Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July 2004 Through September 2004

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9024-N]

Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—July 2004 Through September 2004

AGENCY:

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

ACTION:

Notice.

SUMMARY:

This notice lists CMS manual instructions, substantive and interpretive regulations, and other

Federal Register

notices that were published from July 2004 through September 2004, relating to the Medicare and Medicaid programs. This notice provides information on national coverage determinations (NCDs) affecting specific medical and health care services under Medicare. Additionally, this notice identifies certain devices with investigational device exemption (IDE) numbers approved by the Food and Drug Administration (FDA) that potentially may be covered under Medicare. Finally, this notice also includes listings of all approval numbers from the Office of Management and Budget for collections of information in CMS regulations.

Section 1871(c) of the Social Security Act requires that we publish a list of

Medicare issuances in the

Federal Register

at least every 3 months. Although we are not mandated to do so by statute, for the sake of completeness of the listing, and to foster more open and transparent collaboration efforts, we are also including all Medicaid issuances and Medicare and Medicaid substantive and interpretive regulations (proposed and final) published during this 3-month time frame.

FOR FURTHER INFORMATION CONTACT:

It is possible that an interested party may have a specific information need and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing information contact persons to answer general questions concerning these items. Copies are not available through the contact persons. (See Section III of this notice for how to obtain listed material.)

Questions concerning items in Addendum III may be addressed to Timothy Jennings, Office of Strategic Operations and Regulatory Affairs, Centers for Medicare & Medicaid Services, C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-2134.

Questions concerning Medicare NCDs in Addendum V may be addressed to Patricia Brocato-Simons, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-0261.

Questions concerning FDA-approved Category B IDE numbers listed in Addendum VI may be addressed to Eileen Davidson, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, S3-26-10, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6874.

Questions concerning approval numbers for collections of information in Addendum VII may be addressed to Dawn Willinghan, Office of Strategic Operations and Regulatory Affairs, Regulations Development and Issuances Group, Centers for Medicare & Medicaid Services, C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6141.

Questions concerning all other information may be addressed to Margaret Teeters, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Centers for Medicare & Medicaid Services, C5-13-18, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-4678.

SUPPLEMENTARY INFORMATION:

I. Program Issuances

The Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare and Medicaid programs. These programs pay for health care and related services for 39 million Medicare beneficiaries and 35 million Medicaid recipients. Administration of the two programs involves (1) furnishing information to Medicare beneficiaries and Medicaid recipients, health care providers, and the public and (2) maintaining effective communications with regional offices, State governments, State Medicaid agencies, State survey agencies, various providers of health care, all Medicare contractors that process claims and pay bills, and others. 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). We also issue various manuals, memoranda, and statements necessary to administer the programs efficiently.

Section 1871(c)(1) 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

. We published our first notice June 9, 1988 (53 FR 21730). Although we are not mandated to do so by statute, for the sake of completeness of the listing of operational and policy statements, and to foster more open and transparent collaboration, we are continuing our practice of including Medicare substantive and interpretive regulations (proposed and final) published during the respective 3-month time frame.

II. How to Use the Addenda

This notice is organized so that a reader may review the subjects of manual issuances, memoranda, substantive and interpretive regulations, NCDs, and FDA-approved IDEs published during the subject quarter 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 may wish to review Table I of our first three notices (53 FR 21730, 53 FR 36891, and 53 FR 50577) published in 1988, and the notice published March 31, 1993 (58 FR 16837). Those desiring information on the Medicare NCD Manual (NCDM, formerly the Medicare Coverage Issues Manual (CIM)) may wish to review the August 21, 1989, publication (54 FR 34555). Those interested in the revised process used in making NCDs under the Medicare program may review the September 26, 2003, publication (68 FR 55634).

To aid the reader, we have organized and divided this current listing into six addenda:

• Addendum I lists the publication dates of the most recent quarterly listings of program issuances.

• Addendum II identifies previous

Federal Register

documents that contain a description of all previously published CMS Medicare and Medicaid manuals and memoranda.

• Addendum III lists a unique CMS transmittal number for each instruction in our manuals or Program Memoranda and its subject matter. 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 manuals.

• Addendum IV lists all substantive and interpretive Medicare and Medicaid regulations and general notices published in the

Federal Register

during the quarter covered by this notice. For each item, we list the—

○ Date published;

○

Federal Register

citation;

○ Parts of the Code of Federal Regulations (CFR) that have changed (if applicable);

○ Agency file code number; and

○ Title of the regulation.

• Addendum V includes completed NCDs, or reconsiderations of completed NCDs, from the quarter covered by this notice. Completed decisions are identified by the section of the NCDM in which the decision appears, the title, the date the publication was issued, and the effective date of the decision.

• Addendum VI includes listings of the FDA-approved IDE categorizations, using the IDE numbers the FDA assigns. The listings are organized according to the categories to which the device numbers are assigned (that is, Category A or Category B), and identified by the IDE number.

• Addendum VII includes listings of all approval numbers from the Office of Management and Budget (OMB) for collections of information in CMS regulations in title 42; title 45, subchapter C; and title 20 of the CFR.

III. How to Obtain Listed Material

A. Manuals

Those wishing to subscribe to program manuals should contact either the Government Printing Office (GPO)

or the National Technical Information Service (NTIS) at the following addresses:

Superintendent of Documents, Government Printing Office, ATTN: New Orders, P.O. Box 371954, Pittsburgh, PA 15250-7954, Telephone (202) 512-1800, Fax number (202) 512-2250 (for credit card orders); or

National Technical Information Service, Department of Commerce, 5825 Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630.

In addition, individual manual transmittals and Program Memoranda listed in this notice can be purchased from NTIS. Interested parties should identify the transmittal(s) they want. GPO or NTIS can give complete details on how to obtain the publications they sell. Additionally, most manuals are available at the following Internet address: http://cms.hhs.gov/manuals/default.asp.

B. Regulations and Notices

Regulations and notices are published in the daily

Federal Register

. Interested individuals may purchase individual copies or subscribe to the

Federal Register

by contacting the GPO at the address given above. 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 also available on 24x microfiche and 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) forward. Free public access is available on a Wide Area Information Server (WAIS) through the Internet and via asynchronous dial-in. Internet users can access the database by using the World Wide Web; the Superintendent of Documents home page address is

http://www.gpoaccess.gov/fr/index.html,

by using local WAIS client software, or by telnet to swais.gpoaccess.gov, then log in as guest (no password required). Dial-in users should use communications software and modem to call (202) 512-1661; type swais, then log in as guest (no password required).

C. Rulings

We publish rulings on an infrequent basis. Interested individuals can obtain copies from the nearest CMS Regional Office or review them at the nearest regional depository library. We have, on occasion, published rulings in the

Federal Register

. Rulings, beginning with those released in 1995, are available online, through the CMS Home Page. The Internet address is

http://cms.hhs.gov/rulings.

D. CMS' Compact Disk-Read Only Memory (CD-ROM)

Our laws, regulations, and manuals are also available on CD-ROM and may be purchased from GPO or NTIS on a subscription or single copy basis. The Superintendent of Documents list ID is HCLRM, and the stock number is 717-139-00000-3. The following material is on the CD-ROM disk:

• Titles XI, XVIII, and XIX of the Act.

• CMS-related regulations.

• CMS manuals and monthly revisions.

• CMS program memoranda.

The titles of the Compilation of the Social Security Laws are current as of January 1, 1999. (Updated titles of the Social Security Laws are available on the Internet at

http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.

) The remaining portions of CD-ROM are updated on a monthly basis.

Because of complaints about the unreadability of the Appendices (Interpretive Guidelines) in the State Operations Manual (SOM), as of March 1995, we deleted these appendices from CD-ROM. We intend to re-visit this issue in the near future and, with the aid of newer technology, we may again be able to include the appendices on CD-ROM.

Any cost report forms incorporated in the manuals are included on the CD-ROM disk as LOTUS files. LOTUS software is needed to view the reports once the files have been copied to a personal computer disk.

IV. How to Review Listed Material

Transmittals or Program Memoranda can be reviewed 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.

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. For each CMS publication listed in Addendum III, CMS publication and transmittal numbers are shown. To help FDLs locate the materials, use the CMS publication and transmittal numbers. For example, to find the Medicare National Coverage Determinations publication titled “Islet Cell Transplantation,” use CMS-Pub. 100-03, Transmittal No. 18.

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance, Program No. 93.774, Medicare—Supplementary Medical Insurance Program, and Program No. 93.714, Medical Assistance Program)

Dated: December 13, 2004.

Jacquelyn Y. White,

Director, Office of Strategic Operations and Regulatory Affairs.

Addendum I

This addendum lists the publication dates of the most recent quarterly listings of program issuances.

June 28, 2002 (67 FR 43762)

September 27, 2002 (67 FR 61130)

December 27, 2002 (67 FR 79109)

March 28, 2003 (68 FR 15196)

June 27, 2003 (68 FR 38359)

September 26, 2003 (68 FR 55618)

December 24, 2003 (68 FR 74590)

March 26, 2004 (69 FR 15837)

June 25, 2004 (69 FR 35634)

September 24, 2004 (69 FR 57312)

Addendum II—Description of Manuals, Memoranda, and CMS Rulings

An extensive descriptive listing of Medicare manuals and memoranda was published on June 9, 1988, at 53 FR 21730 and supplemented on September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR 50577. Also, a complete description of the former CIM (now the NCDM) was published on August 21, 1989, at 54 FR 34555. A brief description of the various Medicaid manuals and memoranda that we maintain was published on October 16, 1992, at 57 FR 47468.

Addendum III.—Medicare and Medicaid Manual Instructions July Through September 2004

Transmittal No.

Manual/Subject/Publication Number

Medicare General Information (CMS-Pub. 100-01)

08

Standard Terminology for Claims Processing Systems Standard Terminology Chart.

09

Transmittal rescinded and replaced with Transmittal 10.

10

Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year 2005.

Basis for Determining the Part A Coinsurance Amounts.

Part B Annual Deductible.

Medicare Benefit Policy (CMS-Pub. 100-02)

18

This revision rescinded Transmittal 12.

19

Hospital Services Covered Under Part B Outpatient Observation Services.

20

This revision rescinded Transmittal 17.

21

Medicare Comprehensive Outpatient Rehabilitation Facility Coverage.

Comprehensive Outpatient Rehabilitation Facility Services Provided by Medicare.

Required Services.

Optional Comprehensive Outpatient Rehabilitation Facility Services.

Rules for Provision of Services.

Physician's Services.

Physical Therapy Services.

Occupational Therapy Services.

Speech-Language Pathology Services.

Respiratory Therapy Services.

Prosthetic and Orthotic Devices and Supplies.

Social Services.

Psychological Services.

Nursing Services.

Drugs and Biologicals.

Home Environment Evaluation.

Outpatient Mental Health Treatment Limitation.

22

This revision rescinded transmittal 15.

Medicare National Coverage Determinations (CMS-Pub. 100-03)

17

Manualization of the Negotiated Clinical Diagnostic Laboratory National Coverage Determinations.

Urine Culture, Bacterial.

Human Immunodeficiency Virus Testing (Prognosis Including Monitoring).

Human Immunodeficiency Virus Testing (Diagnosis).

Blood Counts.

Partial Thromboplastin Time.

Prothrombin Time.

Serum Iron Studies.

Collagen Crosslinks, Any Method.

Blood Glucose Testing.

Glycated Hemoglobin/Glycated Protein.

Thyroid Testing.

Lipid Testing.

Digoxin Therapeutic Drug Assay.

Alpha-fetoprotein.

Carcinoembryonic Antigen.

Human Chorionic Gonadotropin.

Tumor Antigen by Immunoassay.

Prostate Specific Antigen.

Gamma Glutamyl Transferase.

Hepatitis Panel/Acute Hepatitis Panel.

Fecal Occult Blood Test.

18

Islet Cell Transplantation.

Pancreas Transplants (Effective July 1, 1999).

Islet Cell Transplantation in the Context of a Clinical Trial (Effective October 1, 2004).

19

Blood-Derived Products for Chronic Non-Healing Wounds.

20

Issued to a specific audience, not posted to Internet/Intranet due to sensitivity of Instruction.

21

Magnetic Resonance Spectroscopy for Diagnosing Brain Tumors.

Magnetic Resonance Imaging.

Magnetic Resonance Spectroscopy.

Magnetic Resonance Angiography.

Medicare Claims Processing (CMS-Pub. 100-04).

222

Skilled Nursing Facility Consolidated Billing Requirements for Durable Medical Equipment Prosthetic, Orthotics & Supplies.

Skilled Nursing Facility Consolidated Billing and Durable Medical Equipment Provided by Durable Medical Equipment Prosthetic, Orthotics & Supplies Suppliers.

General Information.

223

Positron Emissions Tomography Scans and Related Claims Processing.

Positron Emission Tomography Scans—General Information.

Billing Instructions.

Use of Gamma Cameras and Full Ring and Partial Ring Positron Emissions Scanners.

Positron Emission Tomography Scan Qualifying Conditions and Health.

Common Procedure Coding System Code Chart.

Positron Emissions Tomography Scans for Imaging of the Perfusion of the Heart Using Rubidium 82.

Expanded Coverage of Positron Emission Tomography Scans for Solitary Pulmonary Nodules.

Expanded Coverage of Positron Emissions Tomography Scans Effective for Services on or after July 1, 1999.

Expanded Coverage of Positron Emissions Tomography Scans Effective for Services on or after July 1, 2001.

Expanded Coverage of Positron Emissions Tomography Scans for Breast Cancer Effective for Dates on or after October 1, 2002.

Coverage of Positron Emissions Tomography Scans for Myocardial Viability.

Coverage of Positron Emissions Tomography Scans for Thyroid Cancer.

Coverage of Positron Emissions Tomography Scans for Perfusion of the Heart Using Ammonia N-13.

224

October Quarterly Update to 2004 Annual Update of Health Common Procedure Coding System Codes Used For Skilled Nursing Facility.

Consolidated Billing Enforcement.

225

Changes to the Laboratory National Coverage Determination Edit Software for October 2004.

226

Quarterly Update of Health Common Procedure Coding System Codes Used for Home Health Consolidated Billing Enforcement.

Home Health Prospective Payment System Consolidated Billing and Primary Home Health Agency.

227

Local Medical Review Policy/Local Coverage Determination Medicare.

Summary Notice Message Revision.

Medical Necessity.

Necesidad Médica.

228

General Policy.

Patient and Insured Information.

229

Additional Clarification of Bill Type 22x and 23x Submitted by Skilled Nursing Facilities With Instructions for Involuntarily Moving A Beneficiary Out of the Skilled Nursing Facility and Ending a Benefit Period.

Skilled Nursing Facility Prospective Payment System and Consolidated Billing Overview.

Consolidated Billing Requirements for Skilled Nursing Facility.

Other Excluded Services Beyond the Scope of a Skilled Nursing Facility Part A Benefit.

Outpatient Surgery and Related Procedures “ Inclusions.

Emergency Services.

Dialysis and Dialysis Related Services to a Beneficiary With End Stage Renal Disease.

End Stage Renal Disease Services.

Coding Applicable to Epoetin Services.

Coding for Darbepoetin Alfa.

Ambulance Services.

Screening and Preventive Services.

Therapy Services.

Situations that Require a Discharge or Leave of Absence.

Billing Procedures for Periodic Interim Payment Method of Payment Ending A Benefit Period.

Other Billing Situations.

Billing for Outpatient Skilled Nursing Facility Services

230

Update to the Claims Status Codes.

Health Care Claims Status Category Codes and Health Care Claims Status Codes for Use with Health Care Claims Status Request and Response.

231

Indian Health Service or Tribal Critical Access Hospital Payment Methodology for Inpatient and Outpatient Services.

Payment for Inpatient Services Furnished by an Indian Health Service or Tribal Critical Access Hospital.

Payment for Outpatient Services Furnished by an Indian Health Service or Tribal Critical Access Hopsital.

232

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

233

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

234

Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations Edit Software.

235

Instructions for Downloading the Medicare Zip Code File.

236

2005 Durable Medical Equipment Prosthetic, Orthotics & Supplies Pricing.

File Record Layout Expansion and New Pricing Procedures for Certain Durable Medical Equipment Prosthetic, Orthotics & Supplies Items Based on Modifiers.

Payment of Durable Medical Equipment Prosthetic, Orhtotics & Supplies Items based on Modifiers.

Intermediary Format for Durable Medical Equipment, Prosthetic, Orthotic and Supply Fee Schedule.

237

Implementation of Patient Status Code 65, Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital.

238

Health Insurance Portability and Accountability Act Institutional Health Care Claim Implementation Guide Additional Updates.

239

Transmittal 239 is Rescinded and replaced with Transmittal 270.

240

Expansion of the Existing Interrupted Stay Policy Under Long Term Care.

Hospital Prospective Payment System.

241

Processing Part B Claims for Indian Health Services.

General.

Services That May Be Paid to Indian Health Service/Tribe/Tribal Organization Facilities.

Services Paid Under the Physician Fee Schedule.

Other Part B Services.

Durable Medical Equipment.

Prosthetics and Orthotics.

Prosthetics Devices.

Surgical Dressings and Splints and Casts.

Therapeutic Shoes.

Drugs.

Clinical Laboratory Services.

Ambulance Services.

Claims Processing.

Claims Processing Requirements for Benefits, Improvements & Protection Act of 2000 Services.

Claims Processing Requirements for Medicare Modernization Act Enrollment and Billing for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.

Claims Processing for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.

Enrollment for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.

Claims Submission for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.

Enrollment and Billing for Clinical Laboratory and Ambulance Services Claims Submission and Processing for Clinical Laboratory and Ambulance Service.

Enrollment for Clinical Laboratory and Ambulance Services and Part B drugs.

242

Quarterly Update to Correct Coding Initiative edits, Version 10.3, Effective October 1, 2004.

243

Patient Status Code and Reason for Patient Visit for the Hospital Outpatient Prospective Payment System.

Patient Status Code and Reason for Patient Visit for the Hospital.

244

Transmittal 244 is Rescinded and Replaced with Transmittal 269.

245

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

246

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

247

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

248

Durable Medical Equipment Regional Carrier/Local Carriers/Statistical Analysis Durable Medical Equipment Regional Carrier—Drug Pricing Limits as of January 1, 2005.

Payment Rules for Drugs and Biologicals.

Medicare Modernization Act Drug Pricing-Average Sales Price.

Single Drug Pricer.

Calculation of the Payment Allowance Limit for Durable Medical Equipment.

Regional Carrier Drugs.

Calculation of the Average Wholesale Price.

Detailed Procedures for Determining Average Wholesale Price and the Drug.

Payment Allowance Limits.

Background.

Review of Sources for Medicare Covered Drugs and Biologicals.

Use of Generics.

Find the Strength and Dosage.

Restrictions.

Inherent Reasonableness for Drugs and Biologicals.

Injection Services.

Injections Furnished to End Stage Renal Disease Beneficiaries.

249

New Medicare Summary Notice Message 31.18.

Adjustments.

Ajustes.

250

Coordination of Benefits Agreement Claims Selection Options.

Consolidated Claims Crossover Process.

Consolidation of the Claims Crossover Process.

251

Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services.

Inpatient Part B Hospital Services.

Editing of Hospital Part B Inpatient Services. Billing for Inpatient Skilled Nursing Facility Services Paid Under Part B.

Editing of Skilled Nursing Facilities Part B Inpatient Services.

252

Paper Remittance Advice format change to accommodate the forced balancing Amount to balance at the claim level as well as the provider level, a flat file change, and a change in the companion document for fiscal intermediaries.

253

Fiscal Intermediary Shared System Changes to Allow for Provider Liability Days on Skilled Nursing Facility and Swing Bed Facility Inpatient Bills.

Billing Skilled Nursing Facility Prospective Payment System Services.

254

October 2004 Outpatient Prospective Payment System Code Editor Specifications Version 5.3.

255

October Update to the Medicare Outpatient Code Editor Version 20.0 for Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System.

256

Use of Group Health Plan Payment System/Medicare Managed Care System To Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries Under Section 721 of the Medicare Modernization Act.

257

Shared Systems Changes for Medicare Part B Drugs for End Stage Renal Disease Independent Dialysis Facilities.

258

New Waived Tests—October 1, 2004.

259

Scheduled Release for October Updates to Software Programs and Pricing/Coding Files.

260

Cryosurgery of the Prostate.

Cryosurgery of the Prostate Gland.

Coverage Requirements.

Billing Requirements.

Payment Requirements.

261

Billing and Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health Clinical Trial.

Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health Clinical Trial.

Healthcare Common Procedural Coding System Codes for Carriers.

Applicable Modifier for Islet Cell Transplant Claims for Carriers.

Special Billing and Payment Requirements for Carriers.

Special Billing and Payment Requirements for Intermediaries.

Special Billing and Payment Requirements Medicare Advantage Beneficiaries.

262

Confidential.

263

Inpatient Rehabilitation Facility Annual Update: Prospective Payment System.

Pricer Changes for Fiscal Year 2005.

Outlier Payments: Cost-to-Charge Ratios.

264

This Transmittal is Rescinded and Replaced with Transmittal 271.

265

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

266

Revision of Common Working File Editing for Same-Day, Same-Provider Acute Care Readmissions.

Repeat Admissions.

267

Crossover Patients in New Long Term Care Hospital.

Billing Procedures for a Provider Assigned Multiple Provider Numbers or a Change in Provider Number.

Crossover Patients in New Long Term Care Hospital.

268

Medicare Part A Skilled Nursing Facility Prospective Payment.

System Pricer Update Fiscal Year 2005.

Skilled Nursing Facility Prospective Payment System Pricer Software.

269

This Transmittal Replaces Transmittal 244.

270

This Transmittal Replaces Transmittal 239.

271

This Transmittal Replaces Transmittal 264.

272

October Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule.

273

Modification of CMS’ Medicare Contingency Plan for Health Insurance Portability & Accountability Act Implementation.

Receipt Date.

Payment Ceiling Standards.

Payment Floor Standards.

Determining and Paying Interest.

274

Good Cause Waiver of Late Claim Filing Payment Reduction Penalty.

Extend Time for Good Cause.

Conditions Which Establish Good Cause.

Procedure to Establish Good Cause.

Good Cause Is Not Found.

Preparing Common Working File Claim Records for Services Subject to 10 Percent Payment Reduction.

275

The Supplemental Security Income/Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Prospective Payment System Hospitals.

276

Further Information Related to CR 3175, Distinct Part Units of Critical Access Hospitals.

Requirements for Critical Access Hospital Services, Critical Access Hospital Skilled Nursing Care Services and Distinct Part Units.

Inpatient Rehabilitation Facility Prospective Payment System.

Billing Requirements Under Inpatient Rehabilitation Facility Prospective Payment System.

277

Sensitive.

278

This Transmittal is no longer sensitive and can be posted to Internet/Intranet.

279

Issued to a specific audience, not posted to Internet/Intranet due to sensitivity of instruction.

280

Issued to a specific audience, not posted to Internet/Intranet due to sensitivity of instruction.

281

Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.

282

This Transmittal replaces Transmittal 274.

283

2005 Healthcare Common Procedure Coding System Annual Update Reminder.

Health Care Common Procedure Coding System Annual Update Reminder.

284

Durable Medical Equipment Regional Carriers Only—Appeals of Duplicate Claims.

285

Addition of Physician Assistants, Nurse Practitioners and Clinical Nurse.

Specialists as Emergency On-Call Providers for Critical Access Hospitals.

Costs of Emergency Room On-Call Providers.

286

Medicare Physician Fee Schedule Database 2005 File Layout.

Addendum.

287

Schedule for Completing the Calendar Year 2005 Fee Schedule Updates and the Participating Physician Enrollment Procedures.

288

Fiscal Year 2005 Payment for Services Furnished in Ambulatory Surgical Centers.

289

File Descriptions and Instructions for Retrieving the 2005 Pricing Files Through CMS” Mainframe Telecommunications System.

Recurring Update Notification Containing New Pricing File Names and Retrieval Dates for 2005.

290

October 2004 Update of the Hospital Outpatient Prospective Payment System.

291

Use of Transmission Date in the Service Date/Assessment Date Field for Inpatient Rehabilitation Facility Prospective Payment System Claims.

Payment Adjustment for Late Transmission of Patient Assessment Data.

292

Confidential.

293

Confidential.

294

Sensitive/Controversial.

295

Transmittal 214 is Rescinded and Replaced with Transmittal 295.

296

This Transmittal replaces Transmittal 196.

297

Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses.

298

This Transmittal replaces Transmittal 295.

299

Use of Condition Code 44, “Inpatient Admission Changed to Outpatient”.

300

Payment For Outpatient End Stage Renal Disease-Related Services.

301

Transmittal 301 Replaces Transmittal 251.

302

Nursing Facility Visits (Codes 99301-99313).

303

Instructions for Completion of Form CMS-1450.

304

Transmittal 304 Replaces Transmittal 205.

Medicare Secondary Payer (CMS-Pub. 100-05)

17

Clarification of CR 3064.

General Policy.

18

Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members With Coverage Under the Federal Employees Health Benefits Program.

Individuals Not Subject to the Limitation on Payment.

Individuals Not Subject to Medicare Secondary Payer Provision.

19

Clarification of Medicare Secondary Payer Rules in Relation to a Temporary Leave of Absence.

Rules Defining Employees Covered by Group Health Plans and Large Group Health Plans.

Medicare Financial Management (CMS-Pub. 100-06)

49

Procedures For Re-Issuance and Stale Dating of Medicare Checks

50

Unsolicited/Voluntary Refunds

General Information.

Office of Inspector General Initiatives.

Unsolicited/Voluntary Refund Accounts.

Receiving and Processing Unsolicited/Voluntary Refund Checks When Identifying Information Is Provided.

51

This transmittal is rescinded and replaced with Transmittal 52.

52

Notice of New Interest Rate for Medicare Overpayments and Underpayments.

53

Change Request 3367, Debt Collection System, replaces Change Request 2952, Debt Collection System

54

Notification to Providers of Intent to Complete a Post-Payment Audit.

Contractor's Responsibility Prior to Submission of Cost Reports.

Medicare State Operations Manual (Pub. 100-07)

02

Provider Identification Number.

Medicare Program Integrity (CMS-Pub. 100-08)

79

Local Medical Review Policy/Local Coverage Determination Medicare Summary.

Notice Message Revision.

Prepayment Edits.

80

Program Integrity Management Fraud and Abuse Complaint Screening Revisions. Complaint Screening.

81

Implementation of the Quarterly Strategy Analysis.

The Quarterly Strategy Analysis.

The Quarterly Strategy Analysis Format.

Executive Summary.

Problem Specific Activities.

Problem Specific Activity Definitions.

Narrative.

82

Home Health Demand Bills.

Home Health.

Effectuating Favorable Final Appellate.

Decisions That a Beneficiary Is “Confined to Home” .

Medical Review of Home Health Demand Bills.

83

Program Integrity Management Revisions for Chapter 4.

Program Safeguard Contractor and Medicare Contractor Benefit Integrity Unit.

Benefit Integrity Security Requirements.

Medical Review for Benefit Integrity Purposes.

Requests for Information from Outside Organizations.

Conducting Investigations.

Disposition of Cases.

Types of Fraud Alerts.

Background.

Investigation, Case, and Suspension Entries.

Initial Entry Requirements for Investigations.

Referral of Cases to the Office of the Inspector General/Office of Investigations.

Suspension.

Referral to Quality Improvement Organizations

Exceptions.

Medicare Contractor Beneficiary and Provider Communications (CMS-Pub. 100-09)

07

Confidential.

Medicare Managed Care (CMS-Pub. 100-16)

56

Administrative Contracting Requirements.

57

Coverage of Clinical Trials.

Hospital Inpatient Data.

Diagnostic Coding and Guidelines for Data Collection From Provider Network.

58

Terminology.

59

State and County Code Corrections.

Completion of Enrollment Form.

Passive Elections.

Eligibility Requirements for Medicare Medical Savings Account Plans.

Annual Elective Period.

Open Enrollment Period.

Open Enrollment Period Through 2005.

Open Enrollment Period in 2006.

Open Enrollment Period in 2007 and Beyond.

Open Enrollment for Newly Eligible Individuals in 2006 and Beyond.

Open Enrollment Period for Institutionalized Individuals in 2006 and Beyond.

Special Enrollment Period for Beneficiaries Age 65.

60

Streamlined Marketing Review Process.

File and Use.

Guidelines for Advertising and Pre-Enrollment Materials.

Guidelines for Advertising Materials.

Guidelines for Pre-Enrollment Materials.

61

Emergency and Urgently Needed Services.

62

Revisions to Chapter 13—Medicare+Choice Beneficiary Grievances, Organization Determinations and Appeals.

Demonstrations (CMS-Pub. 100-19)

05

Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstration/Program Sites Serving Medicare Fee For Service Beneficiaries—Updated List of Plan Numbers.

06

Revision of CR 3269 for the Demonstration Project to Clarify the Definition of Homebound (Homebound Demonstration).

One Time Notification (CMS-Pub. 100-20)

92

Additional Instructions Related to the “Redistribution of Unused Resident Positions,” Section 422 of the Medicare Modernization Act of 2003 P.L. 108-173, for Purposes of Graduate Medical Education Payments.

93

Temporary Skilled Nursing Facility Extension.

94

Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act.

Transaction Release Testing.

95

Modifications to Post-payment Adjustment Process for Home Health Prospective Payment System Claims Failing to Report Prior Inpatient Discharges.

96

Annual Changes to the Amount in Controversy Thresholds For the Administrative Law Judge and Judicial Review.

Levels of the Claim Appeals Process as Required by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

97

Implementation of the Business Segment Identifier in the Healthcare Integrated General Ledger Accounting System.

98

Change to Previous Transmittal Regarding the Discounted Use of Revenue Code 0910.

99

This One-Time Notification is a full replacement for Transmittal 86.

100

This Transmittal is Rescinded and Replaced with Transmittal 103.

101

Change of the Premera Blue Cross Medicare Part A Plan Under Contract to BCBSA to a Part A Fiscal Intermediary Contract with Noridian Mutual Insurance Company in the States of Washington and Alaska.

102

Update to the Healthcare Provider Taxonomy Codes/Medicare Specialty Code Crosswalk.

103

This Transmittal replaces Transmittal 100.

104

Confidential.

105

Confidential.

106

Medicare Modernization Act Drug Pricing Update-Payment Limits for J9045 (Carboplatin Injection) and (Rituximab Cancer Treatment).

107

Common Working File Analysis to Process Claims Per the Renovated Override Code Processing (re: CR3190) and Common Working File Analysis to Review System Edits for Additional 2-byte Modifiers Added in CR3190 (Phase 2).

108

New Remark Code Message for Use With Claims for Parental Pumps-Durable Medical Equipment Regional Carrier Only.

109

Billing Instructions for ADVATE rAHF-PFM on Medicare Claims.

110

Medicare Modernization Act Drug Pricing Update-Payment Limits for J100 (Depo-estradiol cypionate inj).

111

Creation of Common Working File Auxilliary File and Associated Logic to Property.

Calculate Medicare-Equivalent Deductibles for Department of Veteran Affairs Claims.

112

This Transmittal replaces Transmittal 109.

113

Implementation of § 921 of the Medicare Modernization Act Provider Customer Program.

114

Sensitive.

115

Instructions for Fiscal Intermediary Standard System and Multi-Carrier System Healthcare Integrated General Ledger Accounting System Changes.

116

Notification of Medlearn Matters Article for Confidential Change Request (CR) 3301.

Addendum IV.—Regulation Documents Published in the Federal Register

[July 2004 Through September 2004]

Publication date

FR Vol. 69 page No.

CFR parts affected

File code

Title of regulation

July 1, 2004

40288

42 CFR Part 414

CMS-1492-IFC

Medicare Program; Medicare Ambulance MMA Temporary Rate Increases Beginning July 1, 2004.

July 23, 2004

44036

CMS-1334-N

Medicare Program; Public Meeting in Calendar Year 2004 for Coding and Payment Determinations for Power Wheelchairs.

July 23, 2004

44035

CMS-1364-N

Medicare Program; August 30, 2004, Meeting of the Practicing Physicians Advisory Council and Request for Nominations.

July 23, 2004

44034

CMS-4074-N

Medicare Program; Meeting of the Advisory Panel on Medicare Education—September 9, 2004.

July 23, 2004

44031

CMS-3142-NC

Medicare Program; Evaluation Criteria and Standards for Quality Improvement Program Contracts.

July 23, 2004

44029

CMS-3112-NC2

Medicare Program; Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Surgical Centers.

July 23, 2004

44027

CMS-2202-PN

Medicare and Medicaid Programs; Application by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., for Continued Deeming Authority for Ambulatory Surgical Centers.

July 23, 2004

44013

CMS-2187-N

State Children's Health Insurance Program (SCHIP); Extended Availability of Unexpended SCHIP Funds From the Appropriation for Fiscal Years 1998 Through 2001; and Provision of Authority for Qualifying States To Use a Portion of SCHIP Funds for Medicaid Expenditures.

July 23, 2004

43956

42 CFR Part 402

CMS-6146-P

Medicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures.

July 23, 2004

43926

45 CFR Part 146

CMS-2033-F

Requirements for the Group Health Insurance Market; Non-Federal Governmental Plans Exempt From HIPAA Title I Requirements.

July 23, 2004

43924

45 CFR Part 146

CMS-2152-F2

Amendment to the Interim Final Regulation for Mental Health Parity.

July 30, 2004

45822

CMS-4068-N

Medicare Program; Open Public Meeting Regarding the Development of the Model Guidelines for Categories and Classes of Drugs.

July 30, 2004

45775

CMS-1249-N

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update.

July 30, 2004

45721

CMS-1360-N

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005.

July 30, 2004

45640

42 CFR Part 484

CMS-1265-CN

Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005; Correction Notice.

July 30, 2004

45604

42 CFR Parts 405 and 411

CMS-6014-F

Medicare Program; Interest Calculation.

August 3, 2004

46866

42 CFR Parts 417 and 422

CMS-4069-P

Medicare Program; Establishment of the Medicare Advantage Program.

August 3, 2004

46632

42 CFR Parts 403, 411, 417, and 423

CMS-4068-P

Medicare Program; Medicare Prescription Drug Benefit.

August 5, 2004

47488

42 CFR Parts 405, 410, 411, 414, 418, 424, 484, and 486

CMS-1429-P

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005.

August 5, 2004

47446

CMS-1275-N

Medicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups—September 1, 2, and 3, 2004.

August 11, 2004

48916

42 CFR Parts 403, 412, 413, 418, 460, 480, 482, 483, 485, and 489

CMS-1428-F

Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates.

August 16, 2004

50448

42 CFR Parts 410, 411, 419

CMS-1427-P

Medicare Program; Proposed Changes to the Hospital Outpatient and Prospective Payment System and Calendar Year 2005 Payment Rates.

August 27, 2004

52723

CMS-1279-N2

Medicare Program; Public Meeting of the Program Advisory and Oversight Committee (PAOC) for Quality Standards and Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS).

August 27, 2004

52722

CMS-3136-N

Medicare Program; Meeting of the Medicare Coverage Advisory Committee—September 28, 2004.

August 27, 2004

52721

CMS-5025-CN

Medicare Program; Medicare Replacement Drug Demonstration; Correction.

August 27, 2004

52710

CMS-1264-N

Medicare Program; Hospice Wage Index for Fiscal Year 2005.

August 27, 2004

52706

CMS-4067-PN

Medicare and Medicaid Programs; Application by the Utilization Review Accreditation Commission (URAC) for Deeming Authority for Medicare Advantage.

August 27, 2004

52700

CMS-2201-N

State Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2005.

August 27, 2004

52699

CMS-1269-N2

Medicare Program; Second Request for Nominations for Two Specific Categories of Members of the Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG).

August 27, 2004

52620

42 CFR Parts 431 and 457

CMS-6026-P

Medicaid Program and State Children's Health Insurance Program (SCHIP): Payment Error Rate Measurement.

August 27, 2004

52620

42 CFR Part 402

CMS-6146-CN

Medicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures.

September 9, 2004

54674

CMS-8020-N

Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible Beginning January 1, 2005.

September 9, 2004

54673

CMS-8022-N

Medicare Program; Part A Premium for 2005 for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement, Thursday, September 9, 2004.

September 9, 2004

54671

CMS-8021-N

Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 2005, Thursday, September 9, 2004.

September 14, 2004

55440

CMS-6027-N

Medicare Program; September 30, 2004 Open Door Forum: Requirements for Coordination Between Plans Primary or Secondary to Medicare Part D Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).

September 16, 2004

55763

42 CFR Part 414

CMS-1380-F

Medicare Program; Manufacturer Submission of Manufacturer's Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals.

September 24, 2004

57325

CMS-3141-N

Procedure for Producing Guidance Documents Describing Medicare's Coverage Process.

September 24, 2004

57325

CMS-3137-N

Medicare Program; Meeting of the Medicare Coverage Advisory Committee—November 4, 2004.

September 24, 2004

57324

CMS-2200-N4

Medicare Program; Meeting of the State Pharmaceutical Assistance Transition Commission—October 14, 2004.

September 24, 2004

57312

CMS-9023-N

Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—April 2004 Through June 2004.

September 24, 2004

57310

CMS-4077-PN

Medicare and Medicaid Programs; Application by the National Committee for Quality Assurance Preferred Provider Organization for Deeming Authority for Medicare Advantage.

September 24, 2004

57308

CMS-2208-PN

Medicare and Medicaid Programs; Application by the American Osteopathic Association for Continued Approval of Deeming Authority for Hospitals.

September 24, 2004

57307

CMS-2256-PN

Medicare and Medicaid Programs; Application by the Community Health Accreditation Program (CHAP) for Home Health Agencies.

September 24, 2004

57305

CMS-2204-PN

Medicare and Medicaid Programs; Application by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for Home Health Agencies.

September 24, 2004

57304

CMS-3154-N

Medicare Program; Request for Nominations for Members for the Medicare Coverage Advisory Committee.

September 24, 2004

57244

42 CFR Parts 431 and 457

CMS-6026-CN

Medicaid Program and State Children's Health Insurance Program (SCHIP); Payment Error Rate Measurement; Correction.

September 24, 2004

57226

42 CFR Part 411

CMS-1810-IFC2

Medicare Program; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships (Phase II); Correcting Amendment.

September 24, 2004

57224

42 CFR Part 406

CMS-4018-F

Medicare Program; Continuation of Medicare Entitlement When Disability Benefit Entitlement Ends Because of Substantial Gainful Activity.

September 24, 2004

57859

42 CFR Part 493

Laboratory Requirements; OFR Correction.

September 30, 2004

58596

42 CFR Parts 431 and 457

CMS-6026-CN

Medicaid Program and State Children's Health Insurance Program (SCHIP); Payment Error Rate Measurement; OFR Correction.

Addendum V—National Coverage Determinations [July 2004 Through September 2004]

A national coverage determination (NCD) is a determination by the Secretary with respect to whether or not a particular item or service is covered nationally under Title XVIII of the Social Security Act, but does not include a determination of what code, if any, is assigned to a particular item or service covered under this title, or determination with respect to the amount of payment made for a particular item or service so covered. We include below all of the NCDs that were issued during the quarter covered by this notice. The entries below include information concerning completed decisions as well as sections on program and decision memoranda, which also announce pending decisions or, in some cases, explain why it was not appropriate to issue an NCD. We identify completed decisions by the section of the NCDM in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. Information on completed decisions as well as pending decisions has also been posted on the CMS website at

http://cms.hhs.gov/coverage.

National Coverage Determinations

[July 2004 Through September 2004]

Title

NCDM section

TN#

Issue date

Effective date

Manualization of Negotiated Clinical Diagnostic Laboratory NCDs

N/A

R17NCD

07/02/2004

07/02/2004

Changes to the Laboratory NCD Edit Software for October 2004

N/A

R225CP

04/09/2004

10/04/2004

Blood-Derived Products for Chronic Non-Healing Wounds

270.3

R19NCD

07/30/2004

07/23/2004

Islet Cell Transplantation

260.3.1

R18NCD

07/30/2004

10/04/2004

MRS for Diagnosing Brain Tumors

220.2.1

R21NCD

09/10/2004

09/10/2004

Addendum VI—FDA-Approved Category B IDEs

Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c) devices fall into one of three classes. To assist CMS under this categorization process, the FDA assigns one of two categories to each FDA-approved IDE. Category A refers to experimental IDEs, and Category B refers to non-experimental IDEs. To obtain more information about the classes or categories, please refer to the

Federal Register

notice published on April 21, 1997 (62 FR 19328).

The following list includes all Category B IDEs approved by FDA during the 2nd quarter, July 2004 Through September 2004.

IDE Category

G030093

G030237

G040049

G040052

G040057

G040091

G040092

G040094

G040096

G040098

G040099

G040100

G040102

G040103

G040104

G040105

G040109

G040111

G040112

G040113

G040119

G040122

G040124

G040126

G040128

G040129

G040130

G040134

G040137

G040142

G040143

G040144

G040145

G040146

G040147

G040148

G040149

G040150

G040153

G040154

G040160

G980099

Addendum VII-Approval Numbers for Collections of Information

Below we list all approval numbers for collections of information in the referenced sections of CMS regulations in Title 42; Title 45, Subchapter C; and Title 20 of the Code of Federal Regulations, which have been approved by the Office of Management and Budget:

OMB control numbers

Approved CFR Sections in Title 42, Title 45, and Title 20 (Note: Sections in Title 45 are preceded by “45 CFR,” and sections in Title 20 are preceded by “20 CFR”)

0938-0008

414.40, 424.32, 424.44

0938-0022

413.20, 413.24, 413.106

0938-0023

424.103

0938-0025

406.28, 407.27

0938-0027

486.100-486.110

0938-0033

405.807

0938-0035

407.40

0938-0037

413.20, 413.24

0938-0041

408.6, 408.22

0938-0042

410.40, 424.124

0938-0045

405.711

0938-0046

405.2133

0938-0050

413.20, 413.24

0938-0062

431.151, 435.1009, 440.220, 440.250, 442.1, 442.10-442.16, 442.30, 442.40, 442.42, 442.100-442.119, 483.400-483.480, 488.332, 488.400, 498.3-498.5

0938-0065

485.701-485.729

0938-0074

491.1-491.11

0938-0080

406.7, 406.13

0938-0086

420.200-420.206, 455.100-455.106

0938-0101

430.30

0938-0102

413.20, 413.24

0938-0107

413.20, 413.24

0938-0146

431.800-431.865

0938-0147

431.800-431.865

0938-0151

493.1405, 493.1411, 493.1417, 493.1423, 493.1443, 493.1449, 493.1455, 493.1461, 493.1469, 493.1483, 493.1489

0938-0155

405.2470

0938-0170

493.1269-493.1285

0938-0193

430.10-430.20, 440.167

0938-0202

413.17, 413.20

0938-0214

411.25, 489.2, 489.20

0938-0236

413.20, 413.24

0938-0242

488.26, 442.30

0938-0245

407.10, 407.11

0938-0246

431.800-431.865

0938-0251

406.7

0938-0266

416.41, 416.47, 416.48, 416.83

0938-0267

410.65, 485.56, 485.58, 485.60, 485.64, 485.66

0938-0269

412.116, 412.632, 413.64, 413.350, 484.245

0938-0270

405.376

0938-0272

440.180, 441.300-441.305

0938-0273

485.701-485.729

0938-0279

424.5

0938-0287

447.31

0938-0296

413.170, 413.184

0938-0301

413.20, 413.24

0938-0302

418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, 418.100

0938-0313

489.11, 489.20

0938-0328

482.12, 482.13, 482.21, 482.22, 482.27, 482.30, 482.41, 482.43, 482.45, 482.53, 482.56, 482.57, 482.60, 482.61, 482.62, 482.66, 485.618, 485.631

0938-0334

491.9, 491.10

0938-0338

486.104, 486.106, 486.110

0938-0354

441.60

0938-0355

488.26, 442.30

0938-0358

412.20-412.30

0938-0359

412.40-412.52

0938-0360

488.60

0938-0365

484.10, 484.11, 484.12, 484.14, 484.16, 484.18, 484.20, 484.36, 484.48, 484.52

0938-0372

414.330

0938-0378

482.60-482.62

0938-0379

488.26, 442.30

0938-0382

488.26, 442.30

0938-0386

405.2100-405.2171

0938-0391

488.18, 488.26, 488.28

0938-0426

476.104, 476.105, 476.116, 476.134

0938-0429

447.53

0938-0443

473.18, 473.34, 473.36, 473.42

0938-0444

1004.40, 1004.50, 1004.60, 1004.70

0938-0445

412.44, 412.46, 431.630, 456.654, 466.71, 466.73, 466.74, 466.78

0938-0447

405.2133

0938-0448

405.2133, 45 CFR 5, 5b; 20 CFR Parts 401, 422E

0938-0449

440.180, 441.300-441.310

0938-0454

424.20

0938-0456

412.105

0938-0463

413.20, 413.24, 413.106

0938-0467

431.17, 431.306, 435.910, 435.920, 435.940-435.960

0938-0469

417.126, 422.502, 422.516

0938-0470

417.143, 417.800-417.840, 422.6

0938-0477

412.92

0938-0484

424.123

0938-0501

406.15

0938-0502

433.138

0938-0512

486.304, 486.306, 486.307

0938-0526

475.102, 475.103, 475.104, 475.105, 475.106

0938-0534

410.38, 424.5

0938-0544

493.1-493.2001

0938-0564

411.32

0938-0565

411.20-411.206

0938-0566

411.404, 411.406, 411.408

0938-0573

412.230, 412.256

0938-0578

447.534

0938-0581

493.1-493.2001

0938-0599

493.1-493.2001

0938-0600

405.371, 405.378, 413.20

0938-0610

417.436, 417.801, 422.128, 430.12, 431.20, 431.107, 434.28, 483.10, 484.10, 489.102

0938-0612

493.801, 493.803, 493.1232, 493.1233, 493.1234, 493.1235, 493.1236, 493.1239, 493.1241, 493.1242, 493.1249, 493.1251, 493.1252, 493.1253, 493.1254, 493.1255, 493.1256, 493.1261, 493.1262, 493.1263, 493.1269, 493.1273, 493.1274, 493.1278, 493.1283, 493.1289, 493.1291, 493.1299

0938-0618

433.68, 433.74, 447.272

0938-0653

493.1771, 493.1773, 493.1777

0938-0657

405.2110, 405.2112

0938-0658

405.2110, 405.2112

0938-0667

482.12, 488.18, 489.20, 489.24

0938-0679

410.38

0938-0685

410.32, 410.71, 413.17, 424.57, 424.73, 424.80, 440.30, 484.12

0938-0686

493.551-493.557

0938-0688

486.304, 486.306, 486.307, 486.310, 486.316, 486.318, 486.325

0938-0690

488.4-488.9, 488.201

0938-0691

412.106

0938-0692

466.78, 489.20, 489.27

0938-0701

422.152

0938-0702

45 CFR

146.111, 146.115, 146.117, 146.150, 146.152, 146.160, 146.180

0938-0703

45 CFR

148.120, 148.124, 148.126, 148.128

0938-0714

411.370-411.389

0938-0717

424.57

0938-0721

410.33

0938-0723

421.300-421.318

0938-0730

405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, 424.24

0938-0732

417.126, 417.470

0938-0734

45 CFR

5b

0938-0739

413.337, 413.343, 424.32, 483.20

0938-0742

422.300-422.312

0938-0749

424.57

0938-0753

422.000-422.700

0938-0754

441.152

0938-0758

413.20, 413.24

0938-0760

484 Subpart E, 484.55

0938-0761

484.11, 484.20

0938-0763

422.1-422.10, 422.50-422.80, 422.100-422.132, 422.300-422.312, 422.400-422.404, 422.560-422.622

0938-0770

410.2

0938-0778

422.111, 422.64

0938-0779

417.470, 417.126, 422.210, 422.64

0938-0781

411.404-411.406, 484.10

0938-0786

438.352, 438.360, 438.362, 438.364

0938-0787

406.28, 407.27

0938-0790

460.12, 460.22, 460.26, 460.30, 460.32, 460.52, 460.60, 460.70, 460.71, 460.72, 460.74, 460.80, 460.82, 460.98, 460.100, 460.102, 460.104, 460.106, 460.110, 460.112, 460.116, 460.118, 460.120, 460.122, 460.124, 460.132, 460.152, 460.154, 460.156, 460.160, 460.164, 460.168, 460.172, 460.190, 460.196, 460.200, 460.202, 460.204, 460.208, 460.210

0938-0792

491.8, 491.11

0938-0798

413.24, 413.65, 419.42

0938-0802

419.43

0938-0818

410.141, 410.142, 410.143, 410.144, 410.145, 410.146, 414.63

0938-0829

422.568

0938-0832

489 and 491

0938-0833

483.350-483.376

0938-0841

431.636, 457.50, 457.60, 457.70, 457.340, 457.350, 457.431, 457.440, 457.525, 457.560, 457.570, 457.740, 457.750, 457.810, 457.940, 457.945, 457.965, 457.985, 457.1005, 457.1015, 457.1180

0938-0842

412.23, 412.604, 412.606, 412.608, 412.610, 412.614, 412.618, 412.626, 413.64

0938-0846

411.352-411.361

0938-0857

419

0938-0860

419

0938-0866

45 CFR

Part 162

0938-0872

413.337, 483.20

0938-0873

422.152

0938-0874

45 CFR

Parts 160 and 162

0938-0878

422 Subpart F & G

0938-0883

45 CFR

Parts 160 and 164

0938-0884

405.940

0938-0887

45 CFR

148.316, 148.318, 148.320

0938-0897

412.22, 412.533

0938-0907

412.230, 412.304, 413.65

0938-0910

422.624, 422.626, 422.620

0938-0911

426.400, 426.500

0938-0916

483.16

0938-0920

438.6, 438.8, 438.10, 438.12, 438.50, 438.56, 438.102, 438.114, 438.202, 438.206, 438.207, 438.240, 438.242, 438.402, 438.404, 438.406, 438.408, 438.410, 438.414, 438.416, 438.710, 438.722, 438.724, 438.810

0938-0921

414.804

[FR Doc. 04-28156 Filed 12-29-04; 8:45 am]

BILLING CODE 4120-01-P