Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2022, 6729-6740 [2023-02002]

Download as PDF lotter on DSK11XQN23PROD with NOTICES1 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices the public record of this proceeding, including the https:// www.regulations.gov website. You can file a comment online or on paper. Due to the public health emergency in response to the COVID–19 outbreak and the agency’s heightened security screening, postal mail addressed to the Commission will be subject to delay. We encourage you to submit your comments online through the https://www.regulations.gov website. If you file your comment on paper, write ‘‘Franchise Rule, PRA Comment, FTC File No. P094400,’’ on your comment and on the envelope, and mail it to the following address: Federal Trade Commission, Office of the Secretary, 600 Pennsylvania Avenue NW, Suite CC–5610 (Annex J), Washington, DC 20580, or deliver your comment to the following address: Federal Trade Commission, Office of the Secretary, Constitution Center, 400 7th Street SW, 5th Floor, Suite 5610 (Annex J), Washington, DC 20024. If possible, submit your paper comment to the Commission by courier or overnight service. Because your comment will become publicly available at https:// www.regulations.gov, you are solely responsible for making sure that your comment does not include any sensitive or confidential information. In particular, your comment should not include any sensitive personal information, such as your or anyone else’s Social Security number; date of birth; driver’s license number or other state identification number, or foreign country equivalent; passport number; financial account number; or credit or debit card number. You are also solely responsible for making sure that your comment does not include any sensitive health information, such as medical records or other individually identifiable health information. In addition, your comment should not include any ‘‘trade secret or any commercial or financial information which . . . is privileged or confidential’’—as provided by Section 6(f) of the FTC Act, 15 U.S.C. 46(f), and FTC Rule 4.10(a)(2), 16 CFR 4.10(a)(2)— including, in particular, competitively sensitive information, such as costs, sales statistics, inventories, formulas, patterns, devices, manufacturing processes, or customer names. Comments containing material for which confidential treatment is requested must (1) be filed in paper form, (2) be clearly labeled ‘‘Confidential,’’ and (3) comply with FTC Rule 4.9(c). In particular, the written request for confidential VerDate Sep<11>2014 21:04 Jan 31, 2023 Jkt 259001 treatment that accompanies the comment must include the factual and legal basis for the request and must identify the specific portions of the comment to be withheld from the public record. See FTC Rule 4.9(c). Your comment will be kept confidential only if the General Counsel grants your request in accordance with the law and the public interest. Once your comment has been posted publicly at www.regulations.gov, we cannot redact or remove your comment unless you submit a confidentiality request that meets the requirements for such treatment under FTC Rule 4.9(c), and the General Counsel grants that request. The FTC Act and other laws that the Commission administers permit the collection of public comments to consider and use in this proceeding as appropriate. The Commission will consider all timely and responsive public comments that it receives on or before April 3, 2023. For information on the Commission’s privacy policy, including routine uses permitted by the Privacy Act, see https://www.ftc.gov/ site-information/privacy-policy. Josephine Liu, Assistant General Counsel for Legal Counsel. [FR Doc. 2023–01997 Filed 1–31–23; 8:45 am] BILLING CODE 6750–01–P 6729 published a Paperwork Reduction Act notice requesting a 60-day public comment period for the information collection request identified under CMS–10242, OMB control number 0938–1049, and titled ‘‘Emergency Ambulance Transports and Beneficiary Signature.’’ II. Explanation of Error In the January 27, 2023, notice, the telephone number listed for the point contact for policy questions is incorrect. The incorrect language is on page 5361, in the third column, in the first paragraph, beginning on line 7 with ‘‘(For policy’’ and ending at the end of line 10. This notice provides the correct telephone number. III. Correction of Error In the Federal Register of January 27, 2023, in FR Doc. 2023–01718 on page 5361, in the third column, in the first paragraph, lines 7–10, beginning with the ‘‘(For policy’’ through the end of line 10 is corrected to ‘‘(For policy questions regarding this collection contact Sabrina Teferi at 404–562– 7251.)’’ Dated: January 27, 2023. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2023–02119 Filed 1–31–23; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES BILLING CODE 4120–01–P Centers for Medicare & Medicaid Services DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier CMS–10242] Agency Information Collection Activities: Proposed Collection; Comment Request; Correction Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice; correction. AGENCY: On January 27, 2023, CMS published a notice in the Federal Register that sought comment on a collection of information concerning CMS–10242 (OMB control number 0938–1049) entitled ‘‘Emergency Ambulance Transports and Beneficiary Signature.’’ The telephone number for the point of contact for policy questions is incorrect. This document corrects the error. FOR FURTHER INFORMATION CONTACT: William N. Parham, III, (410) 786–4669. SUPPLEMENTARY INFORMATION: SUMMARY: I. Background In the January 27, 2023, issue of the Federal Register (87 FR 5360), we PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 Centers for Medicare & Medicaid Services [CMS–9139–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—October Through December 2022 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from April through June 2022, 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. SUMMARY: E:\FR\FM\01FEN1.SGM 01FEN1 6730 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices Consequently, we are providing contact persons to answer general questions 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 ................................. (410) (410) (410) (410) (410) (410) (410) (410) 786–1864 786–4481 786–7548 786–7491 786–6877 786–4669 786–2749 786–2749 JoAnna Baldwin, MS .............................. JoAnna Baldwin, MS .............................. David Dolan, MBA .................................. David Dolan, MBA .................................. (410) (410) (410) (410) 786–7205 786–7205 786–3365 786–3365 Sarah Fulton, MHS ................................. Sarah Fulton, MHS ................................. David Dolan, MBA .................................. Annette Brewer ....................................... (410) (410) (410) (410) 786–2749 786–2749 786–3365 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. lotter on DSK11XQN23PROD with NOTICES1 concerning each of the addenda published in this notice. VerDate Sep<11>2014 21:04 Jan 31, 2023 Jkt 259001 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 PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 Phone No. 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 FultzMimms, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the Federal Register. Dated: January 26, 2023. Trenesha Fultz-Mimms, Federal Register Liaison, Department of Health and Human Services. BILLING CODE 4120–01–P E:\FR\FM\01FEN1.SGM 01FEN1 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 Jkt 259001 PO 00000 Frm 00036 Addendum I: Medicare and Medicaid Manual Instructions (October through December 2022) The CMS Manual System is used by CMS program components, partners, providers, contractors, Medicare Advantage organizations, and State Survey Agencies to administer CMS programs. It offers day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives. In 2003, we transformed the CMS Program Manuals into a web user-friendly presentation and renamed it the CMS Online Manual System. Fmt 4703 Sfmt 4725 E:\FR\FM\01FEN1.SGM 01FEN1 How to Obtain Manuals The Internet-only Manuals (IOMs) arc 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 rnle 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. 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 Transmittal Numbers will no longer be determined 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. Transmittal Number 11641 11646 11672 11646 11678 Manual/Subject/Publication Number Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2023 Basis for Determining the Part A Coinsurance Amounts Part B Annual Deductible Part B Premium New Medicare Part B lmmunosuppressant Drug Benefit (PBID) lmolementation Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Iniurv (AKI) in ESRD Facilities for Calendar Year (CY) 2023 6731 How to Review Transmittals or Program Memoranda Those wishing to review transmittals and program memoranda can access this information at a local Federal Depository Library (FDL). Under the FDL program, government publications are sent to approximately 1,400 designated libraries throughout the United States. Some FDLs may have arrangements to transfer material to a local library not designated as an FDL. Contact any library to locate the nearest FDL. This information is available at https://www.gpo.gov/librarics/ In addition, individuals may contact regional depository libraries that receive and retain at least one copy of most federal government publications, either in printed or microfilm form, for use by the general public. These libraries provide reference services and interlibrary loans; however, they are not sales outlets. Individuals may obtain information about the location of the nearest regional depository library from any library. CMS publication and transmittal numbers are shown in the listing entitled Medicare and Medicaid Manual Instructions. To help FDLs locate the materials, use the CMS publication and transmittal numbers. For example, to find the manual for National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease (AD) (CMS-Pub. 100-03) Transmittal No. 11692. Addendum I lists a unique CMS transmittal number for each instruction in our manuals or program memoranda and its subject number. A transmittal may consist of a single or multiple instruction(s). Often, it is necessary to use information in a transmittal in conjunction with information currently in the manual. Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 EN01FE23.005</GPH> 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: Febrnary 9, 2022 (87 FR 7458), May 13, 2022 (87 FR 29327), August 4, 2022 (87 FR 47751) and November 14, 2022 (87 FR68161). 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 lotter on DSK11XQN23PROD with NOTICES1 11764 11769 11771 Jkt 259001 PO 00000 Frm 00037 Fmt 4703 Sfmt 4725 E:\FR\FM\01FEN1.SGM 01FEN1 11692 National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Arnyloid for the Treatment of Alzheimer's Disease (AD) 11625 Issued to a specific audience, not posted to lnterneVlntranet due to Sensitivity oflnstruction Issued to a specific audience, not posted to lnterneVIntranet due to Sensitivity oflnstruction Ouarterlv Update to Home Health (HH) Grouper Shared Svstem Support Hours for APPiication Pro1rrammin11. Interfaces ( APis) Instructions to the Fiscal Intermediary Shared System [FISS] to Add Additional Multiple Procedure Indicators 6 and 7 Into the Physician Fee Schedule Pavment Policy Indicator File Record Layout Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NP[) Home Health Claims - New Grouper Return Code Edits and Informational Unsolicited Response HH Grouper Program HH Grouper InpuVOutput Record Layout HH Grouper Decision Logic and Updates Provider Specific File (PSF) changes for Direct Medical Education (DME), Direct Graduate Medical Education (DGME), Organ Acquisition Cost (OAC) and Kidnev Acauisition Costs (KAC) Calendar Year (CY) 2023 Participation Enrollment and Medicare Particinating Phvsicians and Sunnliers Directorv (MEDPARD) Procedures Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2023 and Productivitv Adiustment Ambulance Inflation Factor (AIF) Home Health Claims - New Grouper Return Code Edits and Informational Unsolicited Response HH Grouper Program HH Grouper lnpuVOutput Record Layout HH Grouper Decision Logic and UPdates New Medicare Part B Immunosupprcssant Drug Benefit (PBID)Implementation Payment Rules for Drugs and Biologicals Billing for lmmunosunnressive Drugs Issued to a specific audience, not posted to lnterneVIntranet due to a Confidentialitv of Instruction Issued to a specific audience, not posted to lnterneVlntranet due to a 11658 11661 11662 11663 11664 11665 11666 11669 11626 11627 11628 11630 11632 11633 11634 11639 11640 11642 11644 11646 11647 11654 EN01FE23.006</GPH> 11657 11670 11671 11673 11675 11677 11685 11687 11690 11691 11699 11700 11702 11703 11704 11706 11707 Confidentiality of Instruction Issued to a specific audience, not posted to lnterneVIntranet due to a Confidentialitv of Instruction Issued to a specific audience, not posted to InterneVIntranet due to a Confidentiality of Instruction October 2022 Update of the Ambulatory Surgical Center (ASC) Payment System Issued to a specific audience, not posted to lnterneVIntranet due to a Confidentiality of Instruction Instructions for Retrieving the 2023 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through CMS' Mainframe Telecommunications Svstcms Issued to a specific audience, not posted to lnterneVlntranet due to Sensitivity of Instruction Issued to a specific audience, not posted to lnterneVIntranet due to a Confidentialitv of Instruction Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding Svstem (HCPCS) Descriptions Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction Calendar Year (CY) 2023 Participation Enrollment and Medicare Particioating Phvsicians and Suooliers Directorv (MEDP ARD) Procedures Update to the Federally Qualified Health Center (FQHC) Prospective Pavment Svstem (PPS) for Calendar Year (CY) 2023 Billing for Hospital Part B Inpatient Services Editing Of Hospital Part B Inpatient Services: Reasonable and Necessary Part A Hospital Inpatient Denials Issued to a specific audience, not posted to lnterneVIntranet due to a Confidentiality oflnstmction Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to lnterneVlntranet due to a Confidentiality of Instruction Issued to a specific audience, not posted to lnterneVIntranet due to a Confidentiality oflnstmction Changes to the Laboratory National Coverage Determination (NCD) Edit Software for Januarv 2023 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2023 Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Fund~ 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 Ouality Healthcare (CAQH) CORE Combined Common Edits/Enhancements Modules (CCEM) Code Set Uodate Quarterly Update to the National Correct Coding Initiative (NCC!) Procedure-to-Procedure (PTP) Edits, Version 29.1, Effective Aorill 2023 Correction to Stem Cell Transolantation Instructions in Chaoter Section 90.3 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 11767 International Classification of Disease (ICD-10) Code Update for Coverage of Intravenous Immune Globulin (IVIU) Treatment of Primary Immune Deficiencv Diseases in the HomeNew Medicare Part B lmmunosuppressant Drug Benefit (PBID)Implementation Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2023 Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110. 8 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Benefit Category Determinations Internet-Only Manual (IOM) Updates for Kurse Practitioners (NPs) and Clinical Nurse Specialists (CNSs) Kurse Practitioner (NP) Services Clinical Nurse Specialist (CI\S) Services 6732 VerDate Sep<11>2014 11693 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 11708 11711 11716 Jkt 259001 11717 11718 PO 00000 11721 11722 Frm 00038 Fmt 4703 Sfmt 4725 11723 E:\FR\FM\01FEN1.SGM 11727 11729 11711 11732 01FEN1 11733 11734 11735 11736 11737 EN01FE23.007</GPH> 11746 11747 11748 11752 11758 11759 11760 11761 11762 11764 11766 11768 11770 11774 11741 11754 Issued to a specific audience, not posted to Internet/Intranet due to a Confidentiality of Instruction April 2023 Update to the Medicare Severity - Diagnosis Related Group (MSDRG) Grouper and Medicare Code Editor (MCE) Version 40.1 for the International Classification of Diseases, Tenth Revision (ICD-10) Diagnosis Codes for Collection of Health-Related Social Needs (HRSNs) and New !CD10 Procedure Coding System (PCS) Codes Ouarterly Update to Home Health (HH) Grouper Issued to a specific audience, not posted to Internet/Intranet due to a Confidentiality of Instruction April 2023 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Ouarterly Pricing Files File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding Svstem (HCPCS) Descriotions Update to the Internet Only Manual (TOM) Publication (Pub.) 100-04, Chapter 18 Section 170.1 and Chapter 32 Section 270.2 due to the National Coverage Determinations (NCDs) April 2023 Change Request (CR) 12960 Healthcare Common Procedure Coding System (HCPCS) Codes for Screening for STls and IDBC to Prevent STis Billing Requirements for Patients Enrolled in a Data Collection System Manual Update to Pub. 100-04, Chapter 20, Pre-Discharge Delivery of DMEPOS for Fitting and Training, Section 110.3 Instructions for Downloading the Medicare ZIP Code File for April 2023 Files January 2023 Update of the Ambulatory Surgical Center [ASC] Payment System New Medicare Part B Immunosuppressant Drug Benefit (PBID) Implementation Payment Rules for Drugs and Biologicals Billine: for Immunosunnrcssivc Dm!!:S Instructions for Retrieving the 2023 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through CMS' Mainframe Telecommunications Systems Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Uodate Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Suoolies (DMEPOS) Conmetitive Bidding Program (CBP) - Aoril 2023 National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy Chimeric Antigen Receptor (CAR) T-cell Therapy Coverage Requirement~ Billing Requirements A/B MAC (A) Revenue Code A/B MAC (B) Places of Service (POS) Billing Information for Professional Claims Payment Requirements Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark Codes (RARCs), Group Codes, and Medicare Summary Notice (MS~) Messages Claims Editine: Automation of the Medicare Duolicate Primarv Payment (DPP) Process Electronic Correspondence Referral System (ECRS) Restoration of Patient Relationship Code 18, Update to Medicare Secondary Payer (MSP) Inquiry Transactions for Deceased Beneficiaries, and Clarification of Existing ECRS User Guide Policy Based on the Medicare Administrative Contractors 6733 11738 11742 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 11714 Summary of Policies in the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List April 2023 Healthcare Common Procedure Coding System (HCPCS) Ouarterlv Uodate Reminder Home Health Claims - New Grouper Return Code Edits and Informational Unsolicited Response HH Grouper Program HH Grouper Input/Output Record Layout HH Grouoer Decision Lo!!:ic and Uodates Issued to a specific audience, not posted to Internet/Intranet due to a Confidentiality of Instruction New Waived Tests Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2023 National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy Calendar Year 2023 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Chimeric Antigen Receptor (CAR) T-cell Therapy Coverage Requirements Billing Requirements AIR MAC Rilling HCPCS/CPT Codes A/B MAC (B) Places of Service (POS) Billing Information for Professional Claims Payment Requirements Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN) Messages Claims Editing Issued to a specific audience, not posted to Internet/Intranet due to a Confidcntialitv of Instruction Fiscal Year (FY) 2023 Inpatient Prospective Payment System (IPPS) and Long Term Care Hosoital (LTCH) PPS Changes Imolementation of Rural Emergency Hosoital (REH) Provider Tyoe Update to the Internet Only Manual (TOM) Publication (Pub.) 100-04, Chapter I, Section 90, to include Critical Access Hospitals (CAHs) for a Portion of a Medicare Advanta!!:c (MA) Billin!!: Period Billing Instructions for Home or Residence Services Home or Residence Services (Codes 99341 - 99350) Home or Residence Services (99341- 99350) When Performed in Place of Service 12 (Home) Calendar Year (CY) 2023 Annual Update for Clinical Laboratory Fee Schedule and Laboratorv Services Subiect to Reasonable Charge Pavment Changes to the Laboratory National Coverage Determination (NCD) Edit Software for Aoril 2023 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction January 2023 Cpdate of the Hospital Outpatient Prospective Payment System (OPPS) January 2023 Integrated Outpatient Code Editor (I/OCE) Specifications Version 24.0 lotter on DSK11XQN23PROD with NOTICES1 11756 11775 11757 11652 11653 11658 11682 208 Jkt 259001 PO 00000 Frm 00039 Fmt 4703 Sfmt 4725 E:\FR\FM\01FEN1.SGM 01FEN1 209 11637 EN01FE23.008</GPH> Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Otr Notification for FY 2023 The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) Svstem 11638 Revisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care Facilities Management of Complaints and Incidents General Intake Process ASPEN Complaints/Incident Tracking System (ACTS) Data Entry Reports Priority Assignment for Nursing Homes, Deemed and Non-Deemed KonLong Term Care Providers/Suppliers, and EMTALA Immediate Jeopardy (for Nursing Homes, Ueemed and Non-Ueemed NonLong Term Care Providers/Suppliers, and EMTALA Kon-Immediate Jeopardy-High Priority (for Nursing Homes and Deemed and Non-Deemed Non-Long Term Care Providers/Suppliers, and EMTALA) Kon-Immediate Jeopardy-Medium Priority (for Nursing Homes and Deemed and Non-Deemed Non-Long Term Care Providers/Suppliers) Kon-Immediate Jeopardy-Low Priority (for Nursing Homes Deemed and Non-Deemed Non-Long Term Care Provider/Suppliers Referral-Immediate (for Nursing Homes, Deemed and Non-Deemed NonLong Term Care Providers/Suppliers, and EMTALA Ko Action Necessary (for Nursing Homes, Deemed and Non-Deemed NonLong Term Care Providers/Suppliers, and EMTALA) Maximum Time Frames Related to the Federal Onsite Investigation of Complaints/Incidents Report to Complainant Exit Conference Action on Allegations of Resident Neglect and Abuse, and Misappropriation of Resident Property for Nursing Homes Written Procedures Review and Triage of Allegations Immediate Jeopardy Priority Chapter 5/5330/Reporting Abuse lo Law Enforcement and the Medicaid Fraud Control Unit for Nursing Homes ACTS Required Fields Sample Form for Facility Reported Incidents Follow-uo Investigation Reoort Revisions to Appendix I - Survey Procedures for Life Safetv Code Surveys Provider Enrollment Appeals and Rebuttals - Revised Instructions and Model Letters Deactivation Rebuttals Medicare Contractor Duties Acknowledgement Letters Revocation Letters Deactivation Model Letter Rebuttal Model Letters 11683 11694 11696 11697 11701 11715 11739 11745 11749 11771 11773 Model Opt-out Letters Revalidation Notification Letters Issued to a specific audience, not posted to Internet/Intranet due to a Confidentialitv of Instruction Issued to a specific audience, not posted to Internet/Intranet due to a Confidentialitv of Instruction Issued to a specific audience, not posted to Internet/Intranet due to a Confidentialitv of Instruction Issued to a specific audience, not posted to Internet/Intranet due to a Confidentialitv of Instruction Seventh General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08 Issued to a specific audience, not posted to Internet/Intranet due to Confidentialitv of Instructions Medicare Enrollment of Rural Emergencv Hosoitals (REHs) Updates to Chapter 4 of Publication (Pub.) 100-08, to Include the Addition of a Congressional Inquiries Section, Updates to the Vetting Leads with CMS Process, and Various Other Updates Durable Medical Equipment Medicare Administrative Contractor Fraud Functions Vetting Leads with CMS Production of Medical Records and Documentation for an Appeals Case File Congressional Inquiries Administrative Actions Civil Monetarv Penalties Delegated to CMS Update to Process and Responsibility for Tracking Medicare Contractors' Prepayment and Post Payment Reviews in the RAC Data Warehouse (RACUW) Tracking Medicare Contractors' Prepavment and Postpavment Reviews Incorporation of Recent Provider Enrollment Regulatory Changes into Chapter 10 of CMS Publication (Pub.) 100-08 Definitions Skilled Nursing Facilities (SNFs) Denial Reasons Revocation Reasons Risk-Based Screening Miscellaneous Enrollment Tooics Issued to a specific audience, not posted to Internet/Intranet due to Confidentialitv of Instruction Incorporation of Recent Provider Enrollment Regulatory Changes into Chapter 10 of CMS Publication (Pub.) 100-08 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 Instruction Internet-Only Manual (!OM) Updates for Kurse Practitioners (NPs) and Clinical Nurse Specialists (CNSs) Issued to a specific audience, not posted to Internet/Intranet due to Confidentialitv of Instructions None None None Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 11643 Feedback Significant Updates to Internet Only Manual (IOM) Publication (Pub.) 10005 Medicare Second~nr Paver (MSP) Manual. Chaoters 1 and 2 Deleting Internet Onlv Manuals (TOM) Puh. 100-05, Chanter 4 and Chanter 8 Automation of the Medicare Duolicate Primarv Pavment (DPP) Process 6734 VerDate Sep<11>2014 11755 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 None i'.:J:Si~J;,~;c;:>:f»•• / 11679 •/'' None 11680 ;;;•:1.1.?:~i.i.:C••i; fc'../t:/•'c;,:}.·;;·:.;>.> Jkt 259001 None ·Hx<;.";·r:\;1 ·.,;;_;:;:tt ;, '"'"••;'~";.; 11665 Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction 11674 Modification to Value-Based Insurance Design (VBID) Model Change Requests (CRs) 11750 Intravenous Immune Globulin (IVIG) Demonstration: Payment Update for 2023 11681 11684 11686 11689 ~if;;;;., ~?li.:t,,;Jf;,;;·.,z,,:•• = •·. · PO 00000 11624 11629 11631 Frm 00040 11635 11636 Fmt 4703 11645 Sfmt 4725 11648 11649 E:\FR\FM\01FEN1.SGM 11650 11651 11656 11659 01FEN1 11667 11676 11695 11698 11709 11710 11719 11720 11724 11725 11728 11730 11740 11743 11744 11751 11753 11772 None 6735 Mobile Personal Identity Verification (PIV) Station User CR: Fiscal Intermediary Shared System (FISS) Enhancement to View All Changes for All Adjustment Types Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2023 Update--2 of2 Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction Instrnctions for Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) to Print and Mail Previously Undeliverable Medicare Summary Noli~es (MSNs) User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Skilled Nursing Facility (SNF) Patient Driven Payment Model !PDP.vi) Reason Code 31849 Enhancements to Patient Driven Payment Model (PDPM) Claim Edits to Improve Claim Processing Shared System Support Hours for Application Progranuning Interfaces (APis) - April 2023 Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction Updates to the Common Working File (CWF) for Editing and Claims Processing to Allow Medicare Fee-For-Service (FFS) Coverage of Kidney Acquisition Costs for Medicare Advantage (MA) Beneficiaries Provided by Marvland Waiver (MW) Hosoitals Extensions of Certain Temporary Changes to the Low- Volume Hospital Payment Adjustment and the Medicare Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) provided by the Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Display the Current Location of a History Claim on the Related History line and the MCS Desktop Tool (MCSDT) Related History Window International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2023 Update User Enhancement Change Request (UECR): Enhance the Multi-Carrier System (MCS) Related Procedures Diagnosis Segments Screen Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Include Additional Options for Requesting Duplicate Remittance Advices User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Edit/Audit/Procedure Processing Criteria Report H99RBSCC Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivitv of Instruction User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Reset Beneficiary and Provider Healthcare Integrated General Ledger Accounting System (HIGLAS) Flags User Enhancement Change Request (UECR): Add the Common Working File (CWF) Disposition Code to the Multi-Carrier System (MCS) Medicare Secondary Payer (MSP) 'I' Records Detail Screens, MCS Desk Top Tool (MCSDTI and the MSP CWF Transaction New State Codes for North Carolina Modern Solution to SuperOo Claim Counter Maximum Implementation User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Comment Screen Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS Update the Common Working File (CWF) to Apply Error Code 7282 to all Applicable Detail Lines of a Claim MAC Use of Jira and Confluence Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Edit/Audit/Procedure Processing Criteria Report H99RBSCC Medicare Administrative Contractors (MACs) Updating Their Systems to Integrate with Call Center Post-Transaction Feedback Collection from Providers - lmplemenlalion Implementation of the Award for the Jurisdiction M (J-M) Part A and Part B Medicare Administrative Contractor (JM A/B MAC) Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) provided by the Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 Implementation of the Award for the National Provider Enrollment (Medicare and Medicaid) Eastern Region (NPEAST) and Western Region (NPWEST) Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Enrollment Contractors Phase two: Undeliverable Medicare Summary Notices (UMSNs) Beneficiarv Do Not Forward Process Updating Calendar Year (CY) 2023 Medicare Diabetes Prevention Program (MDPP) Pavment Rates Provider Education for Prior Authorization (PA) Process for Facet Joint Interventions in the Hospital Outpatient Department (OPD) Setting Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter As Certain Coloreclal Cancer Screening Tests Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 None f:;'t1s:,~sit11!' 11660 EN01FE23.009</GPH> ,,,,>T lotter on DSK11XQN23PROD with NOTICES1 ne Jkt 259001 PO 00000 Frm 00041 Fmt 4703 Regulations and Notices Regulations and notices are published in the daily Federal Register. To purchase individual copies or subscribe to the Federal Register, contact GPO at www.gpo.gov/fdsys. When ordering individual copies, it is necessary to cite either the date of publication or the volume number and page number. The Federal Register is available as an online database through GPO Access. The online database is updated by 6 a.m. each day the Federal Register is published. The database includes both text and graphics from Volume 59, Number 1 (January 2, 1994) through the present date and can be accessed at https://www.gpoaccess.gov/fr/. The following website https://www.archives.gov/federal-register/ provides information on how to access electronic editions, printed editions, and reference copies. This information is available on our website at: https://www .cms.gov/files/document/regs4q22qpu.pdf E:\FR\FM\01FEN1.SGM Addendum ID: CMS Rulings (October through December 2022) 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 https://www.cms.gov/Regulationsand-Guidance/Guidance/Rulings. For questions or additional information, contact Tiffany Lafferty (410-786-7548). 01FEN1 Sfmt 4725 For questions or additional information, contact Terri Plumb (410-786-4481). Addendum IV: Medicare National Coverage Determinations (October through December 2022) Addendum TV 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 EN01FE23.010</GPH> Title Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease ( AD) National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy NCDM Section Transmittal Number Issue Date Effective Date NCD200.3 R11692 11/09/2022 04/07/2022 NCD 110.24 R11774 12/30/2022 01/01/2023 Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (October through December 2022) (Inclusion of this addenda is under discussion internally.) Addendum VI: Approval Numbers for Collections of Information (October through December 2022) 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 VII: Medicare-Approved Carotid Stent Facilities (October through December 2022) 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 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 Addendum II: Regulation Documents Published in the Federal Register (October through December 2022) 6736 VerDate Sep<11>2014 ~ 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 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, MP A (410-786-7 491 ). lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 Jkt 259001 PO 00000 Facility Date Frm 00042 Provider Number Approved 050145 11/01/2022 State ~V;,'J; ;;t:;'if:tf? Fmt 4703 Sfmt 4725 Community Hospital of the Monterey Peninsula 23625 Holman Highway Monterev, CA 93940 Methodist Hospital Stone Oak 1139 E. Sonterra Boulevard San Antonio, TX 78258 Memorial Medical Center 2450 S. Telshor Boulevard Las Cruces, NM 88011 AddendumX: List of Special One-Time Notices Regarding National Coverage Provisions (October through December 2022) There were no special one-time notices regarding national coverage provisions published in the 3-month period. This information is available at https://www.crns.gov. For questions or additional information, contact JoAnna Baldwin, MS (410-786 7205). CA Addendum XI: National Oncologic PET Registry (NOPR) (October through December 2022) 670055 11/29/2022 TX 320018 12/13/2022 NM E:\FR\FM\01FEN1.SGM Addendum VIII: American College of Cardiology's National Cardiovascular Data Registry Sites (October through December 2022) 01FEN1 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 I CDs 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). Addendum IX: Active CMS Coverage-Related Guidance Documents (October through December 2022) 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#T opOfPage. For questions or additional information, contact David Dolan, MBA (410786-3365). Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (October through December 2022) Addendum XII includes a listing of Medicare-approved facilities that receive coverage for ventricular assist devices (VADs) used as destination therapy. All facilities were required to meet our standards in order to receive coverage for V ADs implanted as destination therapy. On October 1, 2003, we issued our decision memorandum on V ADs for the clinical indication of destination therapy. We determined that V ADs used 6737 CMS issued a guidance document on November 20, 2014 titled "Guidance for the Public, Industzy, 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 EN01FE23.011</GPH> 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 https://www.ems.gov/medicare-coverage-database/details/medicarecoverage-document-details.aspx?MCD Id=27. There are no additional Active CMS Coverage-Related Guidance Documents for the 3-month period. For questions or additional information, contact Jo Anna Baldwin, MS (410-786-7205). Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 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 (410-786-27 49). lotter on DSK11XQN23PROD with NOTICES1 6738 VerDate Sep<11>2014 Jkt 259001 PO 00000 Frm 00043 Fmt 4703 Sfmt 4725 E:\FR\FM\01FEN1.SGM 01FEN1 290003 09/10/2019 09/10/2022 NV 520177 07/31/2012 09/14/2022 WI 50-0025 04/05/2011 10/15/2022 WA 140119 07/19/2013 09/25/2022 IL Other information: DNV ID#: C556920 Previous Re-certification Dates: 09/10/2019 Froedtert Memorial Lutheran Hospital, Inc 9200 West Wisconsin Avenue Milwaukee, WI 53226 (410-786-3365). Facility Provider Number Date of Initial Certification DateofRecertification State Ascension Saint Thomas Hospital 4220 Harding Road Nashville, 1N 37205 440082 06/22/2010 09/03/2022 1N Other information: Joint Commission ID# 7891 Previous Re-certification Dates: 06/22/201 O; 06/22/2012; 05/20/2014; 07/13/2016 01/14/2021 University Hospitals Cleveland Medical Center 11100 Euclid Avenue Cleveland, OH 44106 Other information: Joint Commission ID# 7017 Previous Re-certification Dates: 02/09/201 O; 01/24/2012; 01/30/2014; 02/23/2016; 02/09/2018; 01/21/2021 EN01FE23.012</GPH> Sunrise Hospital & Medical Center 3186 S. Maryland Parkway Las Vegas, NV 89109 Other information: Joint Commission ID # 7718 Previous Re-certification Dates: 07/31/2012; 07/08/2014; 08/09/2016; 01/07/2021 Swedish Health Services d/b/a Swedish Medical Center Cherry Hill 500 17th Ave. Seattle, WA 98122 Other information: DNV ID #: C574335 360137 02/09/2010 08/17/2022 OH Previous Re-certification Dates: 04/05/2011; 4/09/2013; 04/21/2015; 06/06/2017; 10/14/2019 Rush University Medical Center 1653 W. Congress Pkwy Chicago, IL 60612 Other information: DNV ID # C574309 Previous Re-certification Dates: 07/19/2013; 12/18/2014; 09/25/2019 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 as destination therapy are reasonable and necessary only if performed in facilities that have been determined to have the experience and infrastructure to ensure optimal patient outcomes. We established facility standards and an application process. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. For the purposes of this quarterly notice, we are providing only the specific updates 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/MedicareApprovedFacilitieNADnist.asp#TopOfPage. For questions or additional information, contact David Dolan, MBA, lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 OSF Saint Francis Medical Center 530 NE Glen Oak Avenue Peoria, IL 61637 14-0067 08/31/2009 10/10/2022 IL University of Iowa Hospitals and Clinics 200 Hawkins Drive Iowa City, IA 52242 Jkt 259001 PO 00000 Other information: Joint Commission ID # 8266 Previous Re-certification Dates: 08/31/2009; 11/22/2011; 10/10/2019 The Methodist Hospital d/b/a Houston Methodist Hospital 6565 Fannin Street Houston, TX 77030 Previous Re-certification Dates: 06/22/2010; 07/26/2012; 07/29/2014; 08/02/2016; 7/11/2018; 4/8/2021 University of Minnesota Medical Center, Fairview 2450 Riverside Avenue Minneapolis, MN 55454 450358 11/03/2003 11/06/2022 TX Other information: DNV ID#: C578138 Frm 00044 Fmt 4703 Previous Re-certification Dates: 11/03/2003; 10/29/2008; 12/06/2016; 11/06/2019 University of California, Davis Medical Center 2315 Stockton Boulevard Sacramento, CA 95817 Sfmt 4725 E:\FR\FM\01FEN1.SGM Other information: JHACO ID#: 7157 01FEN1 Previous Re-certification Dates: 09/14/2010; 10/24/2012; 10/21/2014; 11/01/2016; 05/05/2021 10/14/2022 IA 240080 03/26/2009 09/21/2022 ~ 060024 07/22/2008 10/12/2022 co 260032 08/21/2008 10/05/2022 MO Other information: JHACO ID #: 2908 050599 10/06/2015 09/14/2022 CA Other information: Joint Commission ID# 10055 Previous Re-certification Dates: 10/06/2015; 02/06/2018; 12/10/2020 Lutheran Hospital of Indiana 7950 West Jefferson Boulevard Fort Wayne, IN 46804 06/22/2010 Previous Re-certification Dates: 03/26/2009; 08/26/2011; 10/10/2013; 11/03/2015; 12/05/2017; 9/11/2020 University of Colorado Hospital Authority 12605 E 16th Ave Aurora, CO 80045 Other information: Joint Commission ID # 9384 150017 09/14/2010 09/22/2022 IN Previous Re-certification Dates: 07/22/2008; 08/17/2010; 08/10/2012; 07/22/2014; 07/26/2016; 03/10/2021 Barnes-Jewish Hospital 1 Barnes Jewish Plaza Saint Louis, MO 63110 Other information: JHACO ID #: 8387 Previous Re-certification Dates: 08/21/2008; 07/27/2010; 07/17/2012; 08/05/2014; 09/13/2016; 11/10/2017; 10/22/2020 EN01FE23.013</GPH> 6739 Addendum XIII: Lung Volume Reduction Surgery (LVRS) (October through December 2022) Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices 21:04 Jan 31, 2023 Other information: DNV ID #: C569934 160058 lotter on DSK11XQN23PROD with NOTICES1 Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials (October through December 2022) There were no FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials published in the 3-month period. This information is available on our website at www.cms.gov/MedicareApprovedFacilitie/PETDT/list.asp#TopOfPage. For questions or additional information, contact David Dolan, MBA (410786-3365). Frm 00045 Fmt 4703 Sfmt 9990 E:\FR\FM\01FEN1.SGM 01FEN1 Federal Register / Vol. 88, No. 21 / Wednesday, February 1, 2023 / Notices PO 00000 Addendum XN: Medicare-Approved Bariatric Surgery Facilities (October through December 2022) 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 (BMl) greater than or equal to 35, have at least one co-morbidity related to obesity and have been previously unsuccessful with medical treatment for obesity. This decision also stipulated that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery Center (program standards and requirements in effect on February 15, 2006); or (2) certified by the American Society for Bariatric Surgery (ASBS) as a Bariatric Surgery Center of Excellence (ESCOE) (program standards and requirements in effect on February 15, 2006). There were no additions, deletions, or editorial changes to Medicare-approved facilities that meet CMS' 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.cms.gov/MedicareApprovedFacilitie/BSF/list.asp#TopOfPage. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). 6740 Jkt 259001 [FR Doc. 2023–02002 Filed 1–31–23; 8:45 am] 21:04 Jan 31, 2023 BILLING CODE 4120–01–C VerDate Sep<11>2014 EN01FE23.014</GPH> Addendum XIII includes a listing of Medicare-approved facilities that are eligible to receive coverage for lung volume reduction surgery. Until May 17, 2007, facilities that participated in the National Emphysema Treatment Trial were also eligible to receive coverage. The following three types of facilities are eligible for reimbursement for Lung Volume Reduction Surgery (LVRS): • National Emphysema Treatment Trial (NETT) approved (Beginning 05/07/2007, these will no longer automatically qualify and can qualify only with the other programs); • Credentialed by the Joint Commission (formerly, the Joint 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. For the purposes of this quarterly notice, there were no additions, deletions, or editorial changes to a listing of Medicare-approved facilities that are eligible to receive coverage for lung volume reduction surgery. 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).

Agencies

[Federal Register Volume 88, Number 21 (Wednesday, February 1, 2023)]
[Notices]
[Pages 6729-6740]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-02002]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9139-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--October Through December 2022

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 2022, 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.

[[Page 6730]]

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           Terri Plumb........     (410) 786-4481
 Published in the 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     Sarah Fulton, MHS..     (410) 786-2749
 Stent Facilities.
VIII American College of          Sarah Fulton, MHS..     (410) 786-2749
 Cardiology--National
 Cardiovascular Data Registry
 Sites.
IX Medicare's Active Coverage-    JoAnna Baldwin, MS.     (410) 786-7205
 Related Guidance Documents.
X One-time Notices Regarding      JoAnna Baldwin, MS.     (410) 786-7205
 National Coverage Provisions.
XI National Oncologic Positron    David Dolan, MBA...     (410) 786-3365
 Emission Tomography Registry
 Sites.
XII Medicare-Approved             David Dolan, MBA...     (410) 786-3365
 Ventricular Assist Device
 (Destination Therapy)
 Facilities.
XIII Medicare-Approved Lung       Sarah Fulton, MHS..     (410) 786-2749
 Volume Reduction Surgery
 Facilities.
XIV Medicare-Approved Bariatric   Sarah Fulton, MHS..     (410) 786-2749
 Surgery Facilities.
XV Fluorodeoxyglucose Positron    David Dolan, MBA...     (410) 786-3365
 Emission 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 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: January 26, 2023.
Trenesha Fultz-Mimms,
Federal Register Liaison, Department of Health and Human Services.
BILLING CODE 4120-01-P

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[FR Doc. 2023-02002 Filed 1-31-23; 8:45 am]
BILLING CODE 4120-01-C
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