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CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2019-04-16 R2281OTN Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System 2019-07-01
2019-04-12 R4277CP New Waived Tests 2019-07-01
2019-04-12 R4278CP Pub. 100-04, Chapter 29 – Appeals of Claims Decisions - Revisions 2019-06-13
2019-04-12 R32QIO Update to Publication (Pub.) 100-10 to Provide Language-Only Changes for the New Medicare Card Project 2019-05-13
2019-04-12 R876PI Update to Publication (Pub.) 100-08 to Provide Language-Only Changes for the New Medicare Card Project 2019-05-13
2019-04-12 R2279OTN Direct Mailing Notification to the Medicare Administrative Contractors (MACs) Regarding Clinical Laboratory Fee Schedule (CLFS) 2019-05-03
2019-04-11 R2278OTN Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 2019-10-01
2019-04-11 R313FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2019 2019-04-17
2019-04-10 R215NCD National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS) N/A
2019-04-05 R875PI Updates to Immunosuppressive Guidance 2019-04-18
2019-04-05 R4275CP Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2019 2019-07-01
2019-04-05 R312FM Updates to Medicare Financial Management Manual Chapter 4, Section 50-50.6 Extended Repayment Schedules 2019-10-07
2019-04-05 R2276OTN Update to Claim Processing Logic to Allow 53 Automated Development System (ADS) Messages (Three Header and 50 Claim Lines) 2019-10-07
2019-04-05 R2275OTN User CR: MCS - Add Date to NU Screen for Health Insurance Claim Number (HICN) Changes 2019-10-07
2019-04-05 R4276CP Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2019 2019-05-06
2019-03-29 R872PI Updates to Immunosuppressive Guidance 2019-04-18
2019-03-29 R4271CP Update to the Internet-Only-Manual (IOM) Publication (Pub.) 100-04, Chapters 1 and 3 2019-04-29
2019-03-29 R4272CP Correction of the Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) Pricer 2019-07-01
2019-03-29 R871PI Update to Section 4.12 in Chapter 4 of Publication (Pub.) 100-08 2019-04-29
2019-03-29 R4266CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.2 Effective July 1, 2019 2019-07-01
2019-03-29 R2273OTN Revision to the Cost Report Acceptability Checklists 2019-07-01
2019-03-29 R2271OTN The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2017 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 2019-04-29
2019-03-27 R4267CP Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment 2019-03-25
2019-03-22 R4265CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2019 2019-07-01
2019-03-22 R4264CP July 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2019-07-01
2019-03-22 R4263CP April 2019 Update of the Ambulatory Surgical Center (ASC) Payment System 2019-04-19
2019-03-22 R4259CP Billing for Hospital Part B Inpatient Services 2019-06-21
2019-03-22 R4260CP Update to Chapter 31 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New Medicare Card Project 2019-04-22
2019-03-22 R4261CP Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2019 2019-07-01
2019-03-22 R125MSP Update to Publication (Pub.) 100-05 to Provide Language-Only Changes for the New Medicare Card Project 2019-04-22
2019-03-22 R82QRI Update to Publication 100-22 to Provide Language-Only Changes for the New Medicare Card Project 2019-04-22
2019-03-22 R258BP Manual Updates Related to Home Health Certification and Recertification Policy Changes 2019-04-22
2019-03-22 R870PI Manual Updates Related to Home Health Certification and Recertification Policy Changes 2019-04-22
2019-03-18 R4258CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update 2019-04-01
2019-03-15 CMS-1693-CN2 CMS-1693-CN2 2019-03-15
2019-03-15 R4253CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2019-07-01
2019-03-15 R4255CP April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2019-04-01
2019-03-15 R4256CP April 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.1 2019-04-01
2019-03-14 R4257CP Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model 2019-07-01
2019-03-13 R2270OTN Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 2019-10-01
2019-03-13 R4254CP Ensuring Only the Active Billing Hospice Can Submit a Revocation 2019-07-01
2019-03-08 R5pr242 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11 2019-03-08
2019-03-08 R2268OTN Instructions Relating to the Self-Disallowance Requirement for Determining Jurisdiction over Appeals 2019-04-08
2019-03-08 R4250CP Update to Chapter 30 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New Medicare Card Project 2019-04-08
2019-03-07 R2269OTN User CR: MCS - Health Professional Shortage Area (HPSA) No Pay Remittances Should Not Be Sent for Do Not Forward (DNF) Provider 2019-03-07
2019-03-06 R214NCD National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS) N/A
2019-03-06 R2267OTN New State Code for CA, FL, LA, MI, MS, OH, PA, TN and TX N/A
2019-03-06 R187SOMA Revision to the State Operations Manual (SOM 100-07) Appendix Q 2019-03-06
2019-03-04 R186SOMA Revisions to State Operations Manual (SOM) Appendix Z, Emergency Preparedness for All Provider and Certified Supplier Types 2019-03-04
2019-03-01 R4247CP Update to Publication 100-04 Chapters 2, 6, and 18 to Provide Language-Only Changes for the New Medicare Card Project 2019-04-01
2019-03-01 R257BP Update to Publication 100-02 Provide Language-Only Changes for the New Medicare Card Project 2019-04-01
2019-02-28 R2266OTN Revising the Remittance Advice Messaging for the 20-Hour Weekly Minimum for Partial Hospitalization Program (PHP) Services 2019-07-01
2019-02-25 R2265OTN Revising the Remittance Advice Messaging for the 20-Hour Weekly Minimum for Partial Hospitalization Program (PHP) Services. 2019-07-01
2019-02-22 R311FM Updating Chapter 3, Section 200, Limitation on Recoupment; Medicare Overpayments Manual, 2 of 4 CRs. 2019-10-07
2019-02-22 R4245CP Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2019-04-01
2019-02-22 R868PI Update to Chapter 4, Section 4.7 in Publication (Pub.) 100-08 2019-03-25
2019-02-22 R867PI Update to Exhibit 16 - Model Payment Suspension Letters in Publication (Pub.) 100-08 2019-03-25
2019-02-22 R866PI Update to Chapter 4, Section 4.11 in Publication (Pub.) 100-08 2019-03-25
2019-02-22 R4246CP Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment 2019-03-25
2019-02-22 R2263OTN Implementation of the Award for the Jurisdiction 8 (J-8) Part A and Part B Medicare Administrative Contractor (J8 A/B MAC) N/A
2019-02-21 R2264OTN Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System 2019-07-01
2019-02-21 R865PI Update to Chapter 15 of Publication (Pub.) 100-08 2019-03-12
2019-02-21 R2262OTN Ensuring Organ Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation 2019-07-01
2019-02-15 R4244CP Home Health (HH) Patient-Driven Groupings Model (PDGM) - Split Implementation N/A
2019-02-14 R213NCD National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs) 2019-03-26
2019-02-14 R4243CP Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2019-04-01
2019-02-15 R4242CP April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2019-04-01
2019-02-15 R2258OTN User CR: MCS - Display Region on Select MCS Screens 2019-07-01
2019-02-15 R2259OTN Modification of the MCS Claims Processing System Logic for Modifier 59, XE, XS, XP, and XU Involving the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Column One and Column Two Codes 2019-07-01
2019-02-15 R4241CP Instructions for Downloading the Medicare ZIP Code Files for July 2019 2019-07-01
2019-02-15 R2260OTN User CR: MCS - Add MSP Confirmed Flag and Cost Avoid to History Screen, IDR, and other Files 2019-07-01
2019-02-13 R2261OTN Direct Mailing Notification to MACs Regarding Addressing the Opioid Crisis 2019-02-28
2019-02-15 R2257OTN User CR: MCS - Health Professional Shortage Area (HPSA) No Pay Remittances Should Not Be Sent for Do Not Forward (DNF) Provider 2019-07-01
2019-02-15 R4238CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2019-07-01
2019-02-15 R4239CP Healthcare Provider Taxonomy Codes (HPTCs) April 2019 Code Set Update N/A
2019-02-12 R863PI Local Coverage Determinations (LCDs) 2019-02-11
2019-02-15 R2256OTN Continued Analysis Calls for Prospective Bundled Payments for Radiation Oncology (RO) Model N/A
2019-02-08 R4237CP Update to the Internet-Only-Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Section 12.1 2019-03-12
2019-02-08 R4234CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update 2019-04-01
2019-02-07 R2255OTN Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 2019-10-07
2019-02-08 R4233CP Update to Publication (Pub.) 100-04 Chapters 4 and 17 to Provide Language-Only Changes for the New Medicare Card Project 2019-03-12
2019-02-08 R4236CP Update to Publication (Pub.) 100-04 Chapter 3 to Provide Language-Only Changes for the New Medicare Card Project 2019-03-12
2019-02-08 R41COM Update to Publication (Pub.) 100-09 to Provide Language-Only Changes for the New Medicare Card Project 2019-03-12
2019-02-08 R4232CP Update to Publication (Pub.) 100-04 Chapter 26 to Provide Language-Only Changes for the New Medicare Card Project 2019-03-12
2019-02-08 R862PI Update to Chapter 15 of Publication (Pub.) 100-08 2019-03-12
2019-02-08 R2251OTN Utilizing the Blank Page on Odd-Numbered Medicare Summary Notices to Promote CMS Priorities 2019-07-01
2019-02-08 R2252OTN Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 2019-07-01
2019-02-08 R2253OTN Implementation of Additional Contact with Providers in the Event of a Rejected Cost Report Filing 2019-03-12
2019-02-01 R4223CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2019-04-01
2019-02-01 R2246OTN Expand Narrative File Message Number Range Implementation N/A
2019-02-01 R2245OTN Processing Instructions to Update the Standard Paper Remit (SPR) 2019-07-01
2019-02-01 R2244OTN Multi-Carrier System (MCS) Analysis Change Request (CR) to create Application Program Interfaces (APIs) for Letter Writing 2019-07-01
2019-02-01 R2250OTN User CR: ViPS Medicare System (VMS) changes to the IC4301 - RAC Reopenings and Appeals Tracking Report to Display the Current Appeal Level 2019-07-01
2019-02-01 R2249OTN Analysis on Systems to use Documentation Code References in Additional Documentation Request (ADR) Letters and to Include Non-Medical ADRs for Electronic Medical Documentation Requests (eMDRs) via the Electronic Submission of Medical Documentation (esMD) System 2019-07-01
2019-02-01 R2248OTN Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System 2019-07-01
2019-02-01 R2247OTN Analysis Call to Discuss Multi-Carrier System (MCS) Limitation When Quantity Allowed is Greater Than Quantity Billed 2019-07-01
2019-02-01 R4225CP Update to Mammography Editing 2019-07-01
2019-02-01 R4227CP Independent Laboratory Billing of Laboratory Tests for End-Stage Renal Disease (ESRD) Beneficiaries and the Sunset of the CB Modifier 2019-07-02
2019-02-01 R4230CP Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model 2019-07-01
2019-02-01 R4228CP Home Health (HH) Patient-Driven Groupings Model (PDGM) - Split Implementation N/A