[Federal Register Volume 89, Number 20 (Tuesday, January 30, 2024)]
[Notices]
[Pages 5897-5907]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-01785]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9145-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--October Through December 2023

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published in the 3-month period, relating to the 
Medicare and Medicaid programs and other programs administered by CMS.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may need specific information and not be able to determine from 
the listed information whether the issuance or regulation would fulfill 
that need. Consequently, we are providing contact persons to answer 
general questions concerning each of the addenda published in this 
notice.

------------------------------------------------------------------------
             Addenda                    Contact            Phone No.
------------------------------------------------------------------------
I. CMS Manual Instructions......  Ismael Torres......     (410) 786-1864
II. Regulation Documents          Terri Plumb........     (410) 786-4481
 Published in the Federal
 Register.
III. CMS Rulings................  Tiffany Lafferty...     (410) 786-7548
IV. Medicare National Coverage    Wanda Belle, MPA...     (410) 786-7491
 Determinations.
V. FDA-Approved Category B IDEs.  John Manlove.......     (410) 786-6877
VI. Collections of Information..  William Parham.....     (410) 786-4669
VII. Medicare-Approved Carotid    Sarah Fulton, MHS..     (410) 786-2749
 Stent Facilities.
VIII. American College of         Sarah Fulton, MHS..     (410) 786-2749
 Cardiology--National
 Cardiovascular Data Registry
 Sites.
IX. Medicare's Active Coverage-   Lori Ashby, MA.....     (410) 786-6322
 Related Guidance Documents.
X. One-time Notices Regarding     JoAnna Baldwin, MS.     (410) 786-7205
 National Coverage Provisions.

[[Page 5898]]

 
XI. National Oncologic Positron   David Dolan, MBA...     (410) 786-3365
 Emission Tomography Registry
 Sites.
XII. Medicare-Approved            David Dolan, MBA...     (410) 786-3365
 Ventricular Assist Device
 (Destination Therapy)
 Facilities.
XIII. Medicare-Approved Lung      Sarah Fulton, MHS..     (410) 786-2749
 Volume Reduction Surgery
 Facilities.
XIV. Medicare-Approved Bariatric  Sarah Fulton, MHS..     (410) 786-2749
 Surgery Facilities.
XV. Fluorodeoxyglucose Positron   David Dolan, MBA...     (410) 786-3365
 Emission Tomography for
 Dementia Trials.
All Other Information...........  Annette Brewer.....     (410) 786-6580
------------------------------------------------------------------------


SUPPLEMENTARY INFORMATION:

I. Background

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs and coordination 
and oversight of private health insurance. Administration and oversight 
of these programs involves the following: (1) furnishing information to 
Medicare and Medicaid beneficiaries, health care providers, and the 
public; and (2) maintaining effective communications with CMS regional 
offices, state governments, state Medicaid agencies, state survey 
agencies, various providers of health care, all Medicare contractors 
that process claims and pay bills, National Association of Insurance 
Commissioners (NAIC), health insurers, and other stakeholders. To 
implement the various statutes on which the programs are based, we 
issue regulations under the authority granted to the Secretary of the 
Department of Health and Human Services under sections 1102, 1871, 
1902, and related provisions of the Social Security Act (the Act) and 
Public Health Service Act. We also issue various manuals, memoranda, 
and statements necessary to administer and oversee the programs 
efficiently.
    Section 1871(c) of the Act requires that we publish a list of all 
Medicare manual instructions, interpretive rules, statements of policy, 
and guidelines of general applicability not issued as regulations at 
least every 3 months in the Federal Register.

II. Format for the Quarterly Issuance Notices

    This quarterly notice provides only the specific updates that have 
occurred in the 3-month period along with a hyperlink to the full 
listing that is available on the CMS website or the appropriate data 
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our 
quarterly notice. We believe the website list provides more timely 
access for beneficiaries, providers, and suppliers. We also believe the 
website offers a more convenient tool for the public to find the full 
list of qualified providers for these specific services and offers more 
flexibility and ``real time'' accessibility. In addition, many of the 
websites have listservs; that is, the public can subscribe and receive 
immediate notification of any updates to the website. These listservs 
avoid the need to check the website, as notification of updates is 
automatic and sent to the subscriber as they occur. If assessing a 
website proves to be difficult, the contact person listed can provide 
information.

III. How To Use the Notice

    This notice is organized into 15 addenda so that a reader may 
access the subjects published during the quarter covered by the notice 
to determine whether any are of particular interest. We expect this 
notice to be used in concert with previously published notices. Those 
unfamiliar with a description of our Medicare manuals should view the 
manuals at http://www.cms.gov/manuals.
    The Director of the Office of Strategic Operations and Regulatory 
Affairs of the Centers for Medicare & Medicaid Services (CMS), Kathleen 
Cantwell, having reviewed and approved this document, authorizes 
Trenesha Fultz-Mimms, who is the Federal Register Liaison, to 
electronically sign this document for purposes of publication in the 
Federal Register.

Trenesha Fultz-Mimms,
Federal Register Liaison, Department of Health and Human Services.

Publication Dates for the Previous Four Quarterly Notices

    We publish this notice at the end of each quarter reflecting 
information released by CMS during the previous quarter. The 
publication dates of the previous four Quarterly Listing of Program 
Issuances notices are: February 1, 2023 (88 FR 6729), May 12, 2023 (88 
FR 30752), August 4, 2023 (88 FR 51814) and October 26, 2023 (88 FR 
73591). We are providing only the specific updates that have occurred 
in the 3-month period along with a hyperlink to the website to access 
this information and a contact person for questions or additional 
information.

Addendum I: Medicare and Medicaid Manual Instructions (October Through 
December 2023)

    The CMS Manual System is used by CMS program components, partners, 
providers, contractors, Medicare Advantage organizations, and State 
Survey Agencies to administer CMS programs. It offers day-to-day 
operating instructions, policies, and procedures based on statutes and 
regulations, guidelines, models, and directives. In 2003, we 
transformed the CMS Program Manuals into a web user-friendly 
presentation and renamed it the CMS Online Manual System.

How To Obtain Manuals

    The internet-only Manuals (IOMs) are a replica of the Agency's 
official record copy. Paper-based manuals are CMS manuals that were 
officially released in hardcopy. The majority of these manuals were 
transferred into the internet-only manual (IOM) or retired. Pub 15-1, 
Pub 15-2 and Pub 45 are exceptions to this rule and are still active 
paper-based manuals. The remaining paper-based manuals are for 
reference purposes only. If you notice policy contained in the paper-
based manuals that was not transferred to the IOM, send a message via 
the CMS Feedback tool.
    Those wishing to subscribe to old versions of CMS manuals should 
contact the National Technical Information Service, Department of 
Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone (703-605-
6050). You can download copies of the listed material free of charge 
at: http://cms.gov/manuals.

How To Review Transmittals or Program Memoranda

    Those wishing to review transmittals and program memoranda can 
access this information at a local Federal Depository Library (FDL). 
Under the FDL program, government publications are sent to 
approximately 1,400 designated libraries throughout the United States. 
Some FDLs may have arrangements to transfer material to a local library 
not designated as an FDL. Contact any library to locate the nearest 
FDL. This information is available at http://www.gpo.gov/libraries/.

[[Page 5899]]

    In addition, individuals may contact regional depository libraries 
that receive and retain at least one copy of most federal government 
publications, either in printed or microfilm form, for use by the 
general public. These libraries provide reference services and 
interlibrary loans; however, they are not sales outlets. Individuals 
may obtain information about the location of the nearest regional 
depository library from any library. CMS publication and transmittal 
numbers are shown in the listing entitled Medicare and Medicaid Manual 
Instructions. To help FDLs locate the materials, use the CMS 
publication and transmittal numbers. For example, to find the manual 
Updates to Medicare Benefit Policy Manual and Medicare Claims 
Processing Manual for Opioid Treatment Programs (OTPs) (CMS-Pub. 100-
02) Transmittal No. 12418.
    Addendum I lists a unique CMS transmittal number for each 
instruction in our manuals or program memoranda and its subject number. 
A transmittal may consist of a single or multiple instruction(s). 
Often, it is necessary to use information in a transmittal in 
conjunction with information currently in the manual.

Fee-For Service Transmittal Numbers

    Please Note: Beginning Friday, March 20, 2020, there will be the 
following change regarding the Advance Notice of Instructions due to a 
CMS internal process change. Fee-For Service Transmittal Numbers will 
no longer be determined by Publication. The Transmittal numbers will be 
issued by a single numerical sequence beginning with Transmittal Number 
10000.
    For the purposes of this quarterly notice, we list only the 
specific updates to the list of manual instructions that have occurred 
in the 3-month period. This information is available on our website at 
www.cms.gov/Manuals.

------------------------------------------------------------------------
     Transmittal No.              Manual/subject/publication No.
------------------------------------------------------------------------
             Medicare General Information (CMS-Pub. 100-01)
------------------------------------------------------------------------
12037...................  Update to Medicare Deductible, Coinsurance and
                           Premium Rates for Calendar Year (CY) 2024.
12341...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12425...................  Enforcing Billing Requirements for Intensive
                           Outpatient Program (IOP) Services with New
                           Condition Code 92--Additional Publication
                           Update.
------------------------------------------------------------------------
                Medicare Benefit Policy (CMS-Pub. 100-02)
------------------------------------------------------------------------
12283...................  Internet Only Manual Updates to Pub. 100-02
                           and 100-04 to Implement Consolidated
                           Appropriations Act 2023 Changes for Skilled
                           Nursing Facility (SNF).
12291...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12299...................  An Omnibus CR to Implement Policy Updates in
                           the CY 2023 PFS Final Rule, Including (1)
                           Removal of Selected NCDs (NCD 160.22
                           Ambulatory EEG Monitoring), and, (2)
                           Expanding Coverage of Colorectal Cancer
                           Screening--Full Agile Pilot CR.
12385...................  Hospice Benefit Policy Manual Updates Related
                           to the Addition of Marriage and Family
                           Therapists (MFTs) or Mental Health Counselors
                           (MHCs) to the Hospice Interdisciplinary Team.
12400...................  Hospice Benefit Policy Manual Updates Related
                           to the Addition of Marriage and Family
                           Therapists (MFTs) or Mental Health Counselors
                           (MHCs) to the Hospice Interdisciplinary Team.
12418...................  Updates to Medicare Benefit Policy Manual and
                           Medicare Claims Processing Manual for Opioid
                           Treatment Programs (OTPs).
12421...................  January 2024 Update of the Hospital Outpatient
                           Prospective Payment System (OPPS).
12425...................  Enforcing Billing Requirements for Intensive
                           Outpatient Program (IOP) Services with New
                           Condition Code 92--Additional Publication
                           Update.
------------------------------------------------------------------------
       Medicare National Coverage Determination (CMS-Pub. 100-03)
------------------------------------------------------------------------
12299...................  An Omnibus CR to Implement Policy Updates in
                           the CY 2023 PFS Final Rule, Including (1)
                           Removal of Selected NCDs (NCD 160.22
                           Ambulatory EEG Monitoring), and, (2)
                           Expanding Coverage of Colorectal Cancer
                           Screening--Full Agile Pilot CR.
12352...................  Manual Updates for Coverage of Intravenous
                           Immune Globulin (IVIG) For Treatment of
                           Primary Immune Deficiency Diseases in the
                           Home.
------------------------------------------------------------------------
              Medicare Claims Processing (CMS-Pub. 100-04)
------------------------------------------------------------------------
12283...................  Internet Only Manual Updates to Pub. 100-02
                           and 100-04 to Implement Consolidated
                           Appropriations Act 2023 Changes for Skilled
                           Nursing Facility (SNF) Physician's Services
                           and Other Professional Services Excluded From
                           Part A PPS Payment and the Consolidated
                           Billing Requirement.
12284...................  Deleting Internet Only Manuals (IOM) Pub. 100-
                           04, Chapter 4, Section 190, Payer Only Codes
                           Utilized by Medicare Payer Only Codes
                           Utilized by Medicare.
12287...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12288...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12289...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12290...................  Diagnosis Code Update for Add-on Payments for
                           Blood Clotting Factor Administered to
                           Hemophilia Inpatients Payment for Blood
                           Clotting Factor Administered to Hemophilia
                           Inpatients.
12291...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12298...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12299...................  An Omnibus CR to Implement Policy Updates in
                           the CY 2023 PFS Final Rule, Including (1)
                           Removal of Selected NCDs (NCD 160.22
                           Ambulatory EEG Monitoring), and, (2)
                           Expanding Coverage of Colorectal Cancer
                           Screening--Full Agile Pilot CR.
12301...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12305...................  Calendar Year (CY) 2024 Participation
                           Enrollment and Medicare Participating
                           Physicians and Suppliers Directory (MEDPARD)
                           Procedures.
12306...................  Processing Claims When the Dates of Service
                           Are Beyond the Time Limit for the Patient
                           Assessment Actions When a Claim Does Not
                           Match the Inpatient Rehabilitation Facility-
                           Patient Assessment Instrument (IRF-PAI)
                           Payment Adjustments--Applying OASIS
                           Assessment Items to Determine HIPPS Codes.
12315...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.

[[Page 5900]]

 
12316...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12321...................  Implementation of Rural Emergency Hospital
                           (REH) Provider Type.
12322...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12325...................  Update to the Internet Only Manual (IOM)
                           Publication (Pub.) 100-04, Chapter 18 Section
                           50.3-50.4, To Remove 0359U Per The
                           International Classification of Diseases,
                           10th Revision (ICD-10) and Other Coding
                           Revisions to National Coverage Determinations
                           (NCDs)--October 2023.
12326...................  Internet-Only Manual Update, Pub. 100-04,
                           Chapter 23 (Fee Schedule Administration and
                           Coding Requirements), Section 50.6.
12337...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12339...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12342...................  April 2024 Healthcare Common Procedure Coding
                           System (HCPCS) Quarterly Update Reminder.
12343...................  Quarterly Update to Home Health (HH) Grouper.
12344...................  File Conversions Related to the Spanish
                           Translation of the Healthcare Common
                           Procedure Coding System (HCPCS) Descriptions.
12347...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12354...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12357...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12359...................  Implementation of New Benefit Category for
                           Lymphedema Compression Treatment Items.
12360...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12361...................  Updates to Chapter 1 of the Medicare Claims
                           Processing Manual (Publication (Pub.) 100-04)
                           to Include Newly Created and Utilized Payer
                           Only Codes.
12364...................  NCD 220.6.20--Beta Amyloid Positron Emission
                           Tomography in Dementia and Neurodegenerative
                           Disease.
12369...................  Implementation of Rural Emergency Hospital
                           (REH) Provider Type.
12375...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12389...................  Calendar Year (CY) 2024 Annual Update for
                           Clinical Laboratory Fee Schedule and
                           Laboratory Services Subject to Reasonable
                           Charge Payment.
12391...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12396...................  Update to the Internet Only Manual (IOM)
                           Publication (Pub.) 100-04, Chapter 32
                           Sections 320.3.3 and 370.1 for Coding
                           Revisions to the National Coverage
                           Determinations (NCDs)--April 2024 Change
                           Request (CR) 13390.
12398...................  Calendar Year 2024 Update for Durable Medical
                           Equipment, Orthotics and Supplies (DMEPOS)
                           Fee Schedule.
12399...................  April 2024 Bi-Annual Update of the
                           International Classification of Diseases,
                           Tenth Revision, Clinical Modification (ICD-10-
                           CM).
12401...................  Instructions for Retrieving the 2024 Pricing
                           and Healthcare Common Procedure Coding System
                           (HCPCS) Data Files through CMS' Mainframe
                           Telecommunications Systems.
12402...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12403...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12404...................  Instructions for Downloading the Medicare ZIP
                           Code File for April 2024 Files.
12406...................  CY 2024 Home Infusion Therapy (HIT) Payment
                           Rates and Instructions for Retrieving the
                           January 2024 Home Infusion Therapy (HIT)
                           Services Payment Rates Through the CMS
                           Mainframe Telecommunications System.
12407...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12411...................  New Place of Service (POS) Code 27--``Outreach
                           Site/Street''.
12413...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12414...................  Ambulance Inflation Factor (AIF) for Calendar
                           Year (CY) 2024 and Productivity Adjustment.
12415...................  New Waived Tests.
12416...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12418...................  Updates to Medicare Benefit Policy Manual and
                           Medicare Claims Processing Manual for Opioid
                           Treatment Programs (OTPs).
12419...................  January 2024 Integrated Outpatient Code Editor
                           (I/OCE) Specifications Version 25.0.
12420...................  January 2024 Update of the Ambulatory Surgical
                           Center (ASC) Payment System.
12421...................  January 2024 Update of the Hospital Outpatient
                           Prospective Payment System (OPPS).
12422...................  April 2024 Quarterly Average Sales Price (ASP)
                           Medicare Part B Drug Pricing Files and
                           Revisions to Prior Quarterly Pricing.
12423...................  Enforcing Billing Requirements for Intensive
                           Outpatient Program (IOP) Services with New
                           Condition Code 92.
12424...................  Implement Edits to Prevent Payment of
                           Complexity Add-On Code G2211 When Associated
                           Office/Outpatient Evaluation and Management
                           Visit (Codes 99202-99205, 99211-99215) is
                           Reported With Modifier 25.
12426...................  Calendar Year (CY) 2024 Annual Update for
                           Clinical Laboratory Fee Schedule and
                           Laboratory Services Subject to Reasonable
                           Charge Payment.
------------------------------------------------------------------------
               Medicare Secondary Payer (CMS-Pub. 100-05)
------------------------------------------------------------------------
12304...................  Changes to The Electronic Correspondence
                           Referral System (ECRS) Web, Including
                           Modified Medicare Secondary Payer (MSP)
                           Health Insurance Master Record (HIMR) Screen
                           and Remote Identity Process (RIDP).
                            Attachment 1--ECRS Web User Guide, Software
                             Version 7.4 2023/October 2.
                            Attachment 2--ECRS Web Quick Reference Card
                             Version 7.4 2023/October 2.
------------------------------------------------------------------------
             Medicare Financial Management (CMS-Pub. 100-06)
------------------------------------------------------------------------
12297...................  Notice of New Interest Rate for Medicare
                           Overpayments and Underpayments--1st Qtr
                           Notification for FY 2024.
12323...................  Revisions and Deletions to the Internet Only
                           Manual (IOM), Publication 100-06, Chapter 4,
                           Debt Collection Related to Extended Repayment
                           Schedules (ERS) and Debt Management.
                            Rates of Interest.
                            Procedures for Applying Interest During
                             Overpayment Recoupment.
                            Recoupment by Withholding Payments.
                            Establishing an Extended Repayment Schedule.
                            Extended Repayment Schedule (ERS) Required
                             Documentation--Physician is a Sole
                             Proprietor.
                            Extended Repayment Schedule (ERS) Required
                             Documentation--Provider is an Entity Other
                             Than a Sole Proprietor.

[[Page 5901]]

 
                            Extended Repayment Schedule (ERS) Approval
                             Process.
                            Sending the Extended Repayment Schedule
                             (ERS) Request to the Regional Office (RO).
                            Monitoring an Approved Extended Repayment
                             Schedule (ERS) and Reporting Requirement.
                            Requests from Terminated Providers or Debts
                             that are Pending Referral to Department of
                             Treasury.
12329...................  The Fiscal Intermediary Shared System (FISS)
                           Submission of Copybook Files to the Provider
                           and Statistical Reimbursement (PS&R) System.
12346...................  Revisions and Deletions to the Internet Only
                           Manual (IOM), Publication 100-06, Chapter 4,
                           Debt Collection Related to Extended Repayment
                           Schedules (ERS) and Debt Management.
                            Rates of Interest.
                            Procedures for Applying Interest During
                             Overpayment Recoupment.
                            Recoupment by Withholding Payments.
                            Establishing an Extended Repayment Schedule
                             (ERS).
                            Extended Repayment Schedule (ERS) Required
                             Documentation--Physician is a Sole
                             Proprietor.
                            Extended Repayment Schedule (ERS) Required
                             Documentation--Provider is an Entity Other
                             Than a Sole Proprietor.
                            4/50.3/Extended Repayment Schedule (ERS)
                             Approval Process.
                            4/50.4/Sending the Extended Repayment
                             Schedule (ERS) Request to the Regional
                             Office (RO).
                            Monitoring an Approved Extended Repayment
                             Schedule (ERS) and Reporting Requirements.
                            Requests from Terminated Providers or Debts
                             that are Pending Referral to Department of
                             Treasury.
------------------------------------------------------------------------
           Medicare State Operations Manual (CMS-Pub. 100-07)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
              Medicare Program Integrity (CMS-Pub. 100-08)
------------------------------------------------------------------------
12279...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12280...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12281...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12295...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12296...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12300...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12302...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12333...................  Updates of Chapter 4 and Chapter 8 in
                           Publication (Pub.) 100-08, Including Adding
                           Guidance Regarding Handling of Freedom
                           Information Act (FOIA) Requests.
                            Requests for Information From Outside
                             Organizations.
                            Duration of the Payment Suspension.
                            DME Payment Suspensions (MACs and UPICs).
                            Non-DME National Payment Suspensions (MACs
                             and UPICs).
12336...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12356...................  Incorporation of Recent Provider Enrollment
                           Regulatory Changes into Chapter 10 of CMS
                           Publication (Pub.) 100-08--Physician Fee
                           Schedule (PFS) Final Rule.
                            Additional Definitions.
                            Marriage and Family Therapists (MFTs).
                            Mental Health Counselors (MHCs).
                            Medicare Diabetes Prevention Program (MDPP)
                             Suppliers.
                            Providers/Suppliers Not Eligible to Enroll.
                            Denials--General Principles.
                            Denial Reasons.
                            Additional Denial Policies.
                            Changes of Information.
                            Revocation Effective Dates.
                            Revocation Reasons.
                            Reenrollment Bar.
                            Additional Revocation Policies.
                            Establishing Effective Dates.
                            Opting-Out of Medicare.
                            Appeals Process.
                            Revalidation Notification Letters.
12358...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12393...................  Incorporation of Recent Provider Enrollment
                           Regulatory Changes into Chapter 10 of CMS
                           Publication (Pub.) 100-08--Home Health
                           Prospective Payment System (HH PPS) Final
                           Rule.
12394...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12395...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Confidentiality of
                           Instruction.
12408...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
------------------------------------------------------------------------
  Medicare Contractor Beneficiary and Provider Communications (CMS-Pub.
                                 100-09)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
       Medicare Quality Improvement Organization (CMS-Pub. 100-10)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------

[[Page 5902]]

 
Medicare Program of All-Inclusive Care for the Elderly (CMS-Pub. 100-11)
------------------------------------------------------------------------
12338...................  Update to the Internet Only Manual (IOM)
                           Publication (Pub.) 100-11, IOM Chapter 4
                           Enrollment and Disenrollment.
------------------------------------------------------------------------
 Medicare End Stage Renal Disease Network Organizations (CMS Pub 100-14)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
 Medicaid Program Integrity Disease Network Organizations (CMS Pub 100-
                                   15)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
                Medicare Managed Care (CMS-Pub. 100-16).
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
     Medicare Business Partners Systems Security (CMS-Pub. 100-17).
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
          Medicare Prescription Drug Benefit (CMS-Pub. 100-18)
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
                    Demonstrations (CMS-Pub. 100-19).
------------------------------------------------------------------------
12320...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Sensitivity of
                           Instruction.
12348...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Sensitivity of
                           Instruction.
12365...................  Guiding an Improved Dementia Experience
                           (GUIDE) Model Implementation.
12366...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Sensitivity of
                           Instruction.
12383...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Sensitivity of
                           Instruction.
12390...................  Making Care Primary (MCP) Model
                           Implementation.
12412...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Sensitivity of
                           Instruction.
------------------------------------------------------------------------
                One Time Notification (CMS-Pub. 100-20).
------------------------------------------------------------------------
12286...................  Patient Driven Payment Model (PDPM)
                           Corrections to Interrupted Stay Edits.
12292...................  Implementation to Expand Monetary Amount
                           Fields Related to Billing and Payment to
                           Accommodate 10-Digits in Length
                           ($99,999,999.99)--Phase 2.
12303...................  Adjustment to Fraud Prevention System (FPS)
                           and Unified Program Integrity Contractor
                           (UPIC) Edits to Increase Billing Increments
                           From 30 Days to 90 Days for Continuous
                           Glucose Monitor (CGM) Supplies.
12308...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Hold Data on the
                           Program Integrity Management Reporting (PIMR)
                           Audit Record History Screen (BUDS19).
12309...................  Fiscal Intermediary Shared System (FISS) User
                           Enhancement Change Request (UECR)--Expiration
                           of a Unique Tracking Number (UTN) on the
                           Prior Authorization (PA) Tracking File.
12310...................  Fiscal Intermediary Shared System (FISS) User
                           Enhancement Change Request (UECR)--New Reason
                           Code to Prevent Adjustments and Cancels From
                           Being Submitted for the Same Claim, on the
                           Same Day.
12313...................  User Enhancement Change Request (UECR)--Update
                           the Multi-Carrier System (MCS) to Add a
                           Location Field to the Data Correction Window
                           in the MCS Desktop Tool (MCSDT).
12314...................  User Enhancement Request (UECR)--Update the
                           Multi-Carrier System (MCS) to Create a
                           Summary Report for Healthcare Integrated
                           General Ledger Accounting System (HIGLAS)
                           Interface File Errors.
12317...................  User Enhancement Change Request (UECR): New
                           Multi-Carrier System (MCS) Inquiry Search
                           Screen Using a Procedure Code to Display an
                           Associated Edit or Audit.
12318...................  International Classification of Diseases, 10th
                           Revision (ICD-10) and Other Coding Revisions
                           to National Coverage Determinations (NCDs)--
                           April 2024 Update--CR 1 of 2.
12319...................  International Classification of Diseases, 10th
                           Revision (ICD-10) and Other Coding Revisions
                           to National Coverage Determinations (NCDs)--
                           April 2024 Update--CR 2 of 2.
12324...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12327...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12328...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to Sensitivity of
                           Instruction.
12330...................  Implement Edits on Hospice Claims.
12331...................  Report of Hospice Election for Part D
                           (Response File).
12334...................  Remittance Advice (RA) Changes due to Durable
                           Medical Equipment Medicare Administrative
                           Contractors (DME MACs) Transition to
                           Healthcare Integrated General Ledger
                           Accounting System (HIGLAS).
12335...................  Allowing Audiologists to Furnish Certain
                           Diagnostic Tests Without a Physician Order.
12340...................  Implementation to Expand Monetary Amount
                           Fields Related to Billing and Payment to
                           Accommodate 10-Digits in Length
                           ($99,999,999.99)--Phase 3.
12345...................  Implementation of a National Fee Schedule for
                           Medicare Part B Vaccine Administration CMS.
12349...................  Pricing and Coding Services (PCS) Application
                           Programming Interface (API) Report
                           Dissemination Proof of Concept.
12350...................  International Classification of Diseases, 10th
                           Revision (ICD-10) and Other Coding Revisions
                           to National Coverage Determinations (NCDs)--
                           April 2024 Update--CR 2 of 2.
12351...................  Requirements for a Provider Direct Mailing and
                           Education & Outreach for Behavioral Health
                           Initiatives.
12353...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.

[[Page 5903]]

 
12355...................  International Classification of Diseases, 10th
                           Revision (ICD-10) and Other Coding Revisions
                           to National Coverage Determinations (NCDs)--
                           January 2024 Update.
12362...................  User Enhancement Change Request (UECR): ViPS
                           Medicare System (VMS)--Fix Beneficiary Update
                           and Display System (BUDS) Queries for Remark
                           Code and Biller Number.
12363...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12367...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12368...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
12392...................  Enforcing Billing Requirements for Intensive
                           Outpatient Program (IOP) Services with
                           Revenue Code 0905 for Federally Qualified
                           Health Centers (FQHC) and Rural Health
                           Clinics (RHC).
12397...................  Payment of Codes for Chemotherapy
                           Administration and Nonchemotherapy Injections
                           and Infusions.
12405...................  Direct Mailing Notification to Hospice
                           Providers Regarding the Value-Based Insurance
                           Design (VBID) Model, Hospice Benefit
                           Component, Participating Medicare Advantage
                           Organizations.
12410...................  Updating Calendar Year (CY) 2024 Medicare
                           Diabetes Prevention Program (MDPP) Payment
                           Rates.
12428...................  Provider Education for the Review Choice
                           Demonstration (RCD) for Inpatient
                           Rehabilitation Facility Services (IRFs).
------------------------------------------------------------------------
     Medicare Quality Reporting Incentive Programs (CMS-Pub. 100-22)
------------------------------------------------------------------------
12293...................  Payments to Home Health Agencies That Do Not
                           Submit Required Quality Data This CR Rescinds
                           and Fully Replaces CR 10874.
12294...................  Issued to a specific audience, not posted to
                           Internet/Intranet due to a Confidentiality of
                           Instruction.
------------------------------------------------------------------------
          State Payment of Medicare Premiums (CMS-Pub. 100-24).
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------
   Information Security Acceptable Risk Safeguards (CMS-Pub. 100-25).
------------------------------------------------------------------------
                          None.
------------------------------------------------------------------------

    For questions or additional information, contact Ismael Torres 
(410-786-1864).

Addendum II: Regulation Documents Published in the Federal Register 
(October Through December 2023)

Regulations and Notices

    Regulations and notices are published in the daily Federal 
Register. To purchase individual copies or subscribe to the Federal 
Register, contact GPO at www.gpo.gov/fdsys. When ordering individual 
copies, it is necessary to cite either the date of publication or the 
volume number and page number.
    The Federal Register is available as an online database through GPO 
Access. The online database is updated by 6 a.m. each day the Federal 
Register is published. The database includes both text and graphics 
from Volume 59, Number 1 (January 2, 1994) through the present date and 
can be accessed at http://www.gpoaccess.gov/fr/index.html. The 
following website http://www.archives.gov/federal-register/ provides 
information on how to access electronic editions, printed editions, and 
reference copies.
    For questions or additional information, contact Terri Plumb (410-
786-4481).

Addendum III: CMS Rulings (October Through December 2023)

    CMS Rulings are decisions of the Administrator that serve as 
precedent final opinions and orders and statements of policy and 
interpretation. They provide clarification and interpretation of 
complex or ambiguous provisions of the law or regulations relating to 
Medicare, Medicaid, Utilization and Quality Control Peer Review, 
private health insurance, and related matters.
    The rulings can be accessed at http://www.cms.gov/Regulations-and-Guidance/Guidance/Rulings.
    For questions or additional information, contact Tiffany Lafferty 
(410-786-7548).

Addendum IV: Medicare National Coverage Determinations (October Through 
December 2023)

    Addendum IV includes completed national coverage determinations 
(NCDs), or reconsiderations of completed NCDs, from the quarter covered 
by this notice. Completed decisions are identified by the section of 
the NCD Manual (NCDM) in which the decision appears, the title, the 
date the publication was issued, and the effective date of the 
decision. An NCD is a determination by the Secretary for whether or not 
a particular item or service is covered nationally under the Medicare 
Program (title XVIII of the Act), but does not include a determination 
of the code, if any, that is assigned to a particular covered item or 
service, or payment determination for a particular covered item or 
service. The entries below include information concerning completed 
decisions, as well as sections on program and decision memoranda, which 
also announce decisions or, in some cases, explain why it was not 
appropriate to issue an NCD. Information on completed decisions as well 
as pending decisions has also been posted on the CMS website. For the 
purposes of this quarterly notice, there were no specific updates to 
national coverage determinations (NCDs), or reconsiderations of 
completed NCDs published in the 3-month period. This information is 
available at: www.cms.gov/medicare-coverage-database/.
    For questions or additional information, contact Wanda Belle, MPA 
(410-786-7491).

Addendum V: FDA-Approved Category B Investigational Device Exemptions 
(IDEs) (October Through December 2023)

    (Inclusion of this addenda is under discussion internally.)

Addendum VI: Approval Numbers for Collections of Information (October 
Through December 2023)

    All approval numbers are available to the public at Reginfo.gov. 
Under the review process, approved information collection requests are 
assigned OMB control numbers. A single control number may apply to 
several related information collections. This

[[Page 5904]]

information is available at www.reginfo.gov/public/do/PRAMain.
    For questions or additional information, contact William Parham 
(410-786-4669).

Addendum VII: Medicare-Approved Carotid Stent Facilities (October 
Through December 2023)

    Addendum VII includes listings of Medicare-approved carotid stent 
facilities. All facilities listed meet CMS standards for performing 
carotid artery stenting for high risk patients. On March 17, 2005, we 
issued our decision memorandum on carotid artery stenting. We 
determined that carotid artery stenting with embolic protection is 
reasonable and necessary only if performed in facilities that have been 
determined to be competent in performing the evaluation, procedure, and 
follow-up necessary to ensure optimal patient outcomes. We have created 
a list of minimum standards for facilities modeled in part on 
professional society statements on competency. All facilities must at 
least meet our standards in order to receive coverage for carotid 
artery stenting for high risk patients. For the purposes of this 
quarterly notice, we are providing only the specific updates that have 
occurred in the 3-month period. This information is available at: 
http://www.cms.gov/MedicareApprovedFacilitie/CASF/list.asp#TopOfPage.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

------------------------------------------------------------------------
                                      Provider       Date
             Facility                   No.        approved      State
------------------------------------------------------------------------
The following facilities are new listings for this quarter..............
HCA Florida Englewood Hospital,      1639122864   09/09/2023  FL
 700 Medical Boulevard, Englewood,
 FL 34223.
Kaiser Permanente San Francisco,         050076   09/09/2023  CA
 Medical Center, 2425 Geary Blvd
 Provider, San Francisco, CA 94115.
Sanford Bemidji Medical Center,          240100   09/09/2023  MN
 1300 Anne Street NW, Bemidji, MN
 56601.
The following facilities have editorial changes (in bold)...............
From: Galichia Heart Hospital, To:       170123   05/16/2005  KS
 Wesley Woodlawn Hospital, 2610 N.
 Woodlawn Boulevard, Wichita, KS
 67220-2729.
From: Presence Resurrection              140117   04/12/2005  IL
 Medical Center, To: Ascension
 Resurrection, 7435 West Talcott
 Avenue, Chicago, IL 60631.
From: Fort Walton Beach Medical          100223   04/14/2005  FL
 Center, To: HCA Fort Walton--
 Destin Hospital, 1000 Mar Walt
 Drive, Fort Walton Beach, FL
 32547.
From: Trumbull Memorial Hospital,    1053844671   03/14/2013  OH
 To: Trumbull Regional Medical
 Center, 1350 E Market Street,
 Warren, OH 44483.
------------------------------------------------------------------------

Addendum VIII: American College of Cardiology's National Cardiovascular 
Data Registry Sites (October Through December 2023)

    The initial data collection requirement through the American 
College of Cardiology's National Cardiovascular Data Registry (ACC-
NCDR) has served to develop and improve the evidence base for the use 
of ICDs in certain Medicare beneficiaries. The data collection 
requirement ended with the posting of the final decision memo for 
Implantable Cardioverter Defibrillators on February 15, 2018.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum IX: Active CMS Coverage-Related Guidance Documents (October 
Through December 2023)

    CMS issued a guidance document on November 20, 2014 titled 
``Guidance for the Public, Industry, and CMS Staff: Coverage with 
Evidence Development Document''. Although CMS has several policy 
vehicles relating to evidence development activities including the 
investigational device exemption (IDE), the clinical trial policy, 
national coverage determinations and local coverage determinations, 
this guidance document is principally intended to help the public 
understand CMS's implementation of coverage with evidence development 
(CED) through the national coverage determination process. The document 
is available at http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=27.
    CMS published three proposed guidance documents on June 22, 2023 to 
provide a framework for more predictable and transparent evidence 
development and encourage innovation and accelerate beneficiary access 
to new items and services. The documents are available at:
    https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=35&docTypeId=1&sortBy=title&bc=16.
    https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=34&docTypeId=1&sortBy=title&bc=16.
    https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=33&docTypeId=1&sortBy=title&bc=16.
    For questions or additional information, contact Lori Ashby, MA 
(410 786 6322).

Addendum X: List of Special One-Time Notices Regarding National 
Coverage Provisions (October Through December 2023)

    There were no special one-time notices regarding national coverage 
provisions published in the 3-month period. This information is 
available at http://www.cms.gov.
    For questions or additional information, contact JoAnna Baldwin, MS 
(410-786 7205).

Addendum XI: National Oncologic PET Registry (NOPR)

    Addendum XI includes a listing of National Oncologic Positron 
Emission Tomography Registry (NOPR) sites. We cover positron emission 
tomography (PET) scans for particular oncologic indications when they 
are performed in a facility that participates in the NOPR.
    In January 2005, we issued our decision memorandum on positron 
emission tomography (PET) scans, which stated that CMS would cover PET 
scans for particular oncologic indications, as long as they were 
performed in the context of a clinical study. We have since recognized 
the National Oncologic PET Registry as one of these clinical studies. 
Therefore, in order for a beneficiary to receive a Medicare-covered PET 
scan, the beneficiary must receive the scan in a facility that 
participates in the registry. There were no additions, deletions, or 
editorial changes to the listing of National Oncologic Positron 
Emission Tomography Registry (NOPR) in the 3-month period. This 
information is available at http://www.cms.gov/MedicareApprovedFacilitie/NOPR/list.asp#TopOfPage.

[[Page 5905]]

    For questions or additional information, contact David Dolan, MBA 
(410-786-3365).

Addendum XII: Medicare-Approved Ventricular Assist Device (Destination 
Therapy) Facilities (October Through December 2023)

    Addendum XII includes a listing of Medicare-approved facilities 
that receive coverage for ventricular assist devices (VADs) used as 
destination therapy. All facilities were required to meet our standards 
in order to receive coverage for VADs implanted as destination therapy. 
On October 1, 2003, we issued our decision memorandum on VADs for the 
clinical indication of destination therapy. We determined that VADs 
used as destination therapy are reasonable and necessary only if 
performed in facilities that have been determined to have the 
experience and infrastructure to ensure optimal patient outcomes. We 
established facility standards and an application process. All 
facilities were required to meet our standards in order to receive 
coverage for VADs implanted as destination therapy.
    For the purposes of this quarterly notice, we are providing only 
the specific updates to the list of Medicare-approved facilities that 
meet our standards that have occurred in the 3-month period. This 
information is available at http://www.cms.gov/MedicareApprovedFacilitie/VAD/list.asp#TopOfPage.
    For questions or additional information, contact David Dolan, MBA, 
(410-786-3365).

----------------------------------------------------------------------------------------------------------------
                                             Provider   Date of initial      Date of re-
                 Facility                      No.       certification      certification           State
----------------------------------------------------------------------------------------------------------------
                                    The following facility is a new listing.
----------------------------------------------------------------------------------------------------------------
St. Bernard's Medical Center, 225 East         040020        08/31/2023                      AR
 Washington, Jonesboro, AR 72401.
Other information: DNV-GL ID #: C624530
Previous Re-certification Dates: n/a
----------------------------------------------------------------------------------------------------------------
                           The following facilities have editorial changes (in bold).
----------------------------------------------------------------------------------------------------------------
Sentara Norfolk General Hospital, 600         49-0007        11/13/2008          09/05/2023  VA
 Gresham Drive, Norfolk, VA 23507.
Other information: DNV-GL ID #: C592382
Previous Re-certification Dates: 11/13/
 2008; 12/21/2010; 02/05/2013; 01/13/2015;
 03/14/2017; 4/20/2019; 10/07/2021
Presbyterian Medical Center of the UPHS,       390223        10/05/2010          06/28/2023  PA
 51 North 39th Street, Philadelphia, PA
 19104.
Other information: Joint Commission ID
 #6145
Previous Re-certification Dates: 10/05/
 2010; 11/07/2012; 12/09/2014; 03/21/2017;
 4/17/2019; 07/29/2021
University of Alabama at Birmingham, 619       010033        10/29/2003          07/27/2023  AL
 19th S. South, Birmingham, AL 35249-1900.
Other information: Joint Commission ID #
 2814
Previous Re-certification Dates: 12/09/
 2008; 04/22/2011; 04/09/2013; 04/07/2015;
 05/16/2017; 7/3/2019; 08/21/2021
Virginia Commonwealth University Health        490032        04/08/2004          07/19/2023  VA
 System Authority, 1250 East Marshall
 Street, Richmond, VA 23298-051.
Other information: Joint Commission ID #
 6381
Previous Re-certification Dates: 11/04/
 2008; 12/14/2010; 12/21/2012;12/16/2014;
 02/14/2017; 04/10/2019; 08/07/2021
Fresno Community Hospital and Medical          050060        01/04/2014          08/09/2023  CA
 Center, 2823 Fresno St., Fresno, CA 93721.
Other information: Joint Commission ID #
 9832
Previous Re-certification Dates: 1/04/
 2014; 12/13/2016; 2/13/2019; 08/11/2021
University Hospital (Stony Brook), Health      330393        03/02/2011          08/09/2023  NY
 Sciences Center Suny Stony Brook, Stony
 Brook, NY 11794-8503.
Other information: Joint Commission ID #
 5188
Previous Re-certification Dates: 01/30/
 2013; 01/15/2015; 03/14/2017; 05/08/2019;
 09/17/2021
Maimonides Medical Center, 4802 Tenth          330194        08/23/2012          10/18/2023  NY
 Avenue, Brooklyn, NY 11219-2916.
Other information: Joint Commission ID
 #5734
Previous Re-certification Dates: 08/23/
 2012; 07/29/2014; 09/13/2016; 10/11/2018;
 10/27/2021
The General Hospital Corporation, 55 Fruit     220071        12/15/2003          09/07/2023  MA
 Street, Boston, MA 02114.
Other information: Joint Commission ID#
 5513
Previous Re-certification Dates: 12/08/
 2008; 01/19/2011; 02/13/2013; 01/06/2015;
 02/28/2017; 05/22/2019; 10/14/2021
Montefiore Health System, 111 East 210th       330059        11/14/2003          10/04/2023  NY
 StreetM Bronx, NY 10467.
Other information: Joint Commission ID
 #2514
Previous Re-certification Dates: 09/23/
 2008; 10/08/2010; 10/23/2012; 09/23/2014;
 10/08/2016; 11/07/2018; 10/29/2021
Bryan Medical Center, 1600 South 48th          280003        03/05/2013          08/23/2023  NE
 Street, Lincoln, NE 68506.
Other information: Joint Commission ID #
 244330
Previous Re-certification Dates: 03/05/
 2013; 02/12/2015; 04/18/2017; 07/17/2019;
 09/22/2021
Nebraska Medical Center, 987400 Nebraska       280013        02/02/2011          08/16/2023  NE
 Medical Center, Omaha, NE 68198-7400.
Other information: Joint Commission ID #
 186313

[[Page 5906]]

 
Previous Re-certification Dates: 01/20/
 2011; 01/29/2013; 02/24/2015; 02/14/2017;
 04/17/2019; 09/09/2021
Dignity Health, 350 West Thomas Road,          030024        05/08/2019          08/26/2023  AZ
 Phoenix, AZ 85013.
Other information: Joint Commission ID #
 9494
Previous Re-certification Dates: 05/08/
 2019; 08/19/2021
From: Norton Hospitals Inc................     180088        09/17/2020          10/13/2023  KY
To: Norton Audubon Hospital, 1 Audubon
 Plaza Drive, Louisville, KY 40217
Other information: DNV ID #: C553570
Previous Re-certification Dates: 09/17/
 2020
From: University of Virginia Medical           490009        02/12/2010          09/15/2023  VA
 Center.
To: Rector & Visitors of the University of
 Virginia, 1215 Lee Street,
 Charlottesville, VA 22903
Other information: Joint Commission ID #:
 6329
Previous Re-certification Dates: 03/21/
 2012; 05/06/2014; 06/07/2016; 06/06/2018;
 10/13/2021
Temple University Hospital, Inc., 3401         390027        02/08/2012          09/13/2023  PA
 North Broad Street, Philadelphia, PA
 19140.
Other information: Joint Commission ID #:
 6152
Previous Re-certification Dates: 02/08/
 2012; 02/11/2014; 04/07/2016; 04/04/2018;
 10/13/2021
Prisma Health Richland, 5 Richland Medical     420018        03/07/2013          09/13/2023  SC
 Park Drive, Columbia, SC 29203.
Other information: Joint Commission ID #:
 6588
Previous Re-certification Dates: 03/06/
 2013; 04/21/2015; 06/06/2017; 6/28/2019;
 10/08/2021
Hillcrest Medical Center, 1120 S. Utica,       370001        12/04/2017          11/17/2023  OK
 Tulsa, OK 74104.
Other information: DNV #: C584663
Previous Re-certification Dates: 12/04/
 2017; 11/25/2020
Beth Israel Deaconess Medical Center, 330      220086        04/25/2017          09/29/2023  MA
 Brookline Avenue, Boston, MA 02215.
Other information: Joint Commission ID #:
 5501
Previous Re-certification Dates: 4/25/
 2017; 05/22/2019; 11/04/2021
Yale New Haven Hospital, 20 York Street,       070022        01/25/2011          12/13/2023  CT
 New Haven, CT 06510-3203.
Other information: Joint Commission ID #:
 5677
Previous Re-certification Dates: 01/25/
 2011; 01/15/2013; 12/16/2014; 02/28/2017;
 5/22/2019; 11/24/2021
UMass Memorial Health Care, Inc, One           220163        02/06/2019          10/27/2023  MA
 Biotech Park 365 Plantation Street,
 Worcester, MA 01605.
Other information: Joint Commission ID #:
 5640
Previous Re-certification Dates: 02/06/
 2019; 11/06/2021
North Carolina Baptist Hospital, dba           340047        06/28/2011          10/25/2023  NC
 Atrium Health Wake Forest Baptist,
 Medical Center Boulevard, Winston Salem,
 NC 27157.
Other information: Joint Commission ID #:
 6571
Previous Re-certification Dates: 06/28/
 2011; 08/13/2013; 08/04/2015; 08/18/2017;
 10/9/2019; 10/16/2021
Memorial Hermann--Texas Medical Center,        450068        03/19/2013          12/22/2023  TX
 6411 Fannin Street, Houston, TX 77030-
 1501.
Other information: Joint Commission ID #:
 9081
Previous Re-certification Dates: 03/19/
 2013; 04/14/2015; 05/24/2017; 06/26/2019;
 12/23/2021
Cleveland Clinic Florida, 3100 Weston          100289        05/19/2015          11/02/2023  FL
 Road, Weston, FL 33331.
Other information: Joint Commission ID #:
 334451
Previous Re-certification Dates: 05/19/
 2015; 06/20/2017; 7/24/2019; 11/04/2021
----------------------------------------------------------------------------------------------------------------

Addendum XIII: Lung Volume Reduction Surgery (LVRS) (October Through 
December 2023)

    Addendum XIII includes a listing of Medicare-approved facilities 
that are eligible to receive coverage for lung volume reduction 
surgery. Until May 17, 2007, facilities that participated in the 
National Emphysema Treatment Trial were also eligible to receive 
coverage. The following three types of facilities are eligible for 
reimbursement for Lung Volume Reduction Surgery (LVRS):
    <bullet> National Emphysema Treatment Trial (NETT) approved 
(Beginning 05/07/2007, these will no longer automatically qualify and 
can qualify only with the other programs);
    <bullet> Credentialed by the Joint Commission (formerly, the Joint 
Commission on Accreditation of Healthcare Organizations (JCAHO)) under 
their Disease Specific Certification Program for LVRS; and
    <bullet> Medicare approved for lung transplants.
    Only the first two types are in the list. For the purposes of this 
quarterly notice, there are no additions and deletions to a listing of 
Medicare-approved facilities that are eligible to receive coverage for 
lung volume reduction surgery. This information is available at 
www.cms.gov/MedicareApprovedFacilitie/LVRS/list.asp#TopOfPage.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (October 
Through December 2023)

    Addendum XIV includes a listing of Medicare-approved facilities 
that meet minimum standards for facilities modeled in part on 
professional society statements on competency. All facilities must meet 
our standards in order to receive coverage for bariatric surgery

[[Page 5907]]

procedures. On February 21, 2006, we issued our decision memorandum on 
bariatric surgery procedures. We determined that bariatric surgical 
procedures are reasonable and necessary for Medicare beneficiaries who 
have a body-mass index (BMI) greater than or equal to 35, have at least 
one co-morbidity related to obesity and have been previously 
unsuccessful with medical treatment for obesity. This decision also 
stipulated that covered bariatric surgery procedures are reasonable and 
necessary only when performed at facilities that are: (1) certified by 
the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery 
Center (program standards and requirements in effect on February 15, 
2006); or (2) certified by the American Society for Bariatric Surgery 
(ASBS) as a Bariatric Surgery Center of Excellence (BSCOE) (program 
standards and requirements in effect on February 15, 2006).
    There were no additions, deletions, or editorial changes to 
Medicare-approved facilities that meet CMS' minimum facility standards 
for bariatric surgery that have been certified by ACS and/or ASMBS in 
the 3-month period. This information is available at www.cms.gov/MedicareApprovedFacilitie/BSF/list.asp#TopOfPage.
    For questions or additional information, contact Sarah Fulton, MHS 
(410-786-2749).

Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases 
Clinical Trials (October Through December 2023)

    There were no FDG-PET for Dementia and Neurodegenerative Diseases 
Clinical Trials published in the 3-month period.
    This information is available on our website at www.cms.gov/MedicareApprovedFacilitie/PETDT/list.asp#TopOfPage.
    For questions or additional information, contact David Dolan, MBA 
(410-786-3365).

[FR Doc. 2024-01785 Filed 1-29-24; 8:45 am]
BILLING CODE 4120-01-P