Medicare and Medicaid Programs; Quarterly Listing of Program Issuances; Fourth Quarter 1996

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[BPO-148-N]

Medicare and Medicaid Programs; Quarterly Listing of Program

Issuances; Fourth Quarter 1996

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice.

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

SUMMARY: This notice lists HCFA manual instructions, substantive and

interpretive regulations, and other Federal Register notices that were

published during October, November, and December of 1996 that relate to

the Medicare and Medicaid programs. It also identifies certain devices

with investigational device exemption numbers approved by the Food and

Drug Administration that may be potentially covered under Medicare.

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

[[Page 25958]]

of the listing, we are including all Medicaid issuances and Medicare

and Medicaid substantive and interpretive regulations (proposed and

final) published during this time frame.

FOR FURTHER INFORMATION CONTACT:

Bridget Wilhite, (410) 786-5248 (For Medicare instruction information)

Pat Prete, (410) 786-3246 (For Medicaid instruction information)

Sharon Hippler, (410) 786-4633 (For Food and Drug Administration-

approved investigational device exemption information)

Cathy Johnson, (410) 786-5241 (For all other information)

SUPPLEMENTARY INFORMATION:

I. Program Issuances

The Health Care Financing Administration (HCFA) is responsible for

administering the Medicare and Medicaid programs, which pay for health

care and related services for 38 million Medicare beneficiaries and 36

million Medicaid recipients. Administration of these programs involves

(1) Providing information to Medicare beneficiaries and Medicaid

recipients, health care providers, and the public, and (2) effective

communications with regional offices, State governments, State Medicaid

Agencies, State Survey Agencies, various providers of health care,

fiscal intermediaries and carriers 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 the Secretary

under sections 1102, 1871, and 1902 and related provisions of the

Social Security Act (the Act) and also issue various manuals,

memoranda, and statements necessary to administer the programs

efficiently.

Section 1871(c)(1) of the Act requires that we publish in the

Federal Register at least every 3 months a list of all Medicare manual

instructions, interpretive rules, and guidelines of general

applicability not issued as regulations. 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, we are continuing our practice of including Medicare

substantive and interpretive regulations (proposed and final) published

during the 3-month time frame. Since the publication of our quarterly

listing on June 12, 1992 (57 FR 24797), we decided to add Medicaid

issuances to our quarterly listings. Accordingly, we list in this

notice Medicaid issuances and Medicaid substantive and interpretive

regulations published during October through December 1996.

II. How to Use the Addenda

This notice is organized so that a reader may review the subjects

of all manual issuances, memoranda, substantive and interpretive

regulations, or Food and Drug Administration-approved investigational

device exemptions published during the time frame to determine whether

any are of particular interest. We expect it to be used in concert with

previously published notices. Most notably, 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) and the

notice published March 31, 1993 (58 FR 16837), and those desiring

information on the Medicare Coverage Issues Manual may wish to review

the August 21, 1989 publication (54 FR 34555).

To aid the reader, we have organized and divided this current

listing into five 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 HCFA Medicare and

Medicaid manuals and memoranda.

Addendum III of this notice lists, for each of our manuals or

Program Memoranda, a HCFA transmittal number unique to that instruction

and its subject matter. A transmittal may consist of a single

instruction or many. 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, the Federal Register citation, the parts of

the Code of Federal Regulations (CFR) that have changed (if

applicable), the agency file code number, the title of the regulation,

the ending date of the comment period (if applicable), and the

effective date (if applicable).

On September 19, 1995, we published a final rule (60 FR 48417)

establishing in regulations at 42 CFR 405.201 et seq. that certain

devices with an investigational device exemption approved by the Food

and Drug Administration and certain services related to those devices

may be covered under Medicare. That final rule states that we will

announce in this quarterly notice all investigational device exemption

categorizations, using the investigational device exemption numbers the

Food and Drug Administration assigns. Addendum V includes listings of

the Food and Drug Administration-approved investigational device

exemption numbers that have been approved or revised during the quarter

covered by this notice. 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 investigational device exemption

number).

III. How to Obtain Listed Material

A. Manuals

An individual or organization interested in routinely receiving any

manual and revisions to it may purchase a subscription to that manual.

Those wishing to subscribe 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, all manuals are available at the following Internet

address: http//www.hcfa.gov/pubforms/progman.htm.

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,

[[Page 25959]]

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.access.gpo.gov/su__docs/, by using local WAIS client

software, or by telnet to swais.access.gpo.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 HCFA Regional Office or review them

at the nearest regional depository library. We have, on occasion,

published Rulings in the Federal Register. In addition, we anticipate

that Rulings, beginning with those released in 1995, will soon be

available online, through the HCFA Home Page.

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

Our laws, regulations, and manuals are also available on CD-ROM,

which 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.

HCFA-related regulations.

HCFA manuals and monthly revisions.

HCFA program memoranda.

The titles of the Compilation of the Social Security Laws are

current as of January 1, 1995. 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 1400 designated libraries

throughout the United States. Interested parties may examine the

documents at any one of the FDLs. Some may have arrangements to

transfer material to a local library not designated as an FDL. To

locate the nearest FDL, contact any library.

In addition, individuals may contact regional depository libraries,

which 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. Superintendent of Documents

numbers for each HCFA publication are shown in Addendum III, along with

the HCFA publication and transmittal numbers. To help FDLs locate the

instruction, use the Superintendent of Documents number, plus the HCFA

transmittal number. For example, to find the Intermediary Manual, Part

2--Fiscal Administration (HCFA Pub. 13-2) transmittal entitled

``Beneficiary Services,'' use the Superintendent of Documents No. HE

22.8/6-2 and the HCFA transmittal number 408.

V. General Information

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. Copies can be purchased or reviewed as

noted above.

Questions concerning Medicare items in Addendum III may be

addressed to Bridget Wilhite, Bureau of Program Operations, Issuances

Staff, Health Care Financing Administration, N2-05-03, 7500 Security

Boulevard, Baltimore, 21244-1850, Telephone (410) 786-5248.

Questions concerning Medicaid items in Addendum III may be

addressed to Pat Prete, Medicaid Bureau, Office of Medicaid Policy,

Health Care Financing Administration, C4-25-02, 7500 Security

Boulevard, Baltimore, MD 21244-1850, Telephone (410) 786-3246.

Questions concerning Food and Drug Administration-approved

investigational device exemptions may be addressed to Sharon Hippler,

Bureau of Policy Development, Office of Chronic Care and Insurance

Policy, Health Care Financing Administration, C4-11-04, 7500 Security

Boulevard, Baltimore, MD 21244-1850, Telephone (410) 786-4633.

Questions concerning all other information may be addressed to

Cathy Johnson, Bureau of Policy Development, Office of Regulations,

Health Care Financing Administration, C5-12-16, 7500 Security

Boulevard, Baltimore, MD 21244-1850, Telephone (410) 786-5241.

(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: April 18, 1997.

Gary Kavanagh,

Acting Director, Bureau of Program Operations.

Addendum I

This addendum lists the publication dates of the most recent

quarterly listings of program issuances.

November 15, 1995 (60 FR 57435)

April 8, 1996 (61 FR 15491)

June 26, 1996 (61 FR 33119)

December 18, 1996 (61 FR 66676)

April 21, 1997 (62 FR 19328)

Addendum II--Description of Manuals, Memoranda, and HCFA 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 Medicare Coverage Issues

Manual 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.

[[Page 25960]]

Addendum III.--Medicare and Medicaid Manual Instructions

[October Through December 1996]

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Trans. No. Manual/Subject/Publication No.

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

Intermediary Manual

Part 2--Fiscal Administration (HCFA Pub. 13-2)

(Superintendent of Documents No. HE 22.8/6-2)

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

408 o Beneficiary Services.

Provider Services.

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

Intermediary Manual

Part 3--Claims Process

(HCFA Pub. 13-3)

(Superintendent of Documents No. HE 22.8/6)

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

1689 o Outpatient Observation Services.

Bill Review for Partial Hospitalization

Services Provided in Community Mental Health

Centers.

Hospital Outpatient Partial Hospitalization

Services.

Billing for Hospital Outpatient Services

Furnished By Clinical Social Workers.

1690 o HCPCS for Hospital Outpatient Radiology

Services and Other Diagnostic Procedures.

Radiology HCPCS Codes Subject to the Payment

Limit.

Other Diagnostic Services HCPCS Codes Subject

to the Payment Limit.

1691 o Mammography Screening.

1692 o Outpatient Therapeutic Services.

Drugs and Biologicals.

1693 o Rural Health Clinics--General.

Federally Qualified Health Centers.

1694 o Outpatient Therapeutic Services.

Drugs and Biologicals.

1695 o Beneficiary Address Change.

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

Carriers Manual

Part 2--Program Administration (HCFA Pub. 14-2)

(Superintendent of Documents No. HE 22.8/7-3)

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

134 o Beneficiary Services.

Provider Services.

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

Carriers Manual

Part 3--Claims Process (HCFA Pub. 14-3)

(Superintendent of Documents No. HE 22.8/7)

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

1552 o Paper Remittance Notice.

Paper Remittance Notice Requirements.

Use of Standard Codes on the Paper Remittance

Notice.

Paper Remittance Notice Abbreviations.

Participation Program and Billing Limitations.

1553 o Incident to Physician's Professional Services.

Commonly Furnished in Physician's Offices.

Services and Supplies.

1554 o Correct Coding Initiative.

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Program Memorandum

Intermediaries (HCFA Pub. 60A)

(Superintendent of Documents No. HE 22.8/6-5)

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

A-96-8 o Medicare's Partial Hospitalization Benefit-

Eligibility and Scope of Services

A-96-9 o Home Health Agency Cost Limits--Correction to

the Budget Neutrality Factor.

A-96-10 o Change in Hospice Payment Rates.

A-96-11 o Home Health Agency Cost Limits--Revised

Correction to the Budget Neutrality Factor.

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

Program Memorandum

Carriers (HCFA Pub. 60B)

(Superintendent of Documents No. HE 22.8/6-5)

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

B-96-3 o Coverage of Epoetin Alfa for HIV/AIDS and

Cancer Patients Undergoing Chemotherapy.

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

[[Page 25961]]

Program Memorandum

Intermediaries/Carriers (HCFA Pub. 60A/B)

(Superintendent of Documents No. HE 22.8/6-5)

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

AB-96-10 o Current Status of Medicare Program Memorandums

and Letters Issued Before Calendar Year 1996.

AB-96-11 o Nonpayment of Viral Load Testing (Roche

Diagnostic Amplicor Test).

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

Program Memorandum

Medicaid State Agencies

(HCFA Pub. 17)

(Superintendent of Documents No. HE 22.8/6-5)

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

96-1 o Current Status of Medicaid Program Memorandums

and Action Transmittals Issued Before

Calendar Year 1996.

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

Peer Review Organization Manual

(HCFA Pub. 19)

(Superintendent of Documents No. HE 22.8/8-15)

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

63 o Consumer Representative

Hospital Manual

(HCFA Pub. 10)

Superintendent of Documents No. HE 22.8/2)

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

701 o Outpatient Observation Services.

Billing for Hospital Outpatient Partial

Hospitalization Services.

Billing for Hospital Outpatient Services

Furnished by Clinical Social Workers.

702 o HCPCS for Hospital Outpatient Radiology and

Other Diagnostic Procedures.

Radiology HCPCS Codes Subject to the Payment

Limit.

Other Diagnostic Services HCPCS Codes Subject

to the Payment Limit.

703 o Billing for Mammography Screening.

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

Home Health Agency Manual

(HCFA Pub. 11)

(Superintendent of Documents No. HE 22.8/5)

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

281 o Billing for Ambulance Services.

HCPCS Reporting Requirement.

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

Skilled Nursing Facility Manual

(HCFA Pub. 12)

(Superintendent of Documents No. HE 22.8/3)

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

346 o Billing for Mammography Screening.

347 o Billing for Ambulance Services.

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

HCPCS Reporting Requirement

Medicare Rural Health Clinic and Federally

Qualified Health Centers Manual

(HCFA Pub. 27)

(Superintendent of Documents No. HE 22.8/19:985)

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

24 o Billing for Mammography Screening by Rural

Health Clinics and Federally Qualified Health

Centers.

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

Outpatient Physical Therapy and Comprehensive

Outpatient Rehabilitation Facility Manual

(HCFA Pub. 9)

(Superintendent of Documents No. HE 22.8/9)

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

128 o Billing Instructions for Partial

Hospitalization Services Provided in

Community Mental Health Centers.

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

Coverage Issues Manual

(HCFA Pub. 6)

Superintendent of Documents No. HE 22.8/14)

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

90 o Antigens Prepared for Sublingual

Administration.

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

[[Page 25962]]

Provider Reimbursement Manual

Part 1--(HCFA Pub. 15-1)

(Superintendent of Documents No. HE 22.8/4)

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

397 o Travel Expense.

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

Provider Reimbursement Manual

Part II--Provider Cost Reporting Forms

and Instructions (HCFA Pub. 15-II-AC)

(Superintendent of Documents No. HE 22.8/4)

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

4 o Independent Rural Health Clinic/Federally

Qualified Health Center Statistical Data and

Certification Statement.

Determination of Total Payment.

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

Provider Reimbursement Manual

Part II--Provider Cost Reporting Forms and Instructions (HCFA Pub. 15-II-

AJ)

(Superintendent of Documents No. HE 22.8/4)

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

1 o Hospital and Hospital Health Care Complex Cost

Report--Form HCFA 2552-96.

2 o Form HCFA-2552-96 Worksheet.

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

State Buy-In Manual

(HCFA Pub. 24)

(Superintendent of Documents No. HE 22.8/11)

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

1 o Describe the Policies and Procedures Governing

the Enrollment of Individuals in the Part A

and Part B State Buy-In Program.

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

State Medicaid Manual--Part 6

Payment for Services

(HCFA Pub. 45-6)

(Superintendent of Documents No. HE 22.8/10)

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

32 o Upper Limits for Prescription Drugs.

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

Medicare/Medicaid

Sanction--Reinstatement Report

(HCFA Pub. 69)

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

96-9 o Report of Physicians/Practitioners, Providers

and/or Other Health Care Suppliers.

Excluded/Reinstated--August 1996.

96-10 o Report of Physicians/Practitioners, Providers

and/or Other Health Care Suppliers.

Excluded/Reinstated--September 1996.

96-11 o Report of Physicians/Practitioners, Providers

and/or Other Health Care Suppliers.

Excluded/Reinstated--October 1996.

96-12 o Report of Physicians/Practitioners, Providers

and/or Other Health Care Suppliers.

Excluded/Reinstated--November 1996.

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

Medicare Coverage Issues Manual

For the Medicare Coverage Issues Manual instruction that was

published during the quarter covered by this notice, we give the

transmittal number, the title of the section, and a brief synopsis of

the revisions. The full text of these revisions is available at the

following Internet address: http://www.hcfa.gov/pubforms/pub6/

pub6toc.htm

Transmittal No. 90

New Implementing Instruction--Effective Date: 11/17/96

Section 45-28, Antigens Prepared for Sublingual Administration.--

This section is added to provide a national determination that

antigens, which are to be administered sublingually, are not covered by

Medicare.

Addendum IV.--Regulation Documents Published in the Federal Register

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End of

Publication date FR vol. 61 page CFR part(s) File code* Regulation title comment Effective date

period

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10/01/96................ 51295-51298 ........................ BPD-874-N Medicare Program; Update ........... 10/01/96

of Ambulatory Surgical

Center Payment Rates

Effective for Services

on or After October 1,

1996.

[[Page 25963]]

10/01/96................ 51217 412, 413, 489........... BPD-847-N Medicare Program; Notice ........... 10/01/96

of Effective Date for

Changes to the Hospital

Inpatient Prospective

Payment Systems and

Fiscal Year 1997 Rates.

10/03/96................ 51611-51617 413..................... BPD-805-F Medicare and Medicaid ........... 1/04/96

Programs; New Payment

Methodology for Routine

Extended Care Services

Provided in a Swing-Bed

Hospital.

10/23/96................ 55002-55009 ........................ OACT-052-N Medicare Program; ........... 01/01/97

Monthly Actuarial Rates

and Monthly

Supplementary Medical

Insurance Premium Rate

Beginning January 1,

1997.

11/04/96................ 56691-56693 ........................ OACT-053-N Medicare Program; Part A ........... 01/01/97

Premium for 1997 for

the Uninsured Aged and

for Certain Disabled

Individuals Who Have

Exhausted Other

Entitlement.

11/04/96................ 56690-56691 ........................ OACT-054-N Medicare Program; ........... 01/01/97

Inpatient Hospital

Deductible and Hospital

and Extended Care

Services Coinsurance

Amounts for 1997.

11/08/96................ 57876-57878 ........................ BPD-879-NC Medicare and Medicaid 01/07/97 .................

Programs; Announcement

of Additional

Application From

Hospital Requesting

Waivers for Organ

Procurement Service

Area and Technical

Correction.

11/13/97................ 58140-58143 431..................... MB-092-F Medicaid and Aid to ........... 11/13/96

Families With Dependent

Children; Certain

Provisions of the

National Voter

Registration Act of

1993.

11/18/96................ 58631 413..................... BPD-805-CN Medicare and Medicaid ........... 11/04/96

Programs; New Payment

Methodology for Routine

Extended Care Services

Provided in a Swing-Bed

Hospital; Correction.

11/19/96................ 58885 ........................ ORD-093-N New and Pending ........... .................

Demonstration Project

Proposals Submitted

Pursuant to Section

1115(a) of the Social

Security Act: September

1996.

11/19/96................ 58885-58886 ........................ OPL-012-CN Medicare Program; ........... .................

December 16, 1996

Meeting of the

Practicing Physicians

Advisory Council.

11/21/96................ 59198 440..................... MB-102-F Medicaid Program; Family ........... 11/10/94

Planning Services and

Supplies for

Individuals of Child-

Bearing Age.

11/22/96................ 59490-59716 410, 415................ BPD-852-FC Medicare Program; 01/21/97 01/01/97

Revisions to Payment

Policies and Five-Year

Review of and

Adjustments to the

Relative Value Units

Under the Physician Fee

Schedule for Calendar

Year 1997.

11/22/96................ 59717-59724 ........................ BPD-853-FN Medicare Program; ........... 10/01/96-01/01/97

Physician Fee Schedule

Update for Calendar

Year 1997 and Physician

Volume Performance

Standard Rates of

Increase for Federal

Fiscal Year 1997.

12/02/96................ 63740-63749 401, 403, 405, 411, 413, BPO-118-FC Medicare Program; 01/31/97 01/02/97

447, 493. Changes Concerning

Suspension of Medicare

Payments, and

Determinations of

Allowable Interest

Expenses.

12/09/96................ 64914-64918 ........................ ORD-094-N New and Pending ........... .................

Demonstration Project

Proposals Submitted

Pursuant to Section

1115(a) of the Social

Security Act: October

1996.

12/18/96................ 66676 ........................ OPL-013-N Medicare Program; ........... .................

Request for Nominations

for Members for the

Practicing Physicians

Advisory Council.

12/18/96................ 66676-66687 ........................ BPO-140-N Medicare and Medicaid ........... .................

Programs; Quarterly

Listing of Program

Issuances and Coverage

Decisions--Second

Quarter 1996.

[[Page 25964]]

12/19/96................ 66919-66923 412, 413, 489........... BPD-847-FCN Medicare Program; ........... 10/01/96

Changes to the Hospital

Inpatient Prospective

Payment Systems and

Fiscal Year 1997 Rates;

Corrections.

12/19/96................ 67041-67047 ........................ BPD-849-FN Medicare Program; ........... 12/19/96 through

Recognition of the 12/19/02

Ambulatory Surgical

Center Standards of the

Joint Commission on the

Accreditation of

Healthcare

Organizations and the

Accreditation

Association for

Ambulatory Health Care.

12/30/96................ 68697-68698 ........................ BPD-886-N Department of Health and 02/03/97 .................

Human Services, Health

Care Financing

Administration;

Department of Labor,

Pension and Welfare

Benefits

Administration; and

Department of the

Treasury, Office of Tax

Policy and Internal

Revenue Services (the

Agencies); Health

Insurance Portability.

12/31/96................ 69034 401, 405................ BPD-869-CN Medicare Program; Waiver ........... 10/21/96

of Recovery of

Overpayments.

12/31/96................ 69034-69050 417, 434................ OMC-010-F Medicare and Medicaid ........... 01/01/97

Programs; Requirements

for Physician Incentive

Plans in Prepaid Health

Care Organizations.

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Addendum V--Categorization of Food and Drug Administration-Approved

Investigational Device Exemptions

Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c), devices

fall into one of three classes. Also, under the new categorization

process to assist HCFA, the Food and Drug Administration assigns each

device with a Food and Drug Administration-approved investigational

device exemption to one of two categories. 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 information presents the device number, category (in

this case, A), and criterion code.

G960164 A2

G960186 A2

G960190 A1

G960200 A1

G960203 A2

G960213 A1

The following information presents the device number category (in

this case, B), and criterion code.

G940148 B2

G940193 B2

G950094 B1

G960065 Be

G960072 B4

G960106 B5

G960115 Be

G960134 B4

G960144 B4

G960166 Be

G960183 B2

G960187 B1

G960189 B2

G960191 Be

G960197 Be

G960198 B2

G960199 B2

G960201 Be

G960202 B4

G960204 Be

G960205 B4

G960206 B2

G960210 B4

G960211 B4

G960212 B4

G960215 B2

G960217 B4

G960219 Be

G960221 B2

G960223 B1

G960224 B2

G960225 B4

G960226 B2

G960227 B2

G960229 B1

G960232 B4

G960236 Be

G960238 B4

G960239 B1

G960242 B4Q

This quarter we are listing previously published IDE numbers that

have changed reimbursement category. They are:

G870181 from A2 to B2

G880210 from A2 to B4

G890210 from A2 to B2

G900143 from A2 to B4

G900246 from A2 to B2

G910064 from A2 to B4

G910078 from A2 to B4

G910170 from A2 to B4

G910197 from A2 to B4

G910202 from A2 to B4

G920142 from B2 to B4

G920143 from A2 to B4

G930017 from B2 to A2

G930054 from A2 to B4

G930115 from A2 to B4

G930190 from A2 to B4

G930192 from A2 to B4

G940084 from A2 to B2

G940088 from A2 to B4

G950083 from A2 to B2

G950168 from A2 to B4

G950175 from A2 to B4

G960060 from A1 to A2

G960113 from A2 to B4

[FR Doc. 97-12262 Filed 5-9-97; 8:45 am]

BILLING CODE 4120-01-P