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CMS Transmittals




Next Webinar 06/23/2021:
2021 Regulatory Update: Hospital Outreach Programs

Issue DateTransmittalTitleImplementation Date
2021-06-21 R10860CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2021 Update 2021-07-06
2021-06-15 R10853CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to… 2021-07-06
2021-06-17 R10859DEMO Direct Contracting Model - Professional and Global Options: Homebound Home Health Waiver and… 2021-01-04
2021-06-15 R10854CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2021 2021-07-06
2021-06-11 R10824CP July 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.2 2021-07-06
2021-06-11 R10P241i This transmittal updates Chapter 41, Skilled Nursing Facility and Skilled Nursing Facility Health… 2021-06-11
2021-06-11 R10833CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)… 2021-10-04
2021-06-11 R10842OTN Implementation of the Hospital Outpatient Department (HOPD) Prior Authorization (PA) Paired Items… 2021-10-04
2021-06-11 R10837NCD National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs) 2021-07-27
2021-06-11 R10837CP National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs) 2021-07-27
2021-06-11 R10825CP July 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2021-07-06
2021-06-11 R10826CP  Shared System Support Hours for Application Programming Interfaces (APIs) 2021-10-04
2021-06-11 R10823CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2021-10-04
2021-06-11 R10834CP Quarterly Update to Home Health (HH) Grouper 2021-10-04
2021-06-11 R10827OTN Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 0240U, 0241U… 2021-07-06
2021-06-11 R10828PI Provider Enrollment Rebuttal Process - Additional Instructions for Returning Applications and… 2021-07-12
2021-06-11 R10840CP Updates to the Internet Only Publication 100-04, Chapter 1, Section 10.1 and Chapter 20, Section 10 2021-07-12
2021-06-08 R10836CP July 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to… 2021-07-06
2021-06-09 R10839CP Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) --… 2021-06-09
2021-06-02 R10831CP Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical… 2021-04-05
2021-06-08 R10838NCD National Coverage Determination (NCD) Removal 2021-06-22
2021-06-02 R10832OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2021-07-06
2021-05-21 R10817OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2021-10-04
2021-05-24 R10821FM Pub. 100-06, Chapter 4, Section 10 Revision (New Accounts Receivable (AR) Status Codes for… 2021-05-31
2021-05-21 R10806FM The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and… 2021-10-04
2021-05-21 R10807MSP Update the International Classification of Diseases, Tenth Revision (ICD-10) 2022 Tables in the… 2021-10-04
2021-05-21 R10811CP October 2021 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder 2021-10-04
2021-05-21 R10814CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy… 12220
2021-05-21 R10809CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for… 2021-10-04
2021-05-20 R10800PI Second General Update to Chapter 10 of Publication (Pub.) 100-08, Program Integrity Manual 2021-06-22
2021-05-21 R10820DEMO 2021-04-05 11911
2021-05-20 R10792OTN Mobile Personal Identity Verification (PIV) Station Installation 2021-06-22
2021-05-20 R10801OTN Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted… 2021-10-04
2021-05-20 R10797NCD National Coverage Determination (NCD) Removal 2021-06-22
2021-05-20 R10796NCD National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This… 2021-07-23
2021-05-20 R10796CP National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This… 2021-07-23
2021-05-20 R10818NCD National Coverage Determination (NCD) 210.3 - Screening for Colorectal Cancer (CRC)-Blood-Based… 2021-10-04
2021-05-20 R10818CP National Coverage Determination (NCD) 210.3 - Screening for Colorectal Cancer (CRC)-Blood-Based… 2021-10-04
2021-05-20 R10810CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to… 2021-07-06
2021-05-20 R10793CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2021 Update 2021-07-06
2021-05-14 R10802DEMO Direct Contracting (DC) Model - Professional and Global Options: Total Care Capitation (TCC),… 2021-01-04
2021-05-17 R10804OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2021-07-06
2021-05-12 R10781OTN Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents (NFI) - Updates… 2021-06-18
2021-05-14 R10720OTN Provider Education for Required Prior Authorization (PA) Process for the Cervical Fusion with Disc… 2021-06-17
2021-05-11 R10769OTN  Waiver of Coinsurance and Deductible for Hepatitis B Preventive Service Vaccine Code, Section 4104… 2021-10-04
2021-05-12 R10789OTN The Fiscal Intermediary Shared System (FISS) Business Requirement for Rejected Claims Throwing Off… 2021-10-04
2021-05-11 R10770OTN October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (… 2021-10-04
2021-05-11 R10749PI Updates to Chapter 4 and Chapter 5 of Publication (Pub.) 100-08 2021-06-11
2021-05-11 R10753MSP Update the Common Working File (CWF) to Accept a Group Health Plan (GHP) and non-GHP (NGHP)… 2021-10-04
2021-05-11 R10755OTN Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front… 2021-10-04
2021-05-11 R10759OTN Fiscal Intermediary Shared System (FISS) - Modify Total Number of Bills Pending Reports to Exclude… 2021-10-04
2021-05-11 R10764OTN Ensuring Allogenic Stem Cell Acquisition Charges Are Not Included in the Inpatient Prospective… 2021-10-04
2021-05-11 R10765OTN Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW)… 2021-10-04
2021-05-11 R10767OTN Updates to Reason Code Bypass for Editing on Provider Submitted Adjustment Claims Resulting in a… 2021-10-04
2021-05-11 R10758CP Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) --… 2021-08-11
2021-05-07 R10740PI Voluntary Terminations of Enrollment Involving Certified Providers and Certified Suppliers   2021-06-07
2021-05-07 R10738BP Home Health Manual Update to Implement Calendar Year 2021 Request for Anticipated Payment Policies… 2021-08-09
2021-05-04 R10780OTN Update to Rural Health Clinic (RHC) Payment Limits 2021-04-05
2021-04-30 R9P233I This transmittal clarifies and makes corrections to Chapter 33, Organ Procurement Organizations (… N/A
2021-05-03 R10742CP Revisions of Sections 30.6.1(B), 30.6.12, and 30.6.13(H) of Chapter 12 of the Medicare Claims… 2021-05-09
2021-04-30 R2P245I This transmittal updates Chapter 45, Community Mental Health Center Cost Report, Form CMS‑2088‑17,… N/A
2021-04-30 R2P246I This transmittal revises, clarifies and makes corrections to Chapter 46, Rural Health Clinic (RHC)… N/A
2021-04-30 R4P244I This transmittal updates Chapter 44, Federally Qualified Health Center (FQHC) Cost Report, Form CMS… N/A
2021-04-30 R19P232I This transmittal updates Chapter 32, Home Health Agency Cost Report, Form CMS-1728-94 to sunset the… N/A
2021-04-30 R2P247I This transmittal updates Chapter 47, Home Health Agency Cost Report, Form CMS-1728-20, to update… N/A
2021-04-30 R4P243I This transmittal updates Chapter 43, Hospice Cost Report, (Form CMS-1984-14) to revise and modify… N/A
2021-04-30 R6P242I This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS‑265‑… N/A
2021-04-27 R10708CP July 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to… 2021-07-06
2021-04-29 R10772COM Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6,… 2020-12-16
2021-04-26 R10729BP Updates to Medicare Benefit Policy Manual for Rural Health Clinic (RHC) and Federally Qualified… 2021-05-26
2021-04-27 R10735PI Updates to Medicare Administrative Contractor (MAC) Appeals and Rebuttals Reporting 2021-05-27
2021-04-27 R10721CP New Waived Tests 2021-07-06
2021-04-27 R10730MSP Electronic Correspondence Referral System (ECRS) Updates to the Revised Remote Identity Proofing,… 2021-05-27
2021-04-27 R10717OTN MAC Participation in Change Requests Developed through Agile Methodology 2021-05-07
2021-04-27 R10746DEMO Primary Care First (PCF) and Serious Illness Patient (SIP) Models: Part 3: IURs and Edits for Non-… 2021-04-05
2021-04-26 R10725cp File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… 2021-07-06
2021-04-26 R10718OTN Cognitive Assessment & Care Plan Services 2021-05-26
2021-04-26 R10710FM The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and… 2021-07-06
2021-04-26 R10732OTN Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Code 87636 2021-07-06
2021-04-13 R10727PI Chapter 15 of Publication (Pub.) 100-08 Manual Redesign – Additional Release of Chapter 10 of Pub.… 2021-02-01
2021-04-16 R204SOMA Revisions to the State Operations Manual (SOM) Appendix Z - Emergency Preparedness 2021-04-16
2021-04-13 R10731FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for… 2021-04-19
2021-04-08 R10723PI Implementation of Provider Enrollment Provisions in CMS-6058-FC – Phase 1 – Continued Removal/… 2020-08-10
2021-04-06 R10716CP Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update 2021-07-06
2021-04-01 R10711PI Updates to Chapter 4 of Publication (Pub.) 100-08   2021-04-19
2021-03-31 R10684CP Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for… 2021-07-06
2021-04-01 R10709PI Updates to Chapter 4 of Publication (Pub.) 100-08   2021-04-09
2021-04-01 R10702CP April 2021 Update of the Ambulatory Surgical Center (ASC) Payment System 2021-04-05
2021-03-31 R10683CP Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2021 2021-07-01
2021-03-31 R10687OTN Medicare Administrative Contractor (MAC) Enhanced Release Testing 2021-07-06
2021-03-31 R10688CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)… 2021-07-06
2021-03-31 R10690CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)… 2021-07-06
2021-03-31 R10696CP Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation 2021-01-04
2021-03-24 R10694OTN Create a New Media Preference Indicator Custom Format and New eMedicare Correspondence Preference… 2021-01-04
2021-03-25 R10693CP April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated… 2021-04-05
2021-03-23 R10629MSP Update Internet Only Manual (IOM) Chapter 7 Medicare Secondary Payer (MSP) Recovery Manual 2021-04-19
2021-03-24 R10573BP Update to Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR) and Intensive Cardiac… 2021-04-26
2021-03-24 R10573CP Update to Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR) and Intensive Cardiac… 2021-04-26
2021-03-24 R10686OTN Expand Retention of Claims History for Outpatient, Part B, and Durable Medical Equipment,… 2020-10-05
2021-03-19 R10673OTN Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership… 2021-04-05