Medicare and Medicaid Programs; Quarterly Listing of Program IssuancesFourth Quarter 1997

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[HCFA-9878-N]

Medicare and Medicaid Programs; Quarterly Listing of Program

Issuances--Fourth Quarter 1997

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

ACTION: Notice.

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

SUMMARY: This notice lists HCFA manual instructions, substantive and

interpretive regulations, and other

[[Page 42858]]

Federal Register notices that were published during October, November,

and December of 1997 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 of the listing, we are including all Medicaid issuances

and Medicare and Medicaid substantive and interpretive regulations

(proposed and final) published during this timeframe.

FOR FURTHER INFORMATION CONTACT: Bridget Wilhite, (410) 786-5248 (For

Medicare instruction information). Betty Stanton, (410) 786-3247 (For

Medicaid instruction information). Sharon Hippler, (410) 786-4633 (For

Food and Drug Administration-approved investigational device exemption

information). Pamela Gulliver, (410) 786-4659 (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.

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 timeframe 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 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. It is HCFA's practice to 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

[[Page 42859]]

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.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, Rulings,

beginning with those released in 1995, are available online, through

the HCFA Home Page. The Internet address is http://www.hcfa.gov/regs/

rulings.htm.

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 Home Health Agency Manual,

(HCFA Pub. 11) transmittal entitled ``Billing for Durable Medical

Equipment, Orthotic/Prosthetic Devices,'' use the Superintendent of

Documents No. HE 22.8/5 and the HCFA transmittal number 284.

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, Office of Communications and Operations

Support, Division of Regulations and Issuances, Health Care Financing

Administration, Telephone (410) 786-5248.

Questions concerning Medicaid items in Addendum III may be

addressed to Betty Stanton, Center for Medicaid State Operations,

Policy Coordination and Planning Group, Health Care Financing

Administration, C4-25-02, 7500 Security Boulevard, Baltimore, MD 21244-

1850, Telephone (410) 786-3247.

Questions concerning Food and Drug Administration-approved

investigational device exemptions may be addressed to Sharon Hippler,

Office of Clinical Standards and Quality, Coverage Analysis Group,

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

Pamela Gulliver, Office of Communications and Operations Support,

Division of Regulations and Issuances, Health Care Financing

Administration, C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-

1850, Telephone (410) 786-4659.

(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: July 29, 1988.

Pamela J. Gentry,

Director, Office of Communications and Operations Support.

Addendum I

This addendum lists the publication dates of the most recent

quarterly listings of program issuances.

April 21, 1997 (62 FR 19328)

May 12, 1997 (62 FR 25957)

November 3, 1997 (62 FR 59358)

November 21, 1997 (62 FR 62325)

June 4, 1998 (63 FR 30499)

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 42860]]

ADDENDUM III.--Medicare and Medicaid Manual Instructions

October 1997 through December 1997

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

Trans. No. Manual/Subject/Publication No.

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

Intermediary Manual

Part 3--Claims Process (HCFA Pub. 13-3)

(Superintendent of Documents No. HE 22.8/6)

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

1727 <bu Billing for Durable Medical Equipment,

l Orthotic/Prosthetic Devices and Surgical

Dressings.

1728 <bu Further Development is Not Necessary.

l

Further Development is Required.

Coordination With Providers.

Returning Bills to Provider.

Review of Hospitals With On-Line Admissions

Query.

Assessment of the Hospital Review.

1729 <bu HCPCS Codes for Diagnostic Services and

l Medical Services.

Pneumococcal Pneumonia, Influenza Virus and

Hepatitis B Vaccines.

Hospital Outpatient Partial Hospitalization

Services.

1730 <bu Establishing Pacemaker Registry Records.

l

Pacemaker Related ICD-9-CM Procedure Codes.

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

Carriers Manual

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

(Superintendent of Documents No. HE 22.8/7)

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

1581 <bu Type of Service.

l

Screening Mammography.

1582 <bu Services Eligible for HPSA Bonus Payments.

l

Remittance Messages.

1583 <bu The Carrier Advisory Committee.

l

DMERC Advisory Process.

Data Analysis.

Provider Tracking System.

Medical Review Program General Information.

Coordination With Carrier Fraud Unit.

Taking Corrective Actions on Identified

Problems.

Evaluating Effectiveness of Correction Action.

Data Analysis and Functions.

Data Analysis.

Medicare FMR Status Report.

Prepayment Review of Selected Claims.

Automated and Manual Prepayment Review.

Types of Prepayment Review.

Prepayment Edits.

Evaluation of Prepayment Edits.

Categories of Edits.

Developing Claims for Additional

Documentation.

HCFA Mandated Edits.

Personnel and Procedures.

Levels of Manual Review.

Postpayment Review of Claims.

Comprehensive Medical Review Procedures.

Conducting Comprehensive Medical Review.

Comprehensive Medical Review Corrective

Actions.

Overpayment Assessment Procedures.

Denials Based on Sec. 1862(a)(1)(A) of the

Act.

Appeal of Denials.

Carrier Medical Director and Carrier

Coordination With Intermediaries and PROs.

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

Program Memorandum

Intermediaries (HCFA Pub. 60A)

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

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

A-97-15 <bu New Reporting Requirements for Ambulance

l Services.

A-97-16 <bu Medicare Home Health Benefit-The Balanced

l Budget Act of 1997-Financing Shift of Home

Health Services from Part A to Part B.

A-97-17 <bu Balanced Budget Act of 1997, P.L. 105-33 (H.R.

l 2015)--Outpatient Rehabilitation Services

Payment Provisions.

A-97-18 <bu Hospital Outpatient Procedures: Medicare

l Changes for Radiology and Other Diagnostic

Coding Due to the 1998 HCPCS Update;

Miscellaneous Changes.

A-97-19 <bu Effects of Balanced Budget Act On Provider

l Cost Reporting.

A-97-20 <bu Rural Health Clinic/Federally Qualified Health

l Center Provisions Enacted by Sec. 4205 of

the Balanced Budget Act of 1997.

A-97-21 <bu Instructions Regarding Requests for New

l Provider Exemptions and the Impact of the

Balanced Budget Act of 1997 on Approved New

Provider Exemptions for Medicare Certified

Skilled Nursing Facilities.

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

[[Page 42861]]

Program Memorandum Carriers

(HCFA Pub. 60B)

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

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

B-97-6 <bu Furnishing 1998 Pricing Data.

l

B-97-7 <bu 1998 Annual Participation and Enrollment

l Process.

B-97-8 <bu 1998 Fee Screens Edit Package for the Medicare

l Physician Fee Schedule Database.

B-97-9 <bu 1998 Participation Enrollment Material.

l

B-97-10 <bu Conversion Factors for 1998 for Anesthesia

l Services.

B-97-11 <bu Suspension of National Coverage Policy on

l Electrostimulation for Wound Healing.

B-97-12 <bu Change in the Reporting of Pricing Localities

l for Clinical Lab Services and Drugs.

B-97-13 <bu Implementation of the New Payment Limit for

l Ambulance Services.

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

Program Memorandum Intermediaries/Carriers

(HCFA Pub. 60A/B)

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

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

AB-97-19 <bu 1998 HCFA Common Procedure Coding System.

l

AB-97-20 <bu Changes to the Fiscal Year 1998 Wage Index for

l Ambulatory Surgical Center Payments for Dates

of Service on or After October 1, 1997.

AB-97-21 <bu File Descriptions and Instructions for

l Retrieving the 1998 Physician, Clinical Lab,

Durable Medical Equipment, Prosthestics/

Orthotics and Supplies Fee Schedule Payments

Amounts Through Network Data Mover.

AB-97-22 <bu Coding for Adequacy of Hemodialysis on Claims

l Form.

AB-97-23 <bu Implementation of 1998 Clinical Diagnostic

l Laboratory Fee Schedule and Mapping for 1998

Laboratory Coding Changes.

AB-97-24 <bu Medicare Coverage of Colorectal Cancer

l Screening.

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

Program Memorandum Medicaid State Agencies

(HCFA Pub. 17)

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

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

9 <bu Title XIX of the Social Security Act, Post-

l Eligibility Treatment of Income

7

9 <bu Title XIX of the Social Security Act, Payment

l of Medicare Part B Premiums

7

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

State Operations Manual Provider Certification

(HCFA Pub. 7)

(Superintendent of Documents No. HE 22.8/12)

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

284 <bu The Quality of Survey and Certification

l Activity.

The State Agency Quality Improvement Program.

SAQIP Guiding Principles.

SAQIP Terminology.

Continuous Quality Improvement Plan.

Components of an Individual Quality

Improvement Plan.

285 <bu Minimum Data Set System.

l

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

Hospital Manual

(HCFA Pub. 10)

(Superintendent of Documents No. HE 22.8/2)

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

723 <bu Consistency in Entering Other Insurer Name on

l Bill.

Verification of MSP On-Line Data and Use of

Admissions Questions.

Admission Questions to Ask Medicare

Beneficiaries.

Documentation to Support Admission Process.

Reviewing Hospital Files.

Selection of Bill Sample.

Review of Hospitals With On-Line Admissions.

724 <bu Reporting Outpatient Services Using HCFA

l Common Procedure Coding System.

Pneumococcal Pneumonia, Influenza virus, and

Hepatitits B Vaccines.

HCPCS Codes for Diagnostic Services and

Medical Services.

Billing for Hospital Outpatient Partial

Hospitalization Services.

725 <bu Pacemaker Registry.

l

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

Christian Science Sanatorium

Hospital Manual Supplement

(HCFA Pub. 32)

(Superintendent of Documents No. HE 22.8/2)

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

38 <bu Pneumococcal Pneumonia, Influenza Virus, and

l Hepatitis B Vaccines.

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

[[Page 42862]]

Home Health Agency Manual

(HCFA Pub. 11)

(Superintendent of Documents No. HE 22.8/5)

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

284 <bu Billing for Durable Medical Equipment, and

l Orthotic/Prosthetic Devices.

285 <bu Billing for Pneumococcal Pneumonia, Influenza

l Virus, and Hepatitis B Vaccines.

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

Skilled Nursing Facility Manual

(HCFA Pub. 12)

(Superintendent of Documents No. HE 22.8/3)

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

351 <bu Special Billing Instructions for Pneumococcal

l Pneumonia, Influenza Virus, and Hepatitis B

Vaccines.

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

Renal Dialysis Facility Manual

(Non-Hospital Operated)

(HCFA Pub. 29)

(Superintendent of Documents No. HE 8/13)

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

82 <bu Pneumococcal Pneumonia, and Influenza Virus

l Vaccines.

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

End Stage Renal Dialysis

Network Organizations Manual

(HCFA Pub. 81)

(Superintendent of Documents No. HE 8/13)

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

5 <bu Patient Grievances.

l

Introduction.

Provision of Educational Information.

Provision of Technical Assistance.

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

Medicare Hospice Manual

(HCFA Pub. 21)

(Superintendent of Documents No. HE 8/18)

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

51 <bu Special Billing Instructions for Pneumococcal

l Pneumonia, Influenza Virus, and Hepatitis B

Vaccines.

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

Provider Reimbursement Manual--Part II

Provider Cost Reporting Forms and Instructions

(HCFA Pub. 15-II-AI)

(Superintendent of Documents No. HE 22.8/4)

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

3 <bu Skilled Nursing Facility Complex Cost Report

l Form HCFA-2540-96.

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

Medicare/Medicaid

Sanction--Reinstatement Report

(HCFA Pub. 69)

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

97-11 <bu Cumulative Report of Physicians/Practitioners,

l Providers and/or Other Health Care Suppliers

Excluded/Reinstated--July 1997.

97-12 <bu Report of Physicians/Practitioners, Providers

l and/or Other Health Care Suppliers Excluded/

Reinstated--September 1997.

97-13 <bu Report of Physicians/Practitioners, Providers

l and/or Other Health Care Suppliers Excluded/

Reinstated--October 1997.

97-14 <bu Report of Physicians/Practitioners, Providers

l and/or Other Health Care Suppliers Excluded/

Reinstated--November 1997.

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

Addendum IV--Regulation Documents Published in the Federal Register

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

End of

Publication date FR Vol. 62 page CFR part(s) File code* Regulation title comment Effective

period date

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

10/01/97................ 51536-51550............ ....................... BPD-895-FNC............ Medicare Program; Schedules 12/01/97 10/01/97

of Limits and

Prospectively Determined

Payment Rates for Skilled

Nursing Facility Inpatient

Routine Service Costs.

10/01/97................ 51551-51552............ ....................... BPD-896PN.............. Medicare Program; 12/01/97 10/01/97

Adjustments to Cost Limits

for Skilled Nursing

Facility Inpatient Routine

Service Costs.

10/06/97................ 52034.................. 410, 412............... BPD-878-CN............. Medicare Program; Changes 10/01/97

to the Hospital Inpatient

Prospective Payment

Systems and Fiscal Year

1998 Rates; CORRECTION.

[[Page 42863]]

10/06/97................ 52034.................. 418.................... BPD-820-CN............. Medicare Program; Hospice .......... 10/01/97

Wage Index; CORRECTION.

10/15/97................ 53571-53572............ 433.................... MB-113-F............... Medicaid Program; 09/13/93

Limitation on Provider-

Related Donations and

Health Care-Related Taxes;

Revision of Waiver

Criteria for Tax Programs

Based Exclusively on

Regional Variations;

CORRECTION.

10/28/97................ 55773-55774............ ....................... HCFA-1007-N............ Medicare Program; Meetings 10/28/97

of the Negotiated

Rulemaking Committee on

the Provider-sponsored

Organization Solvency

Standards.

10/29/97................ 56106-56111............ 489.................... BPD-748-F.............. Medicare Program; Changes 11/28/97

in Provider Agreement

Regulations Related to

Federal Employees Health

Benefits.

10/31/97................ 59048-59260............ 400, 405, 410, 411, 414 BPD-884-FC............. Medicare Program; Revisions 12/30/97 01/01/98

to Payment Policies and

Adjustments to the

Relative Value Units Under

the Physician Fee

Schedule, Other Part B

Payment Policies, and

Establishment of the

Clinical Psychologist Fee

Schedule for Calendar Year

1998.

10/31/97................ 59261-59266............ ....................... BPD-893-FN............. Medicare Program; Physician 10/01/97

Fee Schedule Conversion 01/01/98

Factor for Calendar Year

1998 and Sustainable

Growth Rate for Fiscal

Year 1998.

10/31/97................ 59267-59269............ 414.................... BPD-901-NC............. Medicare Program; Delay in 12/30/97

Implementing the

Adjustments to the

Practice Expense Relative

Value Units Under the

Physician Fee Schedule for

Calendar Year 1998.

11/03/97................ 59358-59365............ ....................... BPO-150-N.............. Medicare and Medicaid

Programs; Quarterly

Listing of Program

Issuances--First Quarter.

11/03/97................ 59366-59368............ ....................... OACT-056-N............. Medicare Program; Part A 01/01/98

Premium for 1998 for the

Uninsured Aged and for

Certain Disabled

Individuals Who Have

Exhausted Other

Entitlement.

11/03/97................ 59365-59366............ ....................... OACT-057-N............. Medicare Program; Inpatient 01/01/98

Hospital Deductible and

Hospital and Extended Care

Services Coinsurance

Amounts for 1998.

11/04/97................ 59715-59720............ ....................... OACT-055-N............. Medicare Program; Monthly 01/01/98

Actuarial Rates and

Monthly Supplementary

Medical Insurance Premium

Rate Beginning January 1,

1998.

11/05/97................ 59818-59820............ 424.................... BPD-875-NC............. Medicare Program; Home 01/05/98 12/05/97

Health Agency Physician

Certification Regulations.

11/21/97................ 62325-62332............ ....................... BPO-151-N.............. Medicare and Medicaid

Programs; Quarterly

Listing of Program

Issuances--Second Quarter

1997.

12/02/97................ 63669-63674............ 417.................... HCFA-1911-IFC.......... Medicare+Choice Program; 02/02/98 01/01/98

Collection of User Fees

From Medicare Choice Plans

and Risk-Sharing

Contractors.

12/03/97................ 63953-63954............ ....................... HCFA-1024-N............ Medicare Program; December

15, 1997, Meeting of the

Practicing Phyisicans

Advisory Council.

12/19/97................ 66726-66763............ 416, 482, 485, 489..... HCFA-3745-P............ Medicare and Medicaid 02/17/98 12/19/97

Programs; Hospital

Conditions of

Participation; Provider

Agreements and Supplier

Approval.

12/22/97................ 66932-66966............ 146.................... HCFA-2891-IFC.......... Interim Rules for Mental 03/23/98 01/01/98

Health Parity.

[[Page 42864]]

12/23/97................ 67174-67213............ 483.................... HCFA-2180-F............ Medicare and Medicaid 03/23/98

Programs; Resident 06/22/98

Assessment in Long Term

Care Facilities.

12/29/97................ 67688-67689............ 144, 146............... HCFA-2017-N............ Application of HIPAA Group 12/29/97

Market Portability Rules

to Health Flexible

Spending Arrangements.

12/29/97................ 67689-67690............ 144, 146............... HCFA-2018-N............ Application of HIPAA Group .......... 12/29/97

Market Rules to

Individuals Who Were

Denied Coverage Due to a

Health Status-Related

Factor.

12/30/97................ 67881-67882............ ....................... HCFA-1034-N............ Medicare Program; Request

for Nominations for

Members for the Practicing

Physicians Advisory

Council.

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

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.

G970014 A2

G970171 A1

G970248 A2

G970278 A2

G970281 A2

The following information presents the device number, category (in

this case, B), and criterion code.

G970087 B2

G970130 B2

G970146 B3

G970160 B1

G970168 B1

G970182 B4

G970186 B4

G970197 B2

G970204 B1

G970207 B3

G970208 B3

G970209 B4

G970211 B1

G970213 B3

G970214 B4

G970216 B1

G970218 B3

G970221 B1

G970223 B4

G970225 B3

G970227 B4

G970229 B1

G970231 B1

G970235 B1

G970236 B4

G970238 B1

G970239 B1

G970240 B1

G970241 B3

G970245 B1

G970250 B1

G970253 B1

G970254 B4

G970255 B4

G970256 B1

G970257 B3

G970258 B4

G970259 B4

G970260 B2

G970261 B2

G970264 B1

G970267 B3

G970268 B4

G970271 B4

G970272 B4

G970274 B2

G970276 B1

G970280 B3

G970282 B3

G970286 B4

G970289 B2

G970290 B4

G970291 B4

[FR Doc. 98-21424 Filed 8-10-98; 8:45am]

BILLING CODE 4120-01-P