7458 Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices 

(OMB control number: 0938–1249); 

Frequency: Annually; Affected Public: 

Public sector (Individuals and 

Households); Private sector (Business or 

other for-profits and Not-for-profit 

institutions); Number of Respondents: 

314; Total Annual Responses: 314; Total 

Annual Hours: 384,014. For policy 

questions regarding this collection 

contact Nidhi Singh Shah at 301–492– 

5110. 

Dated: February 4, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–02738 Filed 2–8–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–9133–N] 

Medicare and Medicaid Programs; 

Quarterly Listing of Program 

Issuances—October through 

December 2021 

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 from July through September 

2021, 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 Published in the 

Federal Register.

Terri Plumb ....................................................... (410) 786–4481 

III CMS Rulings ............................................... Tiffany Lafferty .................................................. (410)786–7548 

IV Medicare National Coverage Determinations.Wanda Belle, MPA ........................................... (410) 786–7491 

V FDA-Approved Category B IDEs ................. John Manlove ................................................... (410) 786–6877 

VI Collections of Information ........................... William Parham ................................................ (410) 786–4669 

VII Medicare –Approved Carotid Stent Facilities.Sarah Fulton, MHS ........................................... (410) 786–2749 

VIII American College of Cardiology-National 

Cardiovascular Data Registry Sites.

Sarah Fulton, MHS ........................................... (410) 786–2749 

IX Medicare’s Active Coverage-Related Guidance Documents.JoAnna Baldwin, MS ........................................ (410) 786–7205 

X One-time Notices Regarding National Coverage Provisions.JoAnna Baldwin, MS ........................................ (410) 786–7205 

XI National Oncologic Positron Emission Tomography Registry Sites.David Dolan, MBA ............................................ (410) 786–3365 

XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities.David Dolan, MBA ............................................ (410) 786–3365 

XIII Medicare-Approved Lung Volume Reduction Surgery Facilities.Sarah Fulton, MHS ........................................... (410) 786–2749 

XIV Medicare-Approved Bariatric Surgery Facilities.Sarah Fulton, MHS ........................................... (410) 786–2749 

XV Fluorodeoxyglucose Positron Emission 

Tomography for Dementia Trials.

David Dolan, MBA ............................................ (410) 786–3365 

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 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices 7459 

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 FultzMimms, 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. 

BILLING CODE 4120–01–C 


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EN09FE22.000</GPH>lotter on DSK11XQN23PROD with NOTICES1

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 Progrnm Issuances notices 

are: March 17, 2021 (86 FR 14629), May 3, 2021 (86 FR 23373), August 

17, 2021 (86 FR 45986) and November 18, 2021 (86 FR 64492). 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 2021) 

The CMS Manual System is used by CMS progrnm components, 

partners, providers, contractors, Medicare Advantage organizations, and 

State Survey Agencies to administer CMS progrnms. 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 progrnm 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/librnries/ 

In addition, individuals may contact regional depository librnries 

that receive and retain at least one copy of most federal government 

publications, either in printed or microfilm form

public. These librnries provide reference service

however, they are not sales outlets. Individuals 

about the location of the nearest regional deposit

library. CMS publication and transmittal numbe

entitled Medicare and Medicaid Manual Instruct

the materials, use the CMS publication and trans

example, to find the manual for Update to Medic

Coinsurance and Premium Rates for Calendar Y

(CMS-Pub. 100-01) Transmittal No. 11136. 

Addendum I lists a unique CMS transm

instruction in our manuals or progrnm memoran

A transmittal may consist of a single or multiple 

necessary to use information in a transmittal in c

information currently in the manual. 

Fee-For Service Transmittal Numbers 

Please Note: Beginning Friday, March 

following change regarding the Advance Notice 

CMS internal process change. Fee-For Service T

no longer be determined by Publication The Tr

issued by a single numerical sequence beginning 

10000. 

For the purposes of this quarterly notice

updates to the list of manual instructions that hav

period. This information is available on our web

www.crns.gov/Manuals. 

Transmittal Manual/Subject/Pub

Number 

11136 Update to Medicare Deductible, Coinsura

Calendar Year (CY) 2022 

None 

11119 National Coverage Determination (NCU) 

Chronic, Non-Healing Wounds 

12376 Revisions to Chapters 13, 18 And 32 To U

Coverage for PET Scans for Dementia a

Screening Pap Smears: Diagnoses Cod

MSN Messages Remittance Advice Codes 

Screening Pelvic Examinations From J

2001 

Diagnoses Codes MSN Messae:es 

EN09FE22.001</GPH>lotter on DSK11XQN23PROD with NOTICES1

Diagnosis Coding Remittance Advice Notices 

Counseling to Prevent Tobacco Use 

Healthcare Common Procedure Coding System [HCPCS] and Diagnosis 

Coding 

A/B MACs [BJ Billing Requirements 

A/B MAC [A] and [HHH] Billing Requirements 

Claims Adjustment Reason Codes [CARCs], Remittance Advice Remark Codes [RARCs ], Group Codes, and Medicare Summary Notices [MSNs] 

Common Working File [CWF] 

Diagnosis Code Reporting Billing Requirements 

Claim Adjustment Reason Codes [CARCs ], Remittance Advice Remark 

Codes [RARCs ], Group Codes, and Medicare Summary Notice [MSN] 

Messages 

Common Working File [CWF] Edits 

Ambulatory Blood Pressure Monitoring [ABPM] Billing Requirements 

Billing Requirements for HBO Therapy for the Treatment of Diabetic 

Wounds of the Lower Extremities 

Bill Types 

Allowable Covered Diagnosis Codes Allowable Covered Procedure Codes 

Healthcare Common Procedure Coding System [HCPCS] 

Coverage for PET Scans for Dementia and Neurodegenerative Diseases 

Special Billing and Payment Requirements for A/B MACs [A] 

A/B MACs [BJ Billing Requirements 

Ail:l MAC lAJ and lHHHJ l:lilling Requirements 

Claims Adjustment Reason Codes [CARCs], Remittance Advice Remark Codes [RARCs ], Group Codes, and Medicare Summary Notices [MSNs] Common Working File [CWF] 

Diagnosis Code Reporting Billing Requirements 

Claim Adjustment Reason Codes [CARCs], Remittance Advice Remark 

Codes [RARCs ], Group Codes, and Medicare Summary Notice [MSN] 

Messages 

Common Working File [CWF] Edits 

Ambulatory Blood Pressure Monitoring [ABPM] Billing Requirements 

Billing Requirements for HBO Therapy for the Treatment of Diabetic 

Wounds of the Lower Extremities 

Bill Types 

Allowable Covered Diagnosis Codes Allowable Covered Procedure Codes 

Healthcare Common Procedure Coding System [HCPCS] 

Coverage for PET Scans for Dementia and Neurodegenerative Diseases 

Special Billing and Payment Requirements for A/B MACs [A] 

Diagnosis Codes 

Editing Instructions for AIB MACs [A 

Correct Place of Service [POS] Code for PR Services on Professional Claims 

Requirements for PR Services on Institutional Claims 

Edits for PR Services Exceeding 72 Sessions 

ICD Procedure Codes for Bariatric Surgery for Treatment of Co- Morbid 

Conditions Related to Morbid Obesity [A/MACs only 

!CD Diagnosis Codes for Bariatric Surgery 

ICD Diagnosis Codes for BMI 

!CD Codes for Type II Diabetes Mellitus Complication 

Claims Guidance for Payment 

Medicare Summarv Notices [MSNs] and Claim Adjustment Reason Codes 

11022 11023 11024 11035 11036 11937 11038 11039 11042 11043 11044 11046 11048 11049 11052 11057 11059 11061 11062 11063 

Carotid Artery Stenting fCAS] for Post-A

510k Post-Approval Extension Studies us

Protection Devices during Carotid Artery 

Intracranial Percutaneous Transluminal A

Billing Requirements 

Payment Requirements 

Hospital Billing Instructions 

Practitioner Billing Instructions 

Claims Processing System Editing Claims Processing Requirements for OPT 

Professional Claims and Outpatient Facili

Claims Processing Requirements for OPT 

Inpatient Facility Claims 

Coding and Claims Processing for MTW A 

Quarterly Update for the Durable Medica

Orthotics, and Supplies (DMEPOS) Comp

Januarv 2022 

Issued to a specific audience, not posted t

Sensitivitv of Instruction 

Instructions for Downloading the Medica

Revisions to Chapters 3, 18, and 32 to Up

Issued to a specific audience, not posted t

Sensitivitv of Instruction 

Issued to a specific audience, not posted t

Sensitivitv of Instruction 

Issued to a specific audience, not posted t

Confidentialitv of Instruction 

Inpatient Psychiatric Facilities Prospectiv

Updates for Fiscal Year (FY) 2022 

Annual Update 

Cost-of-Living 

Issued to a specific audience, not posted t

Confidentialitv of Instruction 

Calendar Year (CY) 2022 Participation E

Participating Phvsicians and Suooliers Di

Ambulance Inflation Factor (AlF) for Cal

Productivilv Adiustmenl 

Issued to a specific audience, not posted t

Confidentialitv of Instruction 

Issued to a specific audience, not posted t

Confidcntialitv of Instruction 

Issued to a specific audience, not posted t

Confidentiality of Instruction 

2022 Annual Update of Healthcare Comm

(HCPCS) Codes for Skilled Nursing Faci

(CB)Update 

Issued to a specific audience, not posted t

Sensitivitv of Instruction 

April 2022 Update to the Java Medicare C

Unspecified Code Edit Medicare Code Ed

Issued to a specific audience, not posted t

Confidentialitv of Instruction 

Issued to a specific audience, not posted t

Confidentialitv of Instruction 

Issued to a specific audience, not posted t

Confidentiality of Instruction 

EN09FE22.002</GPH>lotter on DSK11XQN23PROD with NOTICES1

11066 Issued to a specific audience, not posted to Internet/Intranet due to a Chronic, Non-Healing Wounds 

Confidentialitv of Instruction Autologous Platelet-Rich Plasma (PRP) 

11072 Issued to a specific audience, not posted to Internet/Intranet due to a Policy 

Confidentialitv of Instruction Healthcare Common Procedure Coding 

11074 Calendar Year (CY) 2022 Participation Enrollment and Medicare Coding and Frequency Requirements 

Participating Physicians and Suppliers Directory (MEDP ARD) Procedures Types of Bill (TOB) 

11075 Revision to Chapter 3 to Update Instructions for Handling Inpatient Payment Method 

Rehabilitation Facility (!RF) Claims Place of Service (POS) for Professional 

Shared Systems and CWF Edit~ Actions When a Claim Does Not Match the 11121 Combined Common Edits/Enhancements 

Jnpatient Rehabilitation Facility-Patient Assessment Instrument ORF-P Al) 11122 Issued to a specific audience, not posted t

11077 Issued to a specific audience, not posted to Internet/Intranet due to a Confidentiality of Instruction 

Confidentiality of Instruction 11122 Issued to a specific audience, not posted t

11079 Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction 

Confidentialitv of Instruction 11129 Reduced Payment for Physical Therapy a

11080 Issued to a specific audience, not posted to Internet/Intranet due to a Furnished In Whole or In Part by a Physic

Confidentialitv of Instruction Occupational Therapy Assistant (OTA) D

11082 Issued to a specific audience, not posted to Internet/Intranet dne to a Rehabilitation Modifiers - All Claims 

Confidentiality of Instruction 11130 Issued to a specific audience, not posted t

11084 Issued to a specific audience, not posted to Internet/Intranet due to a Sensitivity of Instruction 

Confidentiality of Instruction 11131 Issued to a specific audience, not posted t

11085 Issued to a specific audience, not posted to Internet/Intranet due to a Confidentiality of Instruction 

Coniidenlialil y of Instruction 11138 Ouartcrly Update to Home Health (HH) G

11089 Issued to a specific audience, not posted to Internet/Intranet due to a 11140 Update to the Internet Only Manual (!OM

Confidentiality of Instruction and 17 

11090 File Conversions Related to the Spanish Translation of the Healthcare 11146 Summary of Policies in the Calendar Yea

Common Procedure Coding Svstem (HCPCS) Descriptions Schedule (MPFS) Final Rule, Telehealth 

11092 Claims Processing Instructions for the New Pneumococcal 20-valent Payment Amount and Telehealth Services 

Coniugate Vaccine Code 90677 and Preventive Services List 

11093 Issued to a specific audience, not posted to Internet/Intranet due to a 11147 Implement Operating Rules - Phase III El

Confidentialitv of Instruction Electronic Funds Transfer (EFT): Commi

11095 Implementation of the GV Modifier for Rural Health Clinics (RH Cs) and 

Federally Qualified Health Centers (FQHCs) for Billing Hospice Attending 

Phvsician Services 

Information Exchange (CORE) 360 Unifo

Reason Codes (CARC), Remittance Advi

Claim Adjustment Group Code (CAGC) R

11107 2022 Annual Update of Per-Beneficiarv Threshold Amounts Affordable Ouality Healthcare (CAOH) C

11109 Skilled Nursing facility (SNF) Claims Processing Updates 11149 January 2022 Integrated Outpatient Code 

11111 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code 

(CARC), Medicare Remit Easv Print (MREP) and PC Print Update 

11113 Update to the Internet Only Manual (!OM) Publication (Pub.) 100-04, 

Chapter 3, Sections 90.1.2, 90.3, 90.3.1, and Addendum A Provider Specific 

File 

Version 23.0 

11150 January 2022 Update of the Hospital Outp

(OPPS) 

General Coding and Dilling Instructions 

Explanations of Terms 

Provider Specific File Billing for Kidney Transplant and Acquisition Services 

Stem Cell Transplantation 

Allogeneic for Stem Cell Transplantation 

Complete List of Device Pass-through C

Explanations of Certain Terms/Definitio

Category Codes 

Billing for Allogeneic Stem Cell Transp

11114 Instructions for Retrieving the January 2022 Medicare Physician Fee 

Schedule Database (MPFSDB) Files Through the CMS Mainframe 

Telecommunications Svstem 

11069 ECRS Updates to the Prescription Drug A

Medicare Secondary Payer Future Date F

11115 Summary of Policies in the Calendar Year (CY) 2022 Medicare Physician Fee 

Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee 

Payment Amount and Telehealth Services List, CT Modifier Reduction List, 

and Preventive Services List 

Transfer ~faming Convention; Updated I

Fault Plan Insurance Type D and the Add

Attachment 1 - ECRS Web User Guide, 

Attachment 2 - ECRS Web Ouick Refer

11116 April 2022 Healthcare Common Procedure Coding System (HCPCS) 

Ouarterlv Update Reminder 

11070 Issued to a specific audience, not posted t

Confidentiality of Instruction 

11117 Shared System Support Hours for Application Programming Interfaces (APis) 

11118 2022 Annual Update to the Theranv Code List 

11073 Issued to a specific audience, not posted t

Confidentiality of Instruction 

11119 National Coverage Determination (NCD) 270.3 Blood-Derived Products for 

EN09FE22.003</GPH>lotter on DSK11XQN23PROD with NOTICES1

11051 Notice of New Interest Rate for Medicare Overpayments and Underpayments Provider Self Audits 

-1st Otr Notification for FY 2022 Signature Requirements 

11097 The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files Introduction 

to the Provider and Statistical Reimbursement (PS&R) Svstem Definitions 

11112 Issued to a specific audience, not posted to Internet/Intranet due to a Medicare Program Integrity 

Confidentialitv of Instruction Program Integrity Contractors 

11124 Updates to Medicare Financial ~1anagement Manual Chapter 3, Section 140.1 Unified Program Integrity Contractor 

Bankruptcv Forms Investigations Medicare Drug Integrity C

11133 Fiscal Year 2022 Updates for the CMS Internet Only Manual (IOM) 

Publication (Pub.) 100-06, Medicare Financial Management Manual, Chapter 

7 - Intemal Control Reauirements 

Organizational Requirements 

Training for Law Enforcement Organizati

Liability of Program Integrity Contractor 

Anti-Fraud Training 

None Training for Law Enforcement Organizati

Procedural Requirements 

11014 Issued to a specific audience, not posted to Internet/Intranet due to a 

Confidentialitv of Instruction 

11020 Restructuring of Section 10.4 in Chapter 10 of Publication (Pub.) 100-08 

10.2.3/Individual Practitioners Who Enroll Via the Form CMS-855I 

Medicare Enrollment - Contractor Processing Duties and Related Polic 

General Processing Functions Overview of the Process 

Maintain Controlled Filing System and D

11040 Revisions to Certified Provider/Supplier M

Processing Initial Skilled Nursing Facility 

11050 Issued lo a specific audience, not posted l

Confidentiality of Instructions 

11064 Issued to a specific audience, not posted t

Confidentiality oflnstructions 

Receipt of Application 

Review of Application 

Initial Steps of Review of Application 

Data Verification 

11065 Issued to a specific audience, not posted t

Confidentiality of Instructions 

11086 Issued to a specific audience, not posted t

Confidentiality of Instructions 

Requesting Missing/Clarifying Data/Documentation (Development) 11087 Issued to a specific audience, not posted t

Receiving Missing/Clarifying Data/Documentation (Response to Confidentialitv of Instructions 

Development 11088 Issued lo a specific audience, not posted l

Provider/Supplier Fails to Submit Requested Data/Documentation Confidentiality of Instructions 

Application Disposition 11091 Issued to a specific audience, not posted t

Approval Confidentialitv oflnstructions 

Retums 11094 Issued to a specific audience, not posted tRejections Confidentiality of Instructions 

Denial 11125 Update to Enrollment Processing Require

Denials - General Principles Provider/Supplier Change of Ownership (

Denial Reasons (COi) Application 

Additional Denial Policies 11126 Issued to a specific audience, not posted t

Voluntary and Involuntary Terminations Confidenlialitv oflnstructions 

Changes of Information 11135 Issued to a specific audience, not posted t

Revalidations Confidentialitv of Instructions 

Revalidation Solicitations 

Non-Responses to Revalidation and Extension Requests 

11139 Issued to a specific audience, not posted t

Confidentialitv of Instructions 

Receipt and Processing of Revalidation Applications 

Reactivations Revocations 

11142 Incorporation of Recent Provider Enrollm

Chapter 10 of CMS Publication (Pub.) 10

Definitions 

Revocations - Background and General Requirements 

Revocation Effective Dates 

Revocation Reasons Reenrollment Bar 

Additional Revocation Policies 

Federally Qualified Health Centers (FQH

Home Health Agencies (HHAs) 

Independent Diagnostic Testing Facilitie

Physician Assistants 

Retums 

Deactivations Deactivation Rebuttals 

Rejections Denial Reasons 

11031 Issued to a specific audience, not posted to Internet/Intranet due to a Additional Denial Policies 

Confidentiality of Instruction Reactivations 

11032 Updates to Chapters 1, 3, 4, 5, 8 and 9 of Publication (Pub.) 100-08 Revocation Reasons 

Quality of Care Issues and Potential Fraud Issues Reenrollment Dar 

EN09FE22.004</GPH>lotter on DSK11XQN23PROD with NOTICES1

Deactivations Implementation CR Deactivation Rebuttals 11055 National Coverage Determination (NCD) 

Establishing Effective Dates (NGS) 

Opting-Out of Medicare 11060 Skilled cl<ursing Facility (SNF) Claims Pr

Application Fees (FYE) Edits 

11153 Issued to a specific audience, not posted to Intecnet/Intranet due to 11068 International Classification of Diseases, 1

Confidentialitv of Instructions Coding Revisions to National Coverage D

11154 Incorporation of Rcccnt Provider Enrollment Regulatory Changes into (CR 1 of2) 

Chanter IO of CMS Publication (Pub.) 100-08 11076 User Change Request (UCR): Fiscal Inter

Workload Reports to Capture Optical Cha

11127 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Claim Counts Correctly 

Fiscal Year (FY) 2019 for Inpatient Prospective Payment System (IPPS) 11078 User Change Request (UCR) - Fiscal Inte

Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Implcmcnt New Search Functionality for 

Hospitals (LTCHs) Processine: Svstem ffiCPS) and Medical P

11083 International Classification of Diseases, 1

None Coding Revisions to National Coverage D

(CR 2 of2 for April 2022) 

None 11096 Issued to a specific audience, not posted t

of Instructions 

None 11098 MAC Customer Experience (MCE) Provi

11100 User CR: Multi-Carrier System (MCS) - B

None 11103 Clarifying Instructions for Billing and Pro

Based on Locality of the Home Infusion T

None 11104 User CR: Multi-Carrier Svstem (MCS) - P

11110 Phase two: Undeliverable Medicare Summ

None Beneficiarv Do Not Forward Process 

11123 Send Electronic Funds Transfer (EFT) Inf

11030 Issued to a specific audience, not posted to Intecnet/Intranet due to Sensitivity 

of Instructions 

Chain and Ownership System (PECOS) to 

(FISS) - Implementation CR, Consolidati

11053 Issued to a specific audience, not posted to Intecnet/Intranet due to Sensitivity 

oflnstructi ans 

Releases. 

11132 Medicare Diabetes Prevention Program (M

11067 Intravenous Immune Globulin (IVIG) Demonstration Update for a New Drug 

Code J1554 ASCENIV 

2 Years to I Year 

11134 Medicare Administrative Contractor (MA

11071 Modifications/Improvements to Value-Based Insurance Design (VBID) 

Model - Implementation 

the Expansion of the Repetitive, Schedule

Transport (RSNAT) Prior Authorization (

11108 Managing Clinician PP A and KCF PEA Implementation 

11128 ESRD Treatment Choices (ETC) Model Performance Payment Adjustment 

(PPA) - Facility Component (Implementation CR) 

11143 Intravenous Immune Globulin (IVIG) Demonstration: Payment Update for 

2022 

11145 Issued to a specific audience, not posted to Intecnet/Intranet due to Sensitivity 

oflnstructi ons 

11141 User Change Request (UCR) - Fiscal Inte

Implement New Search Functionality for 

Processine: Svstem (ECPS) and Medical P

11144 Implementation of Medicare Administrati

Upload Process Changes for the Recovery 

Warehouse (RA CDW) and Addition of D

Anneals Layout File 

11155 Correct Processing of Home Health Claim

11010 Mobile Personal Identity Verification (PIV) Station Installation 

11025 International Classification of Diseases, 10th Revision (ICD-10) and Other 

Coding Revisions to National Coverage Determination (NCDs)--January 

2022 

11033 Implementation of the Award for the Jurisdiction L (J-L) Part A and Part B 

Payment (RAP) or Notice of Admission (

Late and Correct Identification Critical A

as Institutional Periods of Care 

11156 Addition of the QW modifier to Healthca

System (HCPCS) Code 86328 

Medicare Administrative Contractor (JL AIB MAC) 

11047 Correct Processing of Home Health Claims if the Request for Anticipated None 

Payment (RAP) or cl<otice of Admission (NOA) Was More Than 30 Days 

Late and Correct Identification Critical Access Hospital Sub-t:nit Discharges None 

as Institutional Periods of Care 

11054 Electronic Funds Transfer (EFT) Information from Provider Enrollment None 

Chain and Ownership System (PECOS) to ViPS Medicare System (VMS): 

EN09FE22.005</GPH>lotter on DSK11XQN23PROD with NOTICES1

Addendum II: Regulation Documents Published 

in the Federal Register (October through December 2021) 

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. 

This information is available on our website at: 

https://www.cms.gov/fi1es/document/regs4q2lqpu.pdf 

For questions or additional information, contact Terri Plumb 

(410-786-4481). 

Addendum m: CMS Rulings 

(October through December 2021) 

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 htt;p://www.crns.gov/Regulationsand-Guidance/Guidance/Rulings. For questions or additional information, 

contact Tiffany Lafferty ( 410-786-7548). 

Addendum IV: Medicare National Coverage Determinations 

(October through December 2021) 

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 

include information concerning completed dec

program and decision memoranda, which also 

some cases, explain why it was not appropriat

Information on completed decisions as well as 

been posted on the CMS website. For the purp

we are providing only the specific updates to n

determinations (NCDs), or reconsiderations o

in the 3-month period. This information is ava

www.crns.gov/medicare-coverage-database/. 

information, contact Wanda Belle, MPA (410-

Title NCDM Transm

Section Numbe

Transvenous Pulmonary NCD240.6 ID9875 

Embolcctomv (TPE) 240.6 

National Coverage 

Determination (NCD) 

220.6.19, Positron Emission NCD Tomography NaF-18 (NaF- 220.6.19 11158 

18 PET) to Identify Bone 

Metastasis of CancerManual Update Onlv 

Addendum V: FDA-Approved Category 

Exemptions (IDEs) (October throu

(Inclusion of this addenda is under d

Addendum VT: Approval Numbers for C

(October through Decem

All approval numbers are available to 

Under the review process, approved informati

assigned 0MB control numbers. A single con

several related information collections. This i

www.reginfo.gov/public/do/PRAMain. For q

information, contact William Parham ( 410-78

Addendum VII: Medicare-Approved 

(October through Decem

Addendum VII includes listings of M

stent facilities. All facilities listed meet CMS 

carotid artery stenting for high risk patients. O

our decision memorandum on carotid artery st

carotid artery stenting with embolic protection 

only if performed in facilities that have been d

performing the evaluation, procedure, and foll

optimal patient outcomes. We have created a 

EN09FE22.006</GPH>lotter on DSK11XQN23PROD with NOTICES1

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.ems.gov/MedicareApprovedFacilitie/CASF /list.asp#TopOfPage 

For questions or additional information, contact Sarah Fulton, MHS 

(410-786-2749). 

Facility Provider Date State 

Number Approved 

Berkeley Medical Center 510008 10/12/2021 WV 

2500 Hospital Drive 

Martinsburg, WV 25401 

CGH Medical Center 140043 10/12/2021 IL 

100 E Lefevre Road 

Sterling, IL 61081 

Lee's Summit Medical Center 260190 09/27/2021 MO 

2100 SE Blue Parkway Lee's Summit, MO 64043 

McKenzie Willamette Medical Center 380020 10/15/2021 OR 

1460 G Street Provider 

Springfield, OR 97477 

Raleigh General Hospital 510070 12/07/2021 WV 

1710 Harper Road 

Becklev, WV 25801 Faith Regional Health Services 280125 12/14/2021 NE 

2700 W. Norfolk Avenue 

Norfolk, NE 68701 

FROM: St. Joseph Hospital 500030 09/28/2005 WA 

TO: PeaceHealth St. Joseph Medical 

Center 

2901 Squalicum Parkway 

Bellingham WA 98264 

FROM: Sacred Heart Medical 380102 02/19/2009 OR 

Center at RiverBend 

TO: PeaceHealth Sacred Heart 

Riverbend Medical Center 

3311 RiverBend Drive 

Snringfield OR 97477 

FROM: Western Baptist Hospital 180104 05/05/2005 KY 

TO: Baptist Health Paducah 

2501 Kentucky Avenue 

Paducah, KY 42003 

FROM: St. John Hospital and 230165 04/27/2005 MI Medical Center 

TO: Ascension St. John Hospital 

22101 Moross Road 

Detroit MI 48236 

FROM: Huntsville Health System - 010005 09/21/2021 AL Marshall, LLC 

Facility Provider 

Number 

TO: HH Health System - Marshall, 

LLC 2505 431 Highway 

North Boaz AL 35957 

FROM: North Hills 450087 

TO: Medical City North Hills 

4401 Booth Calloway Road 

North Richland Hills, TX 76180 

FROM: Carillon Roanoke Memorial 490024 Hospital 

TO: Roanoke Memorial Hospital 

1906 Belleview Avenue 

Roanoke, VA 24014 

Addendum Vlll

American College of Cardiology's Natio

Registry Sites (October through 

The initial data collection requiremen

College of Cardiology's National Cardiovascu

NCDR) has served to develop and improve the 

I CDs in certain Medicare beneficiaries. The d

ended with the posting of the fmal decision m

CardiovertcrDefibrillators on February 15, 20

For questions or additional informatio

MHS (410-786-2749). 

Addendum IX: Active CMS Coverage-Re

(October through Decem

CMS issued a guidance document on 

"Guidance for the Public, Industry, and CMS 

Evidence Development Document". Although 

vehicles relating to evidence development acti

investigational device exemption (IDE), the clcoverage determinations and local coverage de

document is principally intended to help the p

implementation of coverage with evidence dev

national coverage determination process. The 

http://www.cms.gov/medieare-coverage-datab

coverage-document-details.aspx?MCD1d=27. 

Active CMS Coverage-Related Guidance Doc

period. For questions or additional informatio

JoAnna Baldwin, MS ( 410-786-7205). 

AddendumX: 

List of Special One-Time Notices Regar

Provisions (October through D

EN09FE22.007</GPH>lotter on DSK11XQN23PROD with NOTICES1

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 Jo Anna Baldwin, MS ( 410-786 7205). 

Addendum XI: National Oncologic PET Registry (NOPR) 

(October through December 2021) 

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 beneficiaty 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. 

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 2021) 

Addendum XII includes a listing of Medicare-approved facilities 

that receive coverage for ventricular assist devices (V ADs) used as 

destination therapy. All facilities were required to meet our standards in 

order to receive coverage for V ADs implanted as destination therapy. On 

October 1, 2003, we issued our decision memorandum on V ADs for the 

clinical indication of destination U1erapy. We detennined Uiat V ADs used 

as destination therapy are reasonable and necessary only if performed in 

facilities that have been detennined 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 V ADs 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/MedicareApprovedFacilitieN AD/list.asp#TopOfPage. 

For questions or additional information, contac

( 410-786-3365). 

Facility Provider Date of 

Number Certific

Summa Health 360020 11/16/2

525 E. Market Street 

Akron, OH 44309 

Other information: 

DNV Certificate #: 

10000496174-MSC-DNVUSA 

Previous Re-certification Dates: n/a 

Abbott Northwestern Hospital 240057 11/16/2

800 East 28th Street 

Minneapolis, MN 55407 

Other information: 

Joint Commission ID# 8149 

Previous Re-certification Dates: 

lli16/2010; lli29/2012; lli18/2014; 12/06/2016; 

2/13/2019 

Bon Secours St. Mary's 490059 12/15/2

Hospital 

5801 Bremo Road 

Riclunond, VA 23226 

Joint Commission ID # 6387 

Previous Re-certification Dates: 

12i15/2011; 12/17/2013; 

0li26/2016; 02/21/2018 

Presbyterian Medical Center of 390223 10/05/2

theUPHS 

51 North 39th Street 

Philadelphia, PA 19104 

Other information: 

Joint Commission ID# 6145 

Previous Re-certification Dates: 

07i22/2010; 07/20/2012; 06i17/2014· 07/19/2016 

The George Washington 090001 09/12/2

University Hospital 

900 23rd Street. NW 

EN09FE22.008</GPH>lotter on DSK11XQN23PROD with NOTICES1

Facility Provider Date of Initial Date of Re- State Facility Provider Date of 

Number Certification certification Number Certific

Washington, UC 20037 410 West Tenth Avenue, UN 

168 

Other information: Columbus, OH 43210 

Joint Commission ID # 6310 

Joint Commission ID # 7029 

Previous Re-certification Dates: Previous Re-certification 

9/12/2018 Dates: 

Robert Wood Johnson 310038 07/22/2010 07/08/2021 NJ 04/14/2006; 11/18/2008; 

University Hospital 10/22/2010; 10/23/2012; 

One Robert Wood Johnson 10/03/2014; 10/28/2016; 

Place 10/24/2018 

New Brunswick, NJ 08903- Cleveland Clinic 360180 12/03/2

2601 9500 Euclid Avenue NA-4 

Cleveland, OH 44195 

Joint Commission ID # 5969 

Other information: 

Previous Re-certification Joint Commission ID# 7001 

Dates: 

07/22/2010; 07/20/2012; Previous Re-certification 06/17/2014· 07/19/2016 Dates: 

TriStar Centennial Medical 440161 12/12/2018 08/19/2021 1N 10/28/2008; 11/23/201 O; 

Center 12/11/2012; 12/02/2014; 

2300 Patterson Street 11/08/2016' 12/12/2018 

Nashville, TN 37203 Virginia Commonwealth 490032 04/08/2

University Health System 

Joint Commission ID # 7888 1250 East Marshall Street 

Riclunond, VA 23298-0510 

Previous Re-certification Dates: 12/12/2018 Other information: 

University of Maryland 210002 09/16/2008 07/03/2021 MD Joint Commission ID# 6381 

Medical Center 

22 South Greene Street Previous Re-certification 

Baltimore, MD 21201-1595 Dates: 

11/04/2008; 12/14/2010; 

Other information: 12/21/2012; 12/16/2014; 

Joint Commission ID # 6264 02/14/2017· 4/10/2019 

Strong Memorial Hospital 330285 10/29/2

Previous Re-certification 601 Elmwood Avenue 

Dates: Rochester, NY 14642 

09/16/2008; 08/25/2010; 08/15/2012; 08/19/2014; Other information: 

09/20/2016; 9/26/2018 Joint Commission ID# 5856 

NorthShore University Health 140010 10/25/2016 08/06/2021 IL 

System Previous Re-certification 

1301 Central Street, Suite 300 Dates: 

Evanston, IL 6020 I 10/29/2003; 06/17/2008; 

07/02/2010; 06/06/2012; 

Other information: 05/13/2014; 07/26/2016; 

Joint Commission ID # 7343 7/25/2018 

Jersey Shore University 310073 10/16/2

Previous Re-certification Medical Center 

Dates: 10/25/2016;1 l/15/2018 1945 Route 33 

Ohio State University 360085 11/12/2003 08/04/2021 OH Neptune City, NJ 07753 

Hospitals 

EN09FE22.009</GPH>lotter on DSK11XQN23PROD with NOTICES1

Facility Provider Date of Initial Date of Re- State Facility Provider Date of 

Number Certification certification Number Certific

Other information: Brooklyn, NY 11219-2916 

DNV GL Certificate # 

10000502976-MSC-DNV- Other infonuation: 

USA Joint Commission ID# 5734 

Previous Re-certification 

Advocate Christ Medical 140208 09/08/2015 10/21/2021 IL Dates: 

Center 08/23/2012; 07/29i2014; 

4440 W. 95th Street 09/13/2016' 10/lli2018 

Oak Lawn, IL 60453 University of Alabama at 010033 12/09/2

Birmingham 

Other information: 619 19th S. South 

DNV GL Certificate # Birmingham, AL 35249-1900 

10000504196-MSC-DNVUSA Other infonuation: 

Joint Commission ID# 2814 

Previous re-certification dates: 

10/01/2018 Previous Re-certification 

Bryan Medical Center 280003 03/05/2013 09/22/2021 NE Dates: 

1600 South 48th Street 12/09/2008; 04/22i2011; 

Lincoln, NE 68506 04/09/2013; 04/07i2015; 

05/16/2017· 7/3/2019 

Other infonuation: Dignity Health 030024 05/08/2

Joint Commission ID # 244330 350 West Thomas Road 

Phoenix, AZ 85013 

Previous Re-certification Dates: Other information: 

03/05/2013; 02/12/2015; Joint Commission ID # 9494 

04/18/2017; 07/17/2019 

Beth Israel Deaconess Medical 220086 04/25/2017 11/04/2021 MA Previous Re-certification 

Center Dates: 

330 Brookline Avenue 5/8/2019 

Boston, MA 02215 Fresno Community Hospital 050060 11/04/2

and Medical Center 

Other information: 2823 Fresno St. 

Joint Commission ID# 5501 Fresno, CA 93721 

Previous Re-certification Other infonuation: 

Dates: Joint Commission ID# 9832 

04/25/2017; 05/22/2019 

FROM: Kaiser Sunnyside 380091 09/13/2016 10/27/2021 OR Previous Re-certification 

Medical Center Dates: 

TO: Kaiser Foundation 11/04/2014; 12/13i2016; 

Hospital - Sunnyside 2/13i2019 

10180 SE Sunnyside Road FROM: Henry Ford Hospital 230053 10/30/2

Clackamas, OR 97015-9303 TO: Henry Ford Health 

System 

Other information: 2799 West Grand Boulevard 

Joint Commission ID# 4858 Detroit, MI 48202 

Previous Re-certification Other infonuation: 

Dates: Joint Commission ID# 7485 

09/13/2016; 09/19/2018 

Maimonides Medical Center 330194 08/23/2012 10/27/2021 NY 

4802 Tenth Avenue 

EN09FE22.010</GPH>lotter on DSK11XQN23PROD with NOTICES1

Facility Provider Date of Initial Date of ReNumber Certification certification 

Previous Re-certification Dates: 

10/30/2008; 10/21/2010; 11/06/2012; 10/28/2014; 12/20/2016; 3/13/2019 

The General Hospital 220071 12/02/2008 10/14/2021 

Corporation 

55 Fruit Street 

Roston, MA 02114 

Other information: 

Joint Co11l11lission ID# 5513 

Previous Re-certification Dates: 

12/02/2008; 01/19/201 l; 

02/13/2013; 01/06/2015; 02/28/2017· 5/22/2019 

Rochester General Hospital 330125 10/29/2018 10/28/2021 

1425 Portland Ave 

Rochester, NY 14621 

Other information: 

DNV certificate #: 

10000504804-MSC-DNVUSA 

Previous Re-certification Dates: 10/29/2018 

University Hospital (Stony 330393 03/02/2011 09/17/2021 

Brook) Health Sciences Center Stony 

Brook 

Stony Brook, NY 11794-8503 

Other information: 

Joint Co11l11lission ID# 5188 

Previous Re-certification Dates: 

01/30/2013; 01/15/2015; 03/14/2017; 05/08/2019 

FROM: Duke University 340030 10/31/2003 09/22/2021 

Hospital 

TO: Duke University Health 

System, Inc 

2301 Erwin Road 

Dmham, NC 27710 

Other information: 

Joint Co11l11lission ID # 6490 

Previous Re-certification Dates: 01/16/2009; 

06/30/2011; 06/04/2013; 

State 

MA 

NY 

NY 

NC 

Facility Provider Date of 

Number Certific

05/05/2015; 06/13/2017; 08/21/2019 

Nebraska Medical Center 280013 01/20/20

4350 Dewey Avenue 

Omaha, NE 68198-7400 

Other information: 

Joint Co11l11lission ID# 186313 

Previous Re-certification Dates: 

01/20/2011; 01/29/2013; 02/24/2015; 02/14/2017; 

4/17/2019 

FROM: Palmetto Health 420018 03/06/2

TO: Prisma Health Richland 

5 Richland Medical Park Drive 

Columbia, SC 29203 

Other information: 

Joint Co11l11lission ID # 6588 

Previous Re-certification Dates: 

03/06/2013; 04/21/2015; 06/06/2017; 6/28/2019 

Addendum XIII: Lung Volume Reduc

(October through Decemb

Addendum XIII includes a listing of M

that are eligible to receive coverage for lung vo

Until May 17, 2007, facilities that pruticipated 

Treatment Trial were also eligible to receive co

types of facilities are eligible for reimbursemen

Reduction Surgery (L VRS): 

• National Emphysema Treatment Trial (N

05/07/2007, these will no longer automatically 

with the other programs); 

• Credentialed by the Joint Commission (

Commission on Accreditation of Healthcare Or

their Disease Specific Certification Program fo

• Medicare approved for lung transplants. 

Only the first two types are in the list 

the listing of facilities for lung volume reductio

3-month period. This information is available 

www.cms.gov/MedicareApprovedFacilitie/L V

questions or additional information, contact Sa

(410-786-2749). 
AGENCY

Referral Prohibition 

Exceptions to the Physician SelfOwnership and Rural Provider 

Capacity Under the Hospital 

Prohibition on Expansion of Facility 

Request for an Exception to the 

Medicare Program; Announcement of 

[CMS–1774–PN] 

Services 

Centers for Medicare & Medicaid 

HUMAN SERVICES 

DEPARTMENT OF HEALTH AND 

BILLING CODE 4120–01–C 

[FR Doc. 2022–02677 Filed 2–8–22; 8:45 am] 

: Centers for Medicare & 

ACTION

Medicaid Services (CMS), HHS. 

: Notice with request for 

SUMMARY

comment. 

: The Social Security Act 

received a request from a physicianMedicare & Medicaid Services has 

hospital is located. The Centers for 

entities in the community where the 

on the request from individuals and 

that prohibition after considering input 

the hospital’s request for an exception to 

of Health and Human Services grants 

unless the Secretary of the Department 

from expanding its facility capacity 

prohibits a physician-owned hospital 

DATES

capacity. 

prohibition on expansion of facility 

qualifies for an exception to the 

whether the requesting hospital 

may inform our determination regarding 

hospital is located. Community input 

entities in the community in which the 

on the request from individuals and 

capacity. This notice solicits comments 

prohibition on expansion of facility 

owned hospital for an exception to the 

: To be assured consideration, 

ADDRESSES

11, 2022. 

the addresses provided below, by March 

comments must be received at one of 

: In commenting, refer to file 

code CMS–1774–PN. 

Comments, including mass comment 

choose only one of the ways listed): 

of the following three ways (please 

submissions, must be submitted in one 

1. Electronically. You may submit 

to 

electronic comments on this regulation 

http://www.regulations.gov. Follow 

the ‘‘Submit a comment’’ instructions. 

2. By regular mail. You may mail 

Baltimore, MD 21244–1850. 

CMS–1774–PN, P.O. Box 8010, 

Health and Human Services, Attention: 

Medicaid Services, Department of 

address ONLY: Centers for Medicare & 

written comments to the following 

Please allow sufficient time for mailed 

close of the comment period. 

comments to be received before the 

3. By express or overnight mail. You 

Boulevard, Baltimore, MD 21244–1850. 

Mail Stop C4–26–05, 7500 Security 

Services, Attention: CMS–1774–PN, 

Department of Health and Human 

Medicare & Medicaid Services, 

following address ONLY: Centers for 

may send written comments to the 

For information on viewing public 

SUPPLEMENTARY INFORMATION

comments, see the beginning of the 

section. 

FOR FURTHER INFORMATION CONTACT: 

POH-ExceptionRequests@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: Inspection 

of Public Comments: All comments 

have been received: 

website as soon as possible after they 

comment period on the following 

received before the close of the 

a comment. We post all comments 

business information that is included in 

personally identifiable or confidential 

viewing by the public, including any 

comment period are available for 

received before the close of the 

http://

www.regulations.gov. Follow the search 

Regulations.gov 

public comments. CMS will not post on 

instructions on that website to view 

public comments that 

comments from multiple unique 

comments. We will post acceptable 

individuals not to submit duplicative 

individual. CMS continues to encourage 

individual will take actions to harm the 

institutions or suggest that the 

make threats to individuals or 


EN09FE22.011</GPH>lotter on DSK11XQN23PROD with NOTICES1

Addendum XN: Medicare-Approved B

(October through Decem

Addendum XIV includes a listing of 

that meet minimum standards for facilities mo

society statements on competency. All faciliti

order to receive coverage for bariatric surgery 

2006, we issued our decision memorandum on 

We determined that bariatric surgical procedu

necessary for Medicare beneficiaries who hav

greater than or equal to 35, have at least one c

and have been previously unsuccessful with m

This decision also stipulated that covered bari

reasonable and necessary only when performe

certified by the American College of Surgeon

Surgery Center (program standards and requir

15, 2006); or (2) certified by the American So

(ASBS) as a Bariatric Surgery Center of Exce

standards and requirements in effect on Febru

There were no additions, deletions, o

Medicare-approved facilities that meet CMS' 

for bariatric surgery that have been certified b

3-month period. This information is available 

www.cms.gov/MedicareApprovedFacilitie/BS

questions or additional information, contact S

(410-786-2749). 

Addendum XV: FDG-PET for Dementi

Diseases Clinical Trials (October thr

There were no FDG-PET for Demen

Diseases Clinical Trials published in the 3-mo

This information is available on our w

www.cms.gov/MedicareApprovedFacilitie/PE

For questions or additional information, conta

786-3365).