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CMS Transmittals




Spring 2021 Webinar Series Announced-Click here for details

Issue DateTransmittalTitleImplementation Date
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
2021-03-23 R10635CP Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac… 2021-07-06
2021-03-23 R10658CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2021 2021-07-06
2021-03-23 R10614FM The Fiscal Year 2021 Updates for the CMS Internet Only Manual (IOM) Publication (Pub.) 100-06,… 2021-04-22
2021-03-23 R10601CP Modifications to the National Coordination of Benefits Agreement (COBA) Claims Crossover Process 2021-07-06
2021-03-18 R10641PI Updates to Chapter 4 of Publication (Pub.) 100-08 2021-04-19
2021-03-19 R10674PI Second Update to Policies on the Enrollment of Opioid Treatment Programs (OTPs) 2021-01-29
2021-03-19 R10611PI Completion of Removal/Moving of Instructions from Chapter 15 of Publication (Pub.) 100-08 to… 2020-11-19
2021-03-19 R10579OTN Special Provisions for Radiology Additional Documentation Requests 2020-12-01
2021-03-19 R10593OTN Modernization of the Electronic Files Transfer (EFT) Processes Associated with Medicare Integrated… 2021-07-06
2021-03-18 R10672PI First General Update to Chapter 10 of Publication (Pub.) 100-08, Program Integrity Manual (PIM) 2021-03-22
2021-03-16 R10618CP Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update 2021-07-06
2021-03-16 R10634OTN User CR: ViPS Medicare System (VMS) - Update Interactive Correspondence Online Reporting (ICOR)… 2021-07-06
2021-03-17 R10660DEMO The Intravenous Immune Globulin (IVIG) Demonstration: Demonstration is ending on December 31, 2023 2021-01-04
2021-03-16 R10665BP Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid… 2021-04-15
2021-03-16 R10655OTN Mobile Personal Identity Verification (PIV) Station Installation 2021-04-15
2021-03-16 R10596OTN Correction to Period Sequence Edits on Home Health Claims 2021-07-06
2021-03-15 R10678CP April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated… 2021-04-05
2021-03-16 R10651CP July 2021 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder 2021-07-06
2021-03-16 R10665CP Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid… 2021-04-15
2021-03-16 R10671BP Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS)… 2021-04-05
2021-03-15 R10574CP Shared System Support Hours for Application Programming Interfaces (APIs) 2021-07-06
2021-03-15 R10663OTN Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR)… 2021-04-20
2021-03-15 R10679OTN Update to Rural Health Clinic (RHC) Payment Limits 2021-04-05
2021-03-12 R10639CP Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical… 2021-04-12
2021-03-15 R10621CP Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After January 1, 2021 2021-07-06
2021-03-11 R10650CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy… 2021-03-11
2021-03-12 R10681CP April Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and    Supplies (… 2021-04-05
2021-03-12 R10616OTN User Change Request (CR): Multi-Carrier System (MCS) - Correct Coding Initiative (CCI) Related… 2021-07-06
2021-03-12 R10597OTN Submission of Condition Codes to the Inpatient Prospective Payment System (IPPS) Pricer to Report… 2021-07-06
2021-03-12 R10639BP Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical… 2021-04-12
2021-03-12 R10592OTN Fiscal Intermediary Shared System (FISS) - Eliminate Multiple Common Working File (CWF) Replies… 2021-07-06
2021-03-09 R10631CP  Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2021 Update 2021-04-05
2021-03-12 R10654CP Fiscal Year (FY) 2021 Annual Update to the Medicare Code Editor (MCE) and International… 2020-10-05
2021-03-12 R10670OTN Modification to Existing Common Working File (CWF) Edits for Osteoporosis Drug Codes Billable on… 2021-07-06
2021-03-11 R10599OTN Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front… 2021-07-06
2021-03-11 R10657CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2021-07-06
2021-03-09 R10615CP Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2021-03-19
2021-03-09 R10646DEMO Primary Care First (PCF) and Serious Illness Patient (SIP) Models: Part 3: IURs and Edits for Non-… 2021-04-05
2021-03-08 R10666CP 2021-04-05 12175
2021-03-09 R10638CP Modernization of the Electronic Files Transfer (EFT) Associated with the National Coordination of… 2021-04-05
2021-03-09 R10669CP April 2021 Update to the Fiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS) 2021-04-05
2021-03-09 R10656CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable… 2021-04-05
2021-03-08 R10613CP Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical… 2021-04-05
2021-03-08 R10582CP100-04 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… 2021-04-05
2021-03-08 R10667CP April 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.1 2021-04-05
2021-01-20 R10575CP Calendar Year (CY) 2021 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services… 2021-01-04
2021-01-15 R10571CP Fiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH… 2021-10-05
2021-01-20 R10562CP April 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to… 2021-04-05
2021-01-20 R10564CP Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical… 2021-04-05
2021-01-20 R10559CP Modernization of the Electronic Files Transfer (EFT) Associated with the National Coordination of… 2021-04-05
2021-01-20 R10560PI Second Update to Policies on the Enrollment of Opioid Treatment Programs (OTPs) 2021-01-29
2021-01-20 R10567PI Update to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub.)… 2021-01-29
2021-01-20 R10577DEMO Primary Care First (PCF) and Serious Illness Patient (SIP) Models: Part 2: FFS Payments and Other… 2021-01-04
2021-01-20 R10576OTN Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New Outpatient Provider Specific… 2021-01-04
2021-01-20 R10565CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)… 2021-04-05
2021-01-05 R10550CP Instructions for Retrieving the 2021 Pricing and Healthcare Common Procedure Coding System (HCPCS)… 12032
2021-01-15 R10572CP April 2021 Update to the Fiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS) 2021-04-05
2021-01-08 R10549OTN Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001,… 2021-04-01
2021-01-08 R10557CP January 2021 Update of the Ambulatory Surgical Center (ASC) Payment System 2021-01-04
2021-01-05 R10548FM The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and… 2021-04-05
2021-01-05 R10551OTN Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership… 2021-04-05
2021-01-12 R10561FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -2nd Qtr Notification for… 2021-01-19
2020-12-31 R10541CP January 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2021-01-04
2020-12-31 R10541BP January 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2021-01-04
2020-12-31 R10545OTN ESRD Treatment Choices (ETC) Model Implementation: Home Dialysis Payment Adjustment (HDPA) &… 2021-01-04
2020-12-31 R10540CP January 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.0 2021-01-04
2020-12-31 R10542CP 2021 Annual Update to the Therapy Code List 2021-01-04
2020-12-31 R10546CP January 2021 Update of the Ambulatory Surgical Center (ASC) Payment System 2021-01-04
2020-12-31 R10547CP Billing for Home Infusion Therapy Services On or After January 1, 2021 2021-01-04
2020-11-18 R10481PI Update to Policies on the Enrollment of Opioid Treatment Programs (OTPs) 2020-11-20
2020-12-30 R10538PI Clarifying The Use of As-Needed/PRN Orders for Durable Medical Equipment, Prosthetics, Orthotics,… 2020-12-29
2020-12-23 R10530OTN Instructions to Medicare Administration Contractor (MAC) on COVID-19 Emergency Declaration Blanket… 2020-03-29
2020-12-30 R10537DEMO Primary Care First (PCF) and Serious Illness Patient (SIP) Models: Part 2: FFS Payments and Other… 2021-01-04
2020-12-23 R10535CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)… 2021-04-05
2020-12-23 R10528OTN Updating Calendar Year (CY) 2021 Medicare Diabetes Prevention Program (MDPP) Payment Rates 2021-01-04
2020-12-23 R10527FM Pub. 100-06, Chapter 4, Section 10 Revision (New Accounts Receivable (AR) Status Codes for… 2021-04-26
2020-12-17 R10525OTN Implementation of the New Ambulatory Surgical Center (ASC) Payment Indicator “K5” 2021-01-04
2020-12-22 R10533DEMO Telehealth Expansion Benefit Enhancement under the Pennsylvania Rural Health Model (PARHM) -… 2021-01-04
2020-12-18 R10523CP Calendar Year (CY) 2021 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services… 2021-01-04
2020-12-16 R10521CP New Medicare National Uniform Billing Committee (NUBC) Type of Bill (TOB), Condition Code and… 2021-01-04
2020-12-17 R10524PI Chapter 15 of Publication (Pub.) 100-08 Manual Redesign – Additional Release of Chapter 10 2020-11-13
2020-12-14 R10519COM Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6,… 2020-12-16