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CMS Transmittals



IMPORTANT NOTICE: Updated W-9 for new address 3/1/18 available here.

Issue DateTransmittalTitleImplementation Date
2018-04-20 R4023CP Update of Internet Only Manual (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 37 - Department of Veterans Affairs (VA) Claims Adjudication Services Project 2018-07-20
2018-04-20 R4024CP Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-07-02
2018-04-20 R4025CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-01
2018-04-13 R195DEMO Update to CR9341 Oncology Care Model (OCM) Restricted Care Management Code List 2018-07-02
2018-04-13 R4022CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.2 Effective July 1, 2018 2018-07-02
2018-04-13 R243BP Ambulance Transportation for a Skilled Nursing Facility (SNF) Resident in a Stay Not Covered by Part A - Medicare Benefit Policy Manual, Chapter 10 and Medicare Claims Processing Manual, Chapter 15 2018-07-16
2018-04-13 R4021CP Ambulance Transportation for a Skilled Nursing Facility (SNF) Resident in a Stay Not Covered by Part A - Medicare Benefit Policy Manual, Chapter 10 and Medicare Claims Processing Manual, Chapter 15 2018-07-16
2018-04-13 R2054OTN Change in Type of Service (TOS) for Current Procedural Terminology (CPT) Code 77067 2018-07-02
2018-04-13 R178SOMA Revisions to State Operations Manual (SOM) Appendix J, Part I – Survey Protocol for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 2018-04-13
2018-04-13 R3P243 Medicare Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14 2018-04-13
2018-04-13 R786PI Reimbursing Providers and Health Information Handlers (HIHs) for Additional Documentation 2018-05-14
2018-04-10 R303FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2018 2018-04-17
2018-04-04 R2051OTN Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 2018-04-02
2018-04-06 R4018CP New Waived Tests 2018-07-02
2018-04-06 R4017CP Increased Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities 2018-10-01
2018-04-06 R785PI 2018-05-07 10592
2018-04-03 R206NCD Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) N/A
2018-04-03 R4016CP Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) N/A
2018-04-03 R2050OTN Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System 2018-07-02
2018-03-30 R302FM Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports 2018-07-02
2018-03-30 R4014CP Revised and New Modifiers for Oxygen Flow Rate 2018-04-02
2018-03-30 R2049OTN National Supplier Clearinghouse (NSC) Numbers Shortage for Walgreen TIN 2018-04-02
2018-03-29 SE18001 Proper Coding for Specimen Validity Testing Billed in Combination with Drug Testing SE18001
2018-03-30 R4013CP Institutional Billing for No Cost Items 2018-06-29
2018-03-30 R4011CP Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) 2018-04-30
2018-03-30 R782PI Update to Chapter 15 of Publication 100-08 - Medicare Enrollment Deactivation Policies 2018-04-30
2018-03-30 R783PI Proof of Delivery Exceptions for Immunosuppressant Drugs Paid Under the Durable Medical Equipment (DME) Benefit 2018-04-30
2018-03-30 R784PI Reviewing for Adverse Legal Actions (ALA) 2018-04-30
2018-03-22 R4007CP Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) / Level 1 Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs) 2018-07-02
2018-03-23 R2048OTN Fiscal Intermediary Shared System (FISS) Internal Crosswalk Modification 2018-07-22
2018-03-23 R4008CP Notification of Change in Instructions for Handling IRF Active Provider List 2018-04-23
2018-03-23 R4009CP Update to the Internet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF) 2018-04-23
2018-03-23 R4010CP Revisions to Medicare Claims Processing Manual for End Stage Renal Disease 2018-06-26
2018-03-21 R4006CP April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 2018-04-02
2018-03-21 R4004CP April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-04-02
2018-03-20 R2047OTN Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 2018-04-02
2018-03-20 R4005CP April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-04-02
2018-03-19 R301FM The Fiscal Year 2018 Updates for the Centers for Medicare and Medicaid Services (CMS) Internet Only Manual (IOM) 100-06 The Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements 2018-06-19
2018-03-16 R2045OTN Identifying and Eliminating Discrepancies in Shared System Enrollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data 2018-07-02
2018-03-16 R2044OTN National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation 2018-04-02
2018-03-16 R2043OTN The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2016 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 2018-04-16
2018-03-16 R2042OTN Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 2018-12-11
2018-03-16 R242BP Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 2018-06-19
2018-03-16 R778PI Updates to Payment Suspension Notice 2018-05-16
2018-03-16 R18P232 Medicare Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 32, Form CMS-1728-94 2018-03-16
2018-03-16 R4000CP Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8 - Date of Service Policy 2018-07-02
2018-03-16 R300FM The Fiscal Year 2018 Updates for the Centers for Medicare and Medicaid Services (CMS) Internet Only Manual (IOM) 100-06 The Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements 2018-06-19
2018-03-16 R14P240 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 2018-03-16
2018-03-16 R780PI 2018-05-16 10498
2018-03-16 R4001CP Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 2018-06-19
2018-03-16 R114GI Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 2018-06-18
2018-03-14 R3999CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-04-02
2018-03-13 R2041OTN Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) n/a
2018-03-08 R3998CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-02-05
2018-03-09 R3995CP Correction to Pub. 100-04, Chapter 5 2018-06-11
2018-03-09 R3994CP April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-04-02
2018-03-09 R3996CP April 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-04-02
2018-03-07 R3997CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update 2018-04-02
2018-03-09 R2P244 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 44, Form CMS-224-14 2018-03-09
2018-03-09 R8P241 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 41, Form CMS-2540-10 2018-03-09
2018-03-06 R3993CP Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR 9911 2018-03-06
2018-03-02 R3992CP Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-03-02 R205NCD Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-03-02 R3987CP Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2018 2018-04-02
2018-03-02 R3988CP April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-04-02
2018-03-02 R3989CP April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 2018-04-02
2018-03-02 R2040OTN Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ 2018-07-02
2018-03-01 R3990CP Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02
2018-03-02 R3985CP Instructions for Downloading the Medicare ZIP Code File for July 2018 2018-07-02
2018-03-02 R774PI Comprehensive Error Rate Testing (CERT) Program Dispute Process 2018-03-19
2018-02-28 R2039OTN ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) 2018-02-28
2018-02-23 R3982CP Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update 2018-04-02
2018-02-23 R771PI Clarification of Instructions Regarding the Intensive Level of Rehabilitation Therapy Services Requirements 2018-03-23
2018-02-23 R773PI Form CMS-855O Processing Guide 2018-03-23
2018-02-16 R2035OTN Targeted Probe and Educate Metrics Deliverables Update and Glossary 2018-03-19
2018-02-16 R3977CP Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update 2018-07-02
2018-02-16 R3978CP Common Edits and Enhancements Modules (CEM) Code Set Update 2018-07-02
2018-02-16 R2033OTN ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) N/A
2018-02-16 R2032OTN Provider Enrollment, Chain, and Ownership System (PECOS) Extract Changes for Multi-Carrier System (MCS) - Analysis Only 2018-07-02
2018-02-16 R4PR242 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11 N/A
2018-02-16 R2031OTN Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System 2018-07-02
2018-02-16 R3980CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2018-07-02
2018-02-16 R3976CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2018 Update 2018-04-02
2018-02-16 R2034OTN Identifying and Eliminating Discrepancies in Shared System Enrollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data 2018-07-01
2017-10-27 R3895CP Revised and New Modifiers for Oxygen Flow Rate 2018-04-02
2018-02-09 R3975CP Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2018-04-02
2018-02-08 R3974CP Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02
2018-02-08 R768PI Post-Payment Review Timeliness Requirements 2018-04-01
2018-02-08 R3972CP Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update 2018-04-02
2018-02-08 R3973CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-04-02
2018-02-02 R3963CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.1, Effective April 1, 2018 2018-04-01
2018-02-02 R3971CP E/M Service Documentation Provided by Students (Manual Update) 2018-03-05
2018-02-02 R3970CP Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports 2018-07-02
2018-02-02 R3969CP Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-02-02 R298FM Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports 2018-07-02
2018-02-02 R204NCD Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD 2018-07-02
2018-02-02 R3965CP Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR 9911 2018-07-02
2018-02-02 R2029OTN Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A
2018-02-02 R3962CP Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process N/A
2018-02-02 R2028OTN Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial Reports - Phase 3 2018-07-02