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CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2018-12-14 R851PI Updates to Chapter 4 of Publication (Pub.) 100-08 2018-10-22
2018-12-14 R2214OTN Transitioning the Pricing, Data Analysis and Coding (PDAC) to the New Contractor 2019-01-14
2018-12-14 R2213OTN Implementing the Revised Patient's Request for Medical Payment Form CMS-1490S, Version 01/18 2019-01-07
2018-12-14 R850PI Medical Review of Diagnostic Laboratory Tests 2018-12-17
2018-12-13 R254BP Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2019 2019-01-17
2018-12-14 R253BP Updates to the Inpatient Psychiatric Facility Benefit Policy Manual 2019-01-16
2018-12-14 R4182CP Calendar Year (CY) 2019 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2019-01-07
2018-11-13 R2211OTN New CWF Edit for Part A Outpatient Medicare Advantage (MA), Health Maintenance Organization (HMO) 2019-01-07
2018-12-13 R211NCD National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs) 2019-02-26
2018-12-14 R4181CP Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2019-01-07
2018-12-11 R848PI Update to Chapter 4, Section 4.18.1.4 and Exhibit 16 in Publication (Pub.) 100-08 2018-10-22
2018-12-11 R2210OTN Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Update N/A
2018-12-07 R2209OTN Analysis and Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 2019-08-30
2018-12-07 R4179CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2019-04-01
2018-12-07 R252BP Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update 2019-01-02
2018-11-30 R4178CP Annual Update to the Per-Beneficiary Therapy Amounts 2019-01-07
2018-11-30 R2208OTN Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) 2019-01-07
2018-11-30 R4176CP Summary of Policies in the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List 2019-01-07
2018-11-30 R4175CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.0 Effective January 1, 2019 2019-01-07
2018-11-30 R4173CP Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke 2019-01-02
2018-11-30 R251BP Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke 2019-01-02
2018-11-30 R4177CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2019-01-07
2018-11-30 R210NCD National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS) 2019-03-08
2018-11-28 R215DEMO Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visit HCPCS 2019-04-01
2018-11-30 R4172CP Ambulance Inflation Factor for Calendar Year 2019 and Productivity Adjustment 2019-01-07
2018-11-30 R4171CP Instructions for Downloading the Medicare ZIP Code Files for April 2019 2019-04-01
2018-11-27 R2207OTN Targeted Probe and Educate 2018-10-01
2018-10-25 R4155CP Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2019 - Recurring File Update 2019-01-07
2018-11-21 R209NCD National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs) 2019-02-26
2018-11-21 R2206OTN Implementation of a Bundled Payment for Multi-Component Durable Medical Equipment (DME) 2019-01-07
2018-11-16 R211DEMO IVIG Demonstration: Payment Update for 2019 N/A
2018-11-16 R4170CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2019-04-01
2018-08-03 R4106CP Home Health Rural Add-on Payments Based on County of Residence 2019-01-07
2018-10-19 R4148CP Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2019 2019-01-07
2018-10-12 R4145CP Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2019 2019-01-07
2018-11-15 R4169CP New Waived Tests 2019-01-07
2018-11-14 R250BP Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment fo 2019-01-07
2018-11-16 R4168CP 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 2019-04-01
2018-11-16 R4167CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2019-04-01
2018-09-28 R2142OTN New Modifier for Expanding the Use of Telehealth for Individuals with Stroke 2019-01-07
2018-11-14 R2204OTN Update to the Long Description for Spanish Records on The Procedure Descriptor Master File for all Adds and Updates That Were Not Loaded with Change Request (CR) 10286 N/A
2018-11-16 R185SOMA Revisions to the State Operations Manual (SOM) Chapter 7 2018-11-16
2018-11-09 R2203OTN User CR: FISS to Add Location/Statuses to the 6H File Fix 2019-01-07
2018-11-09 R2202OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) 2019-04-01
2018-11-09 R2201OTN User CR: Fiscal Intermediary Shared System (FISS) - Implementation of the Molecular Diagnostic Services (MolDX) 2019-04-01
2018-11-09 R40COM Medicare Contractor Beneficiary and Provider Communications Manual IOM Pub. 100-09 Chapter 5 Correct Coding Initiative 2018-12-11
2018-11-09 R4166CP Revisions to Medicare Claims Processing Manual Reference to Burn Medicare Severity-Diagnostic Related Groups (MS-DRGs) for Transfer Policy 2018-12-11
2018-11-09 R2198OTN Enhancing the Verification Process of Common Working File (CWF) Part A Provider Inquiries N/A
2018-11-09 R2199OTN Appeon PowerBuilder Upgrade Analysis Only 2019-04-01
2018-11-08 R4165CP Calendar Year (CY) 2019 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 2018-10-19
2018-11-08 R2200OTN International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) N/A
2018-11-09 R2197OTN ViPS Medicare System (VMS) Prepayment Review File 2019-04-01
2018-11-09 R2196OTN Analysis to Create a Standard Coded List of Document Types to be used by Review Contractors (RC) for Requesting Documentation in Pre-Pay and Post-Pay Additional Documentation Request (ADR) Letters (and/or Electronic Medical Documentation Requests (eMDR) via the Electronic Submission of Medical Documentation (esMD) System) 2019-04-08
2018-11-09 R2195OTN Analysis to Discuss and Resolve the Challenges Around the Design of (Pre-/Post-Pay) Electronic Medical Documentation Requests (eMDR) via the Electronic Submission of Medical Documentation (esMD) System 2019-04-01
2018-11-09 R4164CP Instructions for Retrieving the 2019 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through CMS' Mainframe Telecommunications Systems 2019-01-07
2018-08-10 R2128OTN Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Update N/A
2018-08-10 R2117OTN Implementation of Healthcare Common Procedure Coding System (HCPCS) Code J3591 and Additional Changes for End Stage Renal Disease (ESRD) Claims n/a
2018-11-02 R2193OTN Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Update 2019-01-07
2018-11-02 R2194OTN Medicare Cost Report E-Filing (MCReF) N/A
2018-11-02 R2192OTN Implementation of Healthcare Common Procedure Coding System (HCPCS) Code J3591 and Additional Changes for End Stage Renal Disease (ESRD) Claims 2019-01-07
2018-11-02 R2188OTN Fiscal Intermediary Standard System (FISS) Prepayment Review Report 2019-04-01
2018-11-02 R2187OTN Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function N/A
2018-11-02 R2185OTN User Change Request (CR): Multi-Carrier System (MCS) - Enhance System Control Facility (SCF) to Add Fraud Prevention System (FPS) Criteria 2019-01-07
2018-11-02 R2186OTN Shared System Enhancement 2018: Analysis to Minimize Data for Medicare Beneficiary Database (MBD) Extract 2019-04-01
2018-11-02 R2190OTN Shared System Enhancement 2018: Improve Organization of the International Code of Diseases, Tenth Revision (ICD-10) File during Creation 2019-04-01
2018-11-02 R2191OTN Multi-Carrier System (MCS) Prepayment Review File 2019-04-01
2018-11-02 R2182OTN User Change Request (CR): Multi-Carrier System (MCS) - Analysis to Enhance the Maximum Claim Counter Process for Edits and Audits 2019-04-01
2018-11-02 R2189OTN User CR: Update FISS Utility to Retain Original Claim Receipt Date 2019-04-01
2018-11-02 R249BP Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018 Q4) 2018-12-04
2018-11-02 R120GI Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018 Q4) 2018-12-04
2018-11-02 R119GI Update to Medicare Deductible, Coinsurance and Premium Rates for 2019 2018-11-02
2018-08-10 R4112CP Temporary Transitional Payment for Home Infusion Therapy Services for CYs 2019 and 2020 2019-01-07
2018-10-05 R2149OTN Analysis to Implement the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 2019-04-01
2018-11-01 CMS-1693-F CMS-1693-F 2018-11-23
2018-11-02 R2179OTN User Change Request (CR): ViPS Medicare System (VMS) Changes to Edit Dispensing and Supply Fee Codes Allowed when Related Drug Codes are Denied in Batch 2019-04-01
2018-11-02 R2180OTN FISS Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes Related to new Contractor Line Level Bypass Updates 2019-04-01
2018-11-02 R4160CP Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2019-04-01
2018-11-02 R2181OTN User CR: ViPS Medicare System (VMS) Changes to Bypass Claim Edit 0192 on an Adjustment Claim when Payment was Suppressed on the Previous Adjustment 2019-04-01
2018-11-02 R2183OTN Shared System Enhancement 2018: Move Authorized Reason Code Override Processing to FSSBSTUF N/A
2018-11-02 R2176OTN Revision of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Services Rendered to Beneficiaries in a Part A SNF Stay 2019-04-01
2018-11-02 R4157CP Hospital and Critical Access Hospital (CAH) Swing-Bed Manual Revisions and Shared Systems Changes 2019-04-01
2018-11-02 R2178OTN Removal of the Provider Requirement for Reporting on an Institutional Claim a Value Code (VC) 05 - Professional Component-Split Implementation N/A
2018-10-26 R839PI New Instructions for Home Health Agency Misuse of Requests for Anticipated Payments (RAPs) 2018-09-17
2018-10-26 R2173OTN Shared System Enhancement 2018: Renovate 2029 Serial Date Processing – Analysis Only 2019-04-01
2019-10-26 R2174OTN Correction to Common Working File (CWF) Informational Unsolicited Response (IUR) 7272 for Intervening Stay 2019-04-01
2018-10-26 R2175OTN Shared System Enhancement 2018: Establish a HMBI Query/Response Log 2019-04-01
2018-10-26 R2170OTN Analysis of the Combined Common Edits/Enhancements Module (CCEM) and Intelligent Data Stream (IDS) Reporting Software to Ensure Effective Operation Under Java Version 8 2019-04-01
2018-10-26 R2171OTN Analysis to Implement Changes to Regulations Allowing Inpatient Prospective Payment System (IPPS)-Excluded Hospitals to Operate IPPS-Excluded Units 2019-04-01
2018-10-26 R2172OTN Shared System Enhancement 2018: Remove Obsolete VIPS Medicare System (VMS) logic Related to the ViPS Medicare Automated Parameter (VMAP) Carrier Parameter Table 2019-04-01
2018-10-26 R2168OTN Provider Enrollment Chain and Ownership System (PECOS) Data Source Change 2019-01-01
2018-10-26 R2167OTN Decommissioning of the Client Letter Application within VIPS Medicare System (VMS) 2019-04-01
2018-10-26 R308FM The Fiscal Year 2019 Updates for the Centers for Medicare & Medicaid Services (CMS) Internet Only Manual (IOM) Publication (Pub.) 100-06, Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements 2018-11-27
2018-10-26 R4153CP Incomplete Colonoscopies Billed with Modifier 53 for Critical Access Hospital (CAH) Method II Providers 2019-04-01
2019-10-26 R4154CP January 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2019-01-07
2018-10-28 R213DEMO Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visit HCPCS 2019-04-01
2018-10-26 R2166OTN Shared System Enhancement 2018: Enhance Common Working File (CWF) Internal Testing Facility (ITF) Response Records 2019-04-01
2018-10-26 R2163OTN Shared System Enhancement 2018 ViPS Medicare Systems (VMS): Streamline the use of Assembler Language Code (ALC) Modules 2019-04-01
2018-10-26 R4152CP Redesign of Hospice Periods – Additional Requirements 2019-04-01
2018-10-26 R2165OTN Fiscal Intermediary Shared System (FISS) AGILE Development and Implementation of Application Programming Interface (API) for Medicare Administrative Contractors (MACs) 2019-04-01
2018-10-26 R2164OTN Shared System Enhancement 2018: Enhance Common Working File (CWF) Data Extract Process 2019-04-01