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CMS Transmittals



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Issue DateTransmittalTitleImplementation Date
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
2020-12-16 R10521FM New Medicare National Uniform Billing Committee (NUBC) Type of Bill (TOB), Condition Code and… 2021-01-04
2020-12-14 R10520OTN Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies   2020-12-21
2020-12-11 R10510CP Instructions for Downloading the Medicare ZIP Code Files for April 2021 2021-04-05
2020-12-11 R10509PI Unified Program Integrity Contractor (UPIC) Coordination with Other Contractors Related to the… 2021-01-12
2020-12-10 R10515OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2021-04-05
2020-12-04 R10504CP CY 2021 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee… 2021-01-04
2020-12-09 R10511CP Calendar Year (CY) 2021 Participation Enrollment and Medicare Participating Physicians and… 2020-11-09
2020-12-03 R10508OTN Update to the Fiscal Intermediary Shared System (FISS) Integrated… 2021-04-05
2020-11-13 R10464CP 2021-01-04 12014
2020-12-04 R10505CP

Summary of Policies in the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final…

2021-01-04
2020-12-04 R10498CP

Update to the Federally Qualified Health Center (FQHC)…

2021-01-04
2020-10-29 R10413CP

Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY…

2021-01-04
2020-12-01 R10500OTN

The purpose of this…

2021-01-04
2020-11-25 R10494CP Shared System Support Hours for Application Programming Interfaces (… 2021-04-05
2020-12-01 R10499OTN

COBOL Version 6.2 Upgrade - Phased Implementation for ViPS…

2021-01-04
2020-12-01 R10501OTN Shared Systems Report of Medicare Summary Notice (MSN) Counts by Type… 2021-04-05
2020-11-25 R10491OTN

Medicare Administrative Contractors (MACs) to Allow Medicare…

2021-04-05
2020-11-25 R10492PI Clarifying The Use of As-Needed/PRN Orders for Durable Medical… 2020-12-29
2020-11-25 R10496CP

April 2021 Update to the Fiscal Year (FY) 2021 Inpatient…

2021-04-05
2020-11-24 R10495OTN

ESRD Treatment Choices (ETC) Model Implementation: Home Dialysis…

2021-01-04
2020-11-23 R10490BP Implementation of Changes in the End-Stage Renal Disease (ESRD)… 2021-01-04
2020-11-20 R10475OTN

April 2021 Healthcare Common Procedure Coding System (HCPCS)…

2021-04-05
2020-11-20 R10488CP

Home Health Prospective Payment System (HH PPS) Rate Update for…

2021-01-04
2020-11-20 R10472CP

Remittance Advice Remark Code (RARC), Claims Adjustment Reason…

2021-04-05
2020-11-20 R10473CP

Claim Status Category and Claim Status Codes Update

2020-11-20
2020-11-20 R10474CP

Implement Operating Rules - Phase III Electronic Remittance…

2021-04-05
2020-11-20 R10476CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update… 2021-04-05
2020-11-20 R10478OTN Shared Systems Report of Medicare Summary Notice (MSN) Counts by Type… 2021-04-05
2020-11-20 R10469GI

Update to Medicare Deductible, Coinsurance and Premium Rates for…

2021-01-04
2020-11-20 R10470OTN Implementation of Two (2) New NUBC Condition Codes. Condition Code “90… 2021-02-22
2020-11-19 R10486OTN Updates to Nursing and Allied Health Education Medicare Advantage… 2020-12-14
2020-11-19 R10485CP Internet Only Manual Update, Pub. 100-04, Chapter 11 - This CR… 2020-12-01
2020-11-13 R10463CP Billing for Home Infusion Therapy Services On or After January 1, 2021… 2021-01-04
2020-11-18 R10479DEMO

Implementation of Nurse Practitioners Certifying Diabetic Shoe…

2021-01-04
2020-11-13 R10456CP

Update to Vaccine Services Editing

2021-04-05
2020-11-13 R10458OTN

Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value-…

2020-12-16
2020-11-13 R10454NCD

National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy

2021-02-16
2020-11-13 R10454CP

National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy

2021-02-16
2020-11-13 R10462OTN

Implementation of the Award for the Jurisdiction C Durable…

2021-01-04
2020-11-13 R10455COM

Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider…

2020-12-16
2020-11-13 R10463BP

Billing for Home Infusion Therapy Services On or After January 1, 2021

2021-01-04
2020-11-13 R10467PI

Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment…

2020-11-01
2020-09-24 R10368OTN

Changes to the End Stage Renal Disease (ESRD) PRICER to Accept…

2021-01-04
2020-11-06 R10449OTN Part A Opt Out Common Working File (CWF) Report… 2021-04-05
2020-11-09 R10453OTN

Internet Only Manual Update, Pub. 100-04, Chapter 11 - This Change Request (CR)
Rescinds…

2020-12-01
2020-11-06 R10448CP

Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims

2021-04-05
2020-11-06 R10439CP

Home Health Prospective Payment System (HH PPS) Rate Update for…

2021-01-04
2020-11-06 R10440CP

Instructions for Retrieving the 2021 Pricing and Healthcare…

2021-01-04
2020-11-06 R10451BP

Implementation of Changes in the End-Stage Renal Disease (ESRD)…

2021-01-04
2020-11-06 R10437BP

Manual Updates Related to the Hospice Election Statement and the Implementation of the Election…

2020-12-09
2020-11-06 R10438BP 2021-01-11 12023
2020-11-06 R10446OTN

Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate…

2021-04-05
2020-11-06 R10452OTN

Implementation of the Award for the Jurisdiction 6 Part A and Part B Medicare Administrative…

2020-12-31
2020-10-30 R10434PI Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment… 2020-11-01
2020-11-03 R485PR1

Section 2231, Regional Medicare Swing-Bed-Rates, adds Table 32 to update the…

2020-11-03
2020-10-30 R10417OTN Update to the Fiscal Intermediary Shared System (FISS) Integrated… 2021-04-05
2020-10-30 R10432OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2020-12-16
2020-10-30 R10415DEMO

Primary Care First (PCF) and Serious Illness Patient (SIP)…

2021-04-05
2020-10-30 R10429OTN

Processing of Multiple Unsolicited Responses on the Same Home…

2021-04-05
2020-10-30 R10433CP

Quarterly Update to Home Health (HH) Grouper

2021-01-04
2020-10-30 R10407CP

Internet Only Manual Update, Pub. 100-04, Chapter 11 - This CR…

2020-12-01
2020-10-30 R10412OTN

Special Provisions for Radiology Additional Documentation…

2020-12-01
2020-10-30 R10424OTN Health Insurance Portability and Accountability Act (HIPAA) Electronic… 2021-04-05
2020-10-27 R10409OTN Utility to Reprocess Bypassed Common Working File (CWF) Informational… 2021-01-04