermont FL 34711
Orlando Health Dr. P. Phillips Hospital
9400 Turkey Lane
Orlando, FL 32819
Affinity Hospital LLC d/b/a Grandview
Medical Center
%90 Grandview Parkway
Birmingham AL 35243
Memorial Hermann Katy
23900 Katy Freeway
Katv. TX 77494
Legacy Salmon Creek Medical Center
2211 NE 139th Street
Vancouver, WA 98686
Emanate Health Medical Center
210 W. San Bernardino Road
Covina, CA 91723
Legacy Good Samaritan Medical
Center
1015 NW 22nd Avenue
Portland, OR 97211
Effective Date
1780694372
Provider
Number
Facility
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330126
Provider
Number
39-0101
05/02/2011
01/11/2012
Effective Date
NY
PA
State
AddendumX:
List of Special One-Time Notices Regarding National Coverage
Provisions (January through March 2021)
There were no special one-time notices regarding nationa1
coverage provisions published in the 3-month period. This information is
Addendum IX: Active CMS Coverage-Related Guidance Documents
(January through March 2021)
CMS issued a guidance document on November 20, 2014 titled
"Guidance for the Public, Industty, and CMS Staff: Coverage with
Evidence Development Document". Although CMS has several policy
vehicles relating to evidence development activities including the
investigationa1 device exemption (IDE), the clinical trial policy, nationa1
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
nationa1 coverage determination process. The document is available at
https://www.ems.gov/medicare-coverage-database/details/medicarecoverage-document-details.aspx?MCD Id=27. There are no additiona1
Active CMS Coverage-Related Guidance Documents for the 3-month
period. For questions or additiona1 information, contact
JoAnna Baldwin, MS (410-786-7205).
Addendum VIII:
American College of Cardiology's National Cardiovascular Data
Registry Sites (January through March 2021)
The initial data collection requirement through the American
College of Cardiology's National Cardiovascular Data Registty (ACCNCDR) has served to develop and improve the evidence base for the use of
I CDs in certain Medicare beneficiaries. The data collection requirement
ended with the posting of the final decision memo for Implantable
CardioverterDefibrillators onFebruaiy 15, 2018.
For questions or additional information, contact Sarah Fulton,
MHS (410-786-2749).
FROM: Memorial Hospital
TO: UPMC Memorial
1701 hmovation Drive
York PA 17408
FROM: Orange Regional Medical
Center
TO: Gamet Health Medical Center
707 East Main Street
Middletown. NY 10940
Facility
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Addendum XII: Medicare-Approved Ventricular Assist Device
(Destination Therapy) Facilities (January through March 2021)
Addendum XII includes a listing of Medicare-approved facilities
that receive coverage for ventricular assist devices (VADs) used as
destination therapy. All facilities were required to meet our standards in
order to receive coverage for V ADs implanted as destination therapy. On
October 1, 2003, we issued our decision memorandum on VADs for the
clinical indication of destination therapy. We determined that VADs used
as destination therapy are reasonable and necessary only if performed in
facilities that have been determined to have the experience and
infrastmcture to ensure optimal patient outcomes. We established facility
standards and an application process. All facilities were required to meet
our standards in order to receive coverage for VADs implanted as
destination therapy.
For the purposes of this quarterly notice, we are providing only the
specific updates 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.cms.gov/MedicareApprovedFacilitieNAD/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA,
(410-786-3365).
Addendum XI: National Oncologic PET Registry (NOPR)
(January through March 2021)
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 David Dolan, MBA (410786-3365).
available at https://www.cms.gov. For questions or additional information,
contact JoAnna Baldwin, MS (410-786 7205).
jbell on DSKJLSW7X2PROD with NOTICES
Previous Re-certification
Dates:
01/31/2012; 01/28/2014;
02/23/2016; 01/30/2018
Other information:
Joint Commission ID# 9058
Previous Re-certification
Dates:
04/01/2008; 03/24/2010;
03/16/2012; 04/08/2014;
06/07/2016; 05/22/2018
University of Texas Medical
Branch
301 University Boulevard
Galveston, TX 77555-0518
Other information:
Joint Commission ID# 6075
Previous Re-certification
Dates: 2018-11-14; 2014-1021 · 2016-11-22
Penn State Milton S. Hershey
Medical Center
500 University Drive
Hershey, PA 17033
Other information:
DNV-GL # 492949-2020-VAD
Previous Re-certification
Dates:
03/06/2007; 02/13/2009;
08/19/2011; 08/30/2013;
10/02/2015; 11/10/2017
The Johns Hopkins Hospital
600 N. Wolfe Street
Baltimore, MD 21287
450018
390256
210009
260032
Barnes-Jewish Hospital
1 Dames Jewish Plaza
Saint Louis, MO
63110Albuquerque, NM 87102
Other information:
Joint Commission ID # 8387
Provider
Number
Facility
01/31/2012
04/01/2008
10/08/2020
09/11/2020
10/24/2020
10/22/2020
03/26/2007
12/11/2007
DateofRccertification
Date of Initial
Certification
TX
PA
MD
NM
State
23380
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Other infonnation:
Joint Commission ID# 7457
Previous Re-certification
Dates: 12/19/2017
University of Michigan Health
System
1500 E Medical Center Drive,
SPC 5474
Ann Arbor, MI 48109
Other information:
Joint Commission ID II
519792-2020-V AD
Previous Re-certification
Dates:
03/26/2009; 08/26/2011;
10/10/2013: 11/03/2015;
12/05/2017
Chippenham Hospital, a
campus of CJW Medical
Center
7101 Jahnke Road
Richmond, VA 23225
Other information:
Joint Commission ID # 2908
Previous Re-certification
Dates: 12/4/2017
University of Minnesota
Medical Center, Fairview
2450 Riverside Avenue
Minneapolis, MN 55454
Other information:
DNV GL Certificate # 4573672020-VAD
Previous Re-certification
Dates:
06/10/2008: 05/21/2010;
04/12/2012; 03/25/2014;
04/13/2016; 03/20/2018
Hillcrest Medical Center
1120 S Utica
Tulsa, OK 74104
Other infonnation:
Joint Commission ID# 390164
UPMC Presbyterian Shadyside
200 Lothrop Street
Pittsburgh, PA 15213
Facility
jbell on DSKJLSW7X2PROD with NOTICES
230046
490112
240080
370001
Provider
Number
6169
03/27/2008
12/19/2017
03/26/2009
12/04/2017
Date of Initial
Certification
06/10/2008
12/03/2020
12/21/2020
09/11/20201
11/25/2020
DateofRccertification
12/09/2020
MI
VA
MN
OK
PA
State
Previous Re-certification
Dates:
Other information:
Joint Commission ID # 6308
Previous Re-certification
Dates:
05/11/2010; 05/11/2012;
04/22/2014; 04/12/2016;
04/24/2018
MedStar Washington Hospital
Center
110 Irving St, NW
\Vashington, DC 20010
Other information:
Joint Commission ID # 6480
Previous Re-certification
Dates:
10/06/2015; 02/06/2018
Carolinas Medical Center
1000 Blythe Boulevard
Charlotte, NC 28232
Other information:
Joint Commission TD# 10055
Previous Re-certification
Dates:
03/0712008; 04/02/2010;
03/13/2012; 02/11/2014;
03/15/2016- 03/30/2018
University of California, Davis
Medical Center
2315 Stockton Boulevard
Sacramento, CA 95817
Other information:
Joint Commission ID# 6158
Previous Re-certification
Dates:
03/27/2008; 03/18/2010;
03/07/2012; 02/04/2014;
03/15/2016- 04/24/2018
FROM: Allegheny General
Hospital;
TO: West Penn Allegheny
Health System, Inc.
320 East North Avenue
Pittsburgh, PA 15212
Facility
090011
340113
050599
390050
Provider
Number
04/2212008
05/11/2010
10/06/2016
03/0712008
Date of Initial
Certification
12/17/2020
12/17/2020
12/10/2020
01/09/2021
Date of Recertification
DC
NC
CA
PA
State
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Previous Re-certification
Dates: 2010-06-16; 2012-0606; 2014-05-06; 2016-06-21;
2018-05-09
Other information:
Joint Commission ID# 8351
Previous Re-certification
Dales:
11/03/2010; 11/14/2012;
11/18/2014· 12/06/2016
Saint Luke's Hospital of
Kansas City
4401 Womall Road
Kansas City, MO 64111
Other information:
Joint Commission ID #
568395-2021-V AD
Previous Re-certification
Dates:
02/06/2009; 09/20/2011;
10/01/2013; 12/15/2015;
02/06/2018
MultiCare Tacoma General
Hospital
315 Martin Luther King Jr.
Way
Tacoma, WA98338
Other information:
Joint Commission ID # #: 5965
Previous Re-certification
Dates:
11/14/2012; 09/09/2014;
10/18/2016
Kewark Beth Israel Medical
Center
201 Lyons Avenue
Kewark, NJ 07112
Other information:
Joint Commission ID # 9880
04/22/2008; 04/06/201 O;
03/23/2012; 03/04/2014;
05/03/2016; 05/22/2018
Scripps Memorial Hospital La
Jolla
9888 Genesee Avenue
La Jolla, CA 92037
Facility
jbell on DSKJLSW7X2PROD with NOTICES
260138
500129
310002
050324
Provider
Number
06/16/2010
11/03/2010
02/06/2009
11/14/2012
Date of Initial
Certification
02/06/2021
02/09/2021
11/26/2020
12/16/2020
Date of Recertification
MO
WA
NJ
CA
State
Addendum XN: Medicare-Approved Bariatric Surgery Facilities
(January through March 2021)
Addendum XIV includes a listing of Medicare-approved facilities
that meet minimum standards for facilities modeled in part on professional
society statements on competency. All facilities must meet our standards in
order to receive coverage for bariatric surgery procedures. On February 21,
2006, we issued our decision memorandum on bariatric surgery procedures.
We determined that bariatric surgical procedures are reasonable and
necessary for Medicare beneficiaries who have a body-mass index (BMI)
greater than or equal to 35, have at least one co-morbidity related to obesity
and have been previously unsuccessful with medical treatment for obesity.
This decision also stipulated that covered bariatric surgery procedures are
reasonable and necessary only when performed at facilities that are: (1)
certified by the American College of Surgeons (ACS) as a Level 1 Bariatric
Surgery Center (program standards and requirements in effect on February
15, 2006); or (2) certified by the American Society for Bariatric Surgery
(ASBS) as a Bariatric Surgery Center of Excellence (ESCOE) (progrnm
standards and requirements in effect on February 15, 2006).
Addendum XIII: Lung Volume Reduction Surgery (LVRS)
(January through March 2021)
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 (LYRS):
• 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
Commission 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 no updates to
the listing of facilities for lung volume reduction surgery published in the
3-month period. This information is available at
www.cms.gov/MedicareApprovedFacilitie/LVRS/list.asp#TopOfPage. For
questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
23382
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Addendum XV: FDG-PET for Dementia and Neurodegenerative
Diseases Clinical Trials (January through March 2021)
There were no FDG-PET for Dementia and Neurodegenerative
Diseases Clinical Trials published in the 3-month period.
This information is available on our website at
www.ems.gov/MedicareApprovedFacilitie/PETDT/list.asp#TopO:tPage.
For questions or additional information, contact David Dolan, MBA (410786-3365).
There were no additions, deletions, or editorial changes to
Medicare-approved facilities that meet CMS' 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/MedicareApprovedFacilitie/BSF/list.asp#TopOfPage. For
questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
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23383
23384
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[FR Doc. 2021–09081 Filed 4–30–21; 8:45 am]
BILLING CODE 4120–01–C
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10450 and
CMS–10249]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
July 2, 2021.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
jbell on DSKJLSW7X2PROD with NOTICES
SUMMARY:
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Attention: Document Identifier/OMB
Control Number: CMS–P–0015A, Room
C4–26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ website address at
website address at https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
FOR FURTHER INFORMATION CONTACT:
William N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10450 Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) Survey for Merit-based
Incentive Payment Systems (MIPS)
CMS–10249 Administrative
Requirements for Section 6071 of the
Deficit Reduction Act
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved Information Collection; Title
of Information Collection: Consumer
Assessment of Healthcare Providers and
Systems (CAHPS) Survey for Meritbased Incentive Payment Systems
(MIPS); Use: CMS is submitting updates
to one information collection request
associated with the CAHPS for MIPS
survey. The CAHPS for MIPS survey is
PO 00000
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used in the Quality Payment Program
(QPP) to collect data on fee-for-service
Medicare beneficiaries’ experiences of
care with eligible clinicians
participating in MIPS and is designed to
gather only the necessary data that CMS
needs for assessing physician quality
performance, and related public
reporting on physician performance,
and should complement other data
collection efforts. The survey consists of
the core Agency for Healthcare Research
and Quality (AHRQ) CAHPS Clinician &
Group Survey, version 3.0, plus
additional survey questions to meet
CMS’s information and program needs.
The survey information is used for
quality reporting, the Care Compare
website, and annual statistical
experience reports describing MIPS data
for all MIPS eligible clinicians.
This 2021 information collection
request addresses changes to the CAHPS
for MIPS Survey associated with the CY
2021 Physician Fee Schedule (PFS) final
rule. In order to address the increased
use of telehealth care due to the Public
Health Emergency (PHE) for COVID–19,
an additional question is added to the
CAHPS for MIPS survey to integrate one
telehealth item to assess the patientreported usage of telehealth services. In
addition, the cover page of the CAHPS
for MIPS Survey is revised to include a
reference to care in telehealth settings.
The CAHPS for MIPS survey results in
burden to three different types of
entities: Groups and virtual groups,
vendors, and beneficiaries associated
with administering the survey. Virtual
groups are subject to the same
requirements as groups; therefore, we
will refer only to groups as an inclusive
term for both unless otherwise noted.
The estimated time to administer the
2021 CAHPS for MIPS survey has
increased from 12.9 minutes to 13.1
minutes; however, there was an overall
decrease in burden as the number of
respondents decreased. Form Number:
CMS–10450 (OMB control number:
0938–1222); Frequency: Yearly;
Affected Public: Business or other forprofits and Not-for-profit institutions
and Individuals and Households;
Number of Respondents: 30,249; Total
Annual Responses: 30,249; Total
Annual Hours: 6,902 (For policy
questions regarding this collection
contact Alesia Hovatter at 410–786–
6861.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Administrative
Requirements for Section 6071 of the
Deficit Reduction Act; Use: State
Operational Protocols should provide
enough information such that: The CMS
E:\FR\FM\03MYN1.SGM
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Agencies
[Federal Register Volume 86, Number 83 (Monday, May 3, 2021)]
[Notices]
[Pages 23373-23384]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-09081]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9130-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--January Through March 2021
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 2021, 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:
----------------------------------------------------------------------------------------------------------------
Addenda Contact Phone No.
----------------------------------------------------------------------------------------------------------------
I CMS Manual Instructions.................. Ismael Torres................................... (410) 786-1864
II Regulation Documents Published in the Terri Plumb..................................... (410) 786-4481
Federal Register.
III CMS Rulings............................ Tiffany Lafferty................................ (410)786-7548
IV Medicare National Coverage Wanda Belle, MPA................................ (410) 786-7491
Determinations.
V FDA-Approved Category B IDEs............. John Manlove.................................... (410) 786-6877
VI Collections of Information.............. William Parham.................................. (410) 786-4669
VII Medicare-Approved Carotid Stent Sarah Fulton, MHS............................... (410) 786-2749
Facilities.
VIII American College of Cardiology- Sarah Fulton, MHS............................... (410) 786-2749
National Cardiovascular Data Registry
Sites.
IX Medicare's Active Coverage-Related JoAnna Baldwin, MS.............................. (410) 786-7205
Guidance Documents.
X One-time Notices Regarding National JoAnna Baldwin, MS.............................. (410) 786-7205
Coverage Provisions.
XI National Oncologic Positron Emission David Dolan, MBA................................ (410) 786-3365
Tomography Registry Sites.
XII Medicare-Approved Ventricular Assist David Dolan, MBA................................ (410) 786-3365
Device (Destination Therapy) Facilities.
XIII Medicare-Approved Lung Volume Sarah Fulton, MHS............................... (410) 786-2749
Reduction Surgery Facilities.
XIV Medicare-Approved Bariatric Surgery Sarah Fulton, MHS............................... (410) 786-2749
Facilities.
XV Fluorodeoxyglucose Positron Emission David Dolan, MBA................................ (410) 786-3365
Tomography for Dementia Trials.
All Other Information...................... Annette Brewer.................................. (410) 786-6580
----------------------------------------------------------------------------------------------------------------
SUPPLEMENTARY INFORMATION:
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
[[Page 23374]]
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.
The Director of the Office of Strategic Operations and Regulatory
Affairs of the Centers for Medicare & Medicaid Services (CMS), Kathleen
Cantwell, having reviewed and approved this document, authorizes
Trenesha Fultz-Mimms, who is the Federal Register Liaison, to
electronically sign this document for purposes of publication in the
Federal Register.
Dated: April 16, 2021.
Trenesha Fultz-Mimms,
Federal Register Liaison, Department of Health and Human Services.
BILLING CODE 4120-01-P
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[FR Doc. 2021-09081 Filed 4-30-21; 8:45 am]
BILLING CODE 4120-01-C