# Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April Through June 2006

> Briefs, arguments, decisions, and more.

URL: https://www.frixlaw.com/law-library/documents/fr%3A06-8266

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** September 29, 2006
- **Citation:** 71 FR 57604

## Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9036-N]
Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—April Through June 2006

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 April 2006 through June 2006, 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. This notice also includes listings of all approval numbers from the Office of Management and Budget for collections of information in CMS regulations and a list of Medicare-approved carotid stent facilities. In addition, for the first time, we are also including a list of the American College of Cardiology's National Cardiovascular Data registry sites, active CMS coverage-related guidance documents, and special one-time notices regarding national coverage provisions.

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 John Manlove, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-13-04, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6877.

Questions concerning approval numbers for collections of information in Addendum VII may be addressed to Melissa Musotto, Office of Strategic Operations and Regulatory Affairs, Regulations Development and Issuances Group, Centers for Medicare & Medicaid Services, C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6962.

Questions concerning Medicare-approved carotid stent facilities in Addendum VIII may be addressed to Sarah J. McClain, 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) 786-2994.

Questions concerning Medicare's recognition of the American College of Cardiology-National Cardiovascular Data Registry sites in Addendum IX may be addressed to JoAnna Baldwin, MS, 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) 786-7205.

Questions concerning Medicare's active coverage-related guidance documents in Addendum X may be addressed to Kimberly Long, 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) 786-5702.

Questions concerning one-time notices regarding national coverage provisions in Addendum XI may be addressed to Ellie Lund, 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) 786-2281.

Questions concerning all other information may be addressed to Gwendolyn Johnson, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Centers for Medicare & Medicaid Services, C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6954.

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 eight 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.

• Addendum VIII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS standards for performing carotid artery stenting for high risk patients.

• Addendum IX includes a list of the American College of Cardiology's National Cardiovascular Data registry sites. We cover implantable cardioverter defibrillators (ICDs) for certain indications, as long as information about the procedures is reported to a central registry.

• Addendum X includes a list of active CMS guidance documents. As required by section 731 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173, enacted on December 8, 2003), we will begin listing the current versions of our guidance documents in each quarterly listings notice.

• Addendum XI includes a list of special one-time notices regarding national coverage provisions. We are publishing a list of issues that require public notification, such a particular clinical trial or research study that qualifies for Medicare coverage.

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, 2005. (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 NCD publication titled “Cardiac Rehabilitation Programs,” use CMS-Pub. 100-03, Transmittal No. 52.

(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: September 16, 2006.
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.

March 26, 2004 (69 FR 15837)

June 25, 2004 (69 FR 35634)

September 24, 2004 (69 FR 57312)

December 30, 2004 (69 FR 78428)

February 25, 2005 (70 FR 9338)

June 24, 2005 (70 FR 36620)

September 23, 2005 (70 FR 55863)

December 23, 2005 (70 FR 76290)

March 24, 2006 (71 FR 14903)

June 23, 2006 (71 FR 36101)

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
[April Through June 2006]

Transmittal No.
Manual/Subject/Publication No.

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

37
Scheduled Release for July 2006 Software Programs and Pricing/Coding Files.

38
Files Maintenance Program Update to the Internet-Only Manual.

Files Maintenance.

Files Maintenance Program—General.

Description of Records Maintained.

Definition of a Record.

Implementing a Files Management Program.

Record Retention and Disposal Schedule.

Disposition Instructions—Destruction of Records.

Disposition Instructions When Operating Under a Freeze.

Disposition Instructions When Medicare Records Are Microfilmed.

Disposition for Paper-Only Medicare Records.

Disposition for Medicare Records That Are Imaged/Scanned.

Disposition for Medicare Records When Potential Fraud or Overutilization Has Been Identified.

Description of Records.

Retention of Claims File Materials.

Segment File Accumulation Period.

Standard Retention Periods—Microfilmed Claims.

Retention Period Microfilmed Material.

Microfilming of Files Material.

Microfilming Procedures.

Microfilming Index Label.

Retention and Destruction of Microfilm.

Annual Report of Medicare Records.

Disposition of Non-Claims Materials.

Standards for All Records Storage Facilities.

39
Update—Inpatient Psychiatric Facilities Prospective Payment System Rate Year 2007.

Inpatient Psychiatric Facility Services Certification and Recertification.

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

50
Immunosuppressive Therapy For Kidney Transplant.

Physicians Services for Kidney Transplants.

51
Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests; Clinical Psychologist Services.

Types of Clinical Psychologist Services That May Be Covered.

52
Therapy Caps Exception Process.

Coverage of Outpatient Rehabilitation Therapy Services (Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services) Under Medical Insurance.

Documentation Requirements for Therapy Services.

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

51
Nesiritide for Treatment of Heart Failure Patients.

52
Cardiac Rehabilitation Programs.

53
Clarification on Billing Requirements for Percutaneous Transluminal.

Angioplasty Concurrent With the Placement of an Investigational or FDA-Approved Carotid Stent.

54
Bariatric Surgery for Treatment of Morbid Obesity.

Treatment of Obesity (Effective February 21, 2006).

Bariatric Surgery for Treatment of Morbid Obesity (Effective February 21, 2006).

55
Changes Conforming to CR3648 for Therapy Services.

Neuromuscular Electrical Stimulator.

Speech-Language Pathology Services for the Treatment of Dysphagia.

Home Health Visits to a Blind Diabetic.

56
Pancreas Transplants Alone.

Pancreas Transplants (Effective April 26, 2006).

57
Home Use of Oxygen in Approved Clinical Trials.

Home Use of Oxygen in Approved Clinical Trials (Effective March 20, 2006).

58
Intestinal and Multi-Visceral Transplantation.

59
Non-Autologous Blood Derived Products for Chronic Non-Healing Wounds.

Blood-Derived Products for Chronic Non-Healing Wounds (Effective April 27, 2006).

60
Lumbar Artificial Disc Replacement.

Medicare Claims Processing (CMS Pub. 100-04)

900
Update to Chapter 24 CMS Web site URL References.

Electronic Data Interchange User Guidelines.

General Health Insurance Portability Accountability Act Electronic Data Interchange Requirements.

Continued Support of Pre-Health Insurance Portability Accountability Act Electronic Data Interchange Formats.

901
New National Uniform Billing Committee Codes and Other Chapter 25 Revisions—Revision to the Internet-Only Manual.

902
Hospital Outpatient Prospective Payment System Manual Revision:

Clarification of Coding and Payment for Drug Administration.

Coding and Payment for Drug Administration.

903
Payment for Blood Clotting Factors Administered to Hemophilia Inpatients.

Non Pass-Through Drugs.

904
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

905
This Transmittal is rescinded and replaced by Transmittal 913.

906
Full Replacement for Change Request 4266, Revision for Health Professional Shortage Area and Physician Scarcity Area Bonus Billing for Some Globally Billed Services. Change Request 4266 is rescinded.

Services Eligible for Health Professional Shortage Area and Physician Scarcity Bonus Payment.

907
Modify Common Working File Edit 51#L.

908
Common Working File to the Medicare Beneficiary Database Data Exchange Changes.

The Financial Limitation.

Provider Access to Smoking and Tobacco-Use Cessation Counseling.

Service Eligibility Data.

909
Cardiac Rehabilitation Programs.

Coding Requirements.

910
New Current Procedural Terminology Codes.

911
Clarification on Billing Requirements for Percutaneous Trans­lu­mi­nal Angioplasty Concurrent With the Placement of an Investigational or FDA-Approved Carotid Stent.

Percutaneous Transluminal Angioplasty for Implanting the Carotid Stent.

Category B Investigational Device Exemptions Trial Coverage.

Post Approval Study Coverage.

Carotid Artery Stenting With Embolic Protection Coverage.

912
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction.

913
Mammography Quality Standard Act File.

914
Additional $50 Payment for New Technology Intraocular Lenses Furnished in Ambulatory Surgical Centers.

Ambulatory Surgical Center Services on Ambulatory Surgical Center List Payment for Intraocular Lenses.

915
Common Working File, Viable Medicare Systems and Fiscal Intermediary Shared System Analysis—Changes in Payment for Oxygen Equipment due to the Deficit Reduction Act of 2005.

916
Correct Reporting of Diagnosis Codes on Screening Mammography Claims.

Healthcare Common Procedure Coding System and Diagnosis Codes for Mammography Services.

Billing Requirements—Fiscal Intermediary Claims.

917
Update of ICD-9 Codes Used in Common Working File Editing of Oral Anti-Cancer and Oral Anti-Emetic Drugs.

918
General Provider Education for Changes in the Payment for Oxygen Equipment and Capped Rentals for Durable Medical Equipment Based on the Deficit Reduction Act of 2005.

919
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

920
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

921
Reporting of Diagnosis Code V06.6 on Influenza Virus and/or Pneumococcal Pneumonia Virus Vaccine Claims and Acceptance of Current Procedural Terminology Code 90660 for the Reporting of the Influenza Virus Vaccine.

Healthcare Common Procedure Coding System and Diagnosis Codes.

922
Medicare Summary Notice Format Changes for Durable Medical Equipment Regional Carriers and the Durable Medical Equipment Maximum Allowable Charge.

Title Section of the Medicare Summary Notice.

Appeals Section.

923
Update of Radiopharmaceutical Imaging Agents Healthcare Common.

Procedure Coding System Codes Applicable to Positron Emission Tomography Tracer Codes Required for Positron Emission Tomography Scans.

924
Adjustment to Health Professional Shortage Area Contractor Zip Code File Indicators.

925
Installation of July Pricing Software Containing the Customer Information Control System Formatting Update.

926
Common Working File Change for Skilled Nursing Facility Consolidated Billing.

Annual Update Process.

927
Medicare Remit Easy Print Update.

928
July Quarterly Update for 2006 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule.

929
Viable Medicare System and Fiscal Intermediary Shared System Analysis—Changes in Capped Rentals for Durable Medical Equipment Due to the Deficit Reduction Act of 2005.

930
Benefits Exhaust and No-Payment Billing Instructions for Medicare Fiscal Intermediaries and Skilled Nursing Facilities.

Inpatient Billing From Hospitals and Skilled Nursing Facilities.

Total and Noncovered Charges.

Ending a Benefit Period.

Billing in Benefits Exhaust and No-Payment Situations.

Other Billing Situations.

931
Billing Requirements for Bariatric Surgery for Treatment for Morbid Obesity.

General.

Healthcare Common Procedure Coding System Coding for Bariatric Procedures.

ICD-9/Diagnosis Codes for Bariatric Surgery.

Reasons for Denial and Medicare Summary Notice, Remittance.

Advice Codes and Claims Adjustment Reason Code Messages.

Fiscal Intermediary Billing Requirements.

ICD-9 Procedure Codes for Bariatric Procedures.

Non-Covered ICD-9 Procedure Code for Bariatric Surgery.

Advance Beneficiary Notice and Hospital-Issued Notice of Noncoverage Information.

932
Competitive Acquisition Program for Part B Drugs Physician Election.

933
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

934
Issued to a specific audience not posted to Internet/Intranet due to Confidentiality of Instruction.

935
Issued to a specific audience not posted to Internet/Intranet due to Confidentiality of Instruction.

936
Issued to a specific audience not posted to Internet/Intranet due to Confidentiality of Instruction.

937
Issued to a specific audience not posted to Internet/Intranet due to Confidentiality of Instruction.

938
The Inpatient Rehabilitation Facility Prospective Payment System.

Criteria That Must Be Met By Inpatient Rehabilitation Hospitals.

Counting a Comorbidity as one of the Listed Medical Conditions.

Verification Process Used To Determine if the Inpatient Rehabilitation Facility Met the Classification Criteria.

New and Converted Inpatient Rehabilitation Facility Units.

939
Issued to a specific audience not posted to Internet/Intranet due to Confidentiality of Instruction.

940
This Transmittal is rescinded and replaced by Transmittal 944.

941
Changes Conforming to CR 3648 Instructions for Therapy Services.

Billing Procedures for Entities Qualified to Receive Payment on Basis of Reassignment—for Carrier Processed Claims.

Payment for Services Furnished After Termination, Expiration, or Cancellation of Provider Agreement.

When Beneficiary Statement Is Not Required for Physician/Supplier Claim.

Frequency of Billing for Outpatient Services to Fiscal Intermediaries.

Time Limitation of Claims for Outpatient Physical Therapy or Speech Language Pathology Services Furnished by Clinic Providers.

Carrier Specific Requirements for Certain Specialties/Services.

Definition of Provider and Supplier.

Provider Access to CMS and Carrier or Fiscal Intermediary Eligibility Data.

Non-emergency Part B Medical and Other Health Services.

Criteria That Must Be Met By Inpatient Rehabilitation Hospitals

Background.

Inpatient Part B Hospital Services.

Healthcare Common Procedure Coding System Coding Requirement

Reporting of Service Units With Healthcare Common Procedure Coding System—Form CMS-1500 and Form CMS-1450.

Applicable Revenue Codes—Fiscal Intermediaries.

Proper Reporting of Code G0128 by Comprehensive Outpatient.

Rehabilitation Facilities—Fiscal Intermediaries.

Consolidated Billing Requirement for Skilled Nursing Facilities.

Types of Services Subject to the Consolidated Billing Requirement for Skilled Nursing Facilities.

Furnishing Services That Are Subject to Skilled Nursing Facility.

Consolidated Billing Under an “Arrangement” With an Outside Entity.

Physician's Services and Other Professional Services Excluded From Part A Prospective Payment System Payment and the Consolidated Billing Requirement.

Utilization Edits.

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

Audiologic Tests.

Adjustments of Episode Payment—Therapy Threshold.

Medical and Other Health Services Not Covered Under the Plan of Care (Bill Type 34X).

Carrier Processing of Claims for Hospice Beneficiaries.

Bill Type Codes and Allowable Provider Numbers.

Items 14-33—Provider of Service of Supplier Information.

Place of Service Codes and Definitions.

Inpatient, Skilled Nursing Facility, Outpatient, Home Health, and Hospice Consistency Error Codes.

A/B Crossover Error Codes.

942
Ambulatory Surgical Center Claims Processing Manual Clarification.

Services Furnished in Ambulatory Surgery Centers Which Are Not Ambulatory Surgery Center Facility Services.

Coverage of Services in Ambulatory Surgery Centers Which Are Not Ambulatory Surgery Center Facility Services.

943
Deported Medicare Beneficiaries.

Claims Processing Requirements for Deported Beneficiaries.

Implementation of Payment Policy for Deported Beneficiaries.

944
Full Replacement of CR 4349, Hold on Medicare Payments. CR 4349 Is Rescinded.

945
This Transmittal is rescinded and replaced by Transmittal 955.

946
Instructions for Downloading the Medicare Zip Code File.

947
New Waived Tests.

948
Stage 2 National Provider Identifier Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22—Remittance Advice.

Background.

General Remittance Completion Requirements.

Remittance Balancing.

American National Standard Institute Accredited Standards.

Committee X12N 835.

Generating an Electronic Remittance Advice if Required Data Is Missing or Invalid.

Medicare Standard Electronic Personal Computer Print Software for Institutional Providers.

Medicare Remit Easy Print Software for Professional Providers and Suppliers.

Implementation Guide.

Standard Paper Remittance Advice.

Standard Paper Remittance Formats.

Part A/Fiscal Intermediaries/Regional Home Health Intermediaries.

Standard Paper Remittance Format.

Part B/Carrier and Durable Medical Equipment Regional Carrier.

Standard Paper Remittance Format.

Carrier and Durable Medical Equipment Regional Carrier Standard.

Paper Remittance Crosswalk to the 835.

Claim Adjustment Reason Codes.

Remittance Advice Remark Codes.

Group Codes.

Fiscal Intermediary/Regional Home Health Intermediary Requirement.

Changes to Accommodate Outpatient Prospective Payment System and Home Health Prospective Payment System.

Items Not Included in Home Health Prospective Payment System Episode Payment.

835 Version 3051.4A.01 Line Level Reporting Requirements for the Claim Payment in an Episode More Than Four Visits.

835 Version 3051.4A.01 Line Level Reporting Requirements for the Claim Payment in an Episode Four or Fewer Visits.

949
Billing Clarification for J2505, Pegfilgrastim.

950
Realignment of States and Medicare Claims Processing Workload from the Current Durable Medical Equipment Regional Carrier Regions A and B to the Durable Medical Equipment Maximum Allowable Cost Jurisdictions A and B.

This Change Request Rescinds and Replaces Change Request 4002.

951
Payment for Carotid Artery Stenting Post-Approval Extension Studies.

952
Administrative Simplification Compliance Act Review Revisions.

Exceptions.

Unusual Circumstance Waivers Subject to Provider Self-Assessment.

Unusual Circumstance Waivers Subject to Contractor Evaluation and CMS Decision.

Enforcement.

Fiscal Intermediary Shared System Role in Administration Simplification.

Compliance Act Enforcement.

Multi-Carrier System & Viable Medicare System Roles in Administration Simplification Compliance Act Enforcement.

Contractor Roles in Administration Simplification Compliance Act Reviews.

953
Competitive Acquisition Program—Creation of Automated Tables for Provider Information, Expansion of CAP Fee Schedule File Layout, and Additional Instructions for Claims Received from Railroad Retirement Board Beneficiaries.

Competitive Acquisition Program Claims Submitted with Only the No Pay Line.

Competitive Acquisition Program Fee Schedule.

Changes to the List of Drugs Supplied by Approved Competitive Acquisition Program Vendors.

954
Payment for Evaluation and Management Services Provided During Global Period of Surgery.

955
Quarterly Medicare Summary Notice Printing Cycle.

General Medicare Summary Notices Requirements.

General Requirements for the Medicare Summary Notices.

Claims Information Section.

General Information Section.

Sección De Información General.

956
Payment for Positron Emission Tomography Scans in CMS-Approved Clinical Trials and Coverage With Evidence Development—Use of QR and QV Modifiers.

Coverage for Positron Emission Tomography Scans for Dementia and Neurodegenerative Diseases.

Billing Requirements for CMS-Approved Clinical Trial Claims for Positron Emission Tomography Scans for Neurodegenerative Diseases, Previously Specified Cancer Indications, and All Other Cancer Indications Not Previously Specified.

957
Pancreas Transplants Alone.

Pancreas Transplants with Kidney Transplants.

958
Chapter 24 Update to the National Council for Prescription Drug Program.

Narrative Portion of Prior Authorization Segment.

959
Changes to the Laboratory National Coverage Determination Edit Software for July 2006.

960
July 2006 Non-Outpatient Prospective Payment System Outpatient Code Editor Specifications Version 21.3.

961
Home Use of Oxygen in Approved Clinical Trials.

Durable Medical Equipment Prosthetic, Orthotics & Supplies Clinical Trials and Demonstrations.

962
July 2006 Outpatient Prospective Payment System Code Editor Specifications Version 7.2.

963
July Update to the 2006 Medicare Physician Fee Schedule Database.

964
This Transmittal is rescinded and replaced by Transmittal 973.

965
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 12.2, Effective July 1, 2006.

966
Intestinal and Multi-Visceral Transplants.

967
Modification to the Coordination of Benefits Agreement Claims Selection Criteria and File Transfer Protocols.

Consolidated Claims Crossover Process.

Claims Crossover Disposition Indicators.

Consolidation of the Claims Crossover Process.

968
Chemotherapy Administration and Nonchemotherapy Injection and Infusion Coding and Payment Policy—Update to Pub. 100-04 Medicare Claims Processing Manual.

Payment for Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions.

969
July 2006 Maintenance and Update of the Temporary Hook Created to Hold Outpatient Prospective Payment System Claims That Include Certain Drug Healthcare Common Procedure Coding System Codes.

970
July 2006 Update of the Hospital Outpatient Prospective Payment System: Summary of Payment Policy Changes.

971
Clarification Regarding Effective Dates for Carrier Claim Adjustments: Denied Replacement Defibrillator Claims Lacking a QR Modifier.

972
October 2006 Maintenance and Update of the Temporary Hook Created to Hold Outpatient Prospective Payment System Claims That Include Certain Drugs Healthcare Common Procedure Coding System Codes.

973
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

974
July 2006 Quarterly Average Sales Price Medicare Part B Drug Pricing File, Effective July 1, 2006, and Revisions to January 2006 and April 2006 Quarterly Average Sale Price Medicare Part B Drug Pricing Files.

975
Ambulatory Surgical Center Claims Processing Manual Clarification Services Furnished in Ambulatory Surgery Centers Which Are Not Ambulatory Service Center Facility Services.

Coverage of Services in Ambulatory Surgery Centers Which Are Not Ambulatory Surgery Center Facility Services.

976
Billing of Temporary ‘C’ Healthcare Common Procedure Coding System Code by Non-Outpatient Prospective Payment System Providers.

Standard Method—Cost Based Facility Services, With Billing of Carrier for Professional Services.

977
Non-Autologous Blood Derived Products for Chronic Non-Healing Wounds.

978
Update-Inpatient Psychiatric Facilities Prospective Payment System Rate Year 2007.

979
Cardiovascular System (Codes 92950-93799).

980
Changes Conforming to CR 3648 Instructions for Therapy Services.

Billing Procedures for Entities Qualified to Receive Payment on Basis of Reassignment for Carrier Processed Claims.

Payment for Services Furnished After Termination, Expiration, or Cancellation of Provider Agreement.

When Beneficiary Statement Is Not Required for Physician/Supplier Claim.

Frequency of Billing for Outpatient Services to Fiscal Intermediaries.

Time Limitation of Claims for Outpatient Physical Therapy or Speech-Language.

Pathology Services Furnished by Clinic Providers.

Carrier Specific Requirements for Certain Specialties/Services.

Definition of Provider and Supplier.

Provider Access to CMS and Carrier or Fiscal Intermediary Eligibility Data.

Non-emergency Part B Medical and Other Health Services.

Criteria That Must Be Met by Inpatient Rehabilitation Hospitals.

Inpatient Part B Hospital Services.

Reporting of Service Units With Healthcare Common Procedure Coding System—Form CMS-1500 and Form CMS-1450.

Applicable Revenue Codes Fiscal Intermediaries.

Off-Site Comprehensive Outpatient Rehabilitation Facility Services.

Consolidated Billing Requirement for Skilled Nursing Facilities.

Types of Services Subject to the Consolidated Billing Requirement for Skilled Nursing Facilities.

Furnishing Services That Are Subject to Skilled Nursing Facility.

Consolidated Billing Under an “Arrangement” With an Outside Entity.

Physician's Services and Other Professional Services Excluded From Part A.

Prospective Payment System Payment and the Consolidated Billing Requirement.

Utilization Edits.

Billing for Inpatient Skilled Nursing Facility Services Paid Under Part B Audiologic Tests.

Adjustments of Episode Payment—Therapy Threshold.

Medical and Other Health Services Not Covered Under the Plan of Care (Bill Type 34X).

Carrier Processing of Claims for Hospice Beneficiaries.

981
Update-Long Term Care Hospital Prospective Payment System Rate Year 2007.

Provider-Specific File.

Short-Stay Outliers.

Interrupted Stays.

Payment Policy for Co-Located Providers.

Inputs/Outputs to Pricer.

982
New Use of Hospital Issued Notice of Noncoverage.

983
Healthcare Provider Taxonomy Codes Update.

984
Healthcare Common Procedure Coding System Correction for the Caffeine Halothane Contracture Test for Malignant Hyperthermia Susceptibility.

985
Appeals Updates.

Acknowledgement of Request for a Hearing Officer Hearing.

General Procedures to Establish Good Cause.

Medicare Redetermination Notice (for Partly or Fully Unfavorable Redetermination).

Contractor Responsibilities—General.

Effectuation of Reconsiderations.

Forwarding Requests to HHS/OMHA.

Effectuation Time Limits & Responsibilities.

Departmental Appeals Board—The Fourth Level of Appeal.

Effectuation of Appeals Council Orders and Decisions.

Requests for Case Files.

Payment of Interest on Appeals Council Decisions.

Effectuation of U.S. District Court Decisions.

986
Payment for Islet Cell Transplantation in NIH-Sponsored Clinical Trials.

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

Applicable Modifier for Islet Cell Transplant Claims for Carriers.

Special Billing and Payment Requirements for Intermediaries.

987
Claim Status Category Code and Claim Status Code Update.

988
Correction to CR 4136: New Waived Tests.

989
Correction to CR 4122: Correction of Typographical Error in the Do Not Forward Reports.

Reporting Requirements—Carriers.

990
Medicare Contractor Annual Update of the International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM).

991
Eligibility Rules of Behavior.

992
Lumbar Artificial Disc Replacement.

Billing Requirements for Lumbar Artificial Disc Replacement.

General.

Carrier Billing Requirements.

Fiscal Intermediary Billing Requirements.

Reasons for Denial and Medicare Summary Notice and Claim Adjustment.

Reason Code Messages.

Advance Beneficiary Notice and Hospital Issued Notice of Noncoverage Information.

993
Non-Physician Practitioner Payment for Care Plan Oversight.

Care Plan Oversight.

Care Plan Oversight Services.

Care Plan Oversight Billing Requirements.

994
Special Issues Associated With the Advance Beneficiary Notice for Hospice Providers and Comprehensive Outpatient Rehabilitation Facilities.

Special Issues Associated With the Advance Beneficiary Notice for Hospice Providers.

995
Common Working File Part C Data Exchange and Data Display Changes.

996
Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance.

Advice, and Changes in Medicare Claims Processing Manual, Chapter 22.

Remittance Advice.

Background.

General Remittance Completion Requirements.

Remittance Balancing.

Generating an Electronic Remittance Advice If Required Data Is Missing or Invalid.

Medicare Standard Electronic PC Print Software for Institutional Providers.

Medicare Remit Easy Print Software for Professional Providers and Suppliers.

Implementation Guide.

Standard Paper Remittance Advice.

Standard Paper Remittance Formats.

Part A/Fiscal Intermediaries/Regional Home Health Intermediaries.

Standard Paper Remittance Format.

Part B/Carrier and Durable Medical Equipment Regional Carrier.

Standard Paper Remittance Format.

Carrier and Durable Medical Equipment Regional Carrier Standard.

Paper Remittance Crosswalk to the 835.

Claim Adjustment Reason Codes.

Remittance Advice Remark Codes.

Group Codes.

Fiscal Intermediary/Regional Home Health Intermediary Requirement Changes To Accommodate Outpatient Prospective Payment System and Home Health Prospective Payment System

Items Not Included in Home Health Prospective Payment System Episode Payment

835 Version 3051.4A.01 Line Level Reporting Requirements for the Claim Payment in an Episode More than Four Visits.

835 Version 3051.4A.01 Line Level Reporting Requirements for the Claim Payment in an Episode Four or Fewer Visits.

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

49
Manualizing Long-Standing Medicare Secondary Payer Policy in Chapter 2 of the MSP Internet Only Manual.

Medicare Secondary Payer Provisions for Working Aged Individuals.

Individuals Subject to Limitations on Payment.

Individuals Not Subject to the Limitation on Payment.

Working Aged Exception for Small Employers in Multi-Employer Group Health Plans.

Medicare Secondary Payer Provisions for End-Stage Renal Disease Beneficiaries.

Dual Eligibility/Entitlement Situations.

Individuals Not Subject to Medicare Secondary Payer Provision.

The 100 or More Employees Requirement.

Disabled Individuals Who Return to Work.

Dually Entitled Individuals.

Liability Insurance.

Medicare's Recovery Rights.

Billing in Liability Insurance Situations.

Workers' Compensation.

Effect of Payments Under Workers' Compensation Plan.

No-Fault Insurance.

50
Clarification of Exhaustible Benefits and Healthcare Integrated General Ledger Accounting System Role within Transmittal 20.

Savings Calculations.

51
Medicare Secondary Payer Recovery Contractor New Contractor Number.

52
Medicare Secondary Payer Bankruptcy/Liquidation Notices.

Federal Bankruptcy/State Insurer Liquidation Actions and Medicare Secondary Payer Debt.

Types of Federal Bankruptcy Proceedings.

State Ordered Insurer Liquidation.

Importance of Various Dates in Bankruptcy/Liquidation Proceedings.

Difference Between Automatic Stay, Relief, and Discharge Affiliates.

Notice of Bankruptcy/Liquidation.

Identifying Medicare Secondary Payer Based Debts for Entities in Bankruptcy/Liquidation.

Contractor's Role.

Identifying Medicare Secondary Payer Based Debts for Entities in Bankruptcy/Liquidation at Contractor Sites.

Recovery Efforts and Managing Debts of Entities in Bankruptcy/Liquidation.

Bankruptcy Debts Discharged by the U.S. Court/Liquidation Debts Discharged by State Court.

Bankruptcy Debts Dismissed by the U.S. Bankruptcy Court.

Appeal Request Citing Bankruptcy Defense.

Spreadsheet Identifying Entities in Bankruptcy/Liquidation.

Example of CMS Bankruptcy/Liquidation Notice to Contractors As a Result of a Prior Treasury Notification.

53
Modifications to Online Medicare Secondary Payer Questionnaire.

Admission Questions to Ask Medicare Beneficiaries.

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

93
Clarification of the Form CMS-1522 Monthly Contractor Financial Report.

Procedures for the Reconciliation of Total Funds Expended for Fiscal Intermediary Shared System Medicare Contractors Used in the Preparation of Form CMS-1522 Monthly Contractor Financial Report.

Identification and Summarization of Detailed Claims Data Records For Use in the Financial Reconciliation of Total Funds Expended to Fiscal Intermediary Shared System Reports.

Using the Electronic Spreadsheet to Complete the Reconciliation of the Detailed Claims Data File to Fiscal Intermediary Shared System Reports.

Electronic Spreadsheet Input Schedule.

Total Funds Expended (Net Disbursements and Adjustments to Net Disbursements).

Reconciliation of Detailed Claims Data File to Fiscal Intermediary Shared System Reports.

Reconciliation of Non-Physician Incentive Plan Payments on Fiscal Intermediary Shared System Reports.

Reconciliation of Interest Received and Paid on Fiscal Intermediary Shared System Reports.

Categorization of Total Funds Expended by Category.

94
Notice of New Interest Rate for Medicare Overpayments and Underpayments.

95
Chapter 7, Internal Control Requirements Update.

Introduction.

Authority.

Office of Management & Budget Circular A-123.

Risk Assessment.

Risk Analysis Chart.

Internal Control Objectives.

Fiscal Year 2006 Medicare Control Objectives.

Policies and Procedures.

Control Activities.

Testing Methods.

Documentation and Working Papers.

Requirements.

Certification Statement.

Executive Summary.

Certification Package for Internal Control Report of Material Weaknesses.

Certification Package for Internal Control Report of Reportable Conditions.

Definitions of Reportable Conditions and Material Weaknesses.

Material Weaknesses Identified During the Reporting Period.

Corrective Action Plans.

Submission, Review, and Approval of Corrective Action Plans.

Corrective Action Plan Reports.

CMS Finding Numbers.

Initial Corrective Action Plan Report.

Quarterly Corrective Action Plan Report.

Entering Data into the Initial or Quarterly Corrective Action Plan Report.

List of Fiscal Year 2006 Medicare Control Objectives.

96
Development of New Report to Capture Benefits Improvements & Protection Act and Medicare Modernization Act Appeals Data.

Monthly Statistical Report on Intermediary and Carrier Part A and Part B Appeals Activity Form (CMS-2592).

General.

Redeterminations.

Qualified Independent Contractor Reconsiderations.

Administrative Law Judge Results.

Medicare Appeals Council Effectuations.

Clerical Error Reopenings.

Validation of Reports.

97
Collection of Fee-for-Service Payments Made During Periods of

Managed Care Enrollment.

98
Correction of CROWD Form 5 Reporting for Internet Pilot Carriers.

99
Instructions for Medicare Credit Balance Reporting Activities.

Instructions to Fiscal Intermediaries for the Medicare Credit Balance Report.

Medicare Credit Balance Report (CMS-838).

Fiscal Intermediary Internal Controls.

Minimum Requirements for Internal Controls.

Processing CMS-838 Claims Adjustments.

Checks Submitted by Providers.

Suspension Warning Letter (Fiscal Intermediary Action if a Credit Balance Report Is Not Submitted).

Sample Suspension Warning Letter.

Issuance of Notification/Rejection Letter to Providers Regarding Non-Payment of Medicare Credit Balances or Missing/Inaccurate Information on the CMS-838 Report.

Sample Notification/Reminder Letter.

Fiscal Intermediary Recovery of Non-Medicare Secondary Payer/Medicare.

Secondary Payer Accounts Receivables and Claims Accounts Receivables.

Fiscal Intermediary Issuance of a Credit Balance Demand Letter.

Interest Assessment for Non-Medicare Secondary Payer and Medicare.

Secondary Payer Medicare Credit Balances.

Extended Repayment Schedule.

Credit Balance Reporting Completion Standard and Backlog Issues.

Medicare Credit Balance Summary Report.

Instructions for Completing the Medicare Credit Balance Summary Report.

Provider Instructions for the Medicare Credit Balance Report.

Submitting the CMS-838.

Completing the CMS-838.

Payments of Amounts Owed Medicare.

Records Supporting CMS-838 Data.

Provider-Based Home Health Agencies.

Exception for Low Utilization Providers.

Compliance with MSP Regulations.

Medicare State Operations Manual (CMS—Pub. 100-07).

19
Revisions to Appendix PP—Guidance to Surveyors for Long Term Care Facilities.

20
Revisions to Appendix P—“Survey Protocol for Long Term Care Facilities—Part I.”.

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

146
Provider Enrollment Update.

Introduction.

Definitions.

Contractor Duties.

147
Evaluation of Local Coverage Determination Topics for National Coverage.

Determination Consideration.

148
Medicare Claims System Changes to Accept Opt Out Actions From the Provider Enrollment, Chain & Ownership System Daily Extract File.

149
Notification to Provider(s) or Supplier(s) Regarding Postpayment Review Results.

150
Re-issuance of Chapter 10, Introduction of Provider Enrollment.

Introduction to Provider Enrollment.

Definitions.

CMS-855 Medicare Enrollment Applications.

Medicare Contractor Duties.

Timeliness Standards.

Timeframes for Initial Applications.

Timeframes for Changes of Information.

General Timeliness Principles.

Pre-Screening and Application Returns.

Pre-Screening Process.

Returning the Application.

Application Review.

Basic Information (Section 1 of the CMS-855).

Identifying Information (Section 2 of the CMS-855).

Tax Identification Numbers and Legal Business Names.

Licenses and Certifications.

Correspondence Address.

Accreditation.

Section 2 of the CMS-855A.

Section 2 of the CMS-855B.

Section 2 of the CMS-855I.

Adverse Legal Actions/Convictions.

Practice Location Information.

Section 4 of the CMS-855A.

Section 4 of the CMS-855B.

Section 4 of the CMS-855I.

Owning and Managing Organizations.

Owning and Managing Individuals.

Chain Organizations.

Billing Agencies.

Special Requirements for Home Health Agencies.

Contact Person.

Certification Statement.

Delegated Official.

Ambulance Attachment.

Independent Diagnostic Testing Facility Attachment.

Independent Diagnostic Testing Facility Standards.

CPT-4 and Healthcare Common Procedure Coding System Codes.

Interpreting Physicians.

Technicians.

Supervising Physicians.

Desk and Site Reviews.

Special Procedures and Supplier Types.

Billing Issues.

Processing CMS-855R Applications.

National Provider Identifier.

Verification and Validation.

General Verification Principles.

Verification of Data.

Requesting and Receiving Clarifying Information.

Special Verification Procedures for CMS-855B, CMS-855I, and CMS-855R Applications.

Special Verification Procedures for CMS-855A Applications.

Special Verification Procedures for Enrolling Independent CLIA Labs, Ambulatory Surgical Centers, and Portable X-ray Suppliers.

Special Procedures for Processing Full CMS-855 Applications Submitted by Enrolled Providers.

Final Application Actions.

Approvals.

Non-Certified Suppliers and Individuals Practitioners.

Certified Providers and Certified Suppliers.

Denials.

Changes of Information.

General Procedures.

Special Instructions for Certified Providers, Ambulatory Surgery Centers, and Portable X-ray Suppliers.

Voluntary Terminations.

Electronic Fund Transfers.

Revalidation.

Documentation.

Special Processing Situations.

Tie-In Notices.

Out-of-State Practice Locations for Certified Providers.

Provider-Based.

State Survey Actions.

Carrier Processing of Hospital Applications.

Par Agreements.

Opt-Out.

Provider and Supplier Types/Services.

Community Mental Health Centers.

Diabetes Self-Management Training.

Mass Immunizers Who Roster Bill.

Enrolling Indian Health Service Facilities As Durable Medical Equipment, Prosthetics, Orthotics and Supplies Suppliers.

Model Correspondence Language.

Provider Enrollment Chain & Ownership System.

External Reporting Requirements.

Maintenance and Release of CMS-855 Data.

Security.

Release of Information.

File Maintenance.

Customer Service.

Web Sites.

Provider Enrollment Inquiries.

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

00
None.

Medicare Quality Improvement Organization Manual (CMS—Pub. 100-10)

14
Revisions to Chapter 8, Data Management.

Introduction.

Infrastructure Operations and Support Manual.

Infrastructure IT Administrator Manual.

Database Systems Administrator Guide.

Security Handbook.

Confidentiality of System.

Performance Standards.

15
Revisions to Chapter 10, Confidentiality and Disclosure.

Statutory and Regulatory Requirements.

General Requirements.

Confidential Information.

Disclosure of Confidential Quality Improvement Organization Information to Officials and Agencies.

Disclosure of Quality Improvement Organization Information for Research Purposes—Quality Review Study Information.

Disclosure of Quality Improvement Organization Sanction Information.

Re-disclosure of Quality Improvement Organization Information.

Model Data Use Agreement.

Model Letter.

Model Language.

16
Revisions to Chapter 1, Background and Responsibilities.

Authority.

Purpose of Quality Improvement Organization Review.

Quality Improvement Organization Responsibilities.

Health Care Quality Improvement Program.

Hospital Payment Monitoring Program.

Quality Improvement Organization Support Center.

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

00
None.

Medicare Business Partners Systems Security (CMS—Pub. 100-17)

00
None.

Demonstrations (CMS—Pub. 100-19)

44
Additional Billing Guidance for HHA Sites in the Demonstration Project for Medical Adult Day-Care Services (MMA Section 703).

45
Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act.

46
Additional Clarification of CR 3816 Business Requirements.

47
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

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

218
Nesiritide for Treatment of Heart Failure Patients.

219
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction.

220
Addition of Data Elements to Common Working File Database Extract into Next Generation Desktop Datamart.

221
Beneficiary Change of Address—Phase 2.

222
Issued to a specific audience not posted to Internet/Intranet due to Confidentiality of Instruction.

223
Contractor Number Changes for National Heritage Insurance Company—Jurisdiction A Durable Medical Equipment Maximum Allowable Cost Workload and AdminaStar Federal, Inc.—Jurisdiction B Durable Medical Equipment Maximum Allowable Cost Workload.

224
Part A and Part B Medicare Administrative Contractor Jurisdiction Implementation.

225
Requirements for Systems Changes Needed to Generate Unsolicited Responses to The Veteran Administration.

226
Allowing Adjustments to Part A and Part B Veterans Administration Medicare Remittance Advice Claims.

227
National Council of Prescription Drug Programs Coordination of Benefits.

Companion Document Update.

228
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

229
Healthcare Integrated General Ledger Accounting System Changes for Stage 2 National Provider Identifier.

230
New Remittance Advice Remark Code Message Used for the Physician's Voluntary Reporting Program.

Addendum IV.—Regulation Documents Published in the Federal Register April Through June 2006

Publication date
FR Vol. 71 page number
CFR parts affected
File code
Title of regulation

April 5, 2006
17052
405, 412, 422, and 489
CMS-4105-P
Medicare Program; Notification Procedures for Hospital Discharges.

April 5, 2006
17021
410
CMS-3017-F
Medicare Program; Conditions for Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles.

April 7, 2006
17888

CMS-1481-N
Medicare Program; Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG) Meeting—May 1 Through May 2, 2006.

April 12, 2006
18654
412 and 413
CMS-1531-IFC
Medicare Program; Medicare Graduate Medical Education Affiliation Provisions for Teaching Hospitals in Certain Emergency Situations.

April 21, 2006
20754
420, 424, 489, and 498
CMS-6002-F
Medicare Program; Requirements for Providers and Suppliers To Establish and Maintain Medicare Enrollment.

April 21, 2006
20697

CMS-2235-NC
State Children's Health Insurance Program (SCHIP); Redistribution of Unexpended SCHIP Funds From the Appropriation for Fiscal Year 2003; Additional Allotments To Eliminate SCHIP Fiscal Year 2006 Funding Shortfalls; and Provisions for Continued Authority for Qualifying States To Use a Portion of Certain SCHIP Funds for Medicaid Expenditures.

April 25, 2006
23996
409, 410, 412, 413, 424, 485, and 489
CMS-1488-P
Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates.

April 28, 2006
25179

CMS-1319-N
Medicare Program; Meeting of the Practicing Physicians Advisory Council, May 22, 2006.

April 28, 2006
25178

CMS-4113-N
Medicare Program; Meeting of the Advisory Panel on Medicare Education, May 25, 2006.

April 28, 2006
25176

CMS-3171-N
Medicare Program; Calendar Year 2006 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers (ASCs) and Correction.

April 28, 2006
25124
136 and 489
CMS-2206-P
Section 506 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003—Limitation on Charges for Services Furnished by Medicare Participating Inpatient Hospitals to Indians.

April 28, 2006
25092
146
CMS-4094-F4
Amendment to the Interim Final Regulation for Mental Health Parity.

April 28, 2006
25085
433
CMS-2231-IFC
Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals: Federal Fiscal Year 2006.

May 1, 2006
25654
411, 414, and 424
CMS-1270-P
Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues.

May 1, 2006
25651

CMS-2235-NC (OFR-generated correction)
State Children's Health Insurance Program (SCHIP); Redistribution of Unexpended SCHIP Funds From the Appropriation for Fiscal Year 2003; Additional Allotments To Eliminate SCHIP Fiscal Year 2006 Funding Shortfalls; and Provisions for Continued Authority for Qualifying States To Use a Portion of Certain SCHIP Funds for Medicaid Expenditures. (Correction).

May 9, 2006
27040
412 and 424
CMS-1306-F
Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System Payment Update for Rate Year Beginning July 1, 2006 (RY 2007).

May 12, 2006
27798
412
CMS-1485-F
Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2007: Annual Payment Rate Updates, Policy Changes, and Clarification.

May 15, 2006
28106
412
CMS-1540-P
Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2007.

May 17, 2006
28644
412
CMS-1488-P2
Medicare Program; Hospital Inpatient Prospective Payment Systems Implementation of the Fiscal Year 2007 Occupational Mix Adjustment to the Wage Index.

May 26, 2006
30423

CMS-1324-N
Medicare Program; Public Meeting in Calendar Year 2006 for New Clinical Laboratory Tests for Payment Determinations.

May 26, 2006
30422

CMS-4117-FN
Medicare Program; Approval of URAC for Deeming Authority for Medicare Advantage Health Maintenance Organizations and Local Preferred Provider Organizations.

May 26, 2006
30358
414
CMS-1317-P
Medicare Program; Revisions to the Payment Policies of Ambulance Services Under the Fee Schedule for Ambulance Services.

May 26, 2006
30289
403
CMS-4005-F
Medicare Program; State Health Insurance Assistance Program (SHIP).

May 31, 2006
30982
413, 441, 486, and 498
CMS-3064-F
Medicare and Medicaid Programs; Conditions for Coverage for Organ Procurement Organizations (OPOs).

June 23, 2006
36120

CMS-3170-N
Medicare Program; Meeting of the Medicare Coverage Advisory Committee—August 30, 2006.

June 23, 2006
36118

CMS-1295-N
Medicare Program; Second Biannual Meeting of the Advisory Panel on Ambulatory Payment Classification (APC) Groups—August 23, 24, and 25, 2006.

June 23, 2006
36101

CMS-9035-N
Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—January Through March 2006.

June 23, 2006
36100

CMS-2228-FN
Medicare and Medicaid Programs; Denial of the TuV Healthcare Specialists Request for Deeming Authority for Hospitals.

June 23, 2006
36020
423
CMS-0018-IFC
Medicare Program; Identification of Backward Compatible Version of Adopted Standard for E-Prescribing and the Medicare Prescription Drug Program (Version 8.1).

June 29, 2006
37170

CMS-1512-PN
Medicare Program; Five-year Review of Work Relative Value Unites Under the Physician Fee Schedule and Proposed Changes to the Practice Expense Methodology.

June 30, 2006
37504
420, 424, 489, and 498
CMS-6002-F2
Medicare Program; Requirements for Providers and Suppliers To Establish and Maintain Medicare Enrollment; Correcting Amendment.

June 30, 2006
37503
412 and 424
CMS-1306-CN2
Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System Update for Rate Year Beginning July 1, 2006 (RY 2007); Correction.

Addendum V—National Coverage Determinations

[April Through June 2006]

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 Web site at
http://cms.hhs.gov/coverage.

National Coverage Determinations
[April through June 2006]

Title
NCDM section
TN No.
Issue date
Effective date

Nesiritide for Treatment of Heart Failure Patients
200.1
R51NCD
4/07/06
3/02/06

Cardiac Rehabilitation Programs
20.10
R52NCD
4/21/06
3/22/06

PTA Concurrent With the Placement of Investigational or FDA-Approved Carotid Stent
20.7
R53NCD
4/21/06
3/17/06

Bariatric Surgery for Treatment of Morbid Obesity
100.1
R54NCD
4/28/06
2/21/06

Pancreas Transplants Alone
260.3
R56NCD
5/19/06
4/26/06

Changes Conforming to CR3648 Instructions for Therapy Services
160.12, 170.3, 290.1
R55NCD
5/05/06
10/01/06

Changes to the Lab NCD Edit Software for July 06
50.12
R959CP
5/26/06
7/01/06

Home Use of Oxygen in Approved Clinical Trials
240.2
R57NCD
5/26/06
3/20/06

Intestinal & Multivisceral Transplantation
260.5
R58NCD
5/26/06
5/11/06

Non-Autologous Blood-Derived Products for Chronic Non-Healing Wounds
270.3
R59NCD
6/09/06
5/13/06

Lumbar Artificial Disc Replacement
150.10
R60NCD
6/23/06
5/16/06

Addendum VI—FDA-Approved Category B IDEs

[April Through June 2006]

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 first quarter, April Through June 2006.

IDE
Category

G050017
B

G050162
B

G050171
B

G050203
B

G050218
B

G050233
B

G050238
B

G050264
B

G060017
B

G060029
B

G060039
B

G060053
B

G060054
B

G060055
B

G060056
B

G060059
B

G060061
B

G060062
B

G060064
B

G060066
B

G060068
B

G060071
B

G060072
B

G060073
B

G060075
B

G060077
B

G060080
B

G060081
B

G060082
B

G060084
B

G060088
B

G060089
B

G060091
B

G060092
B

G060093
B

G060094
B

G060095
B

G060096
B

G060097
B

G060100
B

G060102
B

G060104
B

G060105
B

G060106
B

G060108
B

G060109
B

G060112
B

G060113
B

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 No.
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
Part 424, Subpart C

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

0938-0034
405.821

0938-0035
407.40

0938-0037
413.20, 413.24

0938-0041
408.6, 408.202

0938-0042
410.40, 424.124

0938-0045
405.711

0938-0046
405.2133

0938-0050
413.20, 413.24

0938-0062
431.151, 435.151, 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
493.1-493.2001

0938-0155
405.2470

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
416.44, 418.100, 482.41, 483.270, 483.470

0938-0245
407.10, 407.11

0938-0251
406.7

0938-0266
416.1-416.150

0938-0267
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, 415.60

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
441.50

0938-0355
442.30, 488.26

0938-0358
488.26

0938-0359
412.40-412.52

0938-0360
488.60

0938-0365
484.10, 484.12, 484.14, 484.16, 484.18, , 484.36, 484.48, 484.52

0938-0372
414.330

0938-0378
482.60-482.62

0938-0379
442.30, 488.26

0938-0382
442.30, 488.26

0938-0386
405.2100-405.2171

0938-0391
488.18, 488.26, 488.28

0938-0426
480.104, 480.105, 480.116, 480.134

0938-0429
447.53

0938-0443
478.18, 478.34, 478.36, 478.42

0938-0444
1004.40, 1004.50, 1004.60, 1004.70

0938-0445
412.44, 412.46, 431.630, 476.71, 476.74, 476.78

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, 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
412.256

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, 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

0938-0686
493.551-493.557

0938-0688
486.301-486.325

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, 148.122, 148.124, 148.126, 148.128

0938-0714
411.370-411.389

0938-0717
424.57

0938-0721
410.33

0938-0723
421.300-421.316

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

0938-0749
424.57

0938-0753
422.000-422.700

0938-0754
441.151, 441.152

0938-0758
413.20, 413.24

0938-0760
484.55, 484.205, 484.245, 484.250

0938-0761
484.11, 484.20

0938-0763
422.250, 422.252, 422.254, 422.256, 422.258, 422.262, 422.264, 422.266, 422.270, 422.300, 422.304, 422.306, 422.308, 422.310, 422.312, 422.314, 422.316, 422.318, 422.320, 422.322, 422.324, 423.251, 423.258, 423.265, 423.272, 423.286, 423.293, 423.301, 423.308, 423.315, 423.322, 423.329, 423.336, 423.343, 423.346, 423.350

0938-0770
410.2

0938-0778
422.111, 422.564

0938-0779
417.126, 417.470, 422.64, 422.210

0938-0781
411.404, 484.10

0938-0786
438.352, 438.360, 438.362, 438.364

0938-0790
460.12-460.210

0938-0792
491.8, 491.11

0938-0796
422.64

0938-0798
413.24, 413.65, 419.42

0938-0802
419.43

0938-0818
410.141-410.146, 414.63

0938-0829
422.568

0938-0832
Parts 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
Part 419

0938-0860
Part 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
Part 422 Subparts F and G

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
422.620, 422.624, 422.626

0938-0911
426.400, 426.500

0938-0915
421.120,421,122

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, 438.604, 438.710, 438.722, 438.724, 438.810

0938-0921
414.804

0938-0931
45 CFR 142.408, 162.408, and 162.406

0938-0933
438.50

0938-0935
422 Subparts F and K

0938-0936
423

0938-0939

405.502
422.250, 422.252, 422.254, 422.256, 422.258, 422.262, 422.264, 422.266, 422.270, 422.300, 422.304, 422.306, 422.308, 422.310, 422.312, 422.314, 422.316, 422.318, 422.320, 422.322, 422.324, 423.251, 423.258, 423.265, 423.272, 423.279, 423.286, 423.293, 423.301, 423.308, 423.315, 423.322,

0938-0944
423.329, 423.336, 423.343, 423.346, 423.350

0938-0950
405.910

0938-0951
423.48

0938-0953
405.1200 and 405.1202

0938-0954
414.906, 414.908, 414.910, 414.914, 414.916

0938-0957
Part 423 Subpart R

0938-0964
403.460, 411.47

0938-0975
423.562(a)

0938-0976
423.568

0938-0977
Part 423 Subpart R

0938-0978
423.464

0938-0982
422.310, 423.301, 423.322, 423.875, 423.888

0938-0990
423.56

0938-0992
423.505, 423.514

Addendum VIII—Medicare-Approved Carotid Stent Facilities

[April Through June 2006]

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.

Effective Date 4/3/06

Cullman Regional Medical Center, 1912 Alabama Highway 157, P.O. Box 1108, Cullman, AL 35056-1108, Medicare Provider #010035

Glendale Memorial Hospital and Health Center, 1420 South Central Avenue, Glendale, CA 91204, Medicare Provider #050058

Owensboro Medical Health System, P.O. Box 20007, 811 E. Parrish Avenue, Owensboro, KY 42303, Medicare Provider #180038

The University of Virginia Health System, P.O. Box 800788, Charlottesville, VA 22908-0788, Medicare Provider #490009

The William W. Backus Hospital, 326 Washington Street, Norwich, CT 06360, Medicare Provider #070024

Effective Date 4/5/06

Medcenter One, 300 North 7th Street, Bismarck, ND 58506, Medicare Provider #350015

Prince George's Hospital Center, 3001 Hospital Drive, Cheverly, MD 20785, Medicare Provider #210003

Effective Date 4/7/06

Flagler Hospital, Inc., 400 Health Park Boulevard, St. Augustine, FL 32086, Medicare Provider #100090

Ingalls Memorial Hospital, One Ingalls Drive, Harvey, IL 60426, Medicare Provider #140191

Tri-City Medical Center, 4002 Vista Way, Oceanside, CA 92056, Medicare Provider #050128

Effective Date 4/13/06

Doctors Hospital of Laredo, 10700 McPherson Road, Laredo, TX 78045, Medicare Provider #450643

Memorial Regional Hospital, 3501 Johnson Street, Hollywood, FL 33021, Medicare Provider #100038

North Oaks Medical Center, 15790 Paul Vega MD Drive, Hammond, LA 70403, Medicare Provider #190015

The Roy L. Schneider Hospital, 9048 Sugar Estate, St. Thomas, USVI 00802, Medicare Provider #480001

Effective Date 4/18/06

Coral Springs Medical Center, 3000 Coral Hills Drive, Coral Springs, FL 33065, Medicare Provider #100276

Crozer-Chester Medical Center, One Medical Center Boulevard, Upland, PA 19013-3995, Medicare Provider #390180

Mercy Hospital, 746 Jefferson Avenue, Scranton, PA 18501, Medicare Provider #390237

Northwest Hospital Center, 5401 Old Court Road, Randallstown, MD 21133-5185, Medicare Provider #210040

Orange Coast Memorial Medical Center, 9920 Talbert Avenue, Fountain Valley, CA 92708, Medicare Provider #050678

Effective Date 4/24/06

Crouse Hospital, 736 Irving Avenue, Syracuse, NY 13210, Medicare Provider #330203

Good Samaritan Regional Medical Center, 3600 NW Samaritan Drive, P.O. Box 1068, Corvallis, OR 97339, Medicare Provider #380014

Saint Vincent Catholic Medical Centers of New York, St. Vincent Hospital, Manhattan 170 West 12th Street, New York, NY 10011, Medicare Provider #330290

Tufts-New England Medical Center, 750 Washington Street, Boston, MA 02111, Medicare Provider #220116

Western Arizona Regional Medical Center, 2735 Silver Creek Road, Bullhead City, AZ 86442, Medicare Provider #030101

Effective Date 4/28/06

Brandywine Hospital, 201 Reeceville Road, Coatesville, PA 19320-0953, Medicare Provider #390076

Dallas County Hospital District, dba Parkland Health and Hospital System, 5201 Harry Hines Boulevard, Dallas, TX 75235, Medicare Provider #450015

Frisbie Memorial Hospital, 11 Whitehall Road, Rochester, NH 03867-3297, Medicare Provider #300014

Shelby Baptist Medical Center, 1000 1st Street North, Alabaster, AL 35007, Medicare Provider #030016

Suburban Hospital, Inc., 8600 Old Georgetown Road, Bethesda, MD 20814, Medicare Provider #210022

Effective Date 5/2/06

Porter, 814 LaPorte Avenue, Valparaiso, IN 46383, Medicare Provider #150035

Rowan Regional Medical Center, 612 Mocksville Avenue, Salisbury, NC 28144, Medicare Provider #340015

University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160-7200, Medicare Provider #170040

Effective Date 5/9/06

Middle Tennessee Medical Center, 400 North Highland Avenue, P.O. Box 1178, Mufreesboro, TN 37133-1178, Medicare Provider #440053

Southcoast Hospitals Group, dba St. Luke's Hospital, 101 Page Street, New Bedford, MA 02740, Medicare Provider #22007401

Yuma Regional Medical Center, 2400 South Avenue A, Yuma, AZ 85364-7170, Medicare Provider #030013

Effective Date 5/11/06

North Broward Medical Center, 201 East Sample Road, Deerfield Beach, FL 33064, Medicare Provider #100068

Sacred Heart Hospital, 421 Chew Street, Allentown, PA 18102, Medicare Provider #390197

Effective Date 5/12/06

Denton Regional Medical Center, 3535 South I-35 East, Denton, TX 76210, Medicare Provider #450634

Effective Date 5/15/06

AnMed Health Medical Center, 800 North Fant Street, Anderson, SC 29621, Medicare Provider #420027

Boone Hospital Center, 1600 East Broadway, Columbia, MO 65201, Medicare Provider #260068

Riverside Regional Medical Center, 500 J Clyde Morris Blvd, Newport News, VA 23601-1976, Medicare Provider #490052

Effective Date 5/17/06

St. Joseph Hospital, 2700 Dolbeer Street, Eureka, CA 95501, Medicare Provider #050006

Stamford Hospital, 30 Shelburne Avenue, Stamford, CT 06904, Medicare Provider #070006

Vicksburg Medical Center, 2100 Highway 61 North, Vicksburg, MS 39183, Medicare Provider #250031

Effective Date 5/24/06

Genesis Medical Center, 1227 East Rusholme, Davenport, IA 52803, Medicare Provider #160033

Legacy Emanuel Hospital and Health Center, 2801 N. Gantenbein Avenue, Portland, OR 97227, Medicare Provider #380007

Longview Regional Medical Center, 2901 N. Fourth Street 75605, P.O. Box 14000, Longview, TX 75607-4000, Medicare Provider #450702

University Hospital of Brooklyn, Downstate Medical Center, 445 Lenox Road, Box 75, Brooklyn, NY 11203-2098, Medicare Provider #330350

Winter Haven Hospital, 200 Avenue F, Northeast, Winter Haven, FL 33881, Medicare Provider #100052

Effective Date 6/1/06

Baptist Health Medical Center, 3333 Springhill Drive, North Little Rock, AR 72117, Medicare Provider #040036

Park Nicollet Health Services—Methodist Hospital, 6500 Excelsior Boulevard, St. Louis Park, MN 55426, Medicare Provider #240053

Shore Memorial Hospital, 1 East New York Avenue, Somers Point, NJ 08244-2387, Medicare Provider #310047

Effective Date 6/2/06

Straub Clinic and Hospital, 888 South King Street, Honolulu, HI 96813, Medicare Provider #120022

Washington Regional Medical Center, 3215 N. North Hills Blvd, Fayetteville, AR 72703, Medicare Provider #040004

Effective Date 6/12/06

Littleton Adventist Hospital, 7700 South Broadway, Littleton, CO 80122-2628, Medicare Provider #060113

Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07754, Medicare Provider #310073

The Heart Center of Indiana, 10580 North Meridian Street, Indianapolis, IN 46290, Medicare Provider #150153

Effective Date 6/19/06

Hospital Episcopal San Lucas, Calle Guadaloupe Final, P.O. Box 332027, Ponce, Puerto Rico 00733-2027, Medicare Provider #400002

Effective Date 6/22/06

Covenant Healthcare, 1447 N. Harrison, Saginaw, MI 48602, Medicare Provider #230070

J D Archbold Memorial Hospital, Gordon Avenue at Mimosa Drive, P.O. Box 1018, Thomasville, GA 31799-1018, Medicare Provider #110038

John C. Lincoln North Mountain Hospital, 250 East Dunlap, Phoenix, AZ 85020, Medicare Provider #030014

Palmetto Health Baptist, Taylor at Marion Streets, Columbia, SC 29220, Medicare Provider #420086

Swedish Covenant Hospital, 5145 North California Avenue, Chicago, IL 60625, Medicare Provider #140114

UPMC McKeesport, 1500 Fifth Avenue, McKeesport, PA 15132-2482, Medicare Provider #390002

Effective Date 6/26/06

Adventist Hinsdale Hospital, 120 N. Oak Street, Hinsdale, IL 60521, Medicare Provider #140122

Adventist La Grange Memorial Hospital, 5101 S. Willow Springs Road, La Grange, IL 60525, Medicare Provider #140065,

Effective Date 6/30/06

Banner Desert Medical Center, 1400 S. Dobson Road, Mesa, AZ 85202, Medicare Provider #030065

New York Hospital Medical Center of Queens, 56-45 Main Street, Flushing, NY 11355-5095, Medicare Provider #330055

Olathe Medical Center, Inc., 20333 West 151st Street, Olathe, KS 66061, Medicare Provider #170049

Sacred Heart Hospital, 900 West Clairemont Avenue, Eau Claire, WI 54701, Medicare Provider #520013

Upper Chesapeake Medical Center, 500 Upper Chesapeake Drive, Bel Air, MD 21014, Medicare Provider #210049

Addendum IX—American College of Cardiology's National Cardiovascular Data Registry Sites

[April Through June 2006]

In order to obtain reimbursement, Medicare national coverage policy requires that providers implanting ICDs for primary prevention clinical indications (that is, patients without a history of cardiac arrest or spontaneous arrhythmia) report data on each primary prevention ICD procedure. This policy became effective January 27, 2005. Details of the clinical indications that are covered by Medicare and their respective data reporting requirements are available in the Medicare National Coverage Determination (NCD) Manual, which is on the Centers for Medicare and Medicaid Services (CMS) Web site at
http://www.cms.hhs.gov/Manuals/IOM/itemdetail.asp?filterType=none&filterByDID=99&sortByDID=1&sortOrder=ascending&itemID=CMS014961.

A provider can use either of two mechanisms to satisfy the data reporting requirement. Patients may be enrolled either in an Investigational Device Exemption trial studying ICDs as identified by the FDA or in the American College of Cardiology's National Cardiovascular Data Registry (ACC-NCDR) ICD registry. Therefore, in order for a beneficiary to receive a Medicare-covered ICD implantation for primary prevention, the beneficiary must receive the scan in a facility that participates in the ACC-NCDR ICD registry.

We maintain a list of facilities that have been enrolled in this registry. Addendum IX includes the facilities that have been designated in the quarter covered by this notice.

Client name
Address

Alegent Health Bergan Mercy Medical Center
7500 Mercy Road, Omaha, NE 68124.

Aspirus Wausau Hospital
333 Pine Ridge Boulevard Wausau, WI 54401.

Cardiovascular Center of Puerto Rico
P.O. Box 366528, San Juan, PR 00936.

Christus-St. Frances Cabrini Hospital
3330 Masonic Drive, Alexandria, LA 71301.

Elliot Hospital
One Elliot Way, Manchester, NH 03103.

Governor Juan F. Luis Hospital & Medical Center
4007 Estate Diamond Ruby, Christiansted, VI 00820.

Hospital Auxilio Mutuo
P.O. Box 1227, San Juan, PR 00919.

Ingalls Hospital
One Ingalls Drive, Harveym, IL 60426.

Inland Valley Medical Center
36485 Inland Valley, Wildomar, CA 92595.

Iowa Lutheran Hospital
1200 Pleasant Street, Des Moines, IA 50309.

Iowa Methodist Medical Center
1200 Pleasant Street, Des Moines, IA 50309.

Kaiser Permanente Medical Center Health Sciences Lifestyles
401 Bicentennial Way, Santa Fe, CA 95403.

Mercy & Unity Hospital
4040 Coon Rapids Boulevard, Esko, MN 55733.

Mercy Hospital
144 State Street, Portland, OR 04102.

Rancho Spring Medical Center
36485 Inland Valley, Wildomar, CA 92595.

Sharp Chula Vista Medical Center
8695 Spectrum Center Court, San Diego, CA 92123.

SSM St. Mary's Health Center
1035 Bellevue Suite, Saint Louis, MO 63141.

St. Vincent Hospital
455 Staint Michaells Drive, Sante Fe, NM 87505.

St. Vincent's Medical Center
1800 Barrs Street, Jacksonville, FL 32204.

Summerlin Hospital Medical Center
657 Town Center Drive, Las Vegas, NV 89144.

Sutter Medical Center—Sacramento
5151 F Street, Sacramento, CA 95819.

Tampa General Hospital
P.O. Box 1289, Tampa, FL 33601.

University of Arkansas Medical Sciences Physician
4301 West Markham Street, Suite 532, Little Rock, AR 72205.

Washington Regional Medical Center
1125 N College Avenue, Fayetteville, AR 72703.

Alaska Regional Hospital
2801 Debarr Road, Anchorage, AK 99508.

Providence Alaska Medical Center
3200 Providence Drive, Anchorage, AK 99508.

Brookwood Medical Center
2010 Brookwood Medical Center, Birmingham, AL 35209.

Carraway Methodist Medical Center
1600 Carraway Boulevard, Birmingham, AL 35209.

DCH Regional Medical Center
809 University Blvd., E, Tuscaloosa, AL 35401.

Dekalb Regional Medical Center
200 Medical Center Drive, Fort Payne, AL 35968.

East Alalbama Medical Center
2000 Pepperell Parkway, Opelika, AL 36804.

Eliza Coffee Memorial Hospital
205 Marengo Street, Florence, AL 35630.

Gadsden Regional Medical Center
1007 Goodyear Avenue, Gadsden, AL 35903.

Huntsville Hospital
101 Sivley Road, Huntsville, AL 35801.

Jackson Hospital and Clinic
1725 Pine Street, Montgomery, AL 36106.

Medical Center East
50 Medical Park East Drive, Birmingham, AL 35235.

Mobile Infirmary Medical Center
P.O. Box 2144 5 Mobile Infirmary Circle, Mobile, AL 36652.

Princeton Baptist Medical Center
701 Princeton Avenue, Birmingham, AL 35211.

Providence Hospital
6801 Airport Boulevard, Mobile, AL 36608.

Regional Medical Center
400 East 10th Street, Anniston, AL 36202.

Riverview Regional Medical Center
600 South Third Street, Gadsden, AL 35901.

Russell Medical Center
3316 Hwy 280 (P.O. Box 939), Alexander City, AL 35011.

Russellville Hospital
15155 Highway 43, Russellville, AL 35653.

Shelby Baptist Medical Center
1000 First Street North, Alabaster, AL 35007.

Southeast Alabama Medical Center
1108 Ross Clark Circle, Dothan, AL 36301.

Springhill Memorial Hospital
3719 Dauphin Street, Mobile, AL 36608.

St. Vincent Hospital
810 St. Vincents Drive, Birmingham, AL 35205.

Stringfellow Memorial Hospital
301 East 18th Street, Anniston, AL 36202.

Trinity Medical Center
800 Montclair Rd, Birmingham, AL 35213.

University Hospital
620 19th Street South, Birmingham, AL 35213.

University of South Alabama/Cardiology Dept
2451 Fillingim Street, Mobile, AL 36617.

Vaughan Regional Medical Center
1015 Medical Center Parkway, Selma, AL 36701.

Walker Regional Medical Center
3400 Hwy 78 East, Jasper, AL 35501.

Arkansas Heart Hospital
1701 South Shackelford Road, Little Rock, AR 72202.

Baptist Health Medical Center
9601 Interstate 630, Exit 7, Little Rock, AR 72205.

Baptist Health Medical Center
3333 Springhill Drive, North Little Rock, AR 72117.

Baxter Regional Medical Center/Attn: A/P
624 Hospital Drive, Mountain Home, AR 72653.

Conway Regional Medical Center
2302 College Avenue, Conway, AR 72032.

Medical Center of South Arkansas, LLC
700 West Grove, El Dorado, AR 71730.

Mercy Health System of Northwestern Arkansas
1200 West Walnut, Rogers, AR 72756.

Saint Vincent Medical Center/Health Ctr
2 St. Vincent Circle, Little Rock, AR 72205.

Sparks Regional Medical Center
P.O. Box 17006 Fort Smith, AR 72917.

St. Bernards Medical Center
225 E. Jackson Ave, Jonesboro, AR 72401.

St. Edward Mercy Medical Center Medical Library
7301 Rogers Ave., P.O. Box 17000, Fort Smith, AR 72917.

St. Edwards Mercy Medical Center
7301 Rogers Ave., Fort Smith, AR 72917.

St. Josephs Mercy Health Center
300 Werner Drive, Hot Springs, AR 71913.

Summit Medical Center, East Main & South
20th Street, Van Buren, AR 72956.

White County Medical Center
3214 E Race Ave., Searcy, AR 72143.

White River Medical Center
1710 Harrison Street, Batesville, AR 72501.

Arizona Heart Hospital
1930 East Thomas Road, Phoenix, AZ 85016.

Banner Baywood Heart Hospital
6750 East Baywood Avenue, Mesa, AZ 85206.

Banner Desert Medical Center
1400 S. Dobson Road Mesa, AZ 85202.

Banner Good Samaritan Med Center
1111 East McDowell Road Phoenix, AZ 85006.

Banner Thunderbird Med Center
5555 West Thunderbird Rd, Glendale, AZ 85306.

Boswell Memorial Hospital
10401 W. Thunderbird Blvd., Sun City, AZ 85351.

Havasu Regional Medical Center
PO Box 3030, Lake Havasu City, AZ 86405.

John C Lincoln Hospital—Deer Valley
19829 N. 27th Ave., Phoenix, AZ 85207.

John C Lincoln Hospital—North Mountain
250 E. Dunlap, Phoenix, AZ 85020.

Kingman Regional Medical Center
3269 Stockton Hill Rd, Kingman, AZ 86401.

Mayo Clinic Arizona
5777 E. Mayo Blvd., Phoenix, AR 85054.

Mesa General Hospital
515 N. Mesa Dr., Mesa, AZ 85201.

Navapaches Regional Medical Center
2200 East Show Low Lake Road, Show Low, AZ 85901.

Phoenix Baptist Hospital
2000 W. Bethany Home Rd, Phoenix, AZ 85015.

Scottsdale Healthcare Osborn
9003 E. Shea Blvd—Administration, Scottsdale, AZ 85260.

Scottsdale Healthcare Shea
9003 E. Shea Blvd—Administration, Scottsdale, AZ 85260.

St. Luke's Medical Center
1800 East Van Buren, Phoenix, AZ 85006.

Tucson Heart Hospital
4888 North Stone Avenue, Tucson, AZ 85704.

Tucson Medical Center
5301 E Grant Rd, Tucson, AZ 85712-2805.

University Medical Center
1690 N. Warren Blvd 526B, Tucson, AZ 85724.

Western Arizona Regional Medical Center
2735 Silver Creek Rd., Bullhead City, AZ 86442.

Yavapai Regional Medical Center
1003 Willow Creek Rd, Prescott, AZ 86301.

Yuma Regional Medical Center
2400 South Avenue A, Yuma, AZ 85364.

Alta Bates Medical Center
2450 Ashby Ave, Berkeley, CA 94705.

Alta Bates Summit Medical Center
2450 Ashby Avenue, Berkeley, CA 94705.

Alvarado Hospital Medical Center/SDRI
6655 Alvarado Road, San Diego, CA 92124.

Anaheim Memorial Medical Center
1111 W. La Palma, Anaheim, CA 92801.

Bakersfield Heart Hospital
3001 Sillect Ave, Bakersfield CA 93308.

Barstow Community Hospital
555 South Seventh Street, Barstow, CA 92311.

Brotman Medical Center
3828 Delmas Terrace, Culver City, CA 90231.

California Pacific Medical Center
2330 Clay St, Rm 103, San Francisco, CA 94115.

Cedars-Sinai Health Systems
8631 West Third St, Suite 415 E, Los Angeles, CA 90048.

Centinela Hospital Medical Center
555 E. Hardy Street, Inglewood, CA 90301.

Community Hospital of the Monterey Peninsula
PO Box HH, Monterey, CA 93942-1085.

Community Memorial Hospital
147 N. Brent, Ventura, CA 93003.

Dameron Hospital
525 W. Acacia St., Stockton, CA 95203.

Desert Regional Medical Center
1150 N Indian Canyon, Palm Springs, CA 92262.

Desert Valley Hospital
16850 Bear Valley Rd, Victorville, CA 92392.

Doctors Medical Center
2000 Vale Road, San Pablo, CA 94806.

Downey Regional Medical
11500 Brookshire Avenue, Downey, CA 90241.

Eisenhower Medical Center
39000 Bob Hope Drive, Rancho Mirage, CA 92270.

El Camino Hospital
2500 Grant Road, Mountain View, CA 94040.

Encino-Tarzana Regional Medical Center
18321 Clark St., Tarzana, CA 91356-3501.

Enloe Medical Center
1600 Esplanade, Chico, CA 95926.

Fountain Valley Regional Hosp
17100 Euclid Street, Fountain Valley, CA 92708-4004.

French Hospital Medical Center
1911 Johnson Ave, San Luis Obispo, CA 93401.

Fresno Community Hospital and Medical Center
110 N. Valeria #103, Fresno, CA 93710.

Fresno Heart Hospital
15 E Audubon Dr, Fresno, CA 93720.

Garden Grove Hospital
12601 Garden Grove Blvd., Garden Grove, CA 92843.

Glendale Adventist Medical Center
1509 Wilson Terrace, Glendale, CA 91206.

Good Samaritan Hospital
1225 Wilshire Blvd, Los Angeles, CA 90017.

Good Samaritan Hospital
2425 Samaritan Drive, San Jose, CA 95124.

Henry Mayo Newhall Memorial Hospital
23845 McBean Parkway, Valencia, CA 91355.

Hoag Memorial Hospital Presbyterian
One Hoag Drive, Newport Beach, CA 92658.

Huntington Hospital
100 W. California Blvd, Pasadena, CA 91109.

Irvine Regional Hospital & Medical Center
16200 Sand Canyon Ave, Irvine, CA 92618-3701.

John F. Kennedy Memorial Hospital
47-111 Monroe Street, Indio, CA 92201.

John Muir—Concord
2540 East Street, Concord, CA 94520.

John Muir—Walnut Creek
1601 Ygnacio Valley Rd, Walnut Creek, CA 94550.

Kaiser Foundation Hospital
6600 Bruceville Road, Sacramento, CA 95823.

Kaiser Permanente
4647 Zion Ave, San Diego, CA 92120.

Kaweah Delta Hospital District
400 West Mineral King, Visalia, CA 93291.

Lakewood Regional Medical Center
3700 E. South Street, Lakewood, CA 90712.

Lancaster Community Hospital
43830 North 10th St West, Lancaster, CA 93534.

Little Company of Mary Hospital
4101 Torrance Blvd, Torrance, CA 90503.

Loma Linda University Medical Center
11234 Anderson St., Loma Linda, CA 92354.

Long Beach Memorial Medical Center
2801 Atlantic Ave., Long Beach, CA 90806.

Los Robles Hospital & Medical Center
215 W. Janss Road, Thousand Oaks, CA 91360.

Marin General Hospital
250 Bon Air Road, Greenbrae, CA 94904.

Methodist Hospital of South CA
300 W Huntington Dr., Arcadia, CA 91007-3402.

Mills-Peninsula Hospital
1783 Elcamino Real, Burlingame, CA 94010.

Mission Hospital Regional Med Center
27700 Medical Center Road, Mission Viejo, CA 92691-6426.

North Bay Medical Center
1200 B. Gale Wilson Blvd, Fairfield, CA 94533.

Northbay Vaca Valley Hospital
1200 B. Gale Wilson Blvd, Fairfield, CA 94533.

O'Connor Hospital
2105 Forest Ave, San Jose, CA 95128.

Orange Coast Memorial Medical Center
9920 Talbert Ave, Fountain Valley, CA 92708.

Palomar Medical Center
555 East Valley Parkway, Escondido CA 92025.

Paradise Valley Hospital
2400 E Fourth Street, National City, CA 91950.

Pomona Valley Hospital Med Center
1798 N. Garey Avenue, Pomona, CA 91722.

Presbyterian Intercommunity Hospital
12401 Washington Blvd, Whittier, CA 90602.

Providence Holy Cross Medical Center
15031 Rinaldi Street, Mission Hills, CA 91346.

Providence Saint Joseph
501 S Buena Vista Street, Burbank, CA 91505.

Regional Medical Center
225 N. Jackson St, San Jose, CA 95116.

Rideout Memorial Hospital
726 4th St, Maryville, CA 95901.

Ridgecrest Regional Hospital
1081 N. China Lake Blvd, Ridgecrest, CA 93555.

Riverside Community Hospital
4445 Magnolia Ave, Riverside, CA 92501.

Saddleback Memorial Medical Center
24451 Health Center Drive, Laguna Hills, CA 92653.

Saint Agnes Medical Center
1303 East Herndon Ave, Fresno, CA 93720.

Saint Johns Health Center
1328 22nd Street, Santa Monica, CA 90404.

Saint Joseph Hospital
2700 Dolbeer St, Eureka, CA 95501-4799.

Salinas Valley Memorial Hospital
450 E Romie Lane, Salinas, CA 93901-4098.

San Antonio Community Hospital
999 San Bernardino Rd, Upland, CA 91786.

San Francisco Heart and Vascular Institute
1900 Sullivan Avenue, Daly City, CA 94015.

San Joaquin Community Hospital
2615 Eye Street, Bakersfield, CA 93301.

San Ramon Regional Medical Center
6001 Norris Canyon Road, San Ramon, CA 94583.

Santa Barbara Cottage Hospital
PO Box 689, Santa Barbara, CA 93102-0689.

Santa Rosa Memorial Hospital
1165 Montgomery Drive, PO Box 522, Santa Rosa, CA 95402.

Santa Teresa Community Hospital
250 Hospital Parkway, San Jose, CA 95119.

Scripps Green Hospital—La Jolla
10666 North Torrey Pines Road, La Jolla, CA 92037.

Scripps Memorial Hospital—Encinitas
354 Santa Fe Dr., Encinitas, CA 92024.

Scripps Memorial Hospital—La Jolla
9888 Genesee Ave LJ101, La Jolla, CA 92037.

Scripps Mercy Hospital-San Diego
4077 5th Ave. MER 74, San Diego, CA 92103.

Scripps Mercy Hospital-Chula Vista
435 H St., Chula Vista, CA 91912.

Senton Medical Center
1900 Sullivan Avenue (Attn: SFHVI), Daly City, CA 94015.

Sharp Grossmont
5555 Grossmont Center Drive, La Mesa, CA 91942.

Sharp Memorial Hospital
7901 Frost Street, San Diego, CA 92123.

Shasta Regional Medical Center
1100 Butte Street, Redding, CA 96001.

Sierra Vista Regional Medical Center
1010 S Murray Ave., San Luis Obispo, CA 93420.

Simi Valley Hospital & Health Care Services
2975 N Sycamore Dr., Simi Valley, CA 93065.

Southwest Health Plan, Inc
25500 Medical Center Drive, Murrieta, CA 92562.

St. Francis Medical Center
3630 Imperial Hwy., Lynwood, CA 90265.

St. Helena Hospital
10 Woodland Road, St. Helena, CA 94574.

St. Rose Hospital
27200 Calaroga Avenue, Hayward, CA 94539.

St. Vincent Medical Center
2131 W. 3rd St., Los Angeles, CA 90703.

Stanford Hospital and Clinics
300 Pasteur Road, Stanford, CA 94305.

Sutter Delta Medical Center
3901 Lone Tree Way, Antioch, CA 94509.

Sutter Medical Center of Santa Rosa
3325 Chanate Rd., Santa Rosa, CA 95404.

Torrance Memorial Medical Center
3330 Lomita Blvd., Torrance, CA 90505.

Tri-City Medical Center
4002 Vista Way, Oceanside, CA 92056.

Tulare District Hospital
869 Cherry St., Tulare, CA 93274.

Twin Cities Community Hospital
1100 Las Tablas Road, Templeton, CA 93465.

UC San Diego Medical Center
200 W. Arbor Drive, MC 8411, San Diego, CA 92103-8411.

University Of California (Santa Monica)
1250 16th Street, Los Angles, CA 90404.

University of California (UCLA)
10833 Le Conte Avenue, Los Angeles, CA 90095.

University Of California Davis
2315 Stockton Blvd., Room 6312, Sacramento, CA 95817.

University of California San Francisco Medical Center
513 Parnassus Ave., San Francisco, CA 94143.

USC University Hospital
1500 San Pablo, Los Angeles, CA 90033.

Valley Care Medical Center
1111 East Stanley Blvd., Livermore, CA 94550.

Valley Presbyterian Hospital
15107 Vanowen Street, Van Nuys, CA 91405.

Washington Hospital
2000-Mowry Ave., Fremont, CA 94538.

Watsonville Community Hospital
75 Nielson, Watsonville, CA 95076.

West Hills Hospital
7300 Medical Center Drive, West Hills, CA 91307.

Western Medical Center Anaheim
1025 South Anaheim Blvd., Anaheim, CA 92805.

Western Medical Center Santa Ana
1001 North Tustin Ave., Santa Ana, CA 92705.

White Memorial Medical Center
1720 Cesar Chavez Ave., Los Angeles, CA 90033.

Boulder Community Hospital
1100 Balsam Avenue, Boulder, CO 80304.

Denver Health
777 Bannock St., Denver, CO 80204.

Exempla Good Samaritan Medical Center
200 Exempla Circle, Lafayette, CO 80026.

Exempla Lutheran Medical Center
8300 W 38th Ave., Wheat Ridge, CO 80033.

Exempla Saint Joseph Hospital
2420 W 26th Avenue, Bldg D, Suite 140, Denver, CO 80211.

Longmont United Hospital
1950 Mountain View Ave., Longmont, CO 80501.

McKee Medical Center
2000 Boise Ave., Loveland, CO 80538.

Medical Center of Aurora
1501 S. Potomac, Aurora, CO 80012.

Memorial Hospital
1400 E Boulder St., Colorado Springs, CO 80909-5599.

Mercy Regional Medical Center
1010 Three Springs Blvd., Durango, CO 81301.

North Colorado Medical Center
1801 16th Street, Greeley, CO 80631-5199.

North Suburban Medical Center
9191 Grant Street, Denver, CO 80229.

Parkview Medical Center
400 West 16th Street, Pueblo, CO 81003.

Penrose-St. Francis Health Services
2222 North Nevada, #220, Colorado Springs, CO 80907.

Porter Adventist Hospital
2525 S Downing St., Mail Stop 33F, Denver, CO 80210-5817.

Poudre Valley Hospital 1
024 Lemay Ave., Ft. Collins, CO 80524.

Presbyterian/St. Lukes Medical Center
1719 E 19th Ave., Denver, CO 80218-1235.

Rose Medical Center
4567 E 9th Ave., Denver, CO 80220-3941.

Saint Anthony Central Hospital
4231 W 16th Ave., Denver, CO 80204-1335.

Saint Mary Corwin Medical Center
1008 Minnequa Ave., Pueblo, CO 81004-3798.

Saint Mary's Hospital and Regional Medical Center
2635 N. 7th Street, Grand Junction, CO 81501-8209.

Sky Ridge Medical Center
10101 Ridgegate Parkway, Lone Tree, CO 80124.

Swedish Medical Center
501 East Hampden Avenue, Englewood, CO 80113.

University of Colorado Hospital Authority
4200 East Ninth St., Denver, CO 80262.

Bridgeport Hospital
267 Grant Street, Bridgeport, CT 06610.

Danbury Hospital
24 Hospital Ave., Danbury, CT 06810-6099.

Greenwich Hospital
5 Perryridge Road, Greenwich, CT 06830.

Hartford Hospital
80 Seymour St., Hartford, CT 06102.

Hospital of St. Raphael
Section of Cardiology Pvt 207, 1450 Chapel Street, New Haven, CT 06511.

Lawrence & Memorial Hospital
365 Montauk Ave., New London, CT 06375.

New Britain General Hospital
100 Grand Street, PO Box 100, New Britain, CT 06050.

Northwalk Hospital
34 Maple St., Norwalk, CT 06902.

Saint Mary's Hospital
56 Franklin Street, Waterbury, CT 06706.

St. Francis Hospital & Medical Center Health Science
114 Woodland Street, Hartford, CT 06105.

University of CT Heatlth Center/John Dempsey Hospital
263 Farmington Avenue, Farmington, CT 06030.

Waterbury Hospital
PO Box 2153, Waterbury, CT 06722.

Yale New Haven Hospital
20 York Street, New Haven, CT 65104.

Georgetown University Hospital
3800 Reservoir Rd. NW., Washington, DC 20007.

Howard University Hospital
2041 Georgia Ave., Washington, DC 21044.

Sibley Memorial Hospital
5255 Loughboro Rd. NW., Washington, DC 20016.

The George Washington Univ. Hospital
900 23rd Street NW., Washington, DC 20037.

Washington Hospital Center
110 Irving St. NW., Washington, DC 20010.

Bayhealth Medical Center (KGH)
640 S. State St., Dover, DE 19901.

Christiana Care Health System
4755 Ogletown-Stanton Road, Newark, DE 19718.

St. Francis Hospital
701 N. Clayton Street, Wilmington, DE 19805.

Aventura Hospital and Medical Center
20900 Biscayne Blvd., Aventura, FL 33180.

Baptist Hospital
1000 W. Moreno Street, Pensacola, FL 32501.

Baptist Medical Center
800 Prudential Drive, Jacksonville, FL 32207.

Bartow Regional Medical Center
PO Box 1050, Bartow, FL 33831-1050.

Bay Medical Center
615 North Bonita Ave., Panama City, FL 32401.

Bayfront Medical Center
701 Sixth Street South, St. Petersburg, FL 33701.

Bert Fish Medical Center
401 Palmetto St., New Smyrna Beach, FL 32168.

Bethesda Memorial Hospital
2815 S. Seacrest Blvd., Boynton Beach, FL 33435.

Blake Medical Center
2020 59th St. W., Bradenton, FL 34209.

Boca Raton Community Hospital
800 Meadows Road, Boca Raton, FL 33486.

Brandon Regional Hospital
119 Oakfield Drive, Brandon, FL 33511.

Brooksville Regional Hospital
17240 Cortez Blvd., Brooksville, FL 34601.

Broward General Medical Center
1600 S Andrews Ave., Ft Lauderdale, FL 33316.

Cape Canaveral Hospital
701 West Cocoa Beach Causeway, Cocoa Beach, FL 32931.

Central Florida Regional Hospital
1401 W. Seminole Blvd., Sandford, FL 32771.

Charlotte Regional Medical Center
809 East Marion Avenue, Punta Gorda, FL 33950.

Citrus Memorial Health System
502 W. Highland Blvd., Inverness, FL 34452.

Cleveland Clinic Hospital
3100 Weston Road, Weston, FL 33331.

Coral Gables Hospital
3100 Douglas Road, Coral Gables, FL 33134.

Coral Springs Medical Center
3000 Coral Hills Drive, Coral Springs, FL 33065.

Delray Medical Center
5352 Linton Blvd., Delray Beach, FL 33484.

Doctors Hospital of Sarasota
5731 Bee Ridge Road, Sarasota, FL 34233.

Fawcett Memorial Hospital
21298 Olean Blvd., Port Charlotte, FL 33949-4960.

Flagler Hospital
400 Health Park Blvd., St. Augustine, FL 32086.

Florida Hospital
220 Winter Park St., Orlando, FL 32803.

Florida Hospital Ormond Memorial
875 Sterthaus Ave., Ormond Beach, FL 32174.

Florida Hospital Zephyrhills
7050 Gall Blvd, Zephyrhills, FL 33541.

Florida Hospital Ormond Memorial
875 Sterthaus Ave., Ormond Beach, FL 32174.

Florida Hospital Waterman Inc
1000 Waterman Way, Tavares, FL 32778.

Florida Medical Center
5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1585.

Fort Walton Beach Medical Center
1000 Mar Walt Dr, Fort Walton Beach, FL 32547.

Gulf Coast Medical Center
449 W. 23rd Street, Panama City, FL 32406-5309.

Halifax Medical Center
303 N Clyde Morris Blvd., Daytona Beach, FL 32114-2732.

Heart of Florida Regional Medical Center
40100 Hwy 27, Davenport, FL 33837.

Helen Ellis Memorial
1395 South Pinellas Ave., Tarpon Springs, FL 34689.

Hialeah Hospital
651 E. 25th Street, Hialeah, FL 33013.

Hollywood Medical Center
3600 Washington St, Hollywood, FL 33021.

Holmes Regional Med Center
1355 South Hickory Street, Suite 203, Melbourne, FL 32901.

Holy Cross Hospital
4725 N. Federal Highway, Ft. Lauderdale, FL 33308.

Imperial Point Medical Center
6401 N Federal Highway, Ft. Lauderdale, FL 33308.

Indian River Memorial Hospital
1000 36th St, Vero Beach, FL 32960.

Jackson Memorial Hospital
1611 N.W. 12th Avenue, Miami, FL 33136.

JFK Medical Center
5631 Glencrest Blvd, Tampa, FL 33625-1008.

Lakeland Regional Medical
1324 Lakeland Hills Blvd, Lakeland, FL 33805.

Largo Medical Center
201 14th St. SW, Largo, FL 33770.

Lee Memorial Health System—Cape Coral Hospital
276 Cleveland Avenue, Fort Myers, FL 33901.

Lee Memorial Health System—Health Park Med Center
276 Cleveland Avenue, Fort Myers, FL 33901.

Leesburg Regional Medical Center
600 East Dixie Ave., Leesburg, FL 34748.

Lehigh Regional Medical
1500 Lee Boulevard, Lehigh Acres, FL 33963.

Lower Keys Medical Center
5900 College Road, Key West, FL 33040.

Manatee Memorial Hospital
206 2nd Street East, Bradenton, FL 34208.

Martin Memorial Medical Center
300 SE Hospital Ave, Stuart, FL 34994.

Mease Countryside Hospital
3231 McCullen Booth Road, Safety Harbor, FL 34695.

Mease Dunedin Hospital
207 Jeffords St MS 142, Clearwater, FL 33756.

Memorial Hospital Miramar
1901 SW 172 Ave, Miramar, FL 33029.

Memorial Hospital Pembroke/South Broward Hospital District
7800 Sheridan Street, Pembroke Pines, FL 33024.

Memorial Hospital West/South Broward Hospital District
703 North Flamingo Road, Pembroke Pines, FL 33028.

Memorial Hospital—Jacksonville
3625 University Boulevard South, Jacksonville, FL 32216.

Memorial Regional Hospital/South Broward Hospital
3501 Johnson Street, Hollywood, FL 33021.

Mercy Hospital Attn: Accounts Payable
3663 South Miami Ave, Miami, FL 33133.

Morton Plant Hospital
207 Jeffords St, MS 142, Clearwater, FL 33756.

Morton Plant North Bay Hospital
6600 Madison Street, New Port Richey, FL 34652.

Mount Sinai Medical Center
4300 Alton Road, Miami Beach, FL 33140.

Munroe Regional Medical Center
131 SW 15th St, PO Box 6000, Ocala, FL 34478.

Naples Community Hospital
350 7th Street South, Naples, FL 34102.

North Broward Hospital District
1600 S Andrews Ave, Ft Lauderdale, FL 33316.

North Broward Medical Center
201 E Sample Road, Pompano Beach, FL 33064.

North Florida Regional Medical Center
6500 Newberry Road, Gainesville, FL 32605.

North Ridge Medical Center
5757 N Dixie Hwy, Fort Lauderdale, FL 33334.

North Shore Medical Center
1100 NW 95th Street, Miami, FL 33150.

Northside Hospital
6000 49th Street North, St. Petersburg, FL 33709.

Northwest Medical Center
2801 N. State Rd. 7, Margate, FL 33063.

Oak Hill Hospital
11375 Cortez Blvd, Brooksville, FL 34613.

Ocala Regional Medical Center
1431 SW First Avenue, Ocala, FL 34474.

Osceola Regional Medical Center
700 W. Oak Street, Kissimmee, FL 34745.

Palm Beach Gardens Medical Center
3360 Burns Road, Palm Beach Gardens, FL 33410.

Palmetto General Hospital
2001 West 68th Street, Hialeah, FL 33029.

Parkway Regional Medical Center
160 N.W. 170th Street, North Miami, FL 33169.

Pasco Regional Medical Center
13000 100 Fort King Rd, Dade City, FL 33525.

Peace River Regional Medical
2500 Harbor Blvd, Port Charlotte, FL 33952.

Plantation General Hospital
401 N.W. 42nd Avenue, Plantation, FL 33317.

Sacred Heart Health System
5151 North Ninth Avenue, Pensacola, FL 32504.

Saint Joseph Hospital
3001 W. Martin Luther King Blvd, Tampa, FL 33607.

Saint Mary's Medical Center
4016 Sun City Center Blvd, Sun City Center, FL 33573.

Sarasota Memorial Hospital
1700 S. Tamiami Trail, Sarasota, FL 34239.

Sebastian River Medical Center
13695 U.S. Highway 1, Sebastian, FL 32962.

Shands at AGH
801 SW 2nd Ave, Gainesville, FL 32607.

Shands Jacksonville Medical Center
655 West 8th St, Jacksonville, FL 32209-6511.

Southlake Hospital
1099 Citrus Tower Blvd, Clermont, FL 34711.

Southwest Florida Regional
2727 Winkler Ave., Fort Myers, FL 33901.

St. Cloud Regional Medical Center
2906 17th Street, St. Cloud, FL 34769.

St. Luke's Hospital—Mayo Clinic
4201Belfort Rd, Jacksonville, FL 32216.

St. Mary's Medical Center
901 45th St, West Palm Beach, FL 33407.

Sun Coast Hospital
2025 Indian Rocks Road, Largo, FL 33774.

Tallahassee Memorial Hospital
1310 N. Magnolia Dr., Tallahassee, FL 32308.

The Village Regional Hospital
1451 El Camino Real, The Villages, FL 32159.

Twin Cities Hospital
2190 Hwy 85 N, Niceville, FL 32578.

University Community Hospital
3100 Fletcher Avenue, Tampa, FL 33613.

University of Florida (Shands) College of Medicine
1600 SW Archer Road, Gainesville, FL 32610.

Val Verde Regional Medical Center
3600 Washington St, Hollywood, FL 33021.

Venice Regional Medical Center
540 The Rialto, Venice, FL 34285.

West Boca Medical Center
21644 State Road 7, Boca Raton, FL 33428.

West Florida Hospital
8383 N. Davis Highway, Pensacola, FL 32514.

West Florida Hospital
8383 N. Davis Highway, Pensacola, FL 32514.

Westside Regional Medical Center
8201 West Broward Blvd, Plantation, FL 33324.

Winter Haven Hospital
20005 Ave F Northeast, Winter Haven, FL 33881.

Wuesthoff Health System
110 Longwood Ave, Rockledge, FL 32956-5002.

Athens Regional Medical Center
1199 Prince Ave, Athens, GA 30606.

Atlanta Medical Center
303 Parkway Dr NE, Atlanta, GA 30312.

Candler Hospital, Inc
5353 Reynolds Street, Savannah, GA 31405.

Doctors Hospital—Augusta
3651 Wheeler Dr, Augusta, GA 30909.

East Georgia Regional Medical Center
1499 Fair Rd (PO Box 1048), Statesboro, GA 30459.

Emory Crawford Long Hospital
550 Peachtree St, Atlanta, GA 30308.

Emory Dunwoody Medical Center
4575 North Shallowford Road, Atlanta, GA 30338.

Emory Eastside Medical Center
1700 Medical Way (PO Box 587), Snellville, GA 30078.

Emory University Hospital
1364 Clifton Road, NE C408, Atlanta, GA 30322.

Fairview Park Hospital
200 Industrial Blvd, Dublin, GA 31021.

Floyd Medical Center
304 Turner McCall Blvd., Rome, GA 30162.

Gwinnett Hospital System
1000 Medical Center Blvd, Lawrenceville, GA 30045.

Hamilton Medical Center
1200 Memorial Dr, Dalton, GA 30720.

Henry Medical Center, In.
1133 Eagles Landing Parkway, Stockbridge, GA 30281.

Kennestone Hospital
677 Church St., Marietta, GA 30066.

MCG Health Inc
1120 15th Street BBR-6524, Augusta, GA 30912.

Medical Center of Central Georgia
777 Hemlock St. Box 53, Macon, GA 31201.

Memorial Health University Medical Center
4700 Waters Ave, Savannah, GA 31404.

Newton Medical Center
5126 Hospital Drive, Covington, GA 30014.

Northeast Georgia Medical Center
743 Spring St NE, Gainesville, GA 30501-3899.

Northlake Medical Center
1455 Montreal Road, Tucker, GA 30084.

Northside Hospital
1000 Johnson Ferry Road, Atlanta, GA 30342.

Piedmont Healthcare Physicians Cath Lab LLC
1968 Peachtree Rd NW, Atlanta, GA 30309.

Piedmont Hospital
95 Collier Road Suite 5005, Atlanta, GA 30309.

Redmond Regional Medical Center
501 Redmond Road, Rome, GA 30165.

Saint Francis Hospital
2122 Manchester Expressway, Columbus, GA 31904.

Saint Josephs Hospital of Atlanta
5665 Peachtree Dunwoody Road, Atlanta, GA 30342.

Smith Northview Hospital
PO Box 10010, Valdosta, GA 31604.

South Fulton Medical Center
1170 Cleveland Ave, East Point, GA 30344.

South, GA Medical Center
PO Box 1727, Valdosta, GA 31603-1727.

Southern Regional Medical Center
11 Upper Riverdale Rd, Riverdale, GA 30274.

Spalding Regional Medical Center
601 South 8th Street, Griffin, GA 30224.

St Mary's Health Care Systems
1230 Baxter Street, Athens, GA 30606.

St. Joseph's Hospital
11705 Mercy Boulevard, Savannah, GA 31419.

Tift Regional Medical Center
PO Box 747, Tifton, GA 31794.

University Hospital
1350 Walton Way, Augusta, GA 30901-2629

Wellstar Cobb Hospital
531 Roselane Street, Marietta, GA 30060.

Kaiser Permanente—Moanalua Med Center
3288 Moanalua Road, Honolulu, HI 96819.

Kapi'olani Medical Center Pali Momi
98-1079 Moanalua Road, Aiea, HI 96701.

Kuakini Medical Center
347 North Kuakini Street, Honolulu, HI 96817.

Queens Medical Center
1301 Punchbowl Street, Honolulu, HI 96813.

St Francis Medical Center
2230 Liliha St., Honolulu, HI 96817.

Straub Clinic & Hospital: Cath Lab
888 S King St. Makai, 2nd Floor #22, Honolulu, HI 96813.

Genesis Medical Center
1236 East Rusholme St, Suite 190, Davenport, IA 52803-2459.

Jennie Edmundson Memorial Hospital
933 E. Pierce Street, Council Bluffs, IA 51503.

Mary Greeley Medical Center
1111 Duff Ave, Ames, IA 50010.

Mercy Iowa City
500 E. Market Street, Iowa City, IA 52245.

Mercy Medical Center
701 10th St. SE, Cedar Rapids, IA 52403.

Mercy Medical Center
801 5th Street, Sioux City, IA 51101.

Mercy Medical Center
1111—6th Ave, Des Moines, IA 50314-2611.

Mercy Medical Center-North Iowa
1000 4th St. SW, Mason City, IA 50401.

Saint Lukes Hospital
1026 A Ave, NE, Cedar Rapids, IA 52406-3026.

St. Luke's Methodist Hospital
1026 A Ave NE (PO Box 3026), Cedar Rapids, IA 52406-3026.

Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA 50501.

Trinity Regional Medical Center
4500 Utica Ridge Rd, Bettendorf, IA 52722.

University of Iowa Hospitals and Clinics
200 Hawkins Drive, Iowa City, IA 52242.

Eastern Idaho RMC
3100 Channing Way, Idaho Falls, ID 83404.

Kootenai Medical Center
2003 Lincoln Way, Coeur D Alene, ID 83814.

Portneuf Medical Center
651 Memorial Drive, Pocatello, ID 83201.

Saint Lukes Regional Medical Center
190 E Bannock Street, Boise, ID 83712-6241.

St. Alphonsus Regional Medical Center
1055 N. Curtis Rd., Boise, ID 83706.

St. Mary Medical Center
1500 South Lake Park Avenue, Hobart, ID 46342.

The Indiana Heart Hospital
8075 North Shadeland Avenue, Indianapolis, ID 46250.

Advocate Christ Medical Center
4440 West 95th Street #127NOB, Oak Lawn, IL 60453.

Advocate Illinois Masonic Medical Center
836 W. Wellington, Chicago, IL 60657.

Advocate Lutheran General Hospital
1775 Dempster Street, Park Ridge, IL 60068.

Advocate South Suburban Hospital
17800 S Kedzie Ave, Hazel Crest, IL 60429.

Alexian Brothers Medical Center
800 Biesterfield Rd, Elk Grove Village, IL 60007-3311.

Alton Memorial Hospital
1 Memorial Drive, Alton, IL 62067.

Blessing Hospital
11th and Broadway Street, PO Box 7005, Quincy, IL 62301.

BroMenn Hospital
P.O. Box 2850, Bloomington, IL 61702-2850.

Carle Foundation Hospital
611 W. Park Street, Urbana, IL 61801.

Central DuPage Hospital
25 N Winfield Rd, Winfield, IL 60190.

CGH Medical Center
100 East Le Fevre Road, Sterling, IL 61081.

Condell Medical Center
801 S. Milwaukee Ave, Libertyville, IL 60048.

Edward Hospital
120 Spalding Drive #205, Naperville, IL 60540.

Elmhurst Memorial Hospital Marquardt Memorial Library
200 Berteau Ave, Elmhurst, IL 60126.

Evanston Hospital
2650 Ridge Ave, Evanston, IL 60626.

FHN Memorial Hospital
1045 W Stephenson St, Freeport, IL 61032.

Freeport Health Network
1045 W. Stephenson St, Freeport, IL 61032.

Gateway Regional Medical Center
2100 Madison Ave, Granite City, IL 62040.

Genesis Medical Center
801 Illini Drive, Silvis, IL 61282.

Glenbrook Hospital
Evanston, IL 60026.

Good Samaritan Hospital
605 N 12th St, Mount Vernon, IL 62864.

Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL 60515.

Good Shepherd Hospital
450 W. Hwy 22, Barrington, IL 60010.

Heartland Regional Medical Center
3333 W. Deyoung St, Marion, IL 62959.

Highland Park Hospital
718 Glenview Ave., Highland Park, IL 60035.

Hinsdale Hospital
120 N Oak Street, Hinsdale, IL 60521.

Holy Cross Hospital
2701 W 68th Street, Chicago, IL 60629.

Iroquois Memorial Hospital
200 Fairman Ave, Watseka, IL 60970.

Katherine Shaw Bethea Hospital
403 E First St, Dixon, IL 61021.

LaGrange Memorial Hospital
120 North Oak Street, Hinsdale, IL 60521.

Little Company of Mary Hospital
2800 W. 95th St, Evergreen Park, IL 60805.

MacNeal Hospital
3249 S. Oak Park Ave, Berwyn, IL 60402.

Memorial Hospital Carbondale
405 W Jackson Street, Carbondale, IL 65902.

Memorial Medical Center
701 N. First, Springfield, IL 62781.

Mercy Hospital & Medical Center
2525 South Michigan Ave, Chicago, IL 60616.

Methodist Medical Center of Illinois
221 NE Glen Oak Ave, Peoria, IL 61636.

Michael Reese Hospital
2929 S. Ellis Ave, Chicago, IL 60616.

Morris Hospital
150 West High Street, Morris, IL 60450.

Northern Illinois Medical Center
4201 Medical Center Drive, McHenry, IL 60050.

Northwest Community Hospital
800 W Central Rd, Arlington Heights, IL 60005.

Northwestern Memorial Hospital
251 E Huron; Galter 3-210, Chicago, IL 60611.

OSF Saint Anthony Medical Center
5666 East State Street, Rockford, IL 61108.

OSF Saint Joseph Medical Center
2200 E Washington, Bloomington, IL 61701.

OSF Saint Francis Medical Center
530 NE Glen Oak, Peoria, IL 61637.

Our Lady of the Resurrection Medical Center
5645 W. Addison, Chicago, IL 60634.

Palos Community Hospital
12251 S 80th Ave., Palos Heights, IL 60463-0930.

Proctor Hospital
5409 N. Knoxville Ave, Peoria, IL 61614.

Protestant Memorial Medical
4500 Memorial Drive, Belleville, IL 62226.

Provena Covenant Medical Center
1400 West Park Street, Urbana, IL 61801-9901.

Provena Mercy Medical Center
1325 North Highland Avenue, Aurora, IL 60506.

Provena Saint Joseph Medical Center
333 N. Madison St., Joliet, IL 60435.

Provena Saint Mary's Hospital
500 West Court Street, Kankakee, IL 60901.

Resurrection Medical Center
7435 W. Talcott Ave, Chicago, IL 60631.

Rockford Memorial Hospital
2400 N Rockton Ave, Rockford, IL 61103.

Rush North Shore Medical Center
9600 Gross Point Road, Skokie, IL 60076.

Rush University Medical Center
1653 West Congress Parkway, Chicago, IL 60612.

Rush-Copley Medical Center/Attn: Health Science Library
2000 Ogden Ave, Aurora, IL 60504.

Rush-Riverside Heart Care Center
350 N. Wall Street, Kankakee, IL 60901.

Saint Elizabeth's Hospital
211 South 3rd Street, Belleville, IL 62220-1915.

Saint Francis Hospital and Health Center
12935 Gregory St, Blue Island, IL 60406-2470.

Saint Francis Hospital of Evanston
355 Ridge Avenue, Evanston, IL 60202.

Saint Johns Hospital
800 E. Carpenter, Springfield, IL 62769.

Saint Joseph Hospital (Provena)
77 North Airlite Street, Elgin, IL 60123-4912.

Sherman Hospital
934 Center Street, Decision Support, Elgin, IL 60120.

Silver Cross Hospital
1200 Maple Road, Joliet, IL 60432.

St. James Hospital and Health Centers
20201 S Crawford, Olympia Fields, IL 60461.

St. Mary's Good Samaritan
400 North Pleasant, Centralia, IL 62801.

St. Elizabeth Hospital
2233 W. Division, Chicago, IL 60622.

St. Joseph Medical Center
2200 E. Washington St., Bloomington, IL 61701.

St. Mary of Nazareth Hospital Center
2233 W. Division, Chicago, IL 60622.

St. Mary's Hospital
1800 East Lake Shore Dr, Decatur, IL 62521.

Swedish American Hospital
1401 E. State Street, Rockford, IL 61104.

Swedish Covenant Hospital
5145 N. California, Chicago, IL 60625.

Trinity Medical Center
2701 17th St., Rock Island, IL 61201.

Weiss Memorial Hospital
4646 N. Marine Drive, Chicago, IL 60640.

West Suburban Hospital Medical Center
3 Erie Court, Oak Park, IL 60302.

Allen Memorial Hospital
1825 Logan Ave, Waterloo, IN 50703.

Ball Memorial Hospital
2401 University Avenue, Muncie, IN 47303.

Bloomington Hospital
601 W. Second St., Bloomington, IN 47403.

Clarian Health Partners-Methodist Hospital Campus
1701 N. Senate Blvd, Room A1082, Indianapolis, IN 46202.

Clark Memorial Hospital
1220 Missouri Avenue, Jeffersonville, IN 47130.

Columbus Regional Hospital
2400 E. 17th St., Columbus, IN 47201-5360.

Community Hospital
901, Mac Arthur Blvd., Munster, IN 46321.

Community Hospital East
1500 North Ritter Avenue, Indianapolis, IN 46219.

Community Hospital South
1500 N Ritter Ave, Indianapolis, IN 46219-3027.

Deaconess Hospital
600 Mary Street, Evansville, IN 47747.

Dunn Memorial Hospital
1600 23rd Street, Bedford, IN 47421.

Elkhar

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A06-8266. Public record. Not legal advice.
