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CMS Transmittals



IMPORTANT NOTICE: Updated W-9 for new address 3/1/18 available here.

Issue DateTransmittalTitleImplementation Date
2018-08-14 R2130OTN Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users 2019-01-07
2018-08-10 R4086CP Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2019 2018-10-01
2018-08-10 R2122OTN International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) N/A
2018-08-10 R2126OTN User CR: FISS to Add Location/Statuses to the 6H File Fix 2019-01-07
2018-08-10 R2120OTN 2019-01-07 10813
2018-08-10 R2125OTN Medicare Diabetes Prevention Program (MDPP) Service Period Change from 3 Years to 2 Years N/A
2018-08-10 R4114CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2018 Upda 2018-10-01
2018-08-10 R4108CP October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-10-01
2018-08-10 R2116OTN Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Crossover Process 2019-01-07
2018-08-10 R2119OTN Process Improvement for Recovery Audit Contractor (RAC) Mass Adjustment Input File – Underpayment Adjustment Enhancement 2019-01-07
2018-08-09 R2115OTN 2019-01-07 10811
2018-08-10 R203DEMO Next Generation Accountable Care Organization (ACO) Model 2019 Benefit Enhancement 2019-01-07
2018-08-10 R2113OTN Combined Common Edits/Enhancements Module (CCEM) Updates for JAVA (version 6) to JAVA (version 7) 2019-01-07
2018-08-10 R2111OTN Modifications Within Common Working File (CWF) to Adjustment Claims Exceeding Annual Therapy Threshold 2019-01-07
2018-08-10 R2112OTN User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DDE) Screen 2019-01-07
2018-08-10 R78QRI Payments to Home Health Agencies That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9651. 2018-09-11
2018-08-10 R4111CP Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims 2018-09-11
2018-08-10 R4109CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2018 Update 2018-10-01
2018-08-07 SE18010 Inclusion of Power Mobility Device Codes in the Prior Authorization Program for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items SE18010
2018-08-03 R4105CP System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) Claims 2019-01-07
2018-08-03 R4107CP October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-10-01
2018-08-03 R245BP System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) Claims 2019-01-07
2018-08-03 R2108OTN Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing /Archiving demonstration codes 44 and 47) 2019-01-07
2018-08-03 R4104CP Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2019 2018-10-01
2018-08-03 R2101OTN Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 4 2019-01-07
2018-08-03 R4100CP Quarterly Influenza Virus Vaccine Code Update - January 2019 2019-01-07
2018-08-03 R4096CP Update to the Medicare Claims Processing Manual, Chapter 24, Section 90 2018-11-05
2018-08-03 R4098CP Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals and OPPS Pricer Interface 2019-01-07
2018-08-03 R2104OTN Analysis of the Structured Data Elements for Sending Additional Documentation Request (ADR) Decision Letters and Prior Authorization/Pre-Claim Review (PA/PCR) Decision Letters Electronically via the Electronic Submission of Medical Documentation (esMD) System 2018-11-05
2018-08-03 R2102OTN Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 3 2019-01-07
2018-07-27 R812PI Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) 2018-08-28
2018-07-27 R4095CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-10-01
2018-07-20 R244BP Internet Only Manual (IOM) Update to Publication 100-02, Chapter 11 - End Stage Renal Disease (ESRD), Section 100 2018-10-23
2018-07-20 R2099OTN Client Letter Code Removal and Decommission in the ViPS Medicare System (VMS) 2019-01-07
2018-07-20 R4091CP New Waived Tests 2018-07-01
2018-07-19 R4094CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-07-02
2018-07-19 R2100OTN Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) MigrationN N/A
2018-07-20 R4093CP October Quarterly Update to 2018 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2018-10-01
2018-07-20 R4092CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2018 2018-10-01
2018-07-20 R4090CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-10-01
2018-07-12 CMS-1693-P CMS-1693-P 2018-07-27
2018-07-13 R306FM New Physician Specialty Code for Undersea and Hyperbaric Medicine 2019-01-07
2018-07-13 R4087CP New Physician Specialty Code for Undersea and Hyperbaric Medicine 2018-01-07
2018-07-13 R808PI Medical Review of Evaluation and Management (E/M) Documentation 2018-08-14
2018-07-13 R4088CP Update to the Internet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF) 2018-08-14
2018-07-12 R2098OTN Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2019-01-07
2018-07-11 R305FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2018 2018-07-18
2018-07-06 R806PI Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) 2018-08-07
2018-07-06 R4084CP Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2019 2018-10-01
2018-07-06 R4085CP Annual (2019) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2018-10-01
2018-07-06 R179SOMA Revisions to the State Operations Manual (SOM) Chapter Two for Organ Procurement Organizations (OPOs) 2018-07-06
2018-07-05 R4083CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02
2018-06-29 R4080CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.3 Effective October 1, 2018 2018-10-01
2018-06-27 R198DEMO Comprehensive ESRD Care (CEC) Model Telehealth - Implementation 2018-10-01
2018-06-26 R4078CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02
2018-06-26 R2097OTN Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarterly Reports 2018-10-01
2018-06-26 R4077CP Revision to the Skilled Nursing Facility (SNF) Pricer to Support Value-Based Purchasing (VBP) 2018-10-01
2018-06-22 R2096OTN Global Surgical Days for Critical Access Hospital (CAH) Method II 2018-07-02
2018-06-22 R802PI Use of Accessible and Applicable Claims History During Medical Review 2018-07-24
2018-06-21 R4076CP July 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-07-02
2018-06-20 R2095OTN Revisions to the Telehealth Billing Requirements for Distant Site Services 2018-10-01
2018-06-20 R2094OTN Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 2018-10-01
2018-06-15 R4074CP July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 2018-07-02
2018-06-15 R4075CP July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-07-02
2018-06-15 R14SS IOM 100-17 Updates 2018-11-30
2018-06-15 R800PI Comprehensive Error Rate Testing (CERT) Update to Chapter 12 of Publication (Pub.) 100-08 2018-07-17
2018-06-15 R4073CP Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2018-07-02
2018-06-08 R2092OTN Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) Migration N/A
2018-06-08 R4072CP July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-07-02
2018-06-08 R4071CP Update of Internet Only Manual (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 18- Preventive and Screening Services, and Chapter 35 - Independent Diagnostic Testing Facility (IDTF) 2018-07-09
2018-06-08 R4070CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2018 2018-10-01
2018-06-08 R4069CP Alignment of Coordination of Benefits Agreement (COBA) Internet Only Manual References 2018-07-09
2018-06-07 R2093OTN Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01
2018-06-01 R797PI Reviewing for Adverse Legal Actions (ALA) 2018-04-30
2018-05-31 R4068CP E/M Service Documentation Provided by Students (Manual Update) 2018-03-05
2018-06-01 R4064CP July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-07-02
2018-06-01 R4065CP July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 2018-07-02
2018-06-01 R121MSP Update the International Classification of Diseases, Tenth Revision (ICD-10) 2019 Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims 2018-10-01
2018-06-01 R4067CP July 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-07-02
2018-06-01 R4066CP Claim Status Category and Claim Status Codes Update 2018-10-01
2018-06-01 R4063CP New Q Code for In-Line Cartridge Containing Digestive Enzyme(s) 2018-07-02
2018-05-30 R2091OTN Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) 2018-10-01
2018-05-24 R4062CP Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02
2018-05-24 R2090OTN Use the VMAP/4D States Table in all VMS Address Processing 2019-01-07
2018-05-25 R4061CP July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-07-02
2018-05-18 R4054CP 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 2018-10-01
2018-05-18 R4058CP Common Edits and Enhancements Modules (CEM) Code Set Update 2018-10-01
2018-05-18 R2089OTN Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01
2018-05-18 R1P246 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 46, Form CMS-222-17 2018-09-30
2018-05-18 R4057CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2018-10-01
2018-05-18 R4056CP Instructions for Downloading the Medicare ZIP Code File for October Files 2018-10-01
2018-05-18 R4055CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports 2018-10-01
2018-05-18 R4053CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2018 Update 2018-07-02
2018-05-18 R1P245 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 45, Form CMS-2088-17 2018-09-30
2018-05-17 R4052CP Removal of KH Modifier from Capped Rental Claims 2018-10-01
2018-05-11 R4046CP Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Extensions per the Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act Included in the Bipartisan Budget Act of 2018 2018-04-02
2018-05-11 R4048CP Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02
2018-05-11 R4049CP Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-05-11 R207NCD Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02
2018-05-11 R796PI Intent to Reopen 2018-08-13