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CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2022-05-20 R11425CP Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for… 2022-07-05
2022-05-20 R11426BP An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to… 2022-07-05
2022-05-20 R11426CP An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to… 2022-05-20
2022-05-20 R11427CP Claims Processing Manual Update - Pub. 100.04 for Elimination of Certificates of Medical Necessity… 2023-01-03
2022-05-20 R11424CP Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2022-07-05
2022-05-19 R11423CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for… 2022-10-03
2022-05-19 R11419MSP Update the International Classification of Diseases, Tenth Revision (ICD-10) 2023 Tables in the… 2022-10-03
2022-05-19 R11416OTN User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Off-line History Retrieval of… 2022-10-03
2022-05-19 R11417CP Quarterly Update to Home Health (HH) Grouper 2022-10-03
2022-05-19 R11418OTN Interns and Residents Information System (IRIS) XML Format 2022-08-19
2022-05-17 R1121OTN Updates to Current Inpatient Claim Edits 2022-10-03
2022-05-12 R11408CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2022 Update 2022-07-05
2022-05-12 R11414CP Claims Processing Manual Update - Pub. 100-04 for Elimination of Certificates of Medical Necessity… 2022-06-13
2022-05-12 R11409OTN User Enhancement - Update the Multi-Carrier System (MCS) to Display the Full History of a Claims'… 2022-10-03
2022-05-12 R11412OTN User Enhancement Multi-Carrier System (MCS) - Update the Procedure Code File Maintenance Screen… 2022-10-03
2022-05-04 R11397CP Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2022 2022-08-04
2022-05-12 R11413OTN User CR: ViPS Medicare System (VMS) - Improve Transportation within VMS Subsystems 2022-10-03
2022-05-12 R11411MSP Automation of the Medicare Duplicate Primary Payment (DPP) Process 2022-10-03
2022-05-04 R11400OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-10-03
2022-05-04 R11401CP Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2022-07-05
2022-05-04 R11395GI Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction… 2022-05-31
2022-05-04 R11396CP Update to Chapters 3, 4, 27 and 37 of Publication (Pub.) 100-04 Medicare Claims Processing Manual… 2022-10-03
2022-05-04 R11399BP Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy… 2022-06-06
2022-05-04 R11398CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to… 2022-07-05
2022-04-29 R11388NCD National Coverage Determination (NCD) 210.14 Reconsideration – Screening for Lung Cancer with Low… 2022-10-03
2022-05-02 R11392CP Revisions to Chapters 3, “Inpatient Hospital Billing” of the Medicare Claims Processing Manual (Pub… 2022-05-09
2022-04-29 R11376OTN  Medicare Summary Notice (MSN) Created with Wrong Beneficiary Data - Update Beneficiary Data… 12710
2022-04-29 R11373OTN Update the Common Working File Utilization Reject 86x7 and 86x6 2022-10-03
2022-04-29 R11374OTN Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical… 2022-10-03
2022-04-29 R11381MSP Updating the Common Working File (CWF) Logic Tied to Medicare Secondary Payer (MSP) Investigational… 2022-10-03
2022-04-29 R11383DEMO Calendar Year 2023 Modifications/Improvements to Value-Based Insurance Design (VBID) Model –… 2022-10-03
2022-04-29 R11388CP National Coverage Determination (NCD) 210.14 Reconsideration – Screening for Lung Cancer with Low… 2022-10-03
2022-04-29 R11377OTN Updating Reason Code 32287 Edit in the Fiscal Intermediary Shared System (FISS) to Allow Processing… 2022-10-03
2022-04-29 R11391OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-07-05
2022-04-09 R11368OTN User CR: ViPS Medicare System VMS - Allow Updates to the Submitted Medicare Beneficiary Identifier… 2022-10-03
2022-04-28 R11365CP Update of Internet Only Manual (IOM), Pub. 100-04, Chapter 15 - Ambulance 2022-05-31
2022-04-28 R11390OTN Implementation of the Award for the Jurisdiction K (J-K) Part A and Part B Medicare Administrative… 2022-05-01
2022-04-28 R11367OTN User CR: MCS - HIMR Functions Menu Additional Fields 2022-10-03
2022-04-28 R11369OTN CR: MCS - SCF Claim Field Update for Rendering Provider Number 2022-10-03
2022-04-28 R11366OTN Section 127 of the Consolidated Appropriations Act: Graduate Medical Education (GME) Payment for… 2022-10-01
2022-04-27 R11364OTN Common Working File CWF Editing-National Coverage Determination (NCD) 270.3 Blood-Derived Products… 2022-07-05
2022-04-28 R11384CP Section 10501(i)(3)(A) of the Affordable Care Act (Pub. L. 111–148 and Pub. L. 111–152) added… 2022-07-05
2022-04-27 R11386PB Update to Chapter 7, “Home Health Services,” of the Medicare Benefit Policy Manual (Pub 100-02) 2022-05-26
2022-04-26 R11363CP New Waived Tests 2022-04-04
2022-04-22 R11362CP Claims Processing Instructions for the New Hepatitis B Vaccine Code 90759 2022-07-05
2022-04-14 R11355BP Update to Publication 100-04, Chapter 18 and Publication 100-02, Chapter 15, Section to Add Data… 2022-05-16
2022-04-21 R11358PI Updates of Chapter 4 in Publication (Pub.) 100-08, Including Update to Medicare Program Integrity… 2022-05-23
2022-04-14 R11355CP Update to Publication 100-04, Chapter 18 and Publication 100-02, Chapter 15, Section to Add Data… 2022-05-16
2022-04-14 R11356OTN New State Codes for California 2022-10-03
2022-04-12 R11349FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for… 2022-04-18
2022-04-07 R11348CP Revisions to Chapters 3, “Inpatient Hospital Billing” of the Medicare… 2022-05-09
2022-04-07 R11343OTN System Limitation Update for Centralized Flu Billers (CFB), Pneumococcal and Covid-19 Vaccinations 2022-10-03
2022-04-07 R11340OTN Updates to Current Inpatient Claim Edits 2022-10-03
2022-04-07 R11339OTN Payment for Critical Access Hospitals (CAHs) Ancillary Services Submitted on 12X Type of Bill (TOB… 2022-10-03
2022-04-07 R11336OTN Request for Read-Only Access to the CMS Shared Systems for the Comprehensive Error Rate Testing (… 2011-07-11
2022-04-07 R11341CP Corrections to Home Health Billing for Denial Notices and Calculation of 60-Day Gaps in Services 2022-10-03
2022-04-07 R11337OTN Electronic Transmission of Medicare Administrative Contractor Provider Enrollment Recommendations… 2022-04-15
2022-04-07 R11346OTN The purpose of this Change Request (CR) is to implement the following updates to the list of DRGs… 2022-10-03
2022-04-07 R11345OTN Instruction to the Multi-Carrier System Maintainer to Remove Edits 055D and 179D from the H99RBEA1… 2022-10-03
2022-04-06 R11333OTN FISS displays the DCN of the claim to be adjusted, as submitted by the provider, on claim page 2 in… 2022-07-05
2022-04-06 R11342OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-03-12
2022-04-01 R11316CP Quarterly Update for the Durable Medical Equipment (DME), Prosthetics, Orthotics, and Supplies (… 2022-07-05
2022-03-30 R11331OTN Phase two: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process 2022-04-04
2022-03-31 R11328OTN Increase SuperOp Claim Counter Maximum 2022-07-05
2022-03-29 R11317CP Instructions for Downloading the Medicare ZIP Code Files for July 2022 2022-07-05
2022-03-30 R11330DEMO ESRD Treatment Choices (ETC) Model Performance Payment Adjustment (PPA) - Facility Component (… 2022-04-04
2022-03-29 R11318CP July 2022 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions to… 2022-07-05
2022-03-29 R11322CP Claims Processing Instructions for the New Hepatitis B Vaccine Code 90759 2022-07-05
2022-03-25 R11296BP  Update to Chapter 7, “Home Health Services,” of the Medicare Benefit Policy Manual (Pub 100-02) 2022-05-26
2022-03-29 R11329CP Claims Processing Instructions for the New Pneumococcal 15-valent Conjugate Vaccine Code 90671 and… 2022-04-04
2022-03-25 R11307PI Fifth General Update to Provider Enrollment Instructions in Chapter 10 of Publication (Pub.) 100-08 2022-04-25
2022-03-25 R11302CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2022-07-05
2022-03-25 R11301CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy… 2022-07-05
2022-03-25 R11299CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2022-07-05
2022-03-25 R11309CP Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP]… 2022-07-05
2022-03-24 R11304CP April 2022 Integrated Outpatient Code Editor (I/OCE) Specifications Version 23.1 2022-04-04
2022-03-24 R11303CP April 2022 Update of the Ambulatory Surgical Center (ASC) Payment System 2022-04-04
2022-03-24 R11305CP April 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2022-04-04
2022-03-23 R11321OTN Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR)… 2022-04-22
2022-03-22 R11312OTN Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership… 2022-01-03
2022-03-15 R11295CP Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2022-04-04
2022-03-11 R205SOMA Addition of new provider State Codes 2022-03-11
2022-03-10 R11292CP April Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (… 2022-04-04
2022-03-10 R11291OTN Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR)… 2022-04-11
2022-03-09 R11290OTN Correction to Processing When Osteoporosis Drugs Are Billed for Other Indications 2022-07-05
2022-03-04 R11288BP Internet-Only Manual Updates (IOM) for Critical Care, Split/Shared Evaluation and Management… 2022-02-15
2022-03-07 R11269CP April 2022 Update to the Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) 2022-04-04
2022-02-25 R489PRM Section 2231, Regional Medicare Swing-Bed-Rates, adds Table 32 to update the Medicare Payment Rates… N/A
2022-03-02 R11287CP Internet-Only Manual Updates for Critical Care Evaluation and Management Services 2022-02-22
2022-03-03 R11285OTN User CR: MCS - Create an Audit Trail for Updates to Multi-Carrier System (MCS) Eligible… 2022-07-05
2022-03-03 R11286CP Internet Only Manual Update, Pub. 100-04, Chapter 11, Sections 20.1.4 and 30.3 Regarding the… 2022-06-03
2022-03-03 R11282CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… 2022-07-05
2022-03-04 R11288CP Internet-Only Manual Updates (IOM) for Critical Care, Split/Shared Evaluation and Management… 2022-02-15
2022-03-07 R11289OTN User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Reason Code 38205 to… 2022-07-05
2022-02-24 R11278CP Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2022-04-04
2022-02-24 R11276COM The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2020 for… 2022-03-25
2022-02-25 R5P243i This transmittal updates Chapter 43, Hospice Cost Report, (Form CMS-1984-14) to revise and modify… N/A
2022-02-25 R11280CP Gap Billing Between Hospice Transfers 2022-07-05
2022-02-18 R11272 An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to… 2022-07-05
2022-02-18 R11273OTN Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership… 2022-01-03