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CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2019-06-14 R2315OTN Mobile Personal Identity Verification (PIV) Station Pilot Project 2019-07-16
2019-06-12 R4320CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2019 Update 2019-07-01
2019-06-10 R2313OTN FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to New Return Code Field Updates 2019-10-07
2019-06-07 R4317CP 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 2019-10-07
2019-05-31 R884PI Update to Exhibit 46.2, 46.3, 46.4, and 46.5 in Publication (Pub.) 100-08 2019-08-30
2019-05-31 R883PI Update to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub) 100-08 (Medicare Program Integrity Manual) 2019-08-29
2019-05-31 R4315CP Annual (2020) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2019-10-07
2019-05-24 R4314CP July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 2019-07-01
2019-05-24 R4313CP July 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2019-07-01
2019-05-23 R4312CP Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions 2019-08-16
2019-05-24 R4309CP Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with Superficial Radiation Treatment 2019-08-27
2019-05-24 R882PI Additional Processing Procedure for Adding a New Provider-Based Location for Critical Access Hospitals (CAHs) 2019-06-25
2019-05-24 R2311OTN New Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly Status Report (MSR) 2019-05-24
2019-05-24 R316FM Updates to Medicare Financial Management Manual Chapter 4, Section 20 and 20.1 Demand Letters 2019-10-07
2019-05-24 R189SOMA New to State Operations Manual (SOM), Appendix X, Survey Protocol and Interpretive Guidelines for Organ Transplant Programs 2019-05-24
2019-05-24 R4310CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2019-10-07
2019-05-17 R2310OTN Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate National Provider Identifier Associations Analysis and Development N/A
2019-05-16 R4308CP Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model 2019-07-01
2019-05-17 R4307CP Instructions for Downloading the Medicare ZIP Code Files for October 2019 2019-10-07
2019-05-17 R2309OTN New Overpayment Field Established within the ViPS Medicare System (VMS) for Healthcare Integrated General Ledger Accounting System (HIGLAS) Reporting N/A
2019-05-17 R315FM Update to Publication (Pub.) 100-06 to Provide Language-Only Changes for the New Medicare Card Project 2019-06-18
2019-05-17 R126MSP Update the International Classification of Diseases, Tenth Revision (ICD-10) 2020 Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims 2019-10-07
2019-05-17 R2307OTN Additional Processing Instructions to Update the Standard Paper Remit (SPR) 2019-10-07
2019-05-17 R4303CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2019-10-07
2019-05-17 R4306CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2019 Update 2019-07-01
2019-05-17 R124GI Update to Publication (Pub.) 100-01 to Provide Language-Only Changes for the New Medicare Card Project 2019-06-08
2019-05-17 R4304CP Claim Status Category and Claim Status Codes Update 2019-10-07
2019-05-17 R4305CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports 2019-10-07
2019-05-17 R10ESRD Update to Publication (Pub.) 100-14 to Provide Language-Only Changes for the New Medicare Card Project 2019-06-18
2019-05-15 R2308OTN New CWF Edit for Part A Outpatient Medicare Advantage (MA), Health Maintenance Organization (HMO) 2019-01-07
2019-05-10 R19PDB Update to Publication (Pub.) 100-18 to Provide Language-Only Changes and URL Location Updates for the New Medicare Card Project 2019-06-11
2019-05-10 R123GI Updates to Publication (Pub.) 100-01, Medicare General Information, Eligibility, and Entitlement, Chapter 6, Disclosure of Information 2019-06-11
2019-05-10 R2300OTN Reporting the Patient Relationship Categories and Codes 2019-08-12
2019-05-10 R2301OTN User CR: MCS - Update the RB55 Job to Include Processing of Additional Fields on the Procedure Code File 2019-10-07
2019-05-10 R2302OTN Implementation to Send Pre-Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 2020-01-06
2019-05-09 R2306OTN Analysis for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration N/A
2019-05-10 R2304OTN Automatic Transmission of the Prepayment File to the Recovery Audit Contractor (RAC) Data Warehouse (DW) 2019-10-17
2019-05-10 R2305OTN Implementation to Send Post-Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System N/A
2019-05-09 R2303OTN Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function N/A
2019-05-03 R2299OTN Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 2019-10-01
2019-05-03 R3P244 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 44, Form CMS-224-14 2019-05-03
2019-05-03 R2293OTN Systems Changes to Allow IPPS-Excluded Hospitals to Operate IPPS-Excluded Units 2019-10-07
2019-05-03 R4295CP Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 4 2019-08-27
2019-05-03 R4296CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2019-07-01
2019-05-03 R2285OTN Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes to send all Hospice periods to Support HIPAA Eligibility Transaction System (HETS) 2019-10-07
2019-05-03 R4298CP Medicare Physician Fee Schedule Database (MPFSDB) File Record Layout 2019-10-07
2019-05-03 R2291OTN User CR: FISS - Expand Number of Archived Claims That May Be Retrieved per Cycle 2019-10-07
2019-05-03 R2288OTN User CR: FISS - Develop Enhanced Claims Search Reporting in FISS - Phase 2 2019-10-07
2019-05-03 R2298OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) 2019-10-07
2019-05-03 R4294CP Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions 2019-08-07
2019-05-03 R2292OTN User CR: FISS - Analysis Only - Enhancement to Allow MACs to Copy VSAM Files from One Region to Another to Reduce File Maintenance 2019-10-07
2019-05-03 R4299CP Re-implementation of the AMCC Lab Panel Claims Payment System Logic 2019-10-07
2019-05-03 R2297OTN Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2019-10-07
2019-05-03 R2287OTN Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2019 2019-10-07
2019-05-03 R2296OTN Updating Fiscal Intermediary Shared System (FISS) for Pricing Drugs at Different Rates Depending on Provider Type 2019-10-07
2019-05-03 R2294OTN FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to New Return Code Field Updates 2019-10-07
2019-05-03 R2290OTN User CR: ViPS Medicare System (VMS) - New Standard Paper Remittance (SPR) Files for Use on Durable Medical Equipment Medicare Administrative Contractors (DME MAC) Web Portals 2019-10-07
2019-05-03 R2289OTN User CR: FISS Update RPTMEDR1 to Provide Medical Policy Parameters (MPP) Status 2019-10-07
2019-05-03 R4290CP Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare Beneficiary (QMB) Program 2019-10-07
2019-05-03 R2295OTN Archiving and Retrieving of the Integrated Outpatient Code Editor (I/OCE) for Processing Claims 2019-10-07
2019-05-03 R4292CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2019 Update 2019-07-01
2019-04-30 R877PI Update to Publication (Pub.) 100-08 to Provide Language-Only Changes for the New Medicare Card Project 2019-05-13
2019-04-26 R188SOMA Revisions to the State Operations Manual (SOM 100-07) Chapter 2, The Certification Process, Chapter 3, Additional Program Activities, and Chapter 4, Program Administration and Fiscal Management 2019-04-26
2019-04-26 R4283CP Documentation of Evaluation and Management Services of Teaching Physicians 2019-07-29
2019-04-26 R4284CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2019-07-01
2019-04-26 R4285CP Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2019-07-01
2019-04-26 R4286CP Update to Chapter 21 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New Medicare Card Project 2019-05-28
2019-04-25 R2282OTN Direct Mailing Notification to the Medicare Administrative Contractors (MACs) Regarding Clinical Laboratory Fee Schedule (CLFS) 2019-05-10
2019-04-19 R4280CP Update to Pub. 100-04, Chapter 11 2019-07-21
2019-04-19 R4281CP Update to Chapter 28 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New Medicare Card Project 2019-05-20
2019-04-19 R2280OTN MAC Reporting of Issuance of Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing 2019-06-21
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