Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July through September 2024, 88282-88294 [2024-25874]

Download as PDF 88282 Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices meeting/ no later than 5 p.m., EDT, on October 25, 2024, according to the instructions provided. If the number of persons requesting to speak is greater than can be reasonably accommodated during the scheduled time, CDC will conduct a random draw to determine the speakers for the scheduled public comment session. CDC staff will notify individuals regarding their request to speak by email by November 1, 2024. Written Public Comment: Written comments should be submitted by email to HICPAC@cdc.gov. The deadline for receipt of written public comments is November 22, 2024. All submissions must contain the submitter’s name, address, and organizational affiliation, as well as the topic being addressed. Written comments should not exceed one single-spaced typed page in length, not including attachments. All written comments will be shared with the Committee. The Director, Office of Strategic Business Initiatives, Office of the Chief Operating Officer, Centers for Disease Control and Prevention, has been delegated the authority to sign Federal Register notices pertaining to Kalwant Smagh, Director, Office of Strategic Business Initiatives, Office of the Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2024–25906 Filed 11–6–24; 8:45 am] ACTION: Notice This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published in the 3-month period, 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: BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–9150–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—July through September 2024 Centers for Medicare & Medicaid Services (CMS), Health and Human Services (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 ................. Lori Ashby, MA ....................... JoAnna Baldwin, MS .............. David Dolan, MBA .................. David Dolan, MBA .................. Sarah Fulton, MHS ................. Sarah Fulton, MHS ................. David Dolan, MBA .................. Annette Brewer ....................... SUPPLEMENTARY INFORMATION: I. Background lotter on DSK11XQN23PROD with NOTICES1 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 VerDate Sep<11>2014 18:15 Nov 06, 2024 Jkt 265001 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 PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 Phone number (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) 786–1864 786–4481 786–7548 786–7491 786–6877 786–4669 786–2749 786–2749 786–6322 786–7205 786–3365 786–3365 786–2749 786–2749 786–3365 786–6580 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 E:\FR\FM\07NON1.SGM 07NON1 Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices lotter on DSK11XQN23PROD with NOTICES1 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 VerDate Sep<11>2014 18:15 Nov 06, 2024 Jkt 265001 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. PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 88283 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. Trenesha Fultz-Mimms, Federal Register Liaison, Department of Health and Human Services. E:\FR\FM\07NON1.SGM 07NON1 lotter on DSK11XQN23PROD with NOTICES1 Jkt 265001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4725 E:\FR\FM\07NON1.SGM 07NON1 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. 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 (FOL). Under the FOL program, government publications are sent to approximately 1,400 designated libraries throughout the United States. Some FD Ls may have arrangements to transfer material to a local library not designated as an FDL. Contact any Iibrary to locate the nearest FDL. This information is available at https://www.gpo.gov/libraries/ In addition, individuals may contact regional depository libraries that receive and retain at least one copy of most federal government 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 12826 12834 12786 12801 Manual/Subject/Publication Number Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15. Section 50.4.4.2 Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 Addendum I: Medicare and Medicaid Manual Instructions (July through September 2024) 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. 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 A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year2024 Physician Fee Schedule Final Rule (CMS-Pub. 100-02) Transmittal No. 12786. 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. 88284 VerDate Sep<11>2014 EN07NO24.073</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: October 26, 2023 (88 FR 73591), January 30, 2024 (89 FR 5897), April 29, 2024 (89 FR 33356) and July 22, 2024 (89 FR 59104). 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 VerDate Sep<11>2014 12832 12733 12738 12740 12744 12745 Jkt 265001 12746 12749 PO 00000 12753 12754 Frm 00056 12758 12759 Fmt 4703 12763 12765 Sfmt 4725 12766 E:\FR\FM\07NON1.SGM 12781 12813 07NON1 Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCO) 110.23 Allugeneic Hematupuietic Stem Cell Transplantation (HSCT) fur Myelodysplastic Syndromes (MDS) National Coverage Determination (NCO) 110.23 Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCO) 110.23 12771 12774 12778 12779 12781 12704 12707 12712 12718 12724 12782 12784 12786 12787 12788 12789 88285 12721 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 July 2024 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder Accommodating 10-Digit Dollar Amounts on All Part A Medicare Summary Notices (MSNs) Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 90 Days to Every 120 Days Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment Issued to a specific audience, not posted to Internet/Intranet due to Sensitivitv 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 Internet/Intranet due to Confidentiality oflnstruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentialitv of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentialitv of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidcntialitv of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Revisions to the Skilled Nursing Facility (SNF) Ad,ance Beneficiary Notice ofNon-Coverage (ABN) Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2025 Internet-Only Manual Update for Billing Code G0444 for Annual Depression Screening July 2024 Update of the Hospital Outpatient Prospective Payment System (OPPS) October 2024 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 Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Quarterly Update to the Medicare Physician Fee Schedule Database CMPFSOB) - October 2024 Update Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction New Place of Service (POS) Code 66 - "Programs of All-Inclusive Care for the Elderly (PACE) Center" Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCO) 110.23 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentialitv oflnstruction A Social Detenminants ofHealth Risk Assessment in the Annual Wellness Visit Policy Lpdate in the Calendar Year 2024 Physician Fee Schedule Final Rule Notification of Change in Instructions for Handlinl!; !RF Active Provider List Influenza Vaccine Payment Allowances - Annual Update for 2024-2025 Season Updates to Chapter 1 of the Medicare Claims Processing Manual (Publication Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 12739 12769 12627 12705 EN07NO24.074</GPH> Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update RllC General Information FQHC General Information RHC Staffing Requirements RHC and FQHC Visits Multiple Visits on Same RHC Services FQHC Services Emergency Services Description ofNon RHC/FQHC Services RHC and FQHC Consolidated Cost Reports RHC and FQHC Cost Report Forms Provision oflncident to Services and Supplies Clinical Psychologist, Clinical Social Worker Services, Marriage and Family Therapist, and Mental Health Counselors Services and Supplies Incident to CP, CSW, MFT, and MHC Services Mental Health Visits Treatment Plans for Visiting Nursing Services Telehealth Services Preventive Health Services in RHCs Preventive Health Services in FQHCs Care Management Services General Care Management Services/ Chronic Care Management, Principal Care Management, and General Behavioral Health Integration Service Chronic Care Management (CCM) Services Remote Patient Monitoring (RPM) Services Remote Therapeutic Monitoring (RTM) Services Community Health Integration (CHI) Services Principal lllness Navigation (PIN) Services PIN-Peer Support (PIN-PS) Services Pavment fur General Care Management Services lotter on DSK11XQN23PROD with NOTICES1 12792 12795 12799 12802 Jkt 265001 12803 PO 00000 12805 12807 Frm 00057 12809 12810 Fmt 4703 12811 12813 Sfmt 4725 12815 E:\FR\FM\07NON1.SGM 12816 12817 12820 12821 12824 07NON1 12825 12827 12830 12831 12835 EN07NO24.075</GPH> 12836 12837 12838 12839 12840 12841 12842 12843 12845 12847 12848 12849 12709 12736 12773 12780 12800 12812 12715 12734 12737 Orthotics and Su1mlies (DMEPOS) Fee Schedule Instructions for Retrieving the January 2025 Opioid Treatment Program (OTP) Payment Rates Through the CMS Mainframe Telecommunications System 2025 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Pavments Instructions for Retrieving the 2025 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through C\1S' Mainframe Telecommunications Systems Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction January 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricini:: Files and Revisions to Prior Quarterly Pricini:: Files Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Quarterly Update to the National Correct Coding Initiative (NCCT) Procedure-to-Procedure (PTP) Edits, Version 31.0, Effective Januarv I, 2025 Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Tenn Care Hosoital (L TCH) PPS Changes Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Additional Implementation Edits on Hospice Claims for Hospice Certifying Phvsician Medicare Emollment Influenza Vaccine Payment Allowances - Annual Update for 2024-2025 Season Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP)- January 2025 Changes to The Electronic Correspondence Referral System (ECRS) Web to Prevent the Creation of Non-Group Health Plan (NGHP) Self Report that are Not Svnchronized with the Common Working File (CWF) Clarification of Actions to Be Taken When Automated Duplicate Primary Payer (OPP) Claims Cannot Be Processed Due to Previous Secondary Payment Actions and Advanced Dates of Service on Claims Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare Systems (VMS) and the Common Working File (CWF) Processes to Capture and Further Automate the Medicare Secondary Paver (MSP) Processes The Recovery and Adjustment of Medicare Claims where the Department of Vetenm AITairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare Systems (VMS) and the Common Working File (CWF) Processes to Capture and Further Automate the Medicare Secondary Payer (MSP) Processes Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Quarter Notification for FY 2024 Updating IOM 100-06, Chapter 4, Section 70.16 - Debt Close-Out The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 12793 12794 (Puh.) 100-04) to Include Newly Created and Utilized Paver Only Codes January 2025 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Quarterly Update to Home Health (HH) Grouper Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billim: Enforcement Annual Clotting Factor Furnishing Fee Update 2025 Inpatient Rehabilitation Facility (TRF) Annual Update: Prospective Payment System (PPS) Pricer Chani::es for Fiscal Year (FY) 2025 Instructions for Retrieving the January 2025 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications Svstem Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality oflnstruction Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hosoital (L TCH) PPS Changes Issued to a specific audience. not posted to Internet/Intranet due to Confidentiality of Instruction Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2025Inpatient Psychiatric Facilities Prospective Pavment System (IPr PPS) Uodates for fiscal Year (PY) 2025 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to In!t:met/Tntnmet due tu Confidentiality of Instruction Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (KCD) 110.23 October 2024 Integrated Outpatient Code Editor (T/OCE) Specifications Version 25.3 October 2024 Update of the Hospital Outpatient Prospective Payment System (OPPS) Changes to the Laboratory National Coverage Determination (NCD) Edit Software for Januarv 2025 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction Combined Common Edits/Enhancements '.\1odules (CCEM) Code Set Update October 2024 Update of the Ambulatory Surgical Center [ASC] Payment System Implement Operating Rules - Phase TIT Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE 2025 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2025 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and TTospice Pricer for Fiscal Year (FY) 2025 October Quarterly Update for 2024 Durable Medical Equipment, Prosthetics, 88286 VerDate Sep<11>2014 12791 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 Jkt 265001 Revisions to State Operations Manual (SOM). Appendix PP 12706 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality ofinstruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality oflnstruction Thirteenth 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 Confidentiality of Instruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality ofinstruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality ofinstruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality ofinstruction Updates of Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Chapter 9 in Publication (Pub.) 100-08, Including Complaint Referral Coordination Retween Contractors Quality of Care Issues and Potential Fraud Issues Program Integrity Medical Review for Program Tntegri1y (MR for PD Sources of Data for MACs and UPICs Prepayment Review of Claims Referrals to the UPTC UPIC and I-MEDIC Responsibilities Inputting Suppression and Exclusion Cases to the RACDW Fourteenth 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 Confidentiality ofinstruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality ofinstruction Issued to a specific audience, not posted to Internet'Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality ofinstruction Issued to a specific audience, not posted to Internet/Intranet due to Cunfid~ntialitY oflnstruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction None 12710 12711 12717 12729 12730 12731 PO 00000 12732 Frm 00058 12764 12748 12772 Fmt 4703 Sfmt 4725 E:\FR\FM\07NON1.SGM 12796 12797 12798 12806 07NON1 12828 12844 12853 12854 12855 None None None None None None 12713 12714 12716 12719 12720 12722 12723 12725 12726 12727 12728 12735 12741 12742 12743 12747 12750 12751 12752 12757 None EN07NO24.076</GPH> 12760 88287 None Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction Uodate to the Patient-Driven Pavment Model (PDPM) Claim Editing New State Codes for Arizona, California, Nevada, and Texas Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality ofinstruction Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes Part4 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes Part 5 Revisions to Home Health Edit Matching Claims to Notices of Admission Implementation of Common Working File (CWF) Edits to Prevent Duplicate Pavments for Compression l:!andaging Svstems Uodate to the Patient-Driven Pavment Model (PDPM) Claim Editing Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity ofinstruction Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality ofinstruction Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fullv Reclaces CR 11644. User Enhancement Change Request (UECR) - Update the vfulti-Carrier System (MCS) Criteria File (CRIT) Maintenance/Criteria Location Movement Maintenance (CT/CM) Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expand the Home Health Payment Totals Screens to Disclay 6 Years of Claims Pavment Information Instructions for Processing Requests for SST Realignment for Cost Reporting Periods Starting Before October 1 2013 Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchanize (EDI) Front End Ucdates for Januarv 2025 Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Succression Unload File Format International Classification of Diseases, 10th Revision (TCD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) and Update to the Aporooriate Use Criteria (AUC) Program--Januarv 2025 Fiscal Intermediary Shared System (FISS)- Implement Common Working File (CWF) Reply Generator fur Contractor User Acceptance Testin11: Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 225 lotter on DSK11XQN23PROD with NOTICES1 12762 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality ofTnstruction Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction 12767 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity 12770 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity ofTnstruction 12775 12777 Jkt 265001 12785 12790 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Current Dating on User Acceotance Testing /UA T) Reoort Jobs Fiscal Intermediary Shared System (FISS) - Create New Function to Identify Claims in the Archived Claims File Instructions for Processing Requests for SST Realignment for Cost Reporting Periods Starting Before October 1, 2013 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity ofTnstruction PO 00000 12804 12818 Frm 00059 12829 12833 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity ofTnstruction American Dental Association (ADA) Paper Claims in the Medicare Adiudication Portal (MAP) for 83 7D Dental Claims Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization (PA) Model Operational Changes Regarding Expedited Rcoucsts and Review Timcframcs Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity Fmt 4703 of Instruction 12846 Sfmt 4725 12850 Migration ofthe Contractor Reporting of Operational and Workload Data (CROWD) to the Centers for Medicare & Medicaid Services (CMS) Entemrise Portal User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims 12857 Issued to a specific audience, not posted to Internet/Intranet due to Confidcntialitv ofTnstruction E:\FR\FM\07NON1.SGM None None None 07NON1 For questions or additional information, contact Ismael Torres (410-786-1864). Addendum II: Regulation Documents Published in the Federal Register (July through September 2024) 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 EN07NO24.077</GPH> Addendum III: CMS Rulings (July through September 2024) 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), Addendum IV: Medicare National Coverage Determinations (July through September 2024) 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 NCO Manual (NCDM) in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. An NCO 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 NCO. Additional information on NCDs, including open NCDs and pending NCDs, can be found on the NCO Dashboard, which is posted on the CMS website at https://www.cms.gov/files/document/ncd-dashboard.pdf. 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. There were no specific updates or reconsiderations of completed NCDs published in this 3-month period. This information is available at: www.cms.gov/medicare-coveragedatabase/. Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 of Instruction 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 infonnation on how to access electronic editions, printed editions, and reference copies. For questions or additional infonnation, contact Terri Plumb (410-786-4481 ), 88288 VerDate Sep<11>2014 12761 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 For questions or additional information, contact Wanda Belle, MPA (410-786-7491). Title I Transmittal Issue Date Number N/A I N/A I Effective Date I N/A Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (July through September 2024) (Inclusion of this addenda is under discussion internally.) Jkt 265001 PO 00000 Frm 00060 Addendum VI: Approval Numbers for Collections of Information (July through September 2024) 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). Fmt 4703 Sfmt 4725 E:\FR\FM\07NON1.SGM 07NON1 Addendum VII: Medicare-Approved Carotid Stent Facilities (July through September 2024) 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. There were no additions, deletions, or editorial changes to the listing for Medicare-approved carotid stent facilities for this 3-month period. This information is available at: https://www.ems.gov/MedicareApprovedFacilitie/CASF/list.asp#TopOfPage For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). Addendum IX: Active CMS Coverage-Related Guidance Documents (July through September 2024) CMS published three final guidance documents on August 7, 2024, to provide a framework for more predictable and transparent evidence development and encourage innovation and accelerate beneficiary access to new items and services. The documents are available at: Coverage with Evidence Development: https://www.cms.gov/medicarecoverage-database/view/medicare-coverage-document.aspx?mcdid=3 8 CMS National Coverage Analysis Evidence Review: https://www .cms.gov/medicare-coverage-database/view/medicarecoverage-document.aspx?mcdid=37 Clinical Endpoints Guidance: Knee Osteoarthritis: https://www .cms.gov/medicare-coverage-database/view/medicarecoverage-document.aspx?mcdid=36 For questions or additional information, contact Lori Ashby, MA (410 786 6322). AddendumX: List of Special One-Time Notices Regarding National Coverage Provisions (July through September 2024) There were no special one-time notices regarding national coverage provisions published in the 3-month period. This information is available at https://www.cms.gov. For questions or additional information, contact JoAnna Baldwin, MS (410-786 7205). 88289 Addendum XI: National Oncologic PET Registry (NOPR) (July through September 2024) Addendum XI includes a listing ofNational Oncologic Positron Emission Tomography Registry (NOPR) sites. We cover positron emission Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 EN07NO24.078</GPH> NIA NCDM Section NIA Addendum VIII: American College of Cardiology's National Cardiovascular Data Registry Sites (July through September 2024) The initial data collection requirement through the American College of Cardiology's National Cardiovascular Data Registry (ACCNCDR) has served to develop and improve the evidence base for the use of ICDs in certain Medicare beneficiaries. The data collection requirement ended with the posting of the fmal decision memo for Implantable Cardioverter Defibrillators on February 15, 2018. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). lotter on DSK11XQN23PROD with NOTICES1 Jkt 265001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4725 E:\FR\FM\07NON1.SGM 07NON1 Facility Provider Number Date of Initial Certification Date of Recertification Lankenau Medical Center 100 E. Lancaster Avenue Wynnewood, PA 19096 390195 07/30/2024 n/a Other information: DNV ID#: C673223 EN07NO24.079</GPH> State PA 320009 10/09/2017 08/07/2024 NM 140281 01/30/2009 05/01/2024 IL 150074 02/1012015 05/08/2024 TN 050108 10/20/2009 07/27/2024 CA 500054 01/12/2004 06/05/2024 WA Other information: Joint Commission ID#: 701636 Previous Re-certification Dates: 10/09/2017; 08/27/2020 Northwestern Memorial Hospital 251 E. Huron Street Chicago, IL 60611 Other information: Joint Commission ID #7267 Previous Re-certification Dates: 01/30/2009; 06/17/2011; 05/31/2013; 06/09/2015; 08/18/2017; 11/6/2019; 03/26/2022 Community Health Network, Inc. 1500 N. Ritter Avenue Indianapolis, TN 46219 Other information: Joint Commission TD #7172 Previous Re-certification Dates: 02/10/2015; 04/18/2017; 06/05/2019; 04/26/2022 Sutter Medical Center 2825 Capitol Ave Sacramento, CA 95816 Other information: Joint Commission ID #2902 Previous Re-certification Dates: 10/20/2009; 09/22/2011; 10/17/2013; 10/27/2015; I 1/07/2017; 03/04/2020; 06/16/2022 Providence Sacred Heart Medical Center & Children's Hospital 101 West 8th Avenue Spokane, WA 99204 Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (July through September 2024) Addendum XII includes a listing of Medicare-approved facilities that receive coverage for ventricular assist devices (VADs) used as destination therapy. All facilities were required to meet our standards in order to receive coverage for V ADs implanted as destination therapy. On October 1, 2003, we issued our decision memorandum on VADs for the clinical indication of destination therapy. We determined that V ADs used as destination therapy are reasonable and necessary only if performed in facilities that have been determined to have the experience and infrastructure to ensure optimal patient outcomes. We established facility standards and an application process. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. For the purposes of this quarterly notice, we are providing only the specific updates 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/MedicareApprovedFacilitie/VAD/list.asp#TopOf?age. For questions or additional information, contact David Dolan, MBA, (410-786-3365). Previous Re-certification Dates: n/a Lovelace Medical Center 601 Dr Martin Luther King Jr Ave,NE Albuquerque, NM 87102 88290 VerDate Sep<11>2014 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 perfonned 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.a~p#TopOfPage. For questions or additional information, contact David Dolan, MBA (410-786-3365). lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 050025 11/17/2011 06/05/2024 CA Jkt 265001 PO 00000 Frm 00062 Previous Re-certification Dates: 11/17/2011; 11/15/2013; 11/03/2015; l0/17/2017; 12/18/2019; 04/22/2022 University of Utah Health Care - Hospitals and Clinics 50 N. Medical Drive Salt Lake City, UT 84132 Fmt 4703 Sfmt 4725 E:\FR\FM\07NON1.SGM 07NON1 Other information: Joint Commission ID #7760 Previous Re-certification Dates: 02/10/2009; 09/20/2011; 09/18/2013; 11/03/2015; 12/05/2017; 02/26/2020; 05/12/2022 New York-Presbyterian Hospital 525 East 68th Street New York, NY 10065 07/26/2024 AR 390100 05/19/2009 06/26/2024 PA 460009 01/13/2009 05/21/2024 UT Previous Re-certification Dates: 05/19/2009; 09/23/2011; 09/06/2013; 09/22/2015; 10/03/2017; 02/05/2020; 05/04/2022 FROM: AU Medical Center TO: Wellstar MCG Health 1120 15th Street Augusta, GA 39012 11-0034 08/06/2021 08/06/2024 GA 230046 03/27/2008 07/17/2024 MT 180040 11/14/2008 03/13/2024 KY Other information: DNV ID#: C719144 180067 330101 02/10/2009 03/03/2009 06/12/2024 06/01/2024 KY NY Previous Re-certification Dates: 08/06/2021 University of Michigan Health System 1S00 E Medical Center Drive, SPC 5474 Ann Arbor, Ml 48109 Other information: Joint Commission ID#: 7457 Previous Re-certification Dates: 03/27/2008; 03/18/2010; 03/07/2012; 02/04/2014; 03/15/2016; 04/24/2018; 12/03/2020; 06/03/2022 Uofl.. Health - Louisville, Inc. 200 Abraham Flexner Way Louisville, KY 40202 Other information: Joint Commission ID #7765 88291 Previous Re-certification Dates: 03/03/2009; 07/14/2011; 08/21/2013; 11/21/2017 Other information: Joint Commission TD #6086 Other information: DNV ID#: C704343 Previous Re-certification Dates: 01/13/2009; 07/13/201 I; 06/18/2013; 06/23/2015; 08/08/2017; 05/25/2018; 05/2 l /2024 University of Kentucky Hospital/ UK Albert B. Chandler Hospital 800 Rose Street Lexington, K. Y 40536-0293 040007 Other information: Joint Commission TD #8661 Previous Re-certification Dates: 11/21/2017; 02/05/2020; 05/04/2022 Lancaster General Hospital 555 North Duke Street Lancaster, PA 17602 Other information: Joint Commission ID #10071 Other information: Joint Commission ID /15838 EN07NO24.080</GPH> 09/23/2015; 10/25/2017; 1/24/2020; 03/31/2022 St. Vincent Infirmary Medical Center dba CHI St. Vincent 2 St. Vincent Circle Little Rock, AR 72205 Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 Other information: Joint Commission ID #9638 Previous Re-certification Dates: 03/10/2009; 08/17/2011; 08/06/2013; 07/14/2015; 09/12/2017; I 1/5/2019; 04/20/2022 University of California San Diego Medical Center 200 West Arbor Drive San Diego, CA 92103-8949 lotter on DSK11XQN23PROD with NOTICES1 Newark, DE 19718 Other information: Joint Commission TD #6237 03/13/2009 03/14/2024 CA Jkt 265001 PO 00000 450388 01/27/2009 03/08/2024 TX Frm 00063 Fmt 4703 Sfmt 4725 360006 07/14/2015 03/23/2024 E:\FR\FM\07NON1.SGM 07NON1 EN07NO24.081</GPH> 03/27/2024 PA Previous Re-certification Dates: 07/09/2009; 09/13/2011; 10/17/2013; 09/22/2015; 09/20/2017; 11/6/2019; 02/24/2022 Banner-University Medical Center Tucson Campus 1625 North Campbell Avenue Tucson, AZ 85719 030064 02/04/2009 04/04/2024 AZ 450137 5/26/2021 5/26/2024 TX 030002 05/19/2011 04/06/2024 AZ OH Previous Re-certification Dates: 02/04/2009; 04/27/2011; 03/15/2013; 02/24/2015; 04/18/2017; 7/12/2019; 03/05/2022 Baylor Scutt and While All Saints - Fort Worth 1400 8th Avenue Fort Worth, TX 76104 670025 06/15/2011 03/16/2024 TX Other information: DNV TD#: 10000469761 Previous Re-certification Dates: 5/26/2021 Banner - University Medical Center Phoenix 1111 East McDowell Road Phoenix, AZ 85006 Other information: Joint Commission 1D #: 440319 Previous Re-certification Dates 06/15/2011; 07/09/2013; 07/14/2015; 08/22/2017; 9/7/2019; 01/28/2022 Cluisliana Caie Health Services, lnc. 4755 Qgletown-Stanton Road 07/09/2009 Other information: Joint Commission ID #: 9514 Other information: Joint Commission 1D #: 7030 Previous Re-certification Dates 07/14/2015; 08/29/2017; 10/23/2019; 02/26/2022 Texas Heart Hospital of the Southwest LLP 1100 Allied Drive Plano, TX 75093-5348 390174 Other information: Joint Commission TD #6132 Other information: Joint Commission 1D #: 9219 Previous Re-certification Dates 01/27/2009; 07/12/201 I ; 07/09/2013; 07/07/2015; 08/08/2017; 10/23/2019; 01/22/2022 Riverside Methodist Hospital 3535 Olentangy River Road Columbus, OH 43214-3998 Previous Re-certification Dates: 07/25/2013; 07/21/2015; 10/24/2017; 12/21/2019; 03/03/2022 Thomas Jefferson University Hospitals, Inc. 111 South 11th Street Philadelphia, PA 19107 Other information: Joint Commission 1D #9489 080001 07/25/2013 04/10/2024 DE Previous Re-certification Dates: 05/19/2011; 05/07/2013; 06/09/2015; Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 050696 Other information: Joint Commission 1D #5033 Previous Re-certification Dates 03/13/2009; 08/16/2011; 09/10/2013; 10/06/2015; 10/20/2017; 12/4/2019: 02/02/2022 Methodist Hospital 7700 Floyd Curl Drive San Antonio, TX 78229 88292 VerDate Sep<11>2014 Previous Re-certification Dates 11/14/2008; 03/22/2011; 02/26/2013; 03/24/2015; 05/23/2017; 8/6/2019; 02/23/2022 Keck Hospital of USC 1500 San Pablo Street Los Angeles, CA 90033 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 07/25/2017; 07-10-2019; 03/03/2022 Jkt 265001 PO 00000 Frm 00064 050262 02/06/2009 05/08/2024 CA 450021 08/21/2007 04/17/2024 TX 190036 05/28/2009 04/03/2024 LA 310015 06/16/2009 04/17/2024 NJ Other information: Joint Commission TD #9944 Previous Re-certification Dates: 02/06/2009; 08/09/2011; 08/13/2013; 09/15/2015; 10/06/2017; 12/04/2019; 04/09/2022 Baylor University Medical Center 3500 Gaston Avenue Dallas, TX 75246-2017 Other information: Joint Commission 10 #8993 Previous Re-certification Dates: 08/21/2007; Fmt 4703 08127/2009; 10107/2011; 11/20/2013; 11/10/2015; 10/31/2017; 12/18/2019; 0312412022 Sfmt 4725 Ochsner Medical Center 1516 Jefferson Highway New Orleans, LA 70121 E:\FR\FM\07NON1.SGM Other information: Joint Commission ID # 07NON1 Morristown Medical Center 100 Madison Avenue Morristown, NJ 07960 Previous Re-ce1tification Dates: 05/2812009; 11/09/2011; 12/1212013; 01/05/2016; 12/1212017; 03/12/2020; 03/1012022 Other information: Joint Commission ID #5958 Previous Re-certification Dates: 06/1612009; 09/28/2011; 10/3112013; 11/17/2015; 1211212017; 1125/2020; 03/23/2022 EN07NO24.082</GPH> 88293 Addendum XIII: Lung Volume Reduction Surgery (LVRS) (July through September 2024) Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 18:15 Nov 06, 2024 Ronald Reagan UCLA Medical Center 757 Westwood Plaza Los Angeles, CA 90095 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 are no additions and deletions 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#TopOfl>age. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (July through September 2024) 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 (BSCOE) (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#TopOfl>age. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). lotter on DSK11XQN23PROD with NOTICES1 88294 Jkt 265001 Code 4165–15 in your comments. All submitted comments will be posted without changes to https:// www.regulations.gov/. Please do not include any personally identifiable or confidential business information you do not want publicly disclosed. • Email: HRSAComments@hrsa.gov and HRSA_ELP@hrsa.gov with the subject line: ‘‘Billing Code 4165–15 Comments on Standardized Tests and Minimum Passing Scores for Foreign Health Care Workers.’’ This is the alternative method for the submission of comments. Please do not include any personally identifiable or confidential business information you do not want publicly disclosed. FOR FURTHER INFORMATION CONTACT: Tanchica West, Office of Special Health Initiatives, Office of Global Health, HRSA, 5600 Fishers Lane, Rockville, Maryland 20857, 301–443–4412. SUPPLEMENTARY INFORMATION: Frm 00065 Fmt 4703 Sfmt 4703 E:\FR\FM\07NON1.SGM I. Background The purpose of this request is to solicit public comments regarding proposed modifications to the current list of tests and passing scores approved by HHS through HRSA pursuant to section 343 of the IIRIRA, Public Law 104–208 (8 U.S.C. 1182(a)(5)(C)) and implementing regulations promulgated by the Department of Homeland Security at 8 CFR 212.15(g), to PO 00000 07NON1 demonstrate English language proficiency for noncitizen health care workers. Demonstration of English language proficiency is an element of the certification requirements for certain noncitizen health care workers seeking admission to the United States for the primary purpose of performing labor in a covered health care occupation. HRSA is seeking public comments regarding proposed modifications to the current list of approved standardized tests and minimum passing scores required for certification of foreign health care workers to enhance consistency across approved tests. Public comments may include the submission of evaluation studies, concordance analysis and findings of concordance, or methodologies supporting the inclusion of a particular test or minimum passing score for demonstrating English language proficiency. In addition to evidence and justification, HRSA requests that comments include: (1) A bulleted summary of no more than five (5) pages (12-point font single spaced) and (2) The table (below) with responses for each applicable recommendation. Comments may address any aspect of the proposed modifications, and all comments will be considered. Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices [FR Doc. 2024–25874 Filed 11–6–24; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Standardized Tests and Minimum Passing Scores for Foreign Health Care Workers To Demonstrate English Language Proficiency AGENCY: Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS). Request for comments. ACTION: 18:15 Nov 06, 2024 SUMMARY: HRSA proposes modifications to the list of standardized tests and minimum passing scores for foreign health care workers to demonstrate English language proficiency pursuant to section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA). DATES: Submit comments no later than December 9, 2024, 11:59 p.m. (ET). ADDRESSES: You may submit comments by any of the following methods: • Federal Web-Based Portal: https:// www.regulations.gov/. This is the preferred method for the submission of comments. Follow instructions for submitting comments. Include Billing VerDate Sep<11>2014 EN07NO24.083</GPH> Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials (July through September 2024) 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/MedicareApprovedFaci1itie/PETDT/1ist.asp#TopOFPage. For questions or additional information, contact David Dolan, MBA (410-786-3365).

Agencies

[Federal Register Volume 89, Number 216 (Thursday, November 7, 2024)]
[Notices]
[Pages 88282-88294]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-25874]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9150-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--July through September 2024

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

ACTION: Notice

-----------------------------------------------------------------------

SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published in the 3-month period, 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 number
------------------------------------------------------------------------
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-    Lori Ashby, MA....     (410) 786-6322
 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

[[Page 88283]]

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.

Trenesha Fultz-Mimms,
Federal Register Liaison, Department of Health and Human Services.

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[FR Doc. 2024-25874 Filed 11-6-24; 8:45 am]
BILLING CODE 4120-01-P

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