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CMS Transmittals



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

Issue DateTransmittalTitleImplementation Date
2018-06-20 R2095OTN Revisions to the Telehealth Billing Requirements for Distant Site Services 2018-10-01
2018-06-20 R2094OTN Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 2018-10-01
2018-06-15 R4074CP July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 2018-07-02
2018-06-15 R4075CP July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-07-02
2018-06-15 R14SS IOM 100-17 Updates 2018-11-30
2018-06-15 R800PI Comprehensive Error Rate Testing (CERT) Update to Chapter 12 of Publication (Pub.) 100-08 2018-07-17
2018-06-15 R4073CP Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2018-07-02
2018-06-08 R2092OTN Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) Migration N/A
2018-06-08 R4072CP July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-07-02
2018-06-08 R4071CP Update of Internet Only Manual (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 18- Preventive and Screening Services, and Chapter 35 - Independent Diagnostic Testing Facility (IDTF) 2018-07-09
2018-06-08 R4070CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2018 2018-10-01
2018-06-08 R4069CP Alignment of Coordination of Benefits Agreement (COBA) Internet Only Manual References 2018-07-09
2018-06-07 R2093OTN Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01
2018-06-01 R797PI Reviewing for Adverse Legal Actions (ALA) 2018-04-30
2018-05-31 R4068CP E/M Service Documentation Provided by Students (Manual Update) 2018-03-05
2018-06-01 R4064CP July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-07-02
2018-06-01 R4065CP July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 2018-07-02
2018-06-01 R121MSP Update the International Classification of Diseases, Tenth Revision (ICD-10) 2019 Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims 2018-10-01
2018-06-01 R4067CP July 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-07-02
2018-06-01 R4066CP Claim Status Category and Claim Status Codes Update 2018-10-01
2018-06-01 R4063CP New Q Code for In-Line Cartridge Containing Digestive Enzyme(s) 2018-07-02
2018-05-30 R2091OTN Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) 2018-10-01
2018-05-24 R4062CP Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02
2018-05-24 R2090OTN Use the VMAP/4D States Table in all VMS Address Processing 2019-01-07
2018-05-25 R4061CP July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-07-02
2018-05-18 R4054CP Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE 2018-10-01
2018-05-18 R4058CP Common Edits and Enhancements Modules (CEM) Code Set Update 2018-10-01
2018-05-18 R2089OTN Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01
2018-05-18 R1P246 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 46, Form CMS-222-17 2018-09-30
2018-05-18 R4057CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2018-10-01
2018-05-18 R4056CP Instructions for Downloading the Medicare ZIP Code File for October Files 2018-10-01
2018-05-18 R4055CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports 2018-10-01
2018-05-18 R4053CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2018 Update 2018-07-02
2018-05-18 R1P245 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 45, Form CMS-2088-17 2018-09-30
2018-05-17 R4052CP Removal of KH Modifier from Capped Rental Claims 2018-10-01
2018-05-11 R4046CP Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Extensions per the Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act Included in the Bipartisan Budget Act of 2018 2018-04-02
2018-05-11 R4048CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02
2018-05-11 R4049CP Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-05-11 R207NCD Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-05-11 R796PI Intent to Reopen 2018-08-13
2018-05-11 R4047CP Updates to Publication 100-04, Chapters 1 and 27 to Replace Remittance Advice Remark Code (RARC) MA61 with N382 2018-08-13
2018-05-11 R4045CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-07-02
2018-05-11 R2081OTN Transition Letter Writing from Client Letter Software to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) N/A
2018-01-05 R1996OTN Analyze Common Working File (CWF) System and Identify Layouts with Minimum FILLER Areas Available 2018-04-02
2018-05-04 R2086OTN Combined Common Edits/Enhancements Module (CCEM) Updates for Apache POI (version 3.14.0) to Apache POI (version 3.17) and Analysis from JAVA (version 6) to JAVA (version 7) 2018-10-01
2018-05-04 R2085OTN Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) and Summary MSNs for Previously Undeliverable MSNs for FISS and MCS (No-Pay only) 2018-10-01
2018-05-04 R2082OTN Analysis for Mandatory Support of Review Contractors to Send Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 2018-10-01
2018-05-04 R2080OTN Fee-For-Service (FFS) Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format N/A
2018-05-04 R2079OTN Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) 2018-10-01
2018-05-04 R2077OTN Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarterly Reports 2018-10-01
2018-05-04 R2076OTN International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) 2018-10-01
2018-05-04 R2084OTN Analysis and Design for Fiscal Intermediary Shared System (FISS), Multi-Carrier System (MCS), and Viable Information Processing System (VIPS) Medicare System (VMS) Prepayment Review Report 2018-10-01
2018-05-04 R2083OTN Implementation of Changes to the Pre-Payment Additional Documentation Request (ADR) Letters for Medical Review 2018-10-01
2018-04-30 R2075OTN Medicare Cost Report E-Filing (MCReF) 2018-06-12
2018-04-27 R2065OTN Part B Detail Line Expansion - Multi-Carrier System (MCS) Phase 9 2019-04-01
2018-04-27 R2064OTN Part B Detail Line Expansion - Fiscal Intermediary Shared System (FISS) 2018-10-01
2018-04-27 R4036CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2018 2018-07-02
2018-04-27 R4037CP Removal of KH Modifier from Capped Rental Claims 2018-10-01
2018-04-27 R2074OTN Modifying FISS Part B Claims Overlap Edits 2018-10-01
2018-04-27 R4038CP Modifying FISS Part B Claims Overlap Edits 2018-10-01
2018-04-27 R4040CP 2018-10-01 10555
2018-04-27 R2073OTN Use the VMAP/4D States Table in all VMS Address Processing N/A
2018-04-27 R2072OTN Implementation of Business Requirements to Increase Claim Counter Maximum and Create Auto-Deletion Utility 2018-10-01
2018-04-27 R304FM New Physician Specialty Code for Medical Genetics and Genomics 2018-10-01
2018-04-27 R4039CP New Physician Specialty Code for Medical Genetics and Genomics 2018-10-01
2018-04-27 R2066OTN Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users N/A
2018-04-27 R2067OTN Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 2 2018-10-01
2018-04-27 R2070OTN Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving Demonstration Codes 51 and 56) 2018-10-01
2018-04-27 R196DEMO Comprehensive ESRD Care (CEC) Model Telehealth - Implementation 2018-10-01
2018-04-27 R791PI Restoring Section 3.2.3 B. and Section 3.2.3 C. to Chapter 3 of Publication (Pub.) 100-08 in the Internet Only Manual (IOM) 2018-05-29
2018-05-04 R2068OTN Common Working File (CWF) Split Medicare Part A Claims to Carry 50 Lines per Segment Rather than 100 Lines per Segment 2019-01-07
2018-04-27 R2071OTN Phase 4 - Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 2018-10-01
2018-04-27 R4035CP Enhancements to Processing of Hospice Routine Home Care Payments 2018-10-01
2018-04-27 R2069OTN Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 3 2018-10-01
2018-04-27 R4026CP Revisions to the Telehealth Billing Requirements for Distant Site Services 2018-10-01
2018-04-27 R4027CP Inexpensive or Routinely Purchased Durable Medical Equipment (DME) Payment Classification for Speech Generating Devices (SGD) and Accessories 2018-10-01
2018-04-27 R2057OTN Common Working File (CWF) to Increase Next Eligible Date Occurrences to 99 for Preventative Services 2018-10-01
2018-04-27 R2056OTN User CR: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS) - Phase 1 2019-04-01
2018-04-27 R2055OTN Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 2018-10-01
2018-04-27 R2063OTN Processing Instructions to Update the Identification Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NM1- Patient Name Segment in the 835 Guide 2018-10-01
2018-04-27 R2062OTN Updates to Peritoneal Dialysis Claims Processing, Provider Statistical and Reimbursement Report (PSR) and Payment for Ultrafiltration for Beneficiaries with Acute Kidney Injury (AKI) 2018-10-01
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