Medicare and Medicaid Programs; Quarterly Listing of Program IssuancesSecond Quarter, 1998

Federal RegisterDec 9, 1998

Ask Donna

What actually matters in this document.

Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[HCFA-9002-N]

RIN 0938-AI13

Medicare and Medicaid Programs; Quarterly Listing of Program

Issuances--Second Quarter, 1998

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 April, May, and June of 1998 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:

Bridgett 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).

Kristy Nishimoto, (410) 786-8517 (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. 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). 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

[[Page 67900]]

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

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

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.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. (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 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 Hospital Manual,

[[Page 67901]]

(HCFA Pub. 10) transmittal entitled ``Claims Processing Timeliness

Requirements,'' use the Superintendent of Documents No. HE 22.8/2 and

the HCFA transmittal number 729.

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, S2-26-13, 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 and 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

Kristy Nishimoto, Office of Communications and Operations Support,

Division of Regulations and Issuances, Health Care Financing

Administration, C5-13-07, 7500 Security Boulevard, Baltimore, MD 21244-

1850, Telephone (410) 786-8517.

(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: November 24, 1998.

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.

November 3, 1997 (62 FR 59358)

November 21, 1997 (62 FR 62325)

June 4, 1998 (63 FR 30499)

August 11, 1998 (63 FR 42857)

September 16, 1998 (63 CFR 49598)

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.

Addendum III.--Medicare and Medicaid Manual Instructions

[April 1998 through June 1998]

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

Trans. No. Manual/subject/publication No.

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

Intermediary Manual

Part 2--Audits, Reimbursement Program Administration

(HCFA Pub. 13-2)

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

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

411 <bulle List of MR Codes, Categories, and Conversion

t Factors.

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

Intermediary Manual

Part 3--Claims Process

(HCFA Pub. 13-3)

(Superintendent of Documents No. HE 22.8/6)

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

1737 <bulle This transmittal number will not be used.

1738 <bulle Provider Electronic Billing File and Records

t Formats.

Alphabetic Listings of Data Elements.

1739 <bulle Electronic Media Claims.

ANSI ASC X12 837 Health Care Claim

Transaction Set.

Electronic UB-92 Change Request Procedures.

Electronic UB-92 Change Request Forms.

Millennium Ready Free Billing Software.

Millennium Readiness.

Paper Bills

1740 <bulle Provider Access to Limited Eligibility Data.

Eligibility Data Available.

1741 <bulle Electronic Data Interchange Enrollment Form.

1742 <bulle Payment for Blood Clotting Factor.

Administered to Hemophilia Inpatients.

1743 <bulle Provider Electronic Billing File and Record

t Formats.

1744 <bulle Claims Processing Timeliness.

1745 <bulle Corrective Actions.

Withholding Payment for Payable Claims.

Cases Referred to and Accepted by Office of

Investigations.

Law Enforcement Agrees There is Fraud, but

Declines the Case Because it Does Not Meet

Criteria.

Overpayment Recoupment in Potential Fraud

Cases.

Model Suspension Letter.

[[Page 67902]]

1746 <bulle Bill Review for Partial Hospitalization

t Services Provided in Community Mental Health

Centers.

1747 <bulle Review of Form HCFA-1450 for Inpatient and

t Outpatient Bills.

Provider Electronic Billing File and Record

Formats.

Alphabetic Listings of Data Elements.

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

Carriers Manual

Part 2--Program Administration

(HCFA Pub. 14-2)

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

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

137 <bulle Functional Standards for Claims Processing

t Operations.

138 <bulle Functional Standards for Claims Processing

t Operations.

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

Carriers Manual

Part 3--Claims Process

(HCFA Pub. 14-3)

(Superintendent of Documents No. HE 22.8/7)

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

1597 <bulle Requirements for Processing Electronic Media

t Claims.

Establishing a System to Process Electronic

Media Claims.

Standard Electronic Formats.

835 and National Standard Format Health Care

Claim Payment/Advice Transactions.

Medicare Standard PC-Print-B Software.

National Standard Format Maintenance

Procedures.

Paper Remittance Notice.

1598 <bulle Jurisdiction of Requests for Payment.

Area Carrier--Physician's Services.

1599 <bulle Contractor Millennium Contingency Plan.

Millennium Ready Free Billing Software.

1600 <bulle Electronic Data Interchange Enrollment Form.

1601 <bulle HCPCS Codes.

1602 <bulle Medicare Physician Fee Schedule Database

t 1998 File Layout.

Medicare Physician Fee Schedule Database

Status Indicators.

1603 <bulle Simplified Roster Bills.

1604 <bulle Postpayment Review of Claims Denial of

t Payment.

Suspension of Payment.

Overpayment Recoupment.

Referral to State Agencies or Other

Organizations.

Model Suspension of Payment Letters.

1605 <bulle Who May Be Paid Benefits.

Benefit Checks.

Additional Benefits Payable Because Prior

Determination Revised.

Death of Enrollee or Assignee Before Claim is

Settled.

1606 <bulle Otologic Evaluations.

Allergy Testing and Immunotherapy.

Evaluation/Treatment of Speech Language,

Voice, Communication, and/or Auditory

Processing, Including Evaluating Aural

Rehabilitation Status of Providing Aural

Rehabilitation Services.

Physical Therapy/Occupational Therapy

Provided by Physicians and Physician

Employees.

Method for Computing Fee Schedule Amount.

Physicians' Services Furnished on Day of

Dialysis.

Inpatient Dialysis on Same Date As Evaluation

and Management.

Consultation Versus Visit.

1998 Geographic Practice Cost Indices by

Medicare Carrier and Locality.

1607 <bulle This transmittal corrects pagination error in

t Transmittal 1597 dated April 1998.

1608 <bulle Integumentary System.

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

Program Memorandum

Intermediaries

(HCFA Pub. 60A)

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

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

A-98-10 <bulle Year 2000 Update Pages for the Accredited

t Standards Committee X12 837 Version 3051

Implementations 3A.01 and 1A.C1

Institutional Claim/Coordination of

Benefits.

A-98-11 <bulle Extension of Due Date for Skilled Nursing

t Facility Providers Utilizing the HCFA Free

Software to File Form HCFA-2540-96 Cost

Reports.

A-98-12 <bulle Interim Rate Changes Due to the Elimination

t of the Formula Driven Overpayment.

A-98-13 <bulle Review of Home Health Agency Related

t Businesses.

A-98-14 <bulle Billing Requirements for Claims With Dates

t of Service on or After April 1, 1998, for

Oral Anti-Nausea Drugs as Full Therapeutic

Replacements for Intravenous Dosage Forms as

Part of a Cancer Chemotherapeutic Regimen.

A-98-15 <bulle Policy Clarification: Provider-Based

t Designation.

A-98-16 <bulle Coverage and Claims Processing for

t Prospective Payment for Skilled Nursing

Facilities--The Balance Budget Act of 1997.

[[Page 67903]]

A-98-17 <bulle Clarification of Provider Cost Report Filing

t Requirements.

A-98-18 <bulle Revised Medicare Bad Debt Treatment for

t Qualified Medicare Beneficiaries.

A-98-19 <bulle Managed Care Electronic Data Interchange

t Enrollment Form.

A-98-20 <bulle Claims Processing For Prospective Payment for

t Skilled Nursing Facilities--The Balanced

Budget Act of 1997.

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

Program Memorandum

Carriers

(HCFA Pub. 60B)

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

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

B-98-12 <bulle Private Contracts Between Beneficiaries and

t Physicians/Practitioners.

B-98-13 <bulle Temporary National HCPCS Code.

B-98-14 <bulle Year 2000 Update Changes to the Part B ASC

t X12N 270/271 Version 3051 Implementation for

the Health Care Eligibility Benefit Inquiry

and Response.

B-98-15 <bulle Billing for the Technical Component of a

t Laboratory Test.

B-98-16 <bulle Screening Pap Smear and Pelvic Examinations--

t The Balanced Budget Act of 1997.

B-98-17 <bulle Durable Medical Equipment Regional Carrier

t Instructions to Implement Balanced Budget

Act of 1997 Provisions, Sec. 4105, to

Provide Expanded Coverage of Blood Glucose

Monitors and Testing Strips for all

Diabetics--Implement July 1, 1998.

B-98-18 <bulle Durable Medical Equipment Regional Carrier

t Instructions for Denying Claims and

Recovering Overpayments for Prescription

Drugs Billed and/or Paid to Suppliers Not

Licensed to Dispense Prescription Drugs.

B-98-19 <bulle Change to Health Insurance Claim Form HCFA-

t 1500 Instructions for Processing Physician

Claims in Global Payment Systems.

B-98-20 <bulle Changes to the 1998 Medicare Physician Fee

t Schedule Database.

B-98-21 <bulle Notification of Updates to the X12 835

t 3051.4B and National Standard Format Version

2.01.

B-98-22 <bulle Change in Screening Mammography Coverage.

B-98-23 <bulle Health Professional Shortage Area Bonus

t Payment Clarification.

B-98-24 <bulle Carrier Updating of the International

t Classification of Diseases, Ninth Revision,

Clinical Modification.

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

Program Memorandum

Intermediaries/Carriers

(HCFA Pub. 60A/B)

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

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

AB-98-11 <bulle Contractor Codes for Processing Centers of

t Excellence Demonstration Claims.

AB-98-12 <bulle New Waived Tests.

AB-98-13 <bulle Payments for Physicians Services Affected by

t Global Payment Demonstrations.

AB-98-14 <bulle Claims Processing Instructions for the

t National Institutes of Health National

Emphysema Treatment Trial.

AB-98-15 <bulle Increased Medicare Payment and Billing

t Requirements for Nurse Practitioners,

Physician Assistants, and Clinical Nurse

Specialists-- Balanced Budget Act of 1997.

AB-98-16 <bulle Medicare Secondary Payer Denial Indicator and

t the Source Code Changes.

AB-98-17 <bulle Provider Notification of Millennium

t Instructions for Claims-Related Standards.

AB-98-18 <bulle Consolidated Billing for Skilled Nursing

t Facilities.

AB-98-19 <bulle Implementation of Court Order in National

t Medical Care v. Shalala.

AB-98-20 <bulle This transmittal number will not be used.

AB-98-21 <bulle This transmittal number will not be used.

AB-98-22 <bulle Temporary Codes Established for Screening Pap

t Smears by Automated Thin Layer Preparation

Method.

AB-98-23 <bulle HCFA-1522, Monthly Contractor Financial

t Report, Reconciliation.

AB-98-24 <bulle Provider Overpayment Recovery/Physicians

t Supplier Overpayment Recovery Systems

Overpayments Transferred to the Debt

Collection Center for Cross Servicing.

AB-98-25 <bulle New Waived Tests.

AB-98-26 <bulle Current Status of Medicare Program Memoranda

t and Letters Issued Before Calendar Year

1998.

AB-98-27 <bulle Current Status of Medicare Program Memoranda

t and Letters Issued Before Calendar Year

1998.

AB-98-28 <bulle Grace Period for Deleted Automated Multi-

t Channel Tests--Clarification of Program

Memorandum AB-97-17.

AB-98-29 <bulle Notice of New Interest Rate for Medicare

t Overpayments and Underpayments.

AB-98-30 <bulle Suppression of Notice of Utilization,

t Explanation of Medicare Benefits, and

Medicare Summary Notices for Certain Claim

Types--Implementation February 1998.

AB-98-31 <bulle Clarification of Program Memorandum A-97-8

t (July 1997) and Program Memorandum B-98-4

(January 1998)--Medicare Summary Notice

Instructions.

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

State Operations Manual

Provider Certification

(HCFA Pub. 7)

(Superintendent of Documents No. HE 22.8/12)

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

2 <bulle Background.

Interpretative Guidelines and Investigative

Procedures for Responsibilities of Medicare

Participating Hospitals in Emergency Cases.

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

[[Page 67904]]

Program Memorandum

Medicaid State Agencies

(HCFA Pub. 17)

(Superintendent of Documents No. HE 22.8/6.5)

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

98-1 <bulle Title XIX of the Social Security Act, Payment

t of Medicare Part B Premiums.

98-2 <bulle Current Status of Medicaid Program Memoranda

t and Action Transmittals Issued Before

Calendar Year 1988

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

Peer Review Organization Manual

(HCFA Pub. 19)

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

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

65 <bulle Interaction with Beneficiary Groups.

Evaluation.

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

Hospital Manual

(HCFA Pub. 10)

(Superintendent of Documents No. HE 22.8/2)

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

728 <bulle Payment for Blood Clotting Factor

t Administered to Hemophilia Inpatients.

729 <bulle Claims Processing Timeliness Requirements.

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

Skilled Nursing Facility Manual

(HCFA Pub. 12)

(Superintendent of Documents No. HE 22.8/3)

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

353 <bulle Billing for Mammography Screening.

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

End Stage Renal Disease Network

Organizations Manual

(HCFA Pub. 81)

(Superintendent of Documents No. HE 22.9/4)

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

6 <bulle Authority.

Network's Role Prior to Initiating Sanction

Recommendation.

Written Documentation Requirements for

Sanction Recommendation.

Forwarding Sanction Recommendation to

Appropriate Regional Office.

Project Officer's Role in Sanction

Procedures.

Regional Office Role in Notice and Appeal

Rights.

Duration and Removal of Alternative Sanction.

Quality of Care Referrals.

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

Outpatient Physical Therapy, Comprehensive Outpatient

Rehabilitation Facility, and Community Mental

Health Center Manual

(HCFA Pub. 9)

(Superintendent of Documents No. HE 22.8/9)

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

1 <bulle Outpatient Physical Therapy, Comprehensive

t Outpatient Rehabilitation Facility, and

Community Mental Health Center Manual--First

Publication.

2 <bulle Billing Instructions for Partial

t Hospitalization Services Provided in

Community Mental Health Centers.

Pneumococcal Pneumonia Influenza Virus and

Hepatitis B Vaccines.

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

Coverage Issues Manual

(HCFA Pub. 6)

(Superintendent of Documents No. HE 22.8/4)

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

104 <bulle Cochlear Implantation.

105 <bulle Cytogenetic Studies.

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

Provider Reimbursement Manual--Part 1

(HCFA pub. 15-1)

(Superintendent of Documents No. HE 22.8/4)

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

403 <bulle Principle.

Prevailing Salary.

Standard Travel Allowance.

Optional Travel Allowance for Home Health

Agencies and Other Providers.

Guideline Application.

Application of Travel Allowance.

Identification of Services Furnished By

Outside Suppliers.

[[Page 67905]]

Physical Therapy, Occupational Therapy, and

Speech-Language Pathology Assistants and

Aides, and Respiratory Therapy Aides and

Trainees.

Exception Because of Binding Contract.

Exception Because of Unique Circumstances or

Special Labor Market Conditions.

Provider Recordkeeping and Reporting

Requirements.

404 <bulle Cost Not Related to Patient Care.

Unallowable Costs Not Related to Patient

Care.

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

Provider Reimburse ment Manual--Part 2

Provider Cost Reporting Forms and Instructions

Chapter 37

(HCFA Pub. 15-2-AK)

(Superintendent of Documents No. HE 22.8/4)

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

1 <bulle This transmittal introduces Chapter 37,

t Skilled Nursing Facility Cost Report Form.

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

State Medicaid Manual--Part 3

Eligibility

(HCFA Pub. 45-3)

(Superintendent of Documents No. HE 22.8/10)

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

70 <bulle Coverage of Qualifying Individuals for

t Medicare Part B Premiums.

71 <bulle Medicaid Eligibility for Disabled Children

t Who Lose SSI Payment.

72 <bulle Continuous Eligibility.

73 <bulle Buy-In to Medicaid for the Working Disabled.

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

State Medicaid Manual--Part 4

Services

(HCFA Pub. 45-4)

(Superintendent of Documents No. HE 22.8/10)

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

71 <bulle Home and Community-Based Services--Basis,

t Scope, and Purpose.

Definition of Services.

Home and Community-Based Services--Model

Waiver Request.

Home and Community-Based Services--

Amendments.

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

Program Memorandum

Regional Office--General

(HCFA Pub. 51)

(Superintendent of Documents No. HE 22.28/5:90-1)

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

98-3 <bulle Home Health Agency Surety Bond Requirements.

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

Program Memorandum

Regional Offices--Standards and Certification

(HCFA Pub. 54)

(Superintendent of Documents No. HE 22.28/5:90-1)

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

98-1 <bulle Civil Money Penalty Collection Procedures.

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

Medicare/Medicaid

Sanction--Reinstatement Report

(HCFA Pub. 69)

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

98-4 <bulle Report of Physicians/Practitioners, Providers

t and/or Other Health Care Suppliers Excluded/

Reinstated--March 1998.

97-5 <bulle Report of Physicians/Practitioners, Providers

t and/or Other Health Care Suppliers Excluded/

Reinstated--April 1998.

97-6 <bulle Report of Physicians/Practitioners, Providers

t and/or Other Health Care Suppliers Excluded/

Reinstated--May 1998.

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

[[Page 67906]]

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

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

End of

Publication date FR vol. 63 CFR part(s) File code* Regulation title comment Effective

page period date

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

04/09/98............. 17429-17431 ............................... HCFA-2246-N Medicare, Medicaid, and ........... 06/30/99 07/

CLIA Programs; Clinical 20/01

Laboratory Improvement

Amendments of 1998

Continuance of Approval

as an Accrediting

Organization: the Joint

Commission on

Accreditation of

Healthcare

Organizations, the

American Association of

Blood Banks, and the

American Osteopathic

Association.

04/14/98............. 18124-18135 422............................ HCFA-1027-IFC Medicare Program; 06/15/98 05/14/98

Definition of Provider-