Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2024, 9902-9910 [2025-02787]

Download as PDF 9902 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices ACTION: DEPARTMENT OF HEALTH AND HUMAN SERVICES 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 SUMMARY: Centers for Medicare & Medicaid Services [CMS–9151–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—October Through December 2024 Centers for Medicare & Medicaid Services (CMS), HHS. AGENCY: 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 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 .......................................................................................................................... Ronda Allen-Bonner ..... 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 ddrumheller on DSK120RN23PROD with NOTICES1 Notice. 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. VerDate Sep<11>2014 18:07 Feb 18, 2025 Jkt 265001 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 PO 00000 Frm 00016 Fmt 4703 Sfmt 4703 Phone number (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) (410) 786–4657 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 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. Trenesha Fultz-Mimms, Federal Register Liaison, Department of Health and Human Services. 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 E:\FR\FM\19FEN1.SGM 19FEN1 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices quarter. The publication dates of the previous four Quarterly Listing of Program Issuances notices are: January 30, 2024 (89 FR 5897), April 29, 2024 (89 FR 33356), July 22, 2024 (89 FR 59104) and November 7, 2024 (89 FR 88282). 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. Addendum I: Medicare and Medicaid Manual Instructions (October Through December 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. 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 (FDL). Under the FDL program, government publications are sent to approximately 1,400 designated libraries throughout the United States. Some FDLs may have arrangements to transfer material to a local library not designated as an FDL. Contact any library to locate the nearest FDL. This information is available at https://www.gpo.gov/libraries/. In addition, individuals may contact regional depository libraries that receive and retain at least one copy of most federal government publications, either in printed or microfilm form, for use by the general public. These libraries provide reference services and interlibrary loans; however, they are not sales outlets. Individuals may obtain information about the location of the Transmittal No. 9903 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 Year 2024 Physician Fee Schedule Final Rule (CMS–Pub. 100–02) Transmittal No. 12865. 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. 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. Manual/subject/publication No. Medicare General Information (CMS–Pub. 100–01) 12980 13880 13881 13883 13884 13885 .............. .............. .............. .............. .............. .............. Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2025. 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 of Instruction. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Medicare Benefit Policy (CMS–Pub. 100–02) 12860 .............. 12865 .............. ddrumheller on DSK120RN23PROD with NOTICES1 12999 .............. 13003 .............. 13011 .............. VerDate Sep<11>2014 Technical Revision Only to the Medicare Benefit Policy (MBP) Manual, Publication (Pub) 100–02, Chapter 15, section 50.4.2 Unlabeled Use of Drug. A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule. 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) 2025. Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15, Section 50.4.4.2. Updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of Government Entity Exclusion (Pub. 100–02, chapter 16, sections 40 and 50.3.3 and newly created section 40.7) and Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority (Pub. 100–04, chapter 1, section 10.4). 18:07 Feb 18, 2025 Jkt 265001 PO 00000 Frm 00017 Fmt 4703 Sfmt 4703 E:\FR\FM\19FEN1.SGM 19FEN1 9904 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices Transmittal No. Manual/subject/publication No. Medicare National Coverage Determination (CMS–Pub. 100–03) 12868 .............. 12987 .............. Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23 National Coverage Determination (NCD) 210.15—Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention. Medicare Claims Processing (CMS–Pub. 100–04) 12864 .............. 12865 .............. 12868 .............. 12869 .............. 12870 .............. 12883 .............. 12886 .............. 12887 .............. 12889 12890 12895 12896 12909 12910 .............. .............. .............. .............. .............. .............. 12911 12914 12915 12923 .............. .............. .............. .............. 12926 .............. 12931 .............. 12934 12935 12936 12945 12948 .............. .............. .............. .............. .............. 12949 12950 12951 12957 .............. .............. .............. .............. 12961 .............. 12964 12967 12970 12974 12975 .............. .............. .............. .............. .............. 12976 .............. 12977 .............. 12978 .............. 12979 .............. ddrumheller on DSK120RN23PROD with NOTICES1 12980 .............. 12981 .............. 12982 12987 12988 12990 .............. .............. .............. .............. 12991 .............. 12992 .............. VerDate Sep<11>2014 October 2024 Update of the Ambulatory Surgical Center [ASC] Payment System. A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule. Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23. Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Changes. Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update Fiscal Year (FY) 2025. Update to the Internet Only Manual (IOM) Publication (Pub.) 100–04, Chapter 18 Section 170.1 and Chapter 32 Section 340.2 for Coding Revisions to the National Coverage Determinations (NCDs)—January 2025 Change Request (CR) 13706. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Correction to Editing for Inpatient Part B Ancillary 12X Claims When Part A Benefits Exhaust and Manual Updates for Billing of Inpatient Pre-Entitlement Days. Allowing Home Health (HH) Telehealth Services During an Inpatient Stay. Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 2025 Annual Update of Per-Beneficiary Threshold Amounts. Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2025 and Productivity Adjustment. Corrections to Change Request (CR) 7270—Changes to the Time Limits for Filing Medicare Fee For Service Claims. Calendar Year (CY) 2025 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures. Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2025. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Expanding the Number of Home Health (HH) Period of Care Records—Analysis Only. Calendar Year (CY) 2025 Home Infusion Therapy (HIT) Payment Rates and Instructions for Retrieving the January 2025 Home Infusion Therapy (HIT) Services Payment Rates Through the CMS Mainframe Telecommunications System. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions. Medicare Change of Status Notice (MCSN) Manual Instructions. New Waived Tests. 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. Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23. National Fee Schedule for Medicare Part B Vaccine Administration CMS—January 2025’’. Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2025. Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2025. Implementation of System Changes for the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) for Calendar Year (CY) 2025. Updates to the Publication 100–04 Claims Processing Manual in the Internet Only Manual (IOM) to Remove Obsolete Language Related to Medicare Fee-for-Service (FFS) Systems Claims Edits. January 2025 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Claim Status Category Codes (CSCC) and Claim Status Codes (CSC) Update. Manual Update for Pneumococcal Vaccine for 21-Valent Conjugate Vaccine. Summary of Policies in the Calendar Year (CY) 2025 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. April 2025 Update to the Inpatient Prospective Payment System (IPPS) For Correction to Total Pass-Through Amounts Reported on the Provider Specific File (PSF) to Include Allogeneic Stem Cell Costs. April 2025 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder. April 2025 Bi-Annual Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10–CM). Implementation of System Changes for the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) for Calendar Year (CY) 2025. 2025 Annual Update to the Therapy Code List. Implement Operating Rules—Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule—Update from Council for Affordable Quality Healthcare (CAQH) CORE. Quarterly Update to Home Health (HH) Grouper. Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention. Combined Common Edits/Enhancements Modules (CCEM) Code Set Update. Update to the Internet Only Manual (IOM) Publication (Pub.) 100–04, Chapter 32 Sections 90, 190.2 and 300.2 for Coding Revisions to the National Coverage Determinations (NCDs)—April 2025 (1 of 2) Change Request (CR) 13818. Calendar Year 2025 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule. Calendar Year (CY) 2025 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment. 18:07 Feb 18, 2025 Jkt 265001 PO 00000 Frm 00018 Fmt 4703 Sfmt 4703 E:\FR\FM\19FEN1.SGM 19FEN1 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices 9905 Transmittal No. Manual/subject/publication No. 12993 .............. Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP)—April 2025. April 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files. April 2025 Update to the Medicare Severity—Diagnosis Related Group (MS–DRG) Grouper and Medicare Code Editor (MCE) Version 42.1. Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 31.1, Effective April 1, 2025. 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. Updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of Government Entity Exclusion (Pub. 100–02, chapter 16, sections 40 and 50.3.3 and newly created section 40.7) and Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority (Pub. 100–04, chapter 1, section 10.4). Internet Only Manual (IOM) Update to 100–04 Chapter 12, Section 30.5—Payment for Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Update to the Internet Only Manual (IOM) Publication (Pub.) 100–04, Chapter 18 Section 60.3 and Chapter 32 Sections 11.3.5, 60.4.1, 60.5.2, 320.2 and 412.1 for Coding Revisions to the National Coverage Determinations (NCDs)—April 2025 (2 of 2) Change Request (CR) 13828. Billing Instructions Related to Expedited Determinations Based on Medicare Change of Status Notifications (MCSNs). 12994 .............. 12995 .............. 12998 .............. 13002 .............. 13010 .............. 13011 .............. 13012 .............. 13019 .............. 13025 .............. 13026 .............. Medicare Secondary Payer (CMS–Pub. 100–05) 12880 .............. 12891 .............. 13016 .............. Changes to The Electronic Correspondence Referral System (ECRS) to Remove the Drug Supplemental Type ‘O’ (Other) as a Valid Option from Batch Submissions. 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. Medicare Financial Management (CMS–Pub. 100–06) 12968 .............. 12969 .............. 13001 .............. Requirements for Adjusting/Demanding and Reporting Office of the Inspector General (OIG) Identified Overpayments. The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System. The Fiscal Year 2025 Updates for the CMS Internet Only Manual (IOM) Publication (Pub.) 100–06, Medicare Financial Management Manual, Chapter 7—Internal Control Requirements. Medicare State Operations Manual (CMS–Pub. 100–07) None. Medicare Program Integrity (CMS–Pub. 100–08) 12872 12873 12985 12996 12997 13000 .............. .............. .............. .............. .............. .............. 13004 13005 13006 13007 13008 13018 .............. .............. .............. .............. .............. .............. 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 of Instruction. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Updates of Chapter 4 and Exhibits in Publication (Pub.) 100–08, Including the Unified Program Integrity Contractor (UPIC) and Medical Review Accuracy Contractor (MRAC) Coordination Process. 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 of Instruction. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Chapter 3 Revisions (Segment 1) in Publication (Pub.) 100–08 Program Integrity Manual (PIM). Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. ddrumheller on DSK120RN23PROD with NOTICES1 Medicare Contractor Beneficiary and Provider Communications (CMS–Pub. 100–09) None. Medicare Quality Improvement Organization (CMS–Pub. 100–10) None. Medicare Program of All-Inclusive Care for the Elderly (CMS–Pub. 100–11) None. VerDate Sep<11>2014 18:07 Feb 18, 2025 Jkt 265001 PO 00000 Frm 00019 Fmt 4703 Sfmt 4703 E:\FR\FM\19FEN1.SGM 19FEN1 9906 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices Transmittal No. Manual/subject/publication No. Medicare End Stage Renal Disease Network Organizations (CMS–Pub. 100–14) None. Medicaid Program Integrity Disease Network Organizations (CMS–Pub. 100–15) None. Medicare Managed Care (CMS–Pub. 100–16) None. Medicare Business Partners Systems Security (CMS–Pub. 100–17) None. Medicare Prescription Drug Benefit (CMS–Pub. 100–18) None. Demonstrations (CMS–Pub. 100–19) 12983 .............. Making Care Primary (MCP) Informational Unsolicited Responses (IURs). One Time Notification (CMS–Pub. 100–20) 12862 .............. 12867 .............. 12878 .............. 12879 .............. 12881 .............. 12882 .............. 12884 .............. 12885 12889 12899 12903 .............. .............. .............. .............. 12904 .............. 12908 .............. 12916 .............. 12917 .............. 12918 .............. 12919 .............. 12920 .............. 12921 .............. 12922 12924 12932 12937 .............. .............. .............. .............. ddrumheller on DSK120RN23PROD with NOTICES1 12938 .............. 12939 .............. 12940 .............. 12941 .............. 12942 .............. 12944 .............. 12947 .............. VerDate Sep<11>2014 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. Reporting Identifiers for the Healthcare Integrated General Ledger Accounting System (HIGLAS) Payments Reported for Periodic Interim Payment (PIP) Claims. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Tax Equity and Fiscal Responsibility Act (TEFRA) Reimbursement to Inpatient Prospective Payment System (IPPS) -Excluded Hospitals for Excess Costs Related to Providing CAR T-cell Therapy. Implementation of a New National Uniform Billing Committee (NUBC) Condition Code ‘‘KX’’, ‘‘Documentation on file. Requirements specified in the medical policy have been met.’’ and Implementation of a New NUBC Value Code ‘‘92’’, ‘‘Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.’’. Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99). Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Correction to Pulmonary Rehabilitation Services for Indian Health Services (IHS). Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. International Classification of Diseases, 10th Revision (ICD–10) and Other Coding Revisions to National Coverage Determinations (NCDs)—April 2025 (CR 1 of 2). International Classification of Diseases, 10th Revision (ICD–10) and Other Coding Revisions to National Coverage Determinations (NCDs)—April 2025 (CR 2 of 2). Implementation of the Award for the Jurisdiction D Durable Medical Equipment Medicare Administrative Contractor (JD DME MAC). User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) System Control Facility (SCF) System Element (SE) for Diagnosis Validation. User Enhancement Change Request (UECR): Update the Summary Report—Healthcare Integrated General Ledger Accounting System (HIGLAS) 824 Status Notification Error Report (H99RJSUM). User Enhancement Change Request (UECR): Update Multi-Carrier System (MCS) Import File Copy Request Screen. Fiscal Intermediary Shared System (FISS)—User Enhancement Change Request (UECR)—Expand Reason Code Narrative Length. Fiscal Intermediary Shared System (FISS)—User Enhancement Change Request (UECR)—Expand Provider Name Field on Provider Address Screen. User Enhancement Change Request (UECR): Update Multi-Carrier System (MCS) Portal Re-Openings Negative/Zero Adjustments Report (H99RBPRZ). Fiscal Intermediary Shared System (FISS)—Delete Obsolete Reason Codes—Part 6. Implementation of the Award for the Jurisdiction J (J–J) Part A and Part B Medicare Administrative Contractor (JJ A/B MAC). Implementation of the Award for the Jurisdiction J (J–J) Part A and Part B Medicare Administrative Contractor (JJ A/B MAC). User Enhancement Change Request (UECR): ViPS Medicare System (VMS)—Add Testing/Production Region Identifier Field on Screens. User Enhancement Change Request (UECR): ViPS Medicare System (VMS)—Add Testing/Production Region Identifier Field on Screens. User Enhancement Change Request (UECR): ViPS Medicare System (VMS)—Improve Processing of Capped Rental Items Billed with RT (right)/LT (left) Modifiers. Fiscal Intermediary Shared System (FISS)—Delete Obsolete Reason Codes—Part 5. Updates to Allow Category II Codes to be Submitted on Rural Health Clinic (RHC) Claims. User Enhancement Change Request (UECR): ViPS Medicare System (VMS)—Update the Quality Assurance (QA) subsystem to Automate Setting Date Ranges on the QA Selection—Date Card Screen (VMAP/2/2). Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Implementation of a New National Uniform Billing Committee (NUBC) Condition Code ‘‘KX’’, ‘‘Documentation on file. Requirements specified in the medical policy have been met.’’ and Implementation of a New NUBC Value Code ‘‘92’’, ‘‘Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.’’. 18:07 Feb 18, 2025 Jkt 265001 PO 00000 Frm 00020 Fmt 4703 Sfmt 4703 E:\FR\FM\19FEN1.SGM 19FEN1 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices 9907 Transmittal No. Manual/subject/publication No. 12955 .............. Implementation CR—To Send Provider-Based Practice Location Types to the Fiscal Intermediary Shared System (FISS) on Provider Enrollment Chain & Ownership System (PECOS) Extract Files and for FISS to Process so Medicare Administrative Contractors (MACs) Do Not Have to Check Manually for These Locations. Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. All-Inclusive Rate (AIR) Add-On Payment for High-Cost Drugs Provided by Indian Health Service (IHS) and Tribal Hospitals. User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims. User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims. 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 Confidentiality of Instruction. Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99). User Enhancement Change Request (UECR): ViPS Medicare System (VMS)—Improve Processing of Capped Rental Items Billed with RT (right)/LT (left) Modifiers. Update to Billing Requirements for Intensive Outpatient Program (IOP) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Allow Payment for Healthcare Common Procedure Coding System (HCPCS) Code G2211 when Certain Part B Preventive Services are Provided on the Same Day. Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. Adjustments in the Medicare Adjudication Portal (MAP) for 837D Dental Claims (Phase 2). 12958 12960 12965 12973 12984 12986 12989 .............. .............. .............. .............. .............. .............. .............. 13009 .............. 13014 .............. 13015 .............. 13017 .............. 13027 .............. Medicare Quality Reporting Incentive Programs (CMS–Pub. 100–22) None. State Payment of Medicare Premiums (CMS–Pub. 100–24) None. Information Security Acceptable Risk Safeguards (CMS–Pub. 100–25) None. For questions or additional information, contact Ismael Torres (410– 786–1864). ddrumheller on DSK120RN23PROD with NOTICES1 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 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/ index.html. The following website https://www.archives.gov/federalregister/ provides information on how to access electronic editions, printed editions, and reference copies. For questions or additional information, contact Terri Plumb (410– 786–4481). VerDate Sep<11>2014 18:07 Feb 18, 2025 Jkt 265001 Addendum III: CMS Rulings (October Through December 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/Regulations-andGuidance/Guidance/Rulings. For questions or additional information, contact Tiffany Lafferty (410–786–7548). Addendum IV: Medicare National Coverage Determinations (October Through December 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 NCD Manual (NCDM) in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. An NCD PO 00000 Frm 00021 Fmt 4703 Sfmt 4703 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. Additional information on NCDs, including open NCDs and pending NCDs, can be found on the NCD 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 3month period. This information is available at: www.cms.gov/medicarecoverage-database/. For questions or additional information, contact Wanda Belle, MPA (410–786–7491). E:\FR\FM\19FEN1.SGM 19FEN1 9908 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices Title NCDM section Transmittal No. Issue date Effective date National Coverage Determination (NCD) 210.15—Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention ..................... 210.15 12987 12/05/2024 04/07/2025 Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (October Through December 2024) (Inclusion of this addenda is under discussion internally.) ddrumheller on DSK120RN23PROD with NOTICES1 Addendum VI: Approval Numbers for Collections of Information (October Through December 2024) All approval numbers are available to the public at Reginfo.gov. Under the review process, approved information collection requests are assigned OMB control numbers. A single control number may apply to several related information collections. This information is available at www.reginfo.gov/public/do/PRAMain. For questions or additional information, contact William Parham (410–786–4669). Addendum VII: Medicare-Approved Carotid Stent Facilities (October Through December 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.cms.gov/ MedicareApprovedFacilitie/CASF/ list.asp#TopOfPage. For questions or additional information, contact Sarah Fulton, MHS (410–786–2749). VerDate Sep<11>2014 18:07 Feb 18, 2025 Jkt 265001 Addendum VIII: American College of Cardiology’s National Cardiovascular Data Registry Sites (October Through December 2024) The initial data collection requirement through the American College of Cardiology’s National Cardiovascular Data Registry (ACC– NCDR) has served to develop and improve the evidence base for the use of ICDs in certain Medicare beneficiaries. The data collection requirement ended with the posting of the final decision memo for Implantable Cardioverter Defibrillators on February 15, 2018. For questions or additional information, contact Sarah Fulton, MHS (410–786–2749). Addendum IX: Active CMS CoverageRelated Guidance Documents (October Through December 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/ medicare-coverage-database/view/ medicare-coveragedocument.aspx?mcdid=38. CMS National Coverage Analysis Evidence Review: https://www.cms.gov/ medicare-coverage-database/view/ medicare-coveragedocument.aspx?mcdid=37. Clinical Endpoints Guidance: Knee Osteoarthritis: https://www.cms.gov/ medicare-coverage-database/view/ medicare-coveragedocument.aspx?mcdid=36. For questions or additional information, contact Lori Ashby, MA (410 786 6322). Addendum X: List of Special One-Time Notices Regarding National Coverage Provisions (October Through December 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). PO 00000 Frm 00022 Fmt 4703 Sfmt 4703 Addendum XI: National Oncologic PET Registry (NOPR) (October Through December 2024) 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 3month period. This information is available at https://www.cms.gov/ MedicareApprovedFacilitie/NOPR/ list.asp#TopOfPage. For questions or additional information, contact David Dolan, MBA (410–786–3365). Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (October Through December 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 VADs implanted as destination therapy. On October 1, 2003, we issued our decision memorandum on VADs for the clinical indication of destination therapy. We determined that VADs used 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 E:\FR\FM\19FEN1.SGM 19FEN1 9909 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices 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 3month period. This information is available at https://www.cms.gov/ MedicareApprovedFacilitie/VAD/ list.asp#TopOfPage. For questions or additional information, contact David Dolan, MBA, (410–786–3365). Provider No. Facility Date of initial certification Date of re-certification State The following are new facilities The Valley Hospital, 4 Valley Health Plaza, Paramus, NJ 07652; Other information: DNV ID #: C701535; Previous Re-certification Dates: n/a. Saint Francis Hospital, 6161 South Yale Avenue, Tulsa, OK 74136; Other information: DNV ID #: C675228; Previous Re-certification Dates: n/a. East Jefferson General Hospital, 4200 Houma Blvd., Metairie, LA 70006; Other information: DNV ID #: C694266; Previous Re-certification Dates: n/a. Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103; Other information: DNV ID #: C653305; Previous Re-certification Dates: n/a. 310012 09/04/2024 n/a NJ 370091 09/10/2024 n/a OK 190176 11/12/2024 n/a LA 31–0014 11/14/2024 n/a NJ 450056 03/06/2009 07/17/2024 TX 390133 10/29/2013 07/31/2024 PA 330024 11/25/2008 08/14/2024 NY 390164 06/10/2008 08/14/2024 PA 140208 09/28/2015 10/01/2024 IL 450018 01/31/2012 08/28/2024 TX 050599 10/06/2015 09/18/2024 CA 340113 05/11/2010 09/11/2024 NC 090011 04/22/2008 11/06/2024 DC 390046 11/19/2013 09/11/2024 PA 330214 02/14/2012 11/06/2024 NY 310073 10/16/2018 09/17/2024 NJ 33–0125 10/29/2018 09/19/2024 NY 100022 10/22/2009 09/11/2024 FL 210009 12/11/2007 08/21/2024 MD 040114 11/10/2009 09/11/2024 AR ddrumheller on DSK120RN23PROD with NOTICES1 The following facilities have editorial changes (in bold) Ascension Seton, 1201 West 38th Street, Austin, TX 78705–1056; Other information: Joint Commission ID #8939; Previous Re-certification Dates: 03/06/2009; 07/15/ 2011; 09/04/2013; 10/20/2015; 10/03/2017; 10/23/2019; 04/13/2022. Lehigh Valley Hospital, 1200 S Cedar Crest Boulevard, Allentown, PA 18105; Other information: Joint Commission ID #4880; Previous Re-certification Dates: 10/29/ 2013; 11/10/2015; 12/12/2017; 03/04/2020; 05/28/2022. Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029–6574; Other information: Joint Commission ID #5829; Previous Re-certification Dates: 11/25/ 2008; 02/08/2011; 03/20/2013; 03/31/2015; 06/08/2017; 08/07/2019; 03/23/2022. UPMC Presbyterian Shadyside, 200 Lothrop Street, Pittsburgh, PA 15213; Other information: Joint Commission ID #6169; Previous Re-certification Dates: 06/10/2008; 05/21/2010; 04/12/2012; 03/25/2014; 04/13/2016; 03/20/2018; 12/09/2020; 06/03/ 2022. Advocate Christ Medical Center, 4440 W 95th Street, Oak Lawn, IL 60453; Other information: DNV ID #: 10000504196–MSC–DNV–USA; Previous Re-certification Dates: 9/28/2015; 10/01/2018; 10/21/2021. University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555; Other information: Joint Commission ID #9058; Previous Re-certification Dates: 01/31/ 2012; 01/28/2014; 02/23/2016; 01/30/2018; 10/08/2020; 06/08/2022. University of California, Davis Medical Center, 2315 Stockton Boulevard, Sacramento, CA 95817; Other information: Joint Commission ID #10055; Previous Re-certification Dates: 10/06/2015; 02/06/2018; 12/10/2020; 09/14/2022. Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28232; Other information: Joint Commission ID #6480; Previous Re-certification Dates: 05/11/2010; 05/11/2012; 04/22/2014; 04/12/2016; 04/24/2018; 12/17/2020; 08/03/2022. MedStar Washington Hospital Center, 110 Irving St. NW, Washington, DC 20010; Other information: Joint Commission ID #6308; Previous Re-certification Dates: 04/ 22/2008; 04/06/2010; 03/23/2012; 03/04/2014; 05/03/2016; 05/22/2018; 12/17/2020; 07/08/2022. WellSpan York Hospital, 1001 South George Street, York, PA 17405; Other information: Joint Commission ID #6228; Previous Re-certification Dates: 11/19/2013; 12/ 15/2015; 01/23/2018; 03/14/2020; 06/18/2022. NYU Langone Hospitals, 550 First Avenue, New York, NY 10016; Other information: Joint Commission ID #5820; Previous Re-certification Dates: 02/14/2012; 01/14/ 2014; 03/08/2016; 03/27/2018; 8/26/2020; 07/27/2022. Jersey Shore University Medical Center, 1945 Corlies Avenue, Neptune, NJ 07753; Other information: DNV ID #: C727737; Previous Re-certification Dates: 10/16/2018; 10/14/2021. Rochester General Hospital, 1425 Portland Ave., Rochester, NY 14621; Other information: DNV ID #: C729533; Previous Re-certification Dates: 10/29/2018; 10/28/ 2021. Public Health Trust of Dade County Florida dba Jackson Memorial Hospital, 1611 Northwest 12th Avenue, Miami, FL 33136–1094; Other information: Joint Commission ID #6850; Previous Re-certification Dates: 10/22/2009; 10/21/2011; 11/06/2013; 12/08/2015; 12/08/2017; 3/3/2020; 05/22/2022. The Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287; Other information: Joint Commission ID #6252; Previous Re-certification Dates: 12/11/2007; 12/15/2009; 11/29/2011; 12/03/2013; 01/12/2016; 02/13/2018; 10/24/2020; 06/15/ 2022. Baptist Health Medical Center—Little Rock, 9601 Baptist Health Drive, Little Rock, AR 72205–7299; Other information: Joint Commission ID #8656; Previous Re-certification Dates: 11/10/2009; 11/08/2011; 12/11/2013; 01/12/2016; 12/15/2017; 02/12/ 2020; 05/07/2022. VerDate Sep<11>2014 18:07 Feb 18, 2025 Jkt 265001 PO 00000 Frm 00023 Fmt 4703 Sfmt 4703 E:\FR\FM\19FEN1.SGM 19FEN1 9910 Federal Register / Vol. 90, No. 32 / Wednesday, February 19, 2025 / Notices Provider No. Facility Summa Health, 95 Arch Street, Suite 205, Akron, OH 44304; Other information: DNV ID #: C738012; Previous Re-certification Dates: 11/16/2021. Westchester Health Care Corporation, 100 Woods Road, Valhalla, NY 10595; Other information: Joint Commission ID #2518; Previous Re-certification Dates: 11/19/ 2009; 11/15/2011; 12/03/2013; 12/08/2015; 12/19/2017; 03/07/2020; 06/30/2022. Scott & White Memorial Hospital, 2401 S 31st St., Temple, TX 76508–0001; Other information: Joint Commission ID #9241; Previous Re-certification Dates: 12/07/2011; 12/03/2013; 01/12/2016; 12/19/2017; 03/05/2020; 07/02/2022. ddrumheller on DSK120RN23PROD with NOTICES1 Addendum XIII: Lung Volume Reduction Surgery (LVRS) (October Through December 2024) 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 LVRS; 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 Medicareapproved 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). Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (October Through December 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 VerDate Sep<11>2014 18:07 Feb 18, 2025 Jkt 265001 11/07/2024 OH 330234 11/19/2009 09/25/2024 NY 450054 12/07/2011 09/06/2024 TX 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/Medicare ApprovedFacilitie/PETDT/ list.asp#TopOfPage. For questions or additional information, contact David Dolan, MBA (410–786–3365). PO 00000 Frm 00024 Fmt 4703 Sfmt 4703 State 11/16/2021 Addendum XV: FDG–PET for Dementia and Neurodegenerative Diseases Clinical Trials (October Through December 2024) BILLING CODE 4120–01–P Date of re-certification 360020 for Medicare beneficiaries who have a body-mass index (BMI) greater than or equal to 35, have at least one comorbidity 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/MedicareApproved Facilitie/BSF/list.asp#TopOfPage. For questions or additional information, contact Sarah Fulton, MHS (410–786–2749). [FR Doc. 2025–02787 Filed 2–18–25; 8:45 am] Date of initial certification INTERNATIONAL TRADE COMMISSION [Investigation No. 337–TA–1352] Certain Selective Thyroid Hormone Receptor-Beta Agonists, Processes for Manufacturing or Relating to Same, and Products Containing Same; Notice of a Commission Determination To Review a Final Initial Determination Finding a Violation of Section 337; Request for Written Submissions on Remedy, the Public Interest, and Bonding U.S. International Trade Commission. ACTION: Notice. AGENCY: Notice is hereby given that the U.S. International Trade Commission (‘‘Commission’’) has determined to review a final initial determination (‘‘FID’’) issued by the presiding Chief Administrative Law Judge (‘‘Chief ALJ’’), finding a violation of section 337 of the Tariff Act of 1930, as amended. The Commission requests written submissions from the parties, interested government agencies, and other interested persons on the issues of remedy, the public interest, and bonding, under the schedule set forth below. FOR FURTHER INFORMATION CONTACT: Houda Morad, Esq., Office of the General Counsel, U.S. International Trade Commission, 500 E Street SW, Washington, DC 20436, telephone (202) 708–4716. Copies of non-confidential documents filed in connection with this investigation may be viewed on the Commission’s electronic docket (EDIS) at https://edis.usitc.gov. For help accessing EDIS, please email EDIS3Help@usitc.gov. General information concerning the Commission may also be obtained by accessing its internet server at https://www.usitc.gov. Hearing-impaired persons are advised that information on this matter can be obtained by contacting the Commission’s TDD terminal on (202) 205–1810. SUPPLEMENTARY INFORMATION: The Commission instituted this investigation SUMMARY: E:\FR\FM\19FEN1.SGM 19FEN1

Agencies

[Federal Register Volume 90, Number 32 (Wednesday, February 19, 2025)]
[Notices]
[Pages 9902-9910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-02787]



[[Page 9902]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9151-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--October Through December 2024

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

ACTION: Notice.

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

SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published 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.................................  Ronda Allen-Bonner...............     (410) 786-4657
II Regulation Documents Published in the Federal Register.  Terri Plumb......................     (410) 786-4481
III CMS Rulings...........................................  Tiffany Lafferty.................     (410) 786-7548
IV Medicare National Coverage Determinations..............  Wanda Belle, MPA.................     (410) 786-7491
V FDA-Approved Category B IDEs............................  John Manlove.....................     (410) 786-6877
VI Collections of Information.............................  William Parham...................     (410) 786-4669
VII Medicare-Approved Carotid Stent Facilities............  Sarah Fulton, MHS................     (410) 786-2749
VIII American College of Cardiology-National                Sarah Fulton, MHS................     (410) 786-2749
 Cardiovascular Data Registry Sites.
IX Medicare's Active Coverage-Related Guidance Documents..  Lori Ashby, MA...................     (410) 786-6322
X One-time Notices Regarding National Coverage Provisions.  JoAnna Baldwin, MS...............     (410) 786-7205
XI National Oncologic Positron Emission Tomography          David Dolan, MBA.................     (410) 786-3365
 Registry Sites.
XII Medicare-Approved Ventricular Assist Device             David Dolan, MBA.................     (410) 786-3365
 (Destination Therapy) Facilities.
XIII Medicare-Approved Lung Volume Reduction Surgery        Sarah Fulton, MHS................     (410) 786-2749
 Facilities.
XIV Medicare-Approved Bariatric Surgery Facilities........  Sarah Fulton, MHS................     (410) 786-2749
XV Fluorodeoxyglucose Positron Emission Tomography for      David Dolan, MBA.................     (410) 786-3365
 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.

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

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

[[Page 9903]]

quarter. The publication dates of the previous four Quarterly Listing 
of Program Issuances notices are: January 30, 2024 (89 FR 5897), April 
29, 2024 (89 FR 33356), July 22, 2024 (89 FR 59104) and November 7, 
2024 (89 FR 88282). 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.

Addendum I: Medicare and Medicaid Manual Instructions (October Through 
December 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.

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 (FDL). 
Under the FDL program, government publications are sent to 
approximately 1,400 designated libraries throughout the United States. 
Some FDLs may have arrangements to transfer material to a local library 
not designated as an FDL. Contact any library to locate the nearest 
FDL. This information is available at https://www.gpo.gov/libraries/.
    In addition, individuals may contact regional depository libraries 
that receive and retain at least one copy of most federal government 
publications, either in printed or microfilm form, for use by the 
general public. These libraries provide reference services and 
interlibrary loans; however, they are not sales outlets. Individuals 
may obtain information about the location of the nearest regional 
depository library from any library. CMS publication and transmittal 
numbers are shown in the listing entitled Medicare and Medicaid Manual 
Instructions. To help FDLs locate the materials, use the CMS 
publication and transmittal numbers. For example, to find the manual A 
Social Determinants of Health Risk Assessment in the Annual Wellness 
Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule 
Final Rule (CMS-Pub. 100-02) Transmittal No. 12865.
    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.

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 No.              Manual/subject/publication No.
------------------------------------------------------------------------
             Medicare General Information (CMS-Pub. 100-01)
------------------------------------------------------------------------
12980...................  Update to Medicare Deductible, Coinsurance and
                           Premium Rates for Calendar Year (CY) 2025.
13880...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13881...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13883...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13884...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13885...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
------------------------------------------------------------------------
                Medicare Benefit Policy (CMS-Pub. 100-02)
------------------------------------------------------------------------
12860...................  Technical Revision Only to the Medicare
                           Benefit Policy (MBP) Manual, Publication
                           (Pub) 100-02, Chapter 15, section 50.4.2
                           Unlabeled Use of Drug.
12865...................  A Social Determinants of Health Risk
                           Assessment in the Annual Wellness Visit
                           Policy Update in the Calendar Year 2024
                           Physician Fee Schedule Final Rule.
12999...................  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) 2025.
13003...................  Revisions to Medicare Part B Coverage of
                           Pneumococcal Vaccinations for the Medicare
                           Benefit Policy Manual Chapter 15, Section
                           50.4.4.2.
13011...................  Updates to No Legal Obligation to Pay for or
                           Provide Services and Examples of Application
                           of Government Entity Exclusion (Pub. 100-02,
                           chapter 16, sections 40 and 50.3.3 and newly
                           created section 40.7) and Claims Submitted
                           for Items or Services Furnished to Medicare
                           Beneficiaries in State or Local Custody Under
                           a Penal Authority (Pub. 100-04, chapter 1,
                           section 10.4).
------------------------------------------------------------------------

[[Page 9904]]

 
       Medicare National Coverage Determination (CMS-Pub. 100-03)
------------------------------------------------------------------------
12868...................  Allogeneic Hematopoietic Stem Cell
                           Transplantation (HSCT) for Myelodysplastic
                           Syndromes (MDS) National Coverage
                           Determination (NCD) 110.23
12987...................  National Coverage Determination (NCD) 210.15--
                           Pre-Exposure Prophylaxis (PrEP) for Human
                           Immunodeficiency Virus (HIV) Prevention.
------------------------------------------------------------------------
              Medicare Claims Processing (CMS-Pub. 100-04)
------------------------------------------------------------------------
12864...................  October 2024 Update of the Ambulatory Surgical
                           Center [ASC] Payment System.
12865...................  A Social Determinants of Health Risk
                           Assessment in the Annual Wellness Visit
                           Policy Update in the Calendar Year 2024
                           Physician Fee Schedule Final Rule.
12868...................  Allogeneic Hematopoietic Stem Cell
                           Transplantation (HSCT) for Myelodysplastic
                           Syndromes (MDS) National Coverage
                           Determination (NCD) 110.23.
12869...................  Fiscal Year (FY) 2025 Inpatient Prospective
                           Payment System (IPPS) and Long-Term Care
                           Hospital (LTCH) PPS Changes.
12870...................  Medicare Part A Skilled Nursing Facility (SNF)
                           Prospective Payment System (PPS) Pricer
                           Update Fiscal Year (FY) 2025.
12883...................  Update to the Internet Only Manual (IOM)
                           Publication (Pub.) 100-04, Chapter 18 Section
                           170.1 and Chapter 32 Section 340.2 for Coding
                           Revisions to the National Coverage
                           Determinations (NCDs)--January 2025 Change
                           Request (CR) 13706.
12886...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12887...................  Correction to Editing for Inpatient Part B
                           Ancillary 12X Claims When Part A Benefits
                           Exhaust and Manual Updates for Billing of
                           Inpatient Pre-Entitlement Days.
12889...................  Allowing Home Health (HH) Telehealth Services
                           During an Inpatient Stay.
12890...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12895...................  2025 Annual Update of Per-Beneficiary
                           Threshold Amounts.
12896...................  Ambulance Inflation Factor (AIF) for Calendar
                           Year (CY) 2025 and Productivity Adjustment.
12909...................  Corrections to Change Request (CR) 7270--
                           Changes to the Time Limits for Filing
                           Medicare Fee For Service Claims.
12910...................  Calendar Year (CY) 2025 Participation
                           Enrollment and Medicare Participating
                           Physicians and Suppliers Directory (MEDPARD)
                           Procedures.
12911...................  Home Health Prospective Payment System (HH
                           PPS) Rate Update for Calendar Year (CY) 2025.
12914...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12915...................  Expanding the Number of Home Health (HH)
                           Period of Care Records--Analysis Only.
12923...................  Calendar Year (CY) 2025 Home Infusion Therapy
                           (HIT) Payment Rates and Instructions for
                           Retrieving the January 2025 Home Infusion
                           Therapy (HIT) Services Payment Rates Through
                           the CMS Mainframe Telecommunications System.
12926...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12931...................  File Conversions Related to the Spanish
                           Translation of the Healthcare Common
                           Procedure Coding System (HCPCS) Descriptions.
12934...................  Medicare Change of Status Notice (MCSN) Manual
                           Instructions.
12935...................  New Waived Tests.
12936...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12945...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12948...................  Allogeneic Hematopoietic Stem Cell
                           Transplantation (HSCT) for Myelodysplastic
                           Syndromes (MDS) National Coverage
                           Determination (NCD) 110.23.
12949...................  National Fee Schedule for Medicare Part B
                           Vaccine Administration CMS--January 2025''.
12950...................  Update to Rural Health Clinic (RHC) All
                           Inclusive Rate (AIR) Payment Limit for
                           Calendar Year (CY) 2025.
12951...................  Update to the Federally Qualified Health
                           Center (FQHC) Prospective Payment System
                           (PPS) for Calendar Year (CY) 2025.
12957...................  Implementation of System Changes for the End
                           Stage Renal Disease (ESRD) Prospective
                           Payment System (PPS) and Payment for Renal
                           Dialysis Services Furnished to Individuals
                           with Acute Kidney Injury (AKI) for Calendar
                           Year (CY) 2025.
12961...................  Updates to the Publication 100-04 Claims
                           Processing Manual in the Internet Only Manual
                           (IOM) to Remove Obsolete Language Related to
                           Medicare Fee-for-Service (FFS) Systems Claims
                           Edits.
12964...................  January 2025 Annual Rural Emergency Hospital
                           (REH) Monthly Facility Payment Amount.
12967...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12970...................  Claim Status Category Codes (CSCC) and Claim
                           Status Codes (CSC) Update.
12974...................  Manual Update for Pneumococcal Vaccine for 21-
                           Valent Conjugate Vaccine.
12975...................  Summary of Policies in the Calendar Year (CY)
                           2025 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.
12976...................  April 2025 Update to the Inpatient Prospective
                           Payment System (IPPS) For Correction to Total
                           Pass-Through Amounts Reported on the Provider
                           Specific File (PSF) to Include Allogeneic
                           Stem Cell Costs.
12977...................  April 2025 Healthcare Common Procedure Coding
                           System (HCPCS) Quarterly Update Reminder.
12978...................  April 2025 Bi-Annual Update of the
                           International Classification of Diseases,
                           Tenth Revision, Clinical Modification (ICD-10-
                           CM).
12979...................  Implementation of System Changes for the End
                           Stage Renal Disease (ESRD) Prospective
                           Payment System (PPS) and Payment for Renal
                           Dialysis Services Furnished to Individuals
                           with Acute Kidney Injury (AKI) for Calendar
                           Year (CY) 2025.
12980...................  2025 Annual Update to the Therapy Code List.
12981...................  Implement Operating Rules--Phase III
                           Electronic Remittance Advice (ERA) Electronic
                           Funds Transfer (EFT): Committee on Operating
                           Rules for Information Exchange (CORE) 360
                           Uniform Use of Claim Adjustment Reason Codes
                           (CARC), Remittance Advice Remark Codes (RARC)
                           and Claim Adjustment Group Code (CAGC) Rule--
                           Update from Council for Affordable Quality
                           Healthcare (CAQH) CORE.
12982...................  Quarterly Update to Home Health (HH) Grouper.
12987...................  Prophylaxis (PrEP) for Human Immunodeficiency
                           Virus (HIV) Prevention.
12988...................  Combined Common Edits/Enhancements Modules
                           (CCEM) Code Set Update.
12990...................  Update to the Internet Only Manual (IOM)
                           Publication (Pub.) 100-04, Chapter 32
                           Sections 90, 190.2 and 300.2 for Coding
                           Revisions to the National Coverage
                           Determinations (NCDs)--April 2025 (1 of 2)
                           Change Request (CR) 13818.
12991...................  Calendar Year 2025 Update for Durable Medical
                           Equipment, Prosthetics, Orthotics and
                           Supplies (DMEPOS) Fee Schedule.
12992...................  Calendar Year (CY) 2025 Annual Update for
                           Clinical Laboratory Fee Schedule and
                           Laboratory Services Subject to Reasonable
                           Charge Payment.

[[Page 9905]]

 
12993...................  Quarterly Update for the Durable Medical
                           Equipment, Prosthetics, Orthotics, and
                           Supplies (DMEPOS) Competitive Bidding Program
                           (CBP)--April 2025.
12994...................  April 2025 Quarterly Average Sales Price (ASP)
                           Medicare Part B Drug Pricing Files and
                           Revisions to Prior Quarterly Pricing Files.
12995...................  April 2025 Update to the Medicare Severity--
                           Diagnosis Related Group (MS-DRG) Grouper and
                           Medicare Code Editor (MCE) Version 42.1.
12998...................  Quarterly Update to the National Correct
                           Coding Initiative (NCCI) Procedure-to-
                           Procedure (PTP) Edits, Version 31.1,
                           Effective April 1, 2025.
13002...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13010...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13011...................  Updates to No Legal Obligation to Pay for or
                           Provide Services and Examples of Application
                           of Government Entity Exclusion (Pub. 100-02,
                           chapter 16, sections 40 and 50.3.3 and newly
                           created section 40.7) and Claims Submitted
                           for Items or Services Furnished to Medicare
                           Beneficiaries in State or Local Custody Under
                           a Penal Authority (Pub. 100-04, chapter 1,
                           section 10.4).
13012...................  Internet Only Manual (IOM) Update to 100-04
                           Chapter 12, Section 30.5--Payment for Codes
                           for Chemotherapy Administration and
                           Nonchemotherapy Injections and Infusions.
13019...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13025...................  Update to the Internet Only Manual (IOM)
                           Publication (Pub.) 100-04, Chapter 18 Section
                           60.3 and Chapter 32 Sections 11.3.5, 60.4.1,
                           60.5.2, 320.2 and 412.1 for Coding Revisions
                           to the National Coverage Determinations
                           (NCDs)--April 2025 (2 of 2) Change Request
                           (CR) 13828.
13026...................  Billing Instructions Related to Expedited
                           Determinations Based on Medicare Change of
                           Status Notifications (MCSNs).
------------------------------------------------------------------------
               Medicare Secondary Payer (CMS-Pub. 100-05)
------------------------------------------------------------------------
12880...................  Changes to The Electronic Correspondence
                           Referral System (ECRS) to Remove the Drug
                           Supplemental Type `O' (Other) as a Valid
                           Option from Batch Submissions.
12891...................  The Recovery and Adjustment of Medicare Claims
                           where the Department of Veteran Affairs (VA)
                           also Made Payment Using the Medicare
                           Duplicate Payment (DP) Process.
13016...................  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.
------------------------------------------------------------------------
             Medicare Financial Management (CMS-Pub. 100-06)
------------------------------------------------------------------------
12968...................  Requirements for Adjusting/Demanding and
                           Reporting Office of the Inspector General
                           (OIG) Identified Overpayments.
12969...................  The Fiscal Intermediary Shared System (FISS)
                           Submission of Copybook Files to the Provider
                           and Statistical Reimbursement (PS&R) System.
13001...................  The Fiscal Year 2025 Updates for the CMS
                           Internet Only Manual (IOM) Publication (Pub.)
                           100-06, Medicare Financial Management Manual,
                           Chapter 7--Internal Control Requirements.
------------------------------------------------------------------------
           Medicare State Operations Manual (CMS-Pub. 100-07)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
              Medicare Program Integrity (CMS-Pub. 100-08)
------------------------------------------------------------------------
12872...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12873...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12985...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12996...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12997...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13000...................  Updates of Chapter 4 and Exhibits in
                           Publication (Pub.) 100-08, Including the
                           Unified Program Integrity Contractor (UPIC)
                           and Medical Review Accuracy Contractor (MRAC)
                           Coordination Process.
13004...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13005...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13006...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13007...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13008...................  Chapter 3 Revisions (Segment 1) in Publication
                           (Pub.) 100-08 Program Integrity Manual (PIM).
13018...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
------------------------------------------------------------------------
  Medicare Contractor Beneficiary and Provider Communications (CMS-Pub.
                                 100-09)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
       Medicare Quality Improvement Organization (CMS-Pub. 100-10)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
Medicare Program of All-Inclusive Care for the Elderly (CMS-Pub. 100-11)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------

[[Page 9906]]

 
Medicare End Stage Renal Disease Network Organizations (CMS-Pub. 100-14)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
 Medicaid Program Integrity Disease Network Organizations (CMS-Pub. 100-
                                   15)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
                 Medicare Managed Care (CMS-Pub. 100-16)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
      Medicare Business Partners Systems Security (CMS-Pub. 100-17)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
          Medicare Prescription Drug Benefit (CMS-Pub. 100-18)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
                    Demonstrations (CMS-Pub. 100-19)
------------------------------------------------------------------------
12983...................  Making Care Primary (MCP) Informational
                           Unsolicited Responses (IURs).
------------------------------------------------------------------------
                 One Time Notification (CMS-Pub. 100-20)
------------------------------------------------------------------------
12862...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12867...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12878...................  Reporting Identifiers for the Healthcare
                           Integrated General Ledger Accounting System
                           (HIGLAS) Payments Reported for Periodic
                           Interim Payment (PIP) Claims.
12879...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12881...................  Tax Equity and Fiscal Responsibility Act
                           (TEFRA) Reimbursement to Inpatient
                           Prospective Payment System (IPPS) -Excluded
                           Hospitals for Excess Costs Related to
                           Providing CAR T-cell Therapy.
12882...................  Implementation of a New National Uniform
                           Billing Committee (NUBC) Condition Code
                           ``KX'', ``Documentation on file. Requirements
                           specified in the medical policy have been
                           met.'' and Implementation of a New NUBC Value
                           Code ``92'', ``Invoice Cost of Drug/Biologic.
                           For use with Revenue Category 0636 when
                           required by federal regulation.''.
12884...................  Phase 4: Implementation to Expand Monetary
                           Amount Fields Related to Billing and Payment
                           to Accommodate 10-Digits in Length
                           ($99,999,999.99).
12885...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12889...................  Correction to Pulmonary Rehabilitation
                           Services for Indian Health Services (IHS).
12899...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12903...................  International Classification of Diseases, 10th
                           Revision (ICD-10) and Other Coding Revisions
                           to National Coverage Determinations (NCDs)--
                           April 2025 (CR 1 of 2).
12904...................  International Classification of Diseases, 10th
                           Revision (ICD-10) and Other Coding Revisions
                           to National Coverage Determinations (NCDs)--
                           April 2025 (CR 2 of 2).
12908...................  Implementation of the Award for the
                           Jurisdiction D Durable Medical Equipment
                           Medicare Administrative Contractor (JD DME
                           MAC).
12916...................  User Enhancement Change Request (UECR): Update
                           the Multi-Carrier System (MCS) System Control
                           Facility (SCF) System Element (SE) for
                           Diagnosis Validation.
12917...................  User Enhancement Change Request (UECR): Update
                           the Summary Report--Healthcare Integrated
                           General Ledger Accounting System (HIGLAS) 824
                           Status Notification Error Report (H99RJSUM).
12918...................  User Enhancement Change Request (UECR): Update
                           Multi-Carrier System (MCS) Import File Copy
                           Request Screen.
12919...................  Fiscal Intermediary Shared System (FISS)--User
                           Enhancement Change Request (UECR)--Expand
                           Reason Code Narrative Length.
12920...................  Fiscal Intermediary Shared System (FISS)--User
                           Enhancement Change Request (UECR)--Expand
                           Provider Name Field on Provider Address
                           Screen.
12921...................  User Enhancement Change Request (UECR): Update
                           Multi-Carrier System (MCS) Portal Re-Openings
                           Negative/Zero Adjustments Report (H99RBPRZ).
12922...................  Fiscal Intermediary Shared System (FISS)--
                           Delete Obsolete Reason Codes--Part 6.
12924...................  Implementation of the Award for the
                           Jurisdiction J (J-J) Part A and Part B
                           Medicare Administrative Contractor (JJ A/B
                           MAC).
12932...................  Implementation of the Award for the
                           Jurisdiction J (J-J) Part A and Part B
                           Medicare Administrative Contractor (JJ A/B
                           MAC).
12937...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Add Testing/Production
                           Region Identifier Field on Screens.
12938...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Add Testing/Production
                           Region Identifier Field on Screens.
12939...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Improve Processing of
                           Capped Rental Items Billed with RT (right)/LT
                           (left) Modifiers.
12940...................  Fiscal Intermediary Shared System (FISS)--
                           Delete Obsolete Reason Codes--Part 5.
12941...................  Updates to Allow Category II Codes to be
                           Submitted on Rural Health Clinic (RHC)
                           Claims.
12942...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Update the Quality
                           Assurance (QA) subsystem to Automate Setting
                           Date Ranges on the QA Selection--Date Card
                           Screen (VMAP/2/2).
12944...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12947...................  Implementation of a New National Uniform
                           Billing Committee (NUBC) Condition Code
                           ``KX'', ``Documentation on file. Requirements
                           specified in the medical policy have been
                           met.'' and Implementation of a New NUBC Value
                           Code ``92'', ``Invoice Cost of Drug/Biologic.
                           For use with Revenue Category 0636 when
                           required by federal regulation.''.

[[Page 9907]]

 
12955...................  Implementation CR--To Send Provider-Based
                           Practice Location Types to the Fiscal
                           Intermediary Shared System (FISS) on Provider
                           Enrollment Chain & Ownership System (PECOS)
                           Extract Files and for FISS to Process so
                           Medicare Administrative Contractors (MACs) Do
                           Not Have to Check Manually for These
                           Locations.
12958...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12960...................  All-Inclusive Rate (AIR) Add-On Payment for
                           High-Cost Drugs Provided by Indian Health
                           Service (IHS) and Tribal Hospitals.
12965...................  User Management in the Medicare Adjudication
                           Portal (MAP) for 837D Dental Claims.
12973...................  User Management in the Medicare Adjudication
                           Portal (MAP) for 837D Dental Claims.
12984...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12986...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12989...................  Phase 4: Implementation to Expand Monetary
                           Amount Fields Related to Billing and Payment
                           to Accommodate 10-Digits in Length
                           ($99,999,999.99).
13009...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Improve Processing of
                           Capped Rental Items Billed with RT (right)/LT
                           (left) Modifiers.
13014...................  Update to Billing Requirements for Intensive
                           Outpatient Program (IOP) Services for Rural
                           Health Clinics (RHCs) and Federally Qualified
                           Health Centers (FQHCs).
13015...................  Allow Payment for Healthcare Common Procedure
                           Coding System (HCPCS) Code G2211 when Certain
                           Part B Preventive Services are Provided on
                           the Same Day.
13017...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
13027...................  Adjustments in the Medicare Adjudication
                           Portal (MAP) for 837D Dental Claims (Phase
                           2).
------------------------------------------------------------------------
     Medicare Quality Reporting Incentive Programs (CMS-Pub. 100-22)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
          State Payment of Medicare Premiums (CMS-Pub. 100-24)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
    Information Security Acceptable Risk Safeguards (CMS-Pub. 100-25)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------

    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 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.
    For questions or additional information, contact Terri Plumb (410-
786-4481).

Addendum III: CMS Rulings (October Through December 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/Regulations-and-Guidance/Guidance/Rulings.
    For questions or additional information, contact Tiffany Lafferty 
(410-786-7548).

Addendum IV: Medicare National Coverage Determinations (October Through 
December 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 NCD Manual (NCDM) in which the decision appears, the title, the 
date the publication was issued, and the effective date of the 
decision. An NCD is a determination by the Secretary for whether or not 
a particular item or service is covered nationally under the Medicare 
Program (title XVIII of the Act), but does not include a determination 
of the code, if any, that is assigned to a particular covered item or 
service, or payment determination for a particular covered item or 
service. The entries below include information concerning completed 
decisions, as well as sections on program and decision memoranda, which 
also announce decisions or, in some cases, explain why it was not 
appropriate to issue an NCD. Additional information on NCDs, including 
open NCDs and pending NCDs, can be found on the NCD 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. This information is available at: www.cms.gov/medicare-coverage-database/.
    For questions or additional information, contact Wanda Belle, MPA 
(410-786-7491).

[[Page 9908]]



----------------------------------------------------------------------------------------------------------------
                    Title                       NCDM section   Transmittal No.     Issue date     Effective date
----------------------------------------------------------------------------------------------------------------
National Coverage Determination (NCD)                 210.15            12987       12/05/2024       04/07/2025
 210.15--Pre-Exposure Prophylaxis (PrEP) for
 Human Immunodeficiency Virus (HIV)
 Prevention.................................
----------------------------------------------------------------------------------------------------------------

Addendum V: FDA-Approved Category B Investigational Device Exemptions 
(IDEs) (October Through December 2024)

    (Inclusion of this addenda is under discussion internally.)

Addendum VI: Approval Numbers for Collections of Information (October 
Through December 2024)

    All approval numbers are available to the public at Reginfo.gov. 
Under the review process, approved information collection requests are 
assigned OMB control numbers. A single control number may apply to 
several related information collections. This information is available 
at www.reginfo.gov/public/do/PRAMain.
    For questions or additional information, contact William Parham 
(410-786-4669).

Addendum VII: Medicare-Approved Carotid Stent Facilities (October 
Through December 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.cms.gov/MedicareApprovedFacilitie/CASF/list.asp#TopOfPage.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum VIII: American College of Cardiology's National Cardiovascular 
Data Registry Sites (October Through December 2024)

    The initial data collection requirement through the American 
College of Cardiology's National Cardiovascular Data Registry (ACC-
NCDR) has served to develop and improve the evidence base for the use 
of ICDs in certain Medicare beneficiaries. The data collection 
requirement ended with the posting of the final decision memo for 
Implantable Cardioverter Defibrillators on February 15, 2018.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum IX: Active CMS Coverage-Related Guidance Documents (October 
Through December 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/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=38.
    CMS National Coverage Analysis Evidence Review: https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=37.
    Clinical Endpoints Guidance: Knee Osteoarthritis: https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=36.
    For questions or additional information, contact Lori Ashby, MA 
(410 786 6322).

Addendum X: List of Special One-Time Notices Regarding National 
Coverage Provisions (October Through December 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).

Addendum XI: National Oncologic PET Registry (NOPR) (October Through 
December 2024)

    Addendum XI includes a listing of National Oncologic Positron 
Emission Tomography Registry (NOPR) sites. We cover positron emission 
tomography (PET) scans for particular oncologic indications when they 
are performed in a facility that participates in the NOPR.
    In January 2005, we issued our decision memorandum on positron 
emission tomography (PET) scans, which stated that CMS would cover PET 
scans for particular oncologic indications, as long as they were 
performed in the context of a clinical study. We have since recognized 
the National Oncologic PET Registry as one of these clinical studies. 
Therefore, in order for a beneficiary to receive a Medicare-covered PET 
scan, the beneficiary must receive the scan in a facility that 
participates in the registry. There were no additions, deletions, or 
editorial changes to the listing of National Oncologic Positron 
Emission Tomography Registry (NOPR) in the 3-month period. This 
information is available at https://www.cms.gov/MedicareApprovedFacilitie/NOPR/list.asp#TopOfPage.
    For questions or additional information, contact David Dolan, MBA 
(410-786-3365).

Addendum XII: Medicare-Approved Ventricular Assist Device (Destination 
Therapy) Facilities (October Through December 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 VADs implanted as destination therapy. 
On October 1, 2003, we issued our decision memorandum on VADs for the 
clinical indication of destination therapy. We determined that VADs 
used 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

[[Page 9909]]

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#TopOfPage.
    For questions or additional information, contact David Dolan, MBA, 
(410-786-3365).

----------------------------------------------------------------------------------------------------------------
                                              Provider  Date of initial    Date of re-
                  Facility                      No.      certification    certification            State
----------------------------------------------------------------------------------------------------------------
                                        The following are new facilities
----------------------------------------------------------------------------------------------------------------
The Valley Hospital, 4 Valley Health Plaza,     310012       09/04/2024              n/a  NJ
 Paramus, NJ 07652; Other information: DNV
 ID #: C701535; Previous Re-certification
 Dates: n/a.
Saint Francis Hospital, 6161 South Yale         370091       09/10/2024              n/a  OK
 Avenue, Tulsa, OK 74136; Other
 information: DNV ID #: C675228; Previous
 Re-certification Dates: n/a.
East Jefferson General Hospital, 4200 Houma     190176       11/12/2024              n/a  LA
 Blvd., Metairie, LA 70006; Other
 information: DNV ID #: C694266; Previous
 Re-certification Dates: n/a.
Cooper University Hospital, 1 Cooper Plaza,    31-0014       11/14/2024              n/a  NJ
 Camden, NJ 08103; Other information: DNV
 ID #: C653305; Previous Re-certification
 Dates: n/a.
----------------------------------------------------------------------------------------------------------------
                            The following facilities have editorial changes (in bold)
----------------------------------------------------------------------------------------------------------------
Ascension Seton, 1201 West 38th Street,         450056       03/06/2009       07/17/2024  TX
 Austin, TX 78705-1056; Other information:
 Joint Commission ID #8939; Previous Re-
 certification Dates: 03/06/2009; 07/15/
 2011; 09/04/2013; 10/20/2015; 10/03/2017;
 10/23/2019; 04/13/2022.
Lehigh Valley Hospital, 1200 S Cedar Crest      390133       10/29/2013       07/31/2024  PA
 Boulevard, Allentown, PA 18105; Other
 information: Joint Commission ID #4880;
 Previous Re-certification Dates: 10/29/
 2013; 11/10/2015; 12/12/2017; 03/04/2020;
 05/28/2022.
Mount Sinai Hospital, One Gustave L. Levy       330024       11/25/2008       08/14/2024  NY
 Place, New York, NY 10029-6574; Other
 information: Joint Commission ID #5829;
 Previous Re-certification Dates: 11/25/
 2008; 02/08/2011; 03/20/2013; 03/31/2015;
 06/08/2017; 08/07/2019; 03/23/2022.
UPMC Presbyterian Shadyside, 200 Lothrop        390164       06/10/2008       08/14/2024  PA
 Street, Pittsburgh, PA 15213; Other
 information: Joint Commission ID #6169;
 Previous Re-certification Dates: 06/10/
 2008; 05/21/2010; 04/12/2012; 03/25/2014;
 04/13/2016; 03/20/2018; 12/09/2020; 06/03/
 2022.
Advocate Christ Medical Center, 4440 W 95th     140208       09/28/2015       10/01/2024  IL
 Street, Oak Lawn, IL 60453; Other
 information: DNV ID #: 10000504196-MSC-DNV-
 USA; Previous Re-certification Dates: 9/28/
 2015; 10/01/2018; 10/21/2021.
University of Texas Medical Branch, 301         450018       01/31/2012       08/28/2024  TX
 University Blvd., Galveston, TX 77555;
 Other information: Joint Commission ID
 #9058; Previous Re-certification Dates: 01/
 31/2012; 01/28/2014; 02/23/2016; 01/30/
 2018; 10/08/2020; 06/08/2022.
University of California, Davis Medical         050599       10/06/2015       09/18/2024  CA
 Center, 2315 Stockton Boulevard,
 Sacramento, CA 95817; Other information:
 Joint Commission ID #10055; Previous Re-
 certification Dates: 10/06/2015; 02/06/
 2018; 12/10/2020; 09/14/2022.
Carolinas Medical Center, 1000 Blythe           340113       05/11/2010       09/11/2024  NC
 Boulevard, Charlotte, NC 28232; Other
 information: Joint Commission ID #6480;
 Previous Re-certification Dates: 05/11/
 2010; 05/11/2012; 04/22/2014; 04/12/2016;
 04/24/2018; 12/17/2020; 08/03/2022.
MedStar Washington Hospital Center, 110         090011       04/22/2008       11/06/2024  DC
 Irving St. NW, Washington, DC 20010; Other
 information: Joint Commission ID #6308;
 Previous Re-certification Dates: 04/22/
 2008; 04/06/2010; 03/23/2012; 03/04/2014;
 05/03/2016; 05/22/2018; 12/17/2020; 07/08/
 2022.
WellSpan York Hospital, 1001 South George       390046       11/19/2013       09/11/2024  PA
 Street, York, PA 17405; Other information:
 Joint Commission ID #6228; Previous Re-
 certification Dates: 11/19/2013; 12/15/
 2015; 01/23/2018; 03/14/2020; 06/18/2022.
NYU Langone Hospitals, 550 First Avenue,        330214       02/14/2012       11/06/2024  NY
 New York, NY 10016; Other information:
 Joint Commission ID #5820; Previous Re-
 certification Dates: 02/14/2012; 01/14/
 2014; 03/08/2016; 03/27/2018; 8/26/2020;
 07/27/2022.
Jersey Shore University Medical Center,         310073       10/16/2018       09/17/2024  NJ
 1945 Corlies Avenue, Neptune, NJ 07753;
 Other information: DNV ID #: C727737;
 Previous Re-certification Dates: 10/16/
 2018; 10/14/2021.
Rochester General Hospital, 1425 Portland      33-0125       10/29/2018       09/19/2024  NY
 Ave., Rochester, NY 14621; Other
 information: DNV ID #: C729533; Previous
 Re-certification Dates: 10/29/2018; 10/28/
 2021.
Public Health Trust of Dade County Florida      100022       10/22/2009       09/11/2024  FL
 dba Jackson Memorial Hospital, 1611
 Northwest 12th Avenue, Miami, FL 33136-
 1094; Other information: Joint Commission
 ID #6850; Previous Re-certification Dates:
 10/22/2009; 10/21/2011; 11/06/2013; 12/08/
 2015; 12/08/2017; 3/3/2020; 05/22/2022.
The Johns Hopkins Hospital, 600 N Wolfe         210009       12/11/2007       08/21/2024  MD
 Street, Baltimore, MD 21287; Other
 information: Joint Commission ID #6252;
 Previous Re-certification Dates: 12/11/
 2007; 12/15/2009; 11/29/2011; 12/03/2013;
 01/12/2016; 02/13/2018; 10/24/2020; 06/15/
 2022.
Baptist Health Medical Center--Little Rock,     040114       11/10/2009       09/11/2024  AR
 9601 Baptist Health Drive, Little Rock, AR
 72205-7299; Other information: Joint
 Commission ID #8656; Previous Re-
 certification Dates: 11/10/2009; 11/08/
 2011; 12/11/2013; 01/12/2016; 12/15/2017;
 02/12/2020; 05/07/2022.

[[Page 9910]]

 
Summa Health, 95 Arch Street, Suite 205,        360020       11/16/2021       11/07/2024  OH
 Akron, OH 44304; Other information: DNV ID
 #: C738012; Previous Re-certification
 Dates: 11/16/2021.
Westchester Health Care Corporation, 100        330234       11/19/2009       09/25/2024  NY
 Woods Road, Valhalla, NY 10595; Other
 information: Joint Commission ID #2518;
 Previous Re-certification Dates: 11/19/
 2009; 11/15/2011; 12/03/2013; 12/08/2015;
 12/19/2017; 03/07/2020; 06/30/2022.
Scott & White Memorial Hospital, 2401 S         450054       12/07/2011       09/06/2024  TX
 31st St., Temple, TX 76508-0001; Other
 information: Joint Commission ID #9241;
 Previous Re-certification Dates: 12/07/
 2011; 12/03/2013; 01/12/2016; 12/19/2017;
 03/05/2020; 07/02/2022.
----------------------------------------------------------------------------------------------------------------

Addendum XIII: Lung Volume Reduction Surgery (LVRS) (October Through 
December 2024)

    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 LVRS; 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#TopOfPage.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (October 
Through December 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/MedicareApproved Facilitie/BSF/list.asp#TopOfPage.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases 
Clinical Trials (October Through December 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/Medicare ApprovedFacilitie/PETDT/list.asp#TopOfPage.
    For questions or additional information, contact David Dolan, MBA 
(410-786-3365).

[FR Doc. 2025-02787 Filed 2-18-25; 8:45 am]
BILLING CODE 4120-01-P
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