Document headings vary by document type but may contain
                    the following: the agency or agencies that issued and signed a document
the number of the CFR title and the number of each part
                      the document amends, proposes to amend, or is directly
                      related to
the agency docket number / agency internal file number
the RIN which identifies each regulatory action listed in
                      the Unified Agenda of Federal Regulatory and Deregulatory
                      Actions See the
                    Document Drafting Handbook
                    for more details.
 Department of Health and Human Services Centers for Medicare & Medicaid Services [CMS-9032-N]
 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
 ACTION: Notice.
 SUMMARY: This notice lists CMS manual instructions, substantive and interpretive regulations, and other 
                        **Federal Register**
                         notices that were published from April 2005 through June 2005, relating to the Medicare and Medicaid programs. This notice provides information on national coverage determinations (NCDs) affecting specific medical and health care services under Medicare. Additionally, this notice identifies certain devices with investigational device exemption (IDE) numbers approved by the Food and Drug Administration (FDA) that potentially may be covered under Medicare. This notice also includes listings of all approval numbers from the Office of Management and Budget for collections of information in CMS regulations. Finally, this notice includes a list of Medicare-approved carotid stent facilities. Section 1871(c) of the Social Security Act requires that we publish a list of Medicare issuances in the 
                        **Federal Register**
                         at least every 3 months. Although we are not mandated to do so by statute, for the sake of completeness of the listing, and to foster more open and transparent collaboration efforts, we are also including all Medicaid issuances and Medicare and Medicaid substantive and interpretive regulations (proposed and final) published during this 3-month time frame.
 FOR FURTHER INFORMATION CONTACT: It is possible that an interested party may have a specific information need and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing information contact persons to answer general questions concerning these items. Copies are not available through the contact persons. (See Section III of this notice for how to obtain listed material.) Questions concerning items in Addendum III may be addressed to Timothy Jennings, Office of Strategic Operations and Regulatory Affairs, Centers for Medicare & Medicaid Services, C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-2134. Questions concerning Medicare NCDs in Addendum V may be addressed to Patricia Brocato-Simons, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-0261. Questions concerning FDA-approved Category B IDE numbers listed in Addendum VI may be addressed to John Manlove, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, S3-26-10, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6877. Questions concerning approval numbers for collections of information in Addendum VII may be addressed to Jim Wickliffe, Office of Strategic Operations and Regulatory Affairs, 
                        ( print page 55864)
                        Regulations Development and Issuances Group, Centers for Medicare & Medicaid Services, C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-4596. Questions concerning Medicare-approved carotid stent facilities may be addressed to Sarah J. McClain, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, C1-09-06, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-2994. Questions concerning all other information may be addressed to Gwendolyn Johnson, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Centers for Medicare & Medicaid Services, C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6954.


SUPPLEMENTARY INFORMATION: I. Program Issuances The Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare and Medicaid programs. These programs pay for health care and related services for 39 million Medicare beneficiaries and 35 million Medicaid recipients. Administration of the two programs involves (1) furnishing information to Medicare beneficiaries and Medicaid recipients, health care providers, and the public and (2) maintaining effective communications with regional offices, State governments, State Medicaid agencies, State survey agencies, various providers of health care, all Medicare contractors that process claims and pay bills, and others. 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). We also issue various manuals, memoranda, and statements necessary to administer the programs efficiently. Section 1871(c)(1) 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**
                    . We published our first notice June 9, 1988 (53 FR 21730). Although we are not mandated to do so by statute, for the sake of completeness of the listing of operational and policy statements, and to foster more open and transparent collaboration, we are continuing our practice of including Medicare substantive and interpretive regulations (proposed and final) published during the respective 3-month time frame. II. How To Use the Addenda This notice is organized so that a reader may review the subjects of manual issuances, memoranda, substantive and interpretive regulations, NCDs, and FDA-approved IDEs published during the subject quarter 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 may wish to review Table I of our first three notices (53 FR 21730, 53 FR 36891, and 53 FR 50577) published in 1988, and the notice published March 31, 1993 (58 FR 16837). Those desiring information on the Medicare NCD Manual (NCDM, formerly the Medicare Coverage Issues Manual (CIM)) may wish to review the August 21, 1989, publication (54 FR 34555). Those interested in the revised process used in making NCDs under the Medicare program may review the September 26, 2003, publication (68 FR 55634). To aid the reader, we have organized and divided this current listing into eight addenda: Addendum I lists the publication dates of the most recent quarterly listings of program issuances.
                Addendum II identifies previous**Federal Register**
                     documents that contain a description of all previously published CMS Medicare and Medicaid manuals and memoranda.
                Addendum III lists a unique CMS transmittal number for each instruction in our manuals or Program Memoranda and its subject matter. 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 manuals.
                Addendum IV lists all substantive and interpretive Medicare and Medicaid regulations and general notices published in the**Federal Register**
                     during the quarter covered by this notice. For each item, we list the— ○ Date published; ○ 
                    **Federal Register**
                     citation; ○ Parts of the Code of Federal Regulations (CFR) that have changed (if applicable); ○ Agency file code number; and ○ Title of the regulation. Addendum V includes completed NCDs, or reconsiderations of completed NCDs, from the quarter covered by this notice. Completed decisions are identified by the section of the NCDM in which the decision appears, the title, the date the publication was issued, and the effective date of the decision.
                Addendum VI includes listings of the FDA-approved IDE categorizations, using the IDE numbers the FDA assigns. The listings are organized according to the categories to which the device numbers are assigned (that is, Category A or Category B), and identified by the IDE number.
                Addendum VII includes listings of all approval numbers from the Office of Management and Budget (OMB) for collections of information in CMS regulations in title 42; title 45, subchapter C; andtitle 20 of the CFR.
                Addendum VIII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS's standards for performing carotid artery stenting for high risk patients. III. How To Obtain Listed Material A. Manuals Those wishing to subscribe to program manuals should contact either the Government Printing Office (GPO) or the National Technical Information Service (NTIS) at the following addresses: Superintendent of Documents, Government Printing Office, ATTN: New Orders, P.O. Box 371954, Pittsburgh, PA 15250-7954, Telephone (202) 512-1800, Fax number (202) 512-2250 (for credit card orders); or National Technical Information Service, Department of Commerce, 5825 Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630. In addition, individual manual transmittals and Program Memoranda listed in this notice can be purchased from NTIS. Interested parties should identify the transmittal(s) they want. GPO or NTIS can give complete details on how to obtain the publications they sell. Additionally, most manuals are available at the following Internet address: 
                    *http://cms.hhs.gov/​manuals/​default.asp*. B. Regulations and Notices Regulations and notices are published in the daily 
                    **Federal Register**
                    . Interested individuals may purchase individual copies or subscribe to the 
                    **Federal Register**
                     by contacting the GPO at the address given above. 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 also available on 24x microfiche and 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, 
                    ( print page 55865)
                    Number 1 (January 2, 1994) forward. Free public access is available on a Wide Area Information Server (WAIS) through the Internet and via asynchronous dial-in. Internet users can access the database by using the World Wide Web; the Superintendent of Documents home page address is 
                    *http://www.gpoaccess.gov/​fr/​index.html*, by using local WAIS client software, or by telnet to 
                    *swais.gpoaccess.gov,*
                     then log in as guest (no password required). Dial-in users should use communications software and modem to call (202) 512-1661; type swais, then log in as guest (no password required). C. Rulings We publish rulings on an infrequent basis. Interested individuals can obtain copies from the nearest CMS Regional Office or review them at the nearest regional depository library. We have, on occasion, published rulings in the 
                    **Federal Register**
                    . Rulings, beginning with those released in 1995, are available online, through the CMS Home Page. The Internet address is 
                    *http://cms.hhs.gov/​rulings*. D. CMS' Compact Disk-Read Only Memory (CD-ROM) Our laws, regulations, and manuals are also available on CD-ROM and may be purchased from GPO or NTIS on a subscription or single copy basis. The Superintendent of Documents list ID is HCLRM, and the stock number is 717-139-00000-3. The following material is on the CD-ROM disk: Titles XI, XVIII, and XIX of the Act.
                CMS-related regulations.
                CMS manuals and monthly revisions.
                CMS program memoranda. The titles of the Compilation of the Social Security Laws are current as of January 1, 1999. (Updated titles of the Social Security Laws are available on the Internet at 
                    *http://www.ssa.gov/​OP_​Home/​ssact/​comp-toc.htm.*) The remaining portions of CD-ROM are updated on a monthly basis. Because of complaints about the unreadability of the Appendices (Interpretive Guidelines) in the State Operations Manual (SOM), as of March 1995, we deleted these appendices from CD-ROM. We intend to re-visit this issue in the near future and, with the aid of newer technology, we may again be able to include the appendices on CD-ROM. Any cost report forms incorporated in the manuals are included on the CD-ROM disk as LOTUS files. LOTUS software is needed to view the reports once the files have been copied to a personal computer disk. IV. How To Review Listed Material Transmittals or Program Memoranda can be reviewed 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. 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. For each CMS publication listed in Addendum III, CMS publication and transmittal numbers are shown. To help FDLs locate the materials, use the CMS publication and transmittal numbers. For example, to find the Medicare NCD publication titled “Percutaneous Transluminal Angioplasty,” use CMS-Pub. 100-03, Transmittal No. 33. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance, Program No. 93.774, Medicare—Supplementary Medical Insurance Program, and Program No. 93.714, Medical Assistance Program) Dated: September 6, 2005. Jacquelyn Y. White, Director, Office of Strategic Operations and Regulatory Affairs.
 Addendum I This addendum lists the publication dates of the most recent quarterly listings of program issuances. March 28, 2003 (68 FR 15196) June 27, 2003 (68 FR 38359) September 26, 2003 (68 FR 55618) December 24, 2003 (68 FR 74590) March 26, 2004 (69 FR 15837) June 25, 2004 (69 FR 35634) September 24, 2004 (69 FR 57312) December 30, 2004 (69 FR 78428) February 25, 2005 (70 FR 9338) June 24, 2005 (70 FR 36620) Addendum II—Description of Manuals, Memoranda, and CMS Rulings An extensive descriptive listing of Medicare manuals and memoranda was published on June 9, 1988, at 53 FR 21730 and supplemented on September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR 50577. Also, a complete description of the former CIM (now the NCDM) was published on August 21, 1989, at 54 FR 34555. A brief description of the various Medicaid manuals and memoranda that we maintain was published on October 16, 1992, at 57 FR 47468. **Addendum III.—Medicare and Medicaid Manual Instructions**
[April Through June 2005]
Transmittal 
                             No.
Manual/Subject/Publication No.**Medicare General Information****(CMS—Pub. 100-01)**20
Medicare Authorization to Disclose Personal Health Information Form and Information to Help You Fill Out the Medicare Authorization to Disclose Personal Health Information Form.21
Removal of Medicare Number from Reimbursement Checks.22
Provider Extract File.23
Procedures for Modifying Shared Systems Edits and Capturing Audit Trail Data.24
2005 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files.( print page 55866)**Medicare Benefit Policy****(CMS—Pub. 100-02)**31
List of Medicare Telehealth Services 
                             Telehealth Services.  
                             Payment for End-Stage Renal Disease-Related Services as a Telehealth Service Originating Site Facility Fee Payment (End-Stage Renal Disease-Related Services).32
This Transmittal is rescinded and replaced by Transmittal 33.33
Issued to a specific audience, not posted to the Internet/Intranet due to the Confidentiality of Instruction.34
This Transmittal is rescinded and replaced by Transmittal 36.35
Automated Multi-Channel Chemistry for Continuous Ambulatory Peritoneal Dialysis and Non-Continuous Ambulatory Peritoneal Dialysis Patients.36
Pub. 100-02, Chapter 15, Section 220 and 230 Therapy Services. 
                             Coverage of Outpatient Rehabilitation Therapy Services (Physical Therapy, and Speech-Language Pathology Services) Under Medical Insurance.  
                             Conditions of Coverage and Payment for Outpatient Physical Therapy, Occupational Therapy or Speech-Language Pathology Services.  
                             Outpatient Therapy Must be Under the Care of a Physician/Non physician Practitioners (Orders/Referrals and Need for Care).  
                             Plans of Care for Outpatient Physical Therapy, Occupational Therapy, or Speech-Language Pathology Services.Certification and Recertification of Need for Treatment and Therapy Plans of Care.Requirement that Services Be Furnished on an Outpatient Basis.Reasonable and Necessary Outpatient Rehabilitation Therapy Services.Practice of Physical Therapy, Occupational Therapy, and Speech-Language Pathology.Practice of Physical Therapy.Practice of Occupational Therapy.Practice of Speech-Language Pathology.Services Furnished by a Physical or Occupational Therapist in Private Practice.Physical Therapy, Occupational Therapy, and Speech-Language Pathology.Services Provided Incident to the Services of Physicians and Non-physician Practitioners.Therapy Services Furnished Under Arrangements with Providers and Clinics.**Medicare National Coverage Determinations****(CMS—Pub. 100-03)**31
Positron Emission Tomography (PET) for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers. 
                             PET Scans.  
                             PET for Perfusion of the Heart.FDG PET for Lung Cancer.FDG PET for Esophageal Cancer.FDG PET for Colorectal Cancer.FDG PET for Lymphoma.FDG PET for Melanoma.FDG PET for Head and Neck Cancers.FDG PET for Myocardial Viability.FDG PET for Refractory Seizures.FDG PET for Breast Cancer.FDG PET for Thyroid Cancer.FDG PET for Soft Tissue Sarcoma.FDG PET for Dementia and Neurodegenerative Diseases.FDG PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers. 
                             FDG PET for All Other Cancer Indications Not Previously Specified.32
Autologous Stem Cell Transplantation.Stem Cell Transplantation.33
Percutaneous Transluminal Angioplasty.34
Abarelix for the Treatment of Prostate Cancer.35
Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea.36
Smoking and Tobacco-Use Cessation Counseling.37
Mobility Assistive Equipment.Durable Medical Equipment Reference List.38
Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials Anti-Cancer Chemotherapy for Colorectal Cancer.39
Cochlear Implantation.40
Coverage of Aprepitant for Chemotherapy-Induced Emesis.41
Osteogenic Stimulators.**Medicare Claims Processing****(CMS Pub. 100—04)**515
Update to 100-04 and Therapy Code Lists. 
                             Health Common Procedure Coding System Coding Requirement.  
                             Part B Outpatient Rehabilitation and Comprehensive Outpatient Rehabilitation.( print page 55867)Facility Services—General.Discipline Specific Outpatient Rehabilitation Modifiers—All Claims.The Financial Limitation.Reporting of Service Units With Health Common Procedure Coding System—Form CMS-1500 and Form CMS-1450.516
Clarification for Outpatient Prospective Payment System Hospitals Billing. 
                             Initial Preventive Exam.  
                             Outpatient Prospective Payment System Hospitals Billing.  
                             Advanced Beneficiary Notice as Applied to the IPPE.517
List of Medicare Telehealth Services. 
                             Submission of Telehealth Claims for Distant Site Practitioners.  
                             Carrier Editing of Telehealth Claims.518
This Transmittal is rescinded and replaced by Transmittal 527.519
This Transmittal is rescinded and replaced by Transmittal 525.520
Payment Policy Clarification Regarding the Healthcare Common Procedure. 
                             Coding System Q3001 Performed in an Ambulatory Surgery Center.521
Hemophilia Blood Clotting Factors. 
                             Billing for Hemophilia Clotting Factors.522
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.523
Implementation of the Physician Scarcity Area and Revision to the Health Professional Shortage Area Payment to a Critical Access Hospital.524
Clarification to the Health Professional Shortage Area Language in the Medicare Claims Processing Manual. 
                             Services Eligible for Health Professional Shortage Area and Physician Scarcity Bonus Payments.525
Flu/PPV Revisions. 
                             Billing Requirements.  
                             Healthcare Common Procedural Coding System and Diagnosis Codes.  
                             Carrier Payment Requirements.Roster Claims Submitted to Carriers for Mass Immunization.Centralized Billing for Flu and Pneumococcal (PPV) Vaccines to Medicare.Common Working File Edits.Common Working File Edits on Carrier Claims.526
Updated Requirements for Autologous Stem Cell Transplantation. 
                             Autologous Stem Cell Transplantation.  
                             Billing for Stem Cell Transplantation.  
                             Stem Cell Transplantation.  
                             Health Common Procedure Coding System and Diagnosis Coding Non-Covered Conditions.527
New Coding for FDG PET Scans and Billing Requirements for Specific. 
                             Indications of Cervical Cancer.Positron Emission Tomography Scans—General Information.Billing Instructions.Use of Gamma Cameras and Full Ring and Partial Ring Pet Scanners for Positron Emission Tomography Scans.Positron Emission Tomography Scan Qualifying Conditions and Health.Common Procedure Coding System/Common Procedural Terminology Code Chart. 
                             Appropriate Common Procedural Terminology Codes Effective for Positron.Emission Tomography Scan Services Performed on or After January 28, 2005. 
                             Expanded Coverage of Positron Emission Tomography Scans for Breast Cancer Effective for Services on or After October 1, 2002.Coverage of Positron Emission Tomography Scans for Thyroid Cancer.Coverage of Positron Emission Tomography Scans for Dementia and Neurodegenerative Diseases.Billing Requirements for Positron Emission Tomography Scans for Specific Indications of Cervical Cancer for Services Performed on or After January 28, 2005. 
                             Billing Requirements for Positron Emission Tomography Scans for Non-Covered Conditions.528
July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2005.529
Update to Current National Uniform Billing Committee Codes. 
                             General Instructions for Completion of Form CMS-1450 for Billing.530
Billing Requirements for Physician Services Rendered in Method II Critical Access Hospital. 
                             Payment for Inpatient Services Furnished by a Critical Access Hospital.  
                             Optional Method for Outpatient Services: Cost-Based Facility Services Plus 115 Percent Fee Schedule Payment for Professional Services.  
                             Billing and Payment in a Physician Scarcity Area.531
Percutaneous Transluminal Angioplasty (Effective March 17, 2005).532
Abarelix for Treatment of Prostate Cancer.533
Modification to the Common Working File (CWF) Edit Process for Non-Assigned Medicaid Coordination of Benefits Agreement (COBA) Crossover Claims. 
                             Consolidated Claims Crossover Process.534
Changes to the Laboratory National Coverage Determination Edit Software for July 2005.535
Modification to Appeals Language on Medicare Summary Notice. 
                             Appeals Section.  
                             Back of the Medicare Summary Notice—Carriers and Intermediaries.  
                             Carrier Spanish Medicare Summary Notice Back.  
                             Intermediary Spanish MSN Back.( print page 55868)536
July Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics & Supplies Fee Schedule.537
Instructions for Downloading the Medicare Zip Code File.538
New Waived Tests.539
Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System Outpatient Code Editor.540
Addition to Chapter 6 of the Claims Processing Manual—Skilled Nursing Facility Inpatient Part A Billing: SNF Prospective Payment System Pricer Software. 
                             Skilled Nursing Facility Prospective Payment System Pricer Software Input/Output Record Layout.  
                             Skilled Nursing Facility Prospective Payment System Rate Components Decision Logic Used by the Pricer on Claims.  
                             Annual Updates to the Skilled Nursing Facility Pricer.541
Correction to the use of Group Codes for The Enforcement of Mandatory Electronic Submission of Medicare Claims Enforcement.542
Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills 12x and 22x). 
                             Claims Submitted to Intermediaries for Mass Immunizations of Influenza and PPV.543
Healthcare Provider Taxonomy Code Update.544
Modification of FISS Edits for Colorectal Cancer Screening Services (HCPCS Codes G0104, G0106, G0107, G0120, and G0328) Furnished at Skilled Nursing Facilities. 
                             Common Working Files Edits.545
The Teaching Adjustment for Inpatient Psychiatric Facility Prospective Payment System.546
Number of Durable Medical Equipment Prosthetic, Orthotic & Supplies Pricing Files That Must Be Maintained Online for Medicare—Durable Medical Equipment Regional Carrier, Fiscal Intermediary and Regional Home Health Intermediary Only. 
                             Online Pricing Files for Durable Medical Equipment Prosthetic, Orthotics & Supplies.547
This Transmittal is rescinded and replaced by Transmittal 556.548
New Healthcare Common Procedure Coding System (HCPCS) Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices.549
Update to the Place of Service Code Set to Add a Code for Pharmacy Place of Service Codes and Definitions.550
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.551
Dispensing/Supply Fee Code, Payment, and Common Working File Editing for Immunosuppressive Drugs. 
                             Pharmacy Supplying Fee.552
Changing the Order of Medicare System Edits Affecting Hospice Claims. 
                             Submitting Bills In Sequence for a Continuous Inpatient Stay or Course of Treatment.553
Expansion of State Codes for Office of Standard & Certification Automated Retrieval System Provider Numbers.554
Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction.555
Fiscal Intermediary Reporting of Add-on-Payments That Do Not Result in a Specific Increase or Decrease in the Amount Reported as Payable for a Claim Or a Service on a Remittance Advice. 
                             General Remittance Completion Requirements.556
Revision to the Health Professional Shortage Area and Physician Scarcity Area Payment Rules. 
                             Services Eligible for Health Professional Shortage Area and Physician Scarcity Bonus Payments.557
This Transmittal is rescinded and replaced by Transmittal 566.558
July Update to the 2005 Medicare Physician Fee Schedule Database.559
Override of Automated Health Professional Shortage Area and/or Physician Scarcity Area Bonus Payments for Globally Billed Services.560
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.561
New April 2005 Quarterly ASP Medicare Part B Drug Pricing File and Revisions to January 2005 Quarterly ASP Medicare Part B Drug Pricing File.562
Smoking and Tobacco-Use Cessation Counseling Services. 
                             Health Common Procedure Coding System and Diagnosis Coding.  
                             Carrier Billing Requirements.  
                             Fiscal Intermediary Billing Requirements.Remittance Advice Notices.Medicare Summary Notices. 
                             Post-Payment Review for Smoking and Tobacco-Use Cessation Counseling Services.563
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.2, Effective July 1, 2005.564
July Update to the Medicare Outpatient Code Editor (OCE) Version 20.3 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System.565
This Transmittal is rescinded and replaced by Transmittal 583.566
This Transmittal is rescinded and replaced by Transmittal 573.567
Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials.568
July Quarterly Update to 2005 Annual Update of Health Common Procedure Codes System Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement.569
This Transmittal is rescinded and replaced by Transmittal 572.570
Common Working File: Addition of Disease Management Auxiliary File.571
This Transmittal is rescinded and replaced by Transmittal 575.572
July 2005 Outpatient Prospective Payment System Code Editor Specifications Version 6.2.573
Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System. 
                             Billing and Payment for Drugs and Drug Administration.  
                             Coding and Payment for Drugs and Biologicals.Separately Payable Drugs.Packaged Drugs.Pass-Through Drugs.Non-Pass Through Drugs.( print page 55869)Coding and Payment for Drug Administration.General.Administration of Chemotherapy Drugs by Infusion.Administration of Chemotherapy Drugs by a Route Other Than Infusion.Administration of Non-Chemotherapy Drugs by Infusion.Administration of Non-Chemotherapy Drugs by a Route Other Than Infusion.Use of Modifier 59.Billing for Infusion Hours.574
Mobility Assistive Equipment.575
New Remittance Advice Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims.576
Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12N Denial Message for Anti-Emetic Drugs.577
This Transmittal is rescinded and replaced by Transmittal 594.578
Update-Long Term Care Hospital Prospective Payment System Rate Year 2006. 
                             Provider Specific File.  
                             Facility Level Adjustments.  
                             Inputs/Outputs to Pricer.579
Update to the National Council for Prescription Drug Program Batch Standard 1.1 Billing Request Companion Document.580
New Healthcare Common Procedure Coding System (HCPCS) Drug Codes.581
This Transmittal is rescinded and replaced by Transmittal 587.582
New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims.583
Access Process for HIPAA 270/271. 
                             X12N Health Care Eligibility Benefit Inquiry and Response 270/271.Implementation.Background.Eligibility Workflow.Health Care Claim Status Category Codes and Health Care Codes for Use with The Health Care Claim Status Request and Response ASC X12N 276/277.584
Update of Health Common Procedure Coding System Codes and File Names, Descriptions and Instructions for Retrieving the 2005 Ambulatory Surgery Center Health Common Procedure Coding System Additions, Deletions and Master Listing.585
This Transmittal is rescinded and replaced by Transmittal 599.586
Modifications to the National Coordination of Benefits Agreement File. 
                             Transfer and Financial Reporting Processes.  
                             Consolidation of the Claims Crossover Process.  
                             Coordination of Benefits Agreement Detailed Error Notification Process.587
New Location for Contractor ID Number on Medicare Summary Notices. 
                             Title Section of the Medicare Summary Notice.588
Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials.589
Cochlear Implantation. 
                             Billing Requirements for Expanded Coverage of Cochlear Implantation.Intermediary Billing Procedures.Applicable Bill Types.Special Billing Requirements for Intermediaries.Intermediary Payment Requirements.Carrier Billing Procedures.Healthcare Common Procedural Coding System.590
Aprepitant for Chemotherapy-Induced Emesis. 
                             Oral Anti-Emetic Drugs Used as Full Replacement for Intravenous Anti-Emetic.  
                             Drugs as Part of a Cancer Chemotherapeutic Regimen.  
                             Health Common Procedure Coding System Codes for Oral Anti-Emetic Drugs.  
                             Billing and Payment Instructions for Fiscal Intermediaries.591
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification.592
Social Security Administration Data for Incarcerated Beneficiaries.593
Disposition of Misdirected Claims to the Carrier.A Local Carrier Receives a Claim for a United Mine Workers of America Beneficiary.594
Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare.
                             Coordination With the Quality Improvement Organization. 
                             Limitation on Liability (LOL) Under § 1879 Where Medicare Claims Are Disallowed.Hospital-Issued Notices of Noncoverage.Determining Beneficiary Liability in Claims for Ancillary and Outpatient Services.Application of Limitation on Liability to Skilled Nursing Facility and Hospital Claims for Services Furnished in Noncertified or Inappropriately Certified Beds.Determining Liability for Services Furnished in a Noncertified Skilled Nursing Facility or Hospital Bed.595
This Transmittal is rescinded and replaced by Transmittal 598.596
Indian Health Service or Tribal Hospitals Including Critical Access Hospital Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays.597
Coverage and Billing for Ultrasound Stimulation for Nonunion Fracture Healing Coverage Requirements.
                             Intermediary Billing Requirements. 
                             Bill Types. 
                             Carrier and Intermediary Billing Instructions. 
                             Durable Medical Equipment Regional Carrier Billing Instructions.( print page 55870)598
Implementation of Carrier Guidelines for End Stage Renal Disease.
                             Reimbursement for Automated Multi-Channel Chemistry Tests. 
                             (Supplemental to Change Request 2813).Automated Multi-Channel Chemistry Tests for End Stage Renal Disease.Beneficiaries—Fiscal Intermediaries.Claims Processing for Separately Billable Tests for End Stage Renal Disease Beneficiaries.599
July 2005 Update of the Hospital Outpatient Prospective Payment System.600
New Healthcare Common Procedure Coding System Drug Codes.**Medicare Secondary Payer****(CMS—Pub. 100-05)**28
Working Aged Exception for Small Employers in Multi-Employer Group Health Plans.29
Assignment of Non-Payment/Denial Code Specific to the Recovery Audit Contractor Created Group Health Plan Occurrences.
                             Identification of Recovery Audit Contractor Created Group Health Plan Records.30
Process to Address Freedom of Information and Subpoena Requests.
                             Handling Freedom of Information and Subpoena Duces Tecum Received In the Medicare Secondary Payer Units .**Medicare Financial Management**67
Notice of New Interest Rate for Medicare Overpayments and Underpayments.68
Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor Demonstration.
                             Affiliated Contractor and Program Safeguard Contractor Interaction with the Non-Medicare Secondary Payer Recovery Audit Contractors. 
                             Non-Medicare Secondary Payer Recovery Audit Contractors. 
                             Program Safeguard Contractor Communication with the Recovery Audit Contractors.Overview of the Recovery Audit Contractor Process.
                             Full Program Safeguard Contractor Requirements Surrounding Recovery. 
                             Audit Contractor Non-Medicare Secondary Payer Identification Process. 
                             Providing Suppressed Cases to the Recovery Audit Contractor Database. 
                             Adjusting the Claim.Disputing/Disagreeing with a Recovery Audit Contractor Decision.Handling Overpayment and Underpayments Resulting from the Recovery.Audit Contractor Findings.Underpayments.Setting up an Accounts Receivable.Recoupments Received on a Recovery Audit Contractor Initiated Overpayment.Extended Repayments Received on a Recovery Audit Contractor Initiated Overpayment.Handling Appeals Resulting from Recovery Audit Contractor Initiated Denials.Referrals to the Department of Treasury.Tracking Overpayments and Appeals.Tracking Overpayments.Tracking Appeals.Reporting Administrative Costs Directly Associated with the Recovery Audit.Contractor Demonstration Project.Potential Fraud.Affiliated Contractor/Full Program Safeguard Contractor Requirements.Involving Recovery Audit Contractor Information Dissemination.Contacting Non-Responders.Voluntary Refunds.Working with the Recovery Audit Contractor Evaluation Contractor.69
Update to Debt Collection System (DCS) User Guide .**Medicare State Operations Manual****(CMS—Pub. 100-07)**06
Expansion of State Codes for OSCAR Provider Numbers.
                             Provider Identification Number. 
                             Home Health Agency Branch Identification Numbers. 
                             Outpatient Physical Therapy Extension Identification Numbers.07
This Transmittal is rescinded and replaced by Transmittal 8.08
Revision of Appendix PP—Section 483.25(d)—Urinary Incontinence, Tags F315 and F316.**Medicare Program Integrity**107
Updated Chapter 1 to Reflect Changes in Program Requirements.
                             Types of Claims for Which Contractors Are Responsible. 
                             Quality of Care Issues.( print page 55871)The Medicare Medical Review Program.Goal of the Medical Review Program.Medical Review Manager.Annual Medical Review/Local Provider Education Training Strategy.Data Analysis and Information Gathering.Problem Identification & Prioritization.Intervention Planning.Program Management.Budget and Workload Management.Staffing and Workforce Management.Local Provider Education and Training Program.Local Provider Education Training Activities.One-on-One Provider Education.Education Delivered to a Group of Providers.Education Delivered via Electronic Media.Description of Methods of Education.Proactive Local Educational Meetings.Comprehensive Educational Interventions.Comparative Billing Report Education.Frequently Asked Question Regarding Local Education Issues.Bulletin Articles/Advisories Regarding Local Education Issues.Scripted Response Documents on Local Education Issues.Local Provider Education Training Staff.108
Change in Statistical Sampling Instructions.
                             General Purpose. 
                             The Purpose of Statistical Sampling. 
                             Steps for Conducting Statistical Sampling.Determining When Statistical Sampling May be Used.Consultation With a Statistical Expert.Use of Other Sampling Methodologies.Probability Sampling.Selection of Period for Review.Defining the Universe, the Sampling Unit, and the Sampling Frame.Composition of the Universe.The Sampling Unit.Stratified Sampling.Cluster Sampling.Random Number Selection.Determining Sample Size.Documentation of Sampling Methodology.Documentation of Universe and Frame.Worksheets.Informational Copies to GTL, Co-GTL, SME or CMS RO.The Point Estimate.Actions Performed Following Selection of Provider or Supplier and Sample.Notification of Provider or Supplier of the Review and Selection of the Review SiteWritten Notification of the Review.
                             Determining Review Site.109
Updated Standard System Changes for Provider Enrollment Chain Ownership System and Multi-Carrier System.110
Revise CERT Shared Systems Modules to Retrieve Claims Files Using Only Internal Control Number as a Key.111
Revising the Fiscal Intermediary Standard System Shared System.112
Requirement that Part B/Carriers Submit All Provider Addresses to the Comprehensive Error Rate Testing Program Contractor.113
Shared System Maintainer Hours for PECOS Problems and/or Implementation Changes.114
Change in Statistical Sampling Instructions.
                             General Purpose. 
                             The Purpose of Statistical Sampling.Steps for Conducting Statistical Sampling.Determining When Statistical Sampling May Be Used.Consultation With a Statistical Expert.Use of Other Sampling Methodologies.Probability Sampling.Selection of Period for Review.Defining the Universe, the Sampling Unit, and the Sampling Frame.Composition of the Universe.The Sampling Unit.Stratified Sampling.Cluster Sampling......Random Number Selection.Determining Sample Size.Documentation of Sampling Methodology.( print page 55872)Documentation of Universe and Frame.Worksheets.Informational Copies to GTL, Co-GTL, SME or CMS RO.The Point Estimate.Actions Performed Following Selection of Provider or Supplier and Sample.Notification of Provider or Supplier of the Review and Selection of the Review Site.Written Notification of the Review.Determining Review Site.**Medicare Contractor Beneficiary and Provider Communications****(CMS—Pub. 100-09)**09
Additions and Corrections to Provider Inquiry and Provider Communications Program Requirements.10
This Transmittal is rescinded and replaced by Transmittal 11.11
FY 2005 Beneficiary Telephone Customer Services.
                             Beneficiary Services. 
                             Guidelines for Beneficiary Telephone Services (Activity Code 13005).Toll Free Network Services.Publication of Toll Free Numbers.Call Handling Requirements.Customer Service Assessment and Management System Reporting Requirements. 
                             Customer Service Representative Training.Quality Call Monitoring.Disclosure of Information (Adherence to the Privacy Act and the Health Insurance Portability and Accountability Act Privacy Rule).
                             Second Level Screening of Beneficiary and Provider Inquiries (Activity Code 13201).  
                             Second Level Screening of Provider Inquiries (Miscellaneous Code 13201/01).Medicare Customer Service Next Generation Desktop.Publication Requests.Medicare Participating Physicians and Suppliers Directory.Transfer of Part A Telephone/Written Inquiries Workload.Guidelines for Handling Beneficiary Written Inquiries (Activity Code 13002).
                             Contractor Guidelines for High Quality Written Responses to Inquiries Surveys.Guidelines for High Quality Walk-In Services.Customer Service Plans (Activity Code 13004).Beneficiary Internet Web Sites.**Medicare Managed Care**(
                            **CMS—Pub. 100-16)**00
None.**Medicare Business Partners Systems Security**(
                            **CMS—Pub. 100-17)**00
None**Demonstrations**(
                            **CMS—Pub. 100-19)**22
Assignment of Non-Payment/Denial Code Specific to the Recovery Audit Contractor Created Group Health Plan Occurrences.23
This Transmittal is rescinded and replaced by 25.24
Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor Demonstration.25
Low Vision Rehabilitation Demonstration.**One Time Notification**(
                            **CMS—Pub. 100-20)**147
Medicare Health Insurance Portability & Accountability Act Electronic Claims Report—Second Reporting Timeframe Extension.148
Revised Coding Guidelines for Drug Administration Codes.149
Requirements for Voided, Canceled, and Deleted Claims.150
Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act Transaction Release Testing.151
Common Working File Calculation of Next Eligible Date for Preventive Services.152
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.153
This Transmittal is rescinded and replaced by Transmittal 155.154
Correction 2005 Clinical Laboratory Travel Fee (P9603 P9604).155
Payment to Ambulatory Surgery Centers for New CPT Code 66711.156
New Patient Status Code to Define Discharges or Transfers to a Critical Access Hospital.157
CD-ROM Initiative for Distribution of the Annual Disclosure, “Dear Doctor” Letter and Participation Enrollment Material.158
Instructions for Fiscal Intermediaries to Process Payment Adjustments Resulting from Data Assessment and Verification Program Safeguard Contractor Medical Review.( print page 55873)159
Requirements for Voided, Canceled, and Deleted Claims.160
Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.
 Addendum IV.—Regulation Documents Published in the Federal Register
[April through June 2005]
Publication date
FR Vol. 70 Page No.
CFR Parts affected
File code
Title of regulationApril 1, 2005
16754
421 and 413
CMS-1213-CN
Medicare Program; Prospective Payment System for Inpatient Psychiatric Facilities; Correction.April 1, 2005
16720
403, 405, 410, 411, 414, 418, 424, 484, and 486
CMS-1429-F2
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005: Correcting Amendment.April 7, 2005
17697

CMS-5029-N
Medicare Program; Rural Hospice Demonstration.April 8, 2005
18028

CMS-1296-N2
Medicare Program; Request for Nominations to the Advisory Panel on Ambulatory Payment Classification Groups; Extension of Nominations Deadline.April 12, 2005
19090

CMS-5033-N6
Medicare Program; Cancellation of the April 13, 2005 Advisory Board Meeting on the Demonstration of a Bundled Case-Mix Adjusted Payment System for End-Stage Renal Disease Services.April 22, 2005
20916

CMS-4107-N
Medicare Program; Request for Nominations for the Advisory Panel on Medicare Education.April 25, 2005
21146
45 CFR Part 146
CMS-2151-F
Final Regulations for Health Coverage Portability for Group Health Plans and Group Health Insurance Issuers Under HIPAA Titles I and IV; Correction.April 29, 2005
22394
418
CMS-1286-P
Medicare Program; Proposed Hospice Wage Index for Fiscal Year 2006.April 29, 2005
22321

CMS-1314-N
Medicare Program; Meeting of the Practicing Physicians Advisory Council, May 23, 2005.April 29, 2005
22320

CMS-5033-N4
Medicare Program; Meeting of the Advisory Board on the Demonstration of a Bundled Case-Mix Adjusted Payment System for End-Stage Disease Services—May 24, 2005.April 29, 2005
22317

CMS-2207-N
Medicare, Medicaid, and CLIA Programs; Clinical Laboratory Improvement Amendments of 1988; Continuance of Exemption of Laboratories Licensed by the State of Washington.May 4, 2005
23690
416
CMS-1478-IFC
Medicare Program; Update of Ambulatory Surgical Center List of Covered Procedures.May 4, 2005
23306
405, 412, 413, 415, 419, 422, and 485
CMS-1500-P
Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2006 Rates.May 6, 2005
24168
412
CMS-1483-F
Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates, Policy Changes, and Clarification.May 18, 2005
28541

CMS-1269-N4
Medicare Program; Emergency Medical Treatment and Labor Act (EMTALA Technical Advisory Group (TAG) Meeting—June 15, 2005 through June 17, 2005.May 19, 2005
29070
424
CMS-1282-P
Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2006.May 24, 2005
29765

CMS-2214-N
Medicaid Program; Establishment of the Medicaid Commission and Request for Nominations for Members.May 25, 2005
30188
412
CMS-1290-P
Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for FY 2006.May 27, 2005
30840
418
CMS-3844-P
Medicare and Medicaid Programs; Hospice Conditions of Participation.May 27, 2005
30734

CMS-1293-N
Medicare Program; Public Meeting in Calendar Year 2005 for New Clinical Laboratory Tests Payment Determinations.May 27, 2005
30733

CMS-4095-N
Medicare Program; Meeting of the Advisory Panel on Medicare Education, June 21, 2005.May 27, 2005
30731

CMS-3144-N
Medicare Program; Calendar Year 2005 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers (ASCs).( print page 55874)May 27, 2005
30640
413
CMS-1199-IFC
Medicare Program; Electronic Submission of Cost Reports: Revision to Effective Date of Cost Reporting Period.June 17, 2005
35204
400 and 421
CMS-6030-P2
Medicare Program; Medicare Integrity Program, Fiscal Intermediary and Carrier Functions, and Conflict of Interest Requirements.June 24, 2005
36642

CMS-5033-N5
Medicare Program; Meeting of the Advisory Board on the Demonstration of a Bundled Case-Mix Adjusted Payment System for End-Stage Renal Disease Services—July 14 through July 15, 2005.June 24, 2005
36640

CMS-1480-N
Medicare Program; Inpatient Rehabilitation Facility Compliance Criteria.June 24, 2005
36620

CMS-9028-N
Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—January through March 2005.June 24, 2005
36615

CMS-2219-N
State Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2006.June 24, 2005
36613

CMS-5022-N
Medicare Program; Solicitation for Applications for the Medical Adult Day-Care Services Demonstration.June 24, 2005
36533
416
CMS-1478-CN
Medicare Program; Update of Ambulatory Surgical Center List of Covered Procedures; Correction.June 30, 2005
37700
401 and 405
CMS-4064-IFC2
Medicare Program; Changes to the Medicare Claims Appeal Procedures: Correcting Amendment to an Interim Final Rule.
 Addendum V—National Coverage Determinations [January Through March 2005] A national coverage determination (NCD) is a determination by the Secretary with respect to whether or not a particular item or service is covered nationally under Title XVIII of the Social Security Act, but does not include a determination of what code, if any, is assigned to a particular item or service covered under this title, or determination with respect to the amount of payment made for a particular item or service so covered. We include below all of the NCDs that were issued during the quarter covered by this notice. The entries below include information concerning completed decisions as well as sections on program and decision memoranda, which also announce pending decisions or, in some cases, explain why it was not appropriate to issue an NCD. We identify completed decisions by the section of the NCDM in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. Information on completed decisions as well as pending decisions has also been posted on the CMS Web site at 
                    *http://cms.hhs.gov/​coverage.* National Coverage Determinations
[April Through June 2005]
Title
NCDM 
                             section
TN no.
Issue date
Effective datePET for 6 Cancers (Brain, Ovarian, Testicular, Small-Cell Lung, Pancreatic, Cervical)
220.14
R31NCD
04/01/05
01/28/05Autologous Stem Cell Transplantations for Amyloidosis
110.8.1
R32NCD
04/15/05
03/15/05Percutaneous Transluminal Angioplasty (PTA)
20.7
R33NCD
04/22/05
03/17/05Abarelix/Plenaxis for Treatment of Prostate Cancer
110.19
R34NCD
04/25/05
03/15/05Continuous Positive Airway Pressure (CPAP) for Obstructive Sleep Apnea (OSA)
240.4
R35NCD
05/06/05
04/04/05Smoking and Tobacco Use Cessation Counseling
210.4
R36NCD
05/20/05
03/22/05Mobility Assistive Equipment (MAE)
280.3
R37NCD
05/05/05
03/25/05Anti-Cancer Chemotherapy for Colorectal Cancer
110.17
R38NCD
06/17/05
01/28/05Cochlear Implantation
50.3
R39NCD
06/24/05
04/04/05Aprepitant for Chemotherapy-Induced Emesis
110.18
R40NCD
06/24/05
04/04/05Osteogenic Stimulators
150.2
R41NCD
06/24/05
04/27/05
 Addendum VI.—FDA-Approved Category B IDEs [April Through June 2005] Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c) devices fall into one of three classes. To assist CMS under this categorization process, the FDA assigns one of two categories to each FDA-approved IDE. Category A refers to experimental IDEs, and Category B refers to non-experimental IDEs. To obtain more information about the classes or categories, please refer to the 
                    **Federal Register**
                     notice published on April 21, 1997 (62 FR 19328). The following list includes all Category B IDEs approved by FDA during the second quarter, April through June 2005. IDE/Category: B012305, B012314, B012410, G000119, G000165, G020211, G030161, G030165, G030219, G030230, G030263, G040078, G040102, G040158, 
                    ( print page 55875)
                    G040168, G040172, G040184, G040214, G040229, G050002, G050012, G050034, G050042, G050045, G050049, G050050, G050052, G050053, G050056, G050058, G050059, G050061, G050062, G050063, G050066, G050070, G050074, G050075, G050077, G050078, G050083, G050084, G050085, G050088, G050089, G050089, G050090, G050091, G050094, G050096, G050097, G050099, G050101, G050102, G050105, G050106, G050110, G960204, G970145, G980102, G990106, G990216. Addendum VII.—Approval Numbers for Collections of Information Below we list all approval numbers for collections of information in the referenced sections of CMS regulations in Title 42; Title 45, Subchapter C; and Title 20 of the Code of Federal Regulations, which have been approved by the Office of Management and Budget: OMB Control 
                             No.
Approved CFR Sections in Title 42, Title 45, and Title 20 (Note: Sections in Title 45 are preceded by “45 CFR,” and sections in Title 20 are preceded by “20 CFR”)0938-0008
414.40, 424.32, 424.440938-0022
413.20, 413.24, 413.1060938-0023
424.1030938-0025
406.28, 407.270938-0027
486.100-486.1100938-0033
405.8070938-0035
407.400938-0037
413.20, 413.240938-0041
408.6, 408.220938-0042
410.40, 424.1240938-0045
405.7110938-0046
405.21330938-0050
413.20, 413.240938-0062
431.151, 435.1009, 440.220, 440.250, 442.1, 442.10-442.16, 442.30, 442.40, 442.42, 442.100-442.119, 483.400-483.480, 488.332, 488.400, 498.3-498.50938-0065
485.701-485.7290938-0074
491.1-491.110938-0080
406.7, 406.130938-0086
420.200-420.206, 455.100-455.1060938-0101
430.300938-0102
413.20, 413.240938-0107
413.20, 413.240938-0146
431.800-431.8650938-0147
431.800-431.8650938-0151
493.1405, 493.1411, 493.1417, 493.1423, 493.1443, 493.1449, 493.1455, 493.1461, 493.1469, 493.1483, 493.14890938-0155
405.24700938-0170
493.1269-493.12850938-0193
430.10-430.20, 440.1670938-0202
413.17, 413.200938-0214
411.25, 489.2, 489.200938-0236
413.20, 413.240938-0242
442.30, 488.260938-0245
407.10, 407.110938-0246
431.800-431.8650938-0251
406.70938-0266
416.41, 416.47, 416.48, 416.830938-0267
410.65, 485.56, 485.58, 485.60, 485.64, 485.660938-0269
412.116, 412.632, 413.64, 413.350, 484.2450938-0270
405.3760938-0272
440.180, 441.300-441.3050938-0273
485.701-485.7290938-0279
424.50938-0287
447.310938-0296
413.170, 413.1840938-0301
413.20, 413.240938-0302
418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, 418.1000938-0313
489.11, 489.200938-0328
482.12, 482.13, 482.21, 482.22, 482.27, 482.30, 482.41, 482.43, 482.45, 482.53, 482.56, 482.57, 482.60, 482.61, 482.62, 482.66, 485.618, 485.6310938-0334
491.9, 491.100938-0338
486.104, 486.106, 486.1100938-0354
441.600938-0355
442.30, 488.260938-0357
409.40-409.50, 410.36, 410.170, 411.4-411.15, 421.100, 424.22, 484.18, 489.210938-0358
412.20-412.300938-0359
412.40-412.520938-0360
488.600938-0365
484.10, 484.11, 484.12, 484.14, 484.16, 484.18, 484.20, 484.36, 484.48, 484.520938-0372
414.3300938-0378
482.60-482.620938-0379
442.30, 488.260938-0382
442.30, 488.260938-0386
405.2100-405.2171( print page 55876)0938-0391
488.18, 488.26, 488.280938-0426
476.104, 476.105, 476.116, 476.1340938-0429
447.530938-0443
473.18, 473.34, 473.36, 473.420938-0444
1004.40, 1004.50, 1004.60, 1004.700938-0445
412.44, 412.46, 431.630, 456.654, 466.71, 466.73, 466.74, 466.780938-0447
405.21330938-0448
405.2133, 45 CFR 5, 5b; 20 CFR Parts 401, 422E0938-0449
440.180, 441.300-441.3100938-0454
424.200938-0456
412.1050938-0463
413.20, 413.24, 413.1060938-0467
431.17, 431.306, 435.910, 435.920, 435.940-435.9600938-0469
417.126, 422.502, 422.5160938-0470
417.143, 417.800-417.840, 422.60938-0477
412.920938-0484
424.1230938-0501
406.150938-0502
433.1380938-0512
486.304, 486.306, 486.3070938-0526
475.102, 475.103, 475.104, 475.105, 475.1060938-0534
410.38, 424.50938-0544
493.1-493.20010938-0564
411.320938-0565
411.20-411.2060938-0566
411.404, 411.406, 411.4080938-0573
412.230, 412.2560938-0578
447.5340938-0581
493.1-493.20010938-0599
493.1-493.20010938-0600
405.371, 405.378, 413.200938-0610
417.436, 417.801, 422.128, 430.12, 431.20, 431.107, 434.28, 483.10, 484.10, 489.1020938-0612
493.801, 493.803, 493.1232, 493.1233, 493.1234, 493.1235, 493.1236, 493.1239, 493.1241, 493.1242, 493.1249, 493.1251, 493,1252, 493.1253, 493.1254, 493.1255, 493.1256, 493.1261, 493.1262, 493.1263, 493.1269, 493.1273, 493.1274, 493.1278, 493.1283, 493.1289, 493.1291, 493.12990938-0618
433.68, 433.74, 447.2720938-0653
493.1771, 493.1773, 493.17770938-0657
405.2110, 405.21120938-0658
405.2110, 405.21120938-0667
482.12, 488.18, 489.20, 489.240938-0679
410.380938-0685
410.32, 410.71, 413.17, 424.57, 424.73, 424.80, 440.30, 484.120938-0686
493.551-493.5570938-0688
486.304, 486.306, 486.307, 486.310, 486.316, 486.318, 486.3250938-0690
488.4-488.9, 488.2010938-0691
412.1060938-0692
466.78, 489.20, 489.270938-0701
422.1520938-0702
45 CFR 146.111, 146.115, 146.117, 146.150, 146.152, 146.160, 146.1800938-0703
45 CFR 148.120, 148.124, 148.126, 148.1280938-0714
411.370-411.3890938-0717
424.570938-0721
410.330938-0723
421.300-421.3180938-0730
405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, 424.240938-0732
417.126, 417.4700938-0734
45 CFR 5b0938-0739
413.337, 413.343, 424.32, 483.200938-0742
422.300-422.3120938-0749
424.570938-0753
422.000-422.7000938-0754
441.151, 441.1520938-0758
413.20, 413.240938-0760
Part 484 Subpart E, 484.550938-0761
484.11, 484.200938-0763
422.1-422.10, 422.50-422.80, 422.100-422.132, 422.300-422.312, 422.400-422.404, 422.560-422.6220938-0770
410.20938-0778
422.64, 422.1110938-0779
417.126, 417.470, 422.64, 422.2100938-0781
411.404-411.406, 484.100938-0786
438.352, 438.360, 438.362, 438.3640938-0787
406.28, 407.27( print page 55877)0938-0790
460.12, 460.22, 460.26, 460.30, 460.32, 460.52, 460.60, 460.70, 460.71, 460.72, 460.74, 460.80, 460.82, 460.98, 460.100, 460.102, 460.104, 460.106, 460.110, 460.112, 460.116, 460.118, 460.120, 460.122, 460.124, 460.132, 460.152, 460.154, 460.156, 460.160, 460.164, 460.168, 460.172, 460.190, 460.196, 460.200, 460.202, 460.204, 460.208, 460.2100938-0792
491.8, 491.110938-0798
413.24, 413.65, 419.420938-0802
419.430938-0818
410.141, 410.142, 410.143, 410.144, 410.145, 410.146, 414.630938-0829
422.5680938-0832
Parts 489 and 4910938-0833
483.350-483.3760938-0841
431.636, 457.50, 457.60, 457.70, 457.340, 457.350, 457.431, 457.440, 457.525, 457.560, 457.570, 457.740, 457.750, 457.810, 457.940, 457.945, 457.965, 457.985, 457.1005, 457.1015, 457.11800938-0842
412.23, 412.604, 412.606, 412.608, 412.610, 412.614, 412.618, 412.626, 413.640938-0846
411.352-411.3610938-0857
Part 4190938-0860
Part 4190938-0866
45 CFR Part 1620938-0872
413.337, 483.200938-0873
422.1520938-0874
45 CFR Parts 160 and 1620938-0878
Part 422 Subpart F & G0938-0883
45 CFR Parts 160 and 1640938-0884
405.9400938-0887
45 CFR 148.316, 148.318, 148.3200938-0897
412.22, 412.5330938-0907
412.230, 412.304, 413.650938-0910
422.620, 422.624, 422.6260938-0911
426.400, 426.5000938-0916
483.160938-0920
438.6, 438.8, 438.10, 438.12, 438.50, 438.56, 438.102, 438.114, 438.202, 438.206, 438.207, 438.240, 438.242, 438.402, 438.404, 438.406, 438.408, 438.410, 438.414, 438.416, 438.710, 438.722, 438.724, 438.8100938-0921
414.8040938-0931
45 CFR Part 142.408, 162.408, and 162.4060938-0933
438.500938-0934
403.7660938-0936
4230938-0940
484 and 4880938-0944
422.250, 422.252, 422.254, 422.256, 422.258, 422.262, 422.264, 422.266, 422.270, 422.300, 422.304, 422.306, 422.308, 422.310, 422.312, 422.314, 422.316, 422.318, 422.320, 422.322, 422.324, 423.251, 423.258, 423.265, 423.272, 423.279, 423.286, 423.293, 423.301, 423.308, 423.315, 423.322, 423.329, 423.336, 423.343, 423.346, 423.3500938-0950
405.9100938-0951
423.480938-0953
405.1200 and 405.1202
 Addendum VIII Medicare-Approved Carotid Stent Facilities [April Through June 2005] 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. April 1, 2005 Bon Secours St. Mary's Hospital 5801 Bremo Road Richmond, VA 23226 Medicare Provider #490059 Clear Lake Regional Medical Center 500 Medical Center Blvd Webster, TX 77598 Medicare Provider #450617 Louisiana Heart Hospital 64030 Louisiana Highway 434 Lacombe, LA 70445 Medicare Provider #190250 Phoenix Baptist Hospital Cardiac Catheterization Laboratory/Interventional Radiology Suite 200 West Bethany Home Road Phoenix, AZ 85015 Medicare Provider #030030 Saint Joseph Medical Center Twelfth and Walnut Streets P.O. Box 316 Reading, PA 19603-0316 Medicare Provider #390096 St. Francis Hospital & Health Centers 1600 Albany Street Beech Grove, IN 46107 Medicare Provider #150033 University of Pennsylvania Medical Center-Presbyterian 39th and Market Streets Philadelphia, PA 19104 Medicare Provider #390223 April 4, 2005 Emory University Hospital 1364 Clifton Road, NE Atlanta, GA 30322 Medicare Provider #110010 Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92663 Medicare Provider #050224 Lakeland Hospital 1234 Napier Avenue St. Joseph, MI 49085 Medicare Provider #230021 
 
 April 7, 2005 The Baldwin County Eastern Shore Health Care Authority d/b/a Thomas Hospital 750 Morphy Avenue Fairhope, AL 36532 Medicare Provider #010100 Martha Jefferson Hospital 459 Locust Avenue Charlottesville, VA 22902 Medicare Provider #490077 Mercy Medical Center 701 10th Street SE. Cedar Rapids, IA 52403 Medicare Provider #160079 Mount Sinai Medical Center 4300 Alton Road Miami Beach, FL 33140 Medicare Provider #100034 Skyline Medical Center 3441 Dickerson Pike Nashville, TN 37207 Medicare Provider #440006 Union Memorial Hospital 201 East University Parkway Baltimore, MD 21218-2895 Medicare Provider #210024 April 12, 2005 Baptist Hospital East 4000 Kresage Way Louisville, KY 40207 Medicare Provider #180130 Baptist Hospital of East Tennessee 137 Blount Avenue Knoxville, TN 37920 Medicare Provider #440019 Borgess Medical Center 1521 Gull Road Kalamazoo, MI 49048 Medicare Provider #020117 The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland, OH 44195 Medicare Provider #360180 Good Samaritan Hospital 1225 Wilshire Boulevard Los Angeles, CA 90017 Medicare Provider #050471 Good Samaritan Hospital 2425 Samaritan Drive San Jose, CA 95124 Medicare Provider #050380 Harbor-UCLA Medical Center 1000 West Carson Street Torrance, CA 90502 Medicare Provider #050376 Hunterdon Medical Center 2100 Wescott Drive Flemington, NJ 08822 Medicare Provider #310005 Jewish Hospital 200 Abraham Flexner Way Louisville, KY 40202 Medicare Provider #180040 Mercy Health Center 4300 West Memorial Road Oklahoma City, OK 73120-8304 Medicare Provider #370013 Mercy Medical Center 1111 6th Avenue Des Moines, IA 50314 Medicare Provider #160083 Methodist Hospital 300 West Huntington Drive P.O. Box 60016 Arcadia, CA 91066-6016 Medicare Provider #050238 North Austin Medical Center 12221 MoPac Expressway North Austin, TX 78758 Medicare Provider #450809 Ochsner Clinic Foundation Department of Cardiology 1514 Jefferson Highway New Orleans, LA 70121-2483 Medicare Provider #190036 Princeton Baptist Medical Center 701 Princeton Avenue, SW Birmingham, AL 35211-1399 Medicare Provider #010103 Resurrection Medical Center 7435 West Talcott Chicago, IL 60631 Medicare Provider #140117 South Austin Hospital 901 W. Ben White Austin, TX 78704 Medicare Provider #450713 St. Patrick Hospital and Health Sciences Center 500 West Broadway Missoula, MT 59802 Medicare Provider #270014 April 14, 2005 Fort Walton Beach Medical Center 1000 Mar Walt Drive Fort Walton Beach, FL 32547 Medicare Provider #100223 York Hospital 15 Hospital Drive York, ME 03909 Medicare Provider #200020 April 18, 2005 Alexian Brothers Medical Center 800 W. Biesterfield Road Elk Grove Village, IL 60007 Medicare Provider #140258 Arizona Heart Hospital 1930 E. Thomas Road Phoenix, AZ 85106 Medicare Provider #030102 Baptist Memorial Hospital 6019 Walnut Grove Road Memphis, TN 38102 Medicare Provider #440048 CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Drive Alexandria, LA 71301 Medicare Provider #190019 Eastern Main Medical Center 489 State Street P.O. Box 404 Bangor, ME 04402-0404 Medicare Provider #200033 Good Samaritan Hospital 375 Dixmyth Avenue Cincinnati, OH 45220-2489 Medicare Provider #360134 Iowa Methodist Medical Center 1200 Pleasant Street Des Moines, IA 50309 Medicare Provider #160082 Lutheran Hospital of Indiana 7950 West Jefferson Boulevard Fort Wayne, IN 46804 Medicare Provider #150017 Moses H. Cone Memorial Hospital 1200 N. Elm Street Greensboro, NC 27401 Medicare Provider #340091 Robert Packer Hospital One Guthrie Square Sayre, PA 18840-1698 Medicare Provider #390079 Spectrum Health Hospital 100 Michigan Street NE. Grand Rapids, MI 49503 Medicare Provider #230038 St. Luke's Medical Center 2900 W. Oklahoma Avenue P.O. Box 2901 Milwaukee, WI 53201-2901 Medicare Provider #520138 April 19, 2005 Harper-Hutzel Hospital 3990 John R Street Detroit, MI 48201 Medicare Provider #230104 North Florida Regional Medical Center 6500 Newberry Road Gainesville, FL 32605 Medicare Provider #100204 Sinai-Grace Hospital 6071 W. Outer Drive Detroit, MI 48235 Medicare Provider #230024 Sioux Valley Hospital USD Medical Center 1305 W. 18th Street Sioux Falls, SD 57117-5039 Medicare Provider #430027 St. Anthony's Hospital 1200 7th Avenue North St. Petersburg, FL 33705 Medicare Provider #100067 St. John's Regional Medical Center 2727 McClelland Boulevard Joplin, MO 64804-1694 Medicare Provider #260001 St. Luke's 915 East First Street Duluth, MN 55805 Medicare Provider #240047 St. Thomas Hospital 4220 Harding Road Nashville, TN 37205 Medicare Provider #440082 Strong Memorial Hospital 601 Elmwood Avenue, Box 679 Rochester, NY 14642 Medicare Provider #330285 UC Davis Cardiac Cath Lab/UC Davis Medical Center 2315 Stockton Blvd Sacramento, CA 95817 Medicare Provider #050599 April 20, 2005 Baptist Medical Center South 2105 East South Boulevard P.O. Box 11010 Montgomery, AL 36111-0010 Medicare Provider #010023 Forsyth Medical Center 
                        ( print page 55879) 3333 Silas Creek Parkway Winston Salem, NC 27103 Medicare Provider #340014 Harris Methodist Fort Worth Hospital 1301 Pennsylvania Avenue Fort Worth, TX 76104 Medicare Provider #450135 Jupiter Medical Center 1210 S. Old Dixie Hwy Jupiter, FL 33458 Medicare Provider #100253 Kent Hospital 455 Toll Gate Road Warwick, RI 02886 Medicare Provider #410009 Lawnwood Medical Center, Inc. d/b/a Lawnwood Regional Medical Center and Heart Institute 1700 South 23rd Street Fort Pierce, FL 34950 Medicare Provider #100246 LDS Hospital 8th Avenue and C Street Salt Lake City, UT 84143 Medicare Provider #460010 Riverside Methodist Hospital 3535 Olentangy River Road Columbus, OH 43214 Medicare Provider #360006 Rush University Medical Center 1725 West Harrison Street Suite 364 Chicago, IL 60612-3824 Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville, MD 20850 Medicare Provider #210057 St. Mary's Hospital and Medical Center 2635 North Seventh Street P.O. Box 1628 Grand Junction, CO 81501 Medicare Provider #060023 Terrebonne General Medical Center 8166 Main Street Houma, LA 70360 Medicare Provider #190008 The Valley Hospital 223 N. Van Dien Avenue Ridgewood, NJ 07450-2736 Medicare Provider #310012 April 26, 2005 Baptist Montclair Medical Center 800 Montclair Road Birmingham, AL 35213 Medicare Provider #010104 Caritas St. Elizabeth's Medical Center 736 Cambridge Street Boston, MA 02135-2997 Medicare Provider #220036 Fresno Heart Hospital 15 E. Audubon Drive Fresno, CA 93720 Medicare Provider #050732 Fountain Valley Regional Hospital and Medical Center 17100 Euclid Street P.O. Box 8010 Fountain Valley, CA 92708 Medicare Provider #050570 Mountain View Regional Medical Center 4311 E. Lohman Avenue Las Cruces, NM 88011 Medicare Provider #320085 Northwestern Memorial Hospital 251 East Huron Street Chicago, IL 60611 Medicare Provider #140281 SSM St. Joseph Health Center 300 First Capitol Drive St. Charles, MO 63301 Medicare Provider #260005 St. Elizabeth Medical Center South Unit 1 Medical Village Drive Edgewood, KY 41017 Medicare Provider #180035 Wyoming Valley Health Care System 575 North River Street Wilkes Barre, PA 18764 Medicare Provider #390137 April 27, 2005 Baptist Hospital-Pensacola 1000 West Moreno Street P.O. Box 17500 Pensacola, FL 32522-7500 Medicare Provider #100093 Central Baptist Hospital 1740 Nicholasville Road Lexington, KY 40503 Medicare Provider #180103 Charleston Area Medical Center 3200 MacCorkle Avenue, SE. Charleston, WV 25304 Medicare Provider #510022 Dartmouth Hitchcock Medical Center One Medical Center Drive Lebanon, NH 03756 Medicare Provider #300003 Doylestown Hospital 595 West State Street Doylestown, PA 18901 Medicare Provider #390203 Good Samaritan Hospital 255 Lafayette Avenue Suffern, NY 10901 Medicare Provider #330158 Hackensack University Medical Center 30 Prospect Avenue Hackensack, NJ 07601 Medicare Provider #310001 Medical College of Ohio 3000 Arlington Avenue Toledo, OH 43614 Medicare Provider #360048 Memorial Hospital Jacksonville 3625 University Boulevard, South Jacksonville, FL 32216 Medicare Provider #100179 [The] Ortenzio Heart Center at Holy Spirit 503 North 21st Street Camp Hill, PA 17011-2288 Medicare Provider #390004 OSF Saint Francis Medical Center 530 N.E. Glen Oak Avenue Peoria, IL 61637 Medicare Provider #140067 Saint Luke's Hospital of Kansas City 4401 Wornall Road Kansas City, MO 64111 Medicare Provider #360138 Saints Memorial Medical Center 1 Hospital Drive Lowell, MA 01852-1389 Medicare Provider #220082 St. John Hospital and Medical Center 22151 Moross Road Detroit, MI 48236 Medicare Provider #230165 Union Hospital 1606 North Seventh Street Terre Haute, IN 47804-2780 Medicare Provider #150023 University Health System 4502 Medical Drive San Antonio, TX 78229 Medicare Provider #450213 Washoe Medical Center 75 Pringle Way Reno, NV 89502 Medicare Provider #290001 Willis Knighton Bossier 2400 Hospital Drive, Bossier City, LA 71111 Medicare Provider #190236 Willis Knighton Medical Center 2600 Greenwood Road Shreveport, LA 71103 Medicare Provider #190111 May 3, 2005 Advocate Christ Medical Center 4440 West 95th Street Oak Lawn, IL 60453 Medicare Provider #140208 Aurora Sinai Medical Center 945 N. 12th Street Milwaukee, WI 53201 Medicare Provider #520064 Cascade Healthcare Community d/b/a St. Charles Medical Center Bend 2500 N.E. Neff Road Bend, OR 97701 Medicare Provider #380040 CJW Medical Center Chippenham Hospital 7101 Jahnke Road Richmond, VA 23225 Medicare Provider #490112 Kaleida Health Millard Fillmore Hospital 3 Gates Circle Buffalo, NY 14209 Medicare Provider #330005 Lakeview Regional Medical Center 95 E. Fairway Drive Covington, LA 70433 Medicare Provider #190177 Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 Medicare Provider #220071 Methodist Medical Center of Oak Ridge 990 Oak Ridge Turnpike Oak Ridge, TN 37830 Medicare Provider #440034 North Oakland Medical Centers 461 W. Huron Street Pontiac, MI 48341-1651 Medicare Provider #230013 Norton Healthcare P.O. Box 35070 Louisville, KY 40232-5070 Medicare Provider #180088 Our Lady of Lourdes Regional Medical Center 611 St. Landry Street Lafayette, LA 70506 
                        ( print page 55880) Medicare Provider #190102 St. John West Shore Hospital 29000 Center Ridge Road Westlake, OH 44145 Medicare Provider #360123 Swedish American Hospital 1401 East State Street Rockford, IL 61104 Medicare Provider #140228 UPMC Presbyterian Shadyside 200 Lothrop Street Pittsburgh, PA 15213 Medicare Provider #390164 May 5, 2005 Advocate Lutheran General Hospital 1775 Dempster Street Park Ridge, IL 60068 Medicare Provider #140223 Avera Heart Hospital of South Dakota 4500 West 69th Street Sioux Falls, SD 57108 Medicare Provider #430095 Baptist Medical Center 1225 North State Street Jackson, MS 39202 Medicare Provider #250102 Baptist Memorial Hospital-DeSoto 7601 Southcrest Parkway Southaven, MS 38671 Medicare Provider #250141 Barnes-Jewish Hospital One Barnes-Jewish Hospital Plaza St. Louis, MO 63110 Medicare Provider #260032 Bethesda Hospital 10500 Montgomery Road Cincinnati, OH 45242-9508 Medicare Provider #360179 Eliza Coffee Memorial Hospital P.O. Box 818 Florence, AL 35631 Medicare Provider #010006 Geisinger Medical Center 100 North Academy Avenue Danville, PA 17822 Medicare Provider #390006 Geisinger Wyoming Valley Medical Center 1000 East Mountain Boulevard Wilkes-Barre, PA 18711 Medicare Provider #390270 Grandview Hospital and Medical Center 405 Grand Avenue Dayton, OH 45405 Medicare Provider #360133 Hamot Medical Center 201 State Street Erie, PA 16550 Medicare Provider #390063 Hialeah Hospital 651 East 25th Street Hialeah, FL 33013 Medicare Provider #100053 Huntington Hospital 100 W. California Boulevard P.O. Box 7013 Pasadena, CA 91109-7013 Medicare Provider #050438 Kettering Medical Center 3535 Southern Blvd Kettering, OH 45429 Medicare Provider #360079 Loyola University Medical Center 2160 South First Avenue Maywood, IL 60153 Medicare Provider #140276 Mercy Hospital 500 E. Market Street Iowa City, IA 52245 Medicare Provider #160029 Mercy Hospital and Medical Center 2525 South Michigan Avenue Chicago, IL 60616 Medicare Provider #140158 New York Presbyterian Hospital 161 Ft. Washington Avenue HIP1412 New York, NY 10032 Medicare Provider #330101 Ohio State University University Medical Center 452 West 10th Avenue Columbus, OH 43210 Medicare Provider #360085 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden, NJ 08103 Medicare Provider #310029 Parkwest Medical Center 9352 Park West Boulevard Knoxville, TN 37923 Medicare Provider #440173 Parma Community General Hospital 7007 Powers Boulevard Parma, OH 44129-5495 Medicare Provider #360041 Rogue Valley Medical Center 2825 East Barnett Road Medford, OR 97504 Medicare Provider #380018 Sacred Heart Health System 5151 N. Ninth Avenue P.O. Box 2700 Pensacola, FL 32513 Medicare Provider #100025 Saint Raphael Healthcare System 1450 Chapel Street New Haven, CT 06511 Medicare Provider #070001 Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 Medicare Provider #050289 Southern Baptist Hospital of Florida, Inc. d/b/a Baptist Medical Center 800 Prudential Drive Jacksonville, FL 32207 Medicare Provider #100088 St. Bernardine Medical Center 2101 N. Waterman Avenue San Bernardino, CA 92404-4836 Medicare Provider #050129 St. David's Medical Center 919 East 32nd Street P.O. Box 4039 Austin, TX 78765-4039 Medicare Provider #450431 Town and Country Hospital 6001 Webb Road Tampa, FL 33615-3241 Medicare Provider #100255 University of Louisville Hospital 530 South Jackson Street Louisville, KY 40202 Medicare Provider #180141 Vassar Brother Medical Center 45 Reade Place Poughkeepsie, NY 12601 Medicare Provider #330023 Western Baptist Hospital 2501 Kentucky Avenue Paduach, KY 42003-3200 Medicare Provider #180104 The Wisconsin Heart Hospital, LLC 10000 West Blue Mound Road Wauwatosa, WI 53226 Medicare Provider #520199 May 10, 2005 Aiken Regional Medical Centers 302 University Parkway P.O. Drawer 1117 Aiken, SC 29802-1117 Medicare Provider #420082 Aspirus Wausau Hospital, Inc. 333 Pine Ridge Boulevard Wausau, WI 54401 Medicare Provider #520030 Deaconess Medical Center P.O. Box 248 Spokane, WA 99210-0248 Medicare Provider #500044 El Camino Hospital 2500 Grant Road P.O. Box 7025 Mountain View, Ca 94039-7025 Exempla St. Joseph Hospital 1835 Franklin Street Denver, CO 80218-1191 Medicare Provider #060009 Hahnemann University Hospital/Tenet 230 N. Broad Street, Mailstop 119 Philadelphia, PA 19102-1192 Medicare Provider #390290 Irvine Regional Hospital & Medical Center 16200 Sand Canyon Avenue Irvine, CA 92618 Medicare Provider #050693 John Muir Medical Center 1601 Ygnacio Valley Road Walnut Creek, CA 94598-3194 Medicare Provider #050180 Mid Michigan Medical Center-Midland 4005 Orchard Drive Midland, MI 48670 Medicare Provider #230222 Mount Diablo Medical Center 2540 East Street P.O. Box 4110 Concord, CA 94524-4110 Medicare Provider #050496 Palomar Medical Center 555 East Valley Parkway Escondido, CA 92025 Medicare Provider #050115 Pomerado Hospital 15615 Pomerado Road Poway, CA 92064 Medicare Provider #050636 Presbyterian Hospital of Dallas 8200 Walnut Hill Lane Dallas, TX 75231-4496 Medicare Provider #450462 St. John's Hospital 800 East Carpenter Street Springfield, IL 62769 Medicare Provider #140053 St. Joseph Regional Medical Center 5000 West Chambers Street 
                        ( print page 55881) Milwaukee, WI 53210-1688 Medicare Provider #520136 St. Luke's Hospital 1026 A Avenue NE. P.O. Box 3026 Cedar Rapids, IA 52406-3026 Medicare Provider #160045 Wentworth-Douglass Hospital 789 Central Avenue Dover, NH 03820 Medicare Provider #300018 William Beaumont Hospital 3601 W. 13 Mile Road Royal Oak, MI 48073 Medicare Provider #230130 May 11, 2005 Allegheny General Hospital 320 East North Avenue Pittsburg, PA 15212-4772 Medicare Provider #390050 Central Georgia Health Systems d/b/a The Medical Center of Central Georgia 777 Hemlock Street Macon, GA 31208 Medicare Provider #110107 Charlotte Regional Medical Center 809 East Marion Avenue Punta Gorda, FL 33950 Medicare Provider #100047 Fort Sanders Regional Medical Center 1901 W. Clinch Avenue Knoxville, TN 37916-2398 Medicare Provider #440125 Greater Baltimore Medical Center 6701 N. Charles Street Baltimore, MD 21204 Medicare Provider #210044 Northeast Methodist Hospital 12412 Judson Road Live Oak, TX 78233 Medicare Provider #450388 Parkview Hospital 2200 Randallia Drive Fort Wayne, IN 46805 Medicare Provider #150021 Provena Saint Joseph Hospital 77 North Airlite Street Elgin, IL 60123-4912 Medicare Provider #140217 St. Francis Hospital and Health Center 12935 S. Gregory Street Blue Island, IL 60406 Medicare Provider #140118 May 16, 2005 Akron General Medical Center 400 Wabash Avenue Akron, OH 44266 Medicare Provider #360027 Albany Medical Center Hospital 43 New Scotland Avenue Albany, NY 12208 Medicare Provider #330013 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Medicare Provider #220077 Brigham and Women's Hospital 75 Francis Street Boston, MA 02115 Medicare Provider #220110 Emory Crawford Long Hospital 550 Peachtree Street, N.E. Atlanta, GA 30308-2225 Medicare Provider #110078 Galichia Heart Hospital 2610 N. Woodlawn Wichita, KS 67220-2729 Medicare Provider #170192 Harris Methodist HEB 1600 Hospital Parkway Bedford, TX 76022 Medicare Provider #450639 Hennepin County Medical Center 701 Park Avenue Minneapolis, MN 55415-1829 Medicare Provider #240004 High Point Regional Health System 601 North Elm Street P.O. Box HP-5 High Point, NC 27261 Medicare Provider #340004 Hillcrest Hospital 6780 Mayfield Road Mayfield Heights, OH 44124 Medicare Provider #360230 Lenox Hill Hospital 100 East 77 Street New York, NY 10021 Medicare Provider #330119 Los Robles Hospital and Medical Center 215 West Janss Road Thousand Oaks, CA 91360 Medicare Provider #050549 Medical Center of Plano 3901 West 15th Street Plano, TX 75075 Medicare Provider #450651 Memorial Medical Center 2700 Napoleon Avenue New Orleans, LA 70115 Medicare Provider #190135 Morton Plant Hospital 300 Pinellas Street Clearwater, FL 33756 Medicare Provider #100127 Phoenix Memorial Hospital Cardiac Catheterization Laboratory/Interventional Radiology Suite 1201 South 7th Avenue Phoenix, AZ 85007 Medicare Provider #030106 Providence Portland Medical Center 4805 Northeast Glisan Street Portland, OR 97213-2967 Medicare Provider #380061 Providence St. Vincent Medical Center 9205 S.W. Barnes Road Portland, OR 97225 Medicare Provider #380004 Saint Joseph Health Center 1000 Carondelet Drive Kansas City, MO 64114 Medicare Provider #260085 Shawnee Mission Medical Center 9100 W. 74th Street Shawnee Mission, KS 66204 Medicare Provider #170104 Sierra Medical Center 1625 Medical Center Drive El Paso, TX 79902 Medicare Provider #450668 St. Joseph Mercy Hospital 5301 E. Huron River Drive P.O. Box 995 Ann Arbor, MI 48106 Medicare Provider #230156 St. Mary's Medical Center 407 East Third Street Duluth, MN 55805 Medicare Provider #240002 Swedish Medical Center 501 East Hampden Ave Engelwood, CO 80113 Medicare Provider #060034 Tallahassee Memorial 1300 Miccosukee Road Tallahassee, FL 32308 Medicare Provider #100135 United Regional Health Care System Eleventh Street Campus 1600 Eleventh Street Wichita Falls, TX 76301 Medicare Provider #450010 University of Kentucky Hospital 800 Rose Street Lexington, KY 40536-0293 Medicare Provider #180067 Washington Hospital Center 110 Irving Street, NW. Washington, DC 20010 Medicare Provider #090011 Wellmont Holston Valley Medical Center Holston Valley Vascular Institute 130 W. Ravine Road Kingsport, TN 37660 Medicare Provider #440017 Westchester Medical Center 95 Grasslands Road Valhalla, NY 10595 Medicare Provider #330234 Winchester Medical Center P.O. Box 3340 Winchester, VA 22604-2540 Medicare Provider #490005 May 17, 2005 Lee's Summit Hospital 530 N.W. Murray Road Lee's Summit, MO 64081 Medicare Provider #260190 Mercy Hospital Fairfield 3000 Mack Road Fairfield, OH 45014 Medicare Provider #360056 Saint Louis University Hospital 3635 Vista at Grand Boulevard P.O. Box 15250 St. Louis, MO 63110 Medicare Provider #260105 Samaritan Hospital 310 South Limestone Street Lexington, KY 40508 Medicare Provider #180007 St. Joseph Medical Center Heart Institute 7601 Osler Drive Towson, MD 21204-7582 Medicare Provider #210007 St. Joseph's Medical Center 1800 N. California Street Stockton, CA 95204 Medicare Provider #050084 St. Mary's Medical Center 3700 Washington Avenue Evansville, IN 47740-001 Medicare Provider #150100 
 
 Swedish Medical Center First Hill Campus 747 Broadway Seattle, WA 98122 Medicare Provider #500027 May 23, 2005 Bakersfield Memorial Hospital 420 34th Street Bakersfield, CA 93301 Medicare Provider #050036 Banner Good Samaritan Medical Center 1111 E. McDowell Road Phoenix, AZ 85006 Medicare Provider #030002 Bay Medical Center 615 North Bonita Avenue Panama City, FL 32401 Medicare Provider #100026 Christiana Care Health Services 4755 Ogletown-Stanton Road P.O. Box 6001 Newark, DE 19718-6001 Medicare Provider #080001 Clarian Health Partners, Inc. I-65 at 21st Street P.O. Box 1367 Indianapolis, IN 46206-1367 Medicare Provider #150056 Community Health Partners 3700 Kolbe Road Lorain, OH 44052-1697 Medicare Provider #360172 EMH Regional Medical Center 630 East River Street Elyria, OH 44035 Medicare Provider #360145 Erlanger Health System 975 East Third Street Chattanooga, TN 37403 Medicare Provider #440104 Hartford Hospital 80 Seymour Street P.O. Box 5037 Hartford, CT 06102-5037 Medicare Provider #070025 Hays Medical Center 2220 Canterbury Road Hays, KS 67601 Medicare Provider #170013 Hospital of the University of Pennsylvania 3400 Spruce Street Philadelphia, PA 19104 Medicare Provider #390111 Kansas Heart Hospital 3601 N. Webb Road Wichita, KS 67226 Medicare Provider #170186 King's Daughters Medical Center 2201 Lexington Avenue Ashland, KY 41101 Medicare Provider #180009 Los Alamitos Medical Center 3751 Katella Avenue Los Alamitos, CA 90720 Medicare Provider #050551 Maricopa Integrated Health System Maricopa Medical Center Cardiac Catheterization Laboratory 2601 E. Roosevelt Phoenix, AZ 85008 Medicare Provider #030022 Mayo Clinic Hospital 5777 East Mayo Boulevard Phoenix, AZ 85054 Medicare Provider #030103 Missouri Baptist Medical Center 3015 N. Ballas Road St. Louis, MO 63131 Medicare Provider #260108 Munroe Regional Medical Center 1500 S.W. 1st Avenue Ocala, FL 34474 Medicare Provider #100062 Norman Regional Hospital 901 North Porter, Box 1308 Norman, OK 73070-1308 Medicare Provider #370008 Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, OK 73120 Medicare Provider #370215 Orlando Regional Healthcare System, Inc. 1414 Kuhl Avenue Orlando, FL 32806 Medicare Provider #100006 Pinnacle Health Hospitals 111 South Front Street Harrisburg, PA 17101 Medicare Provider #390067 Plaza Medical Center of Fort Worth 900 Eighth Avenue Fort Worth, TX 76104 Medicare Provider #450672 Rapides Regional Medical Center Box 30101 211 Fourth Street Alexandria, LA 71301-8454 Medicare Provider #190026 Research Medical Center 2316 East Meyer Boulevard Kansas City, MO 64132 Medicare Provider #260027 St. Luke's-Roosevelt Hospital Center 1000 Tenth Avenue New York, NY 10019 Medicare Provider #330046 Swedish Medical Center Providence Campus 747 Broadway Seattle, WA 98122 Medicare Provider #500025 May 25, 2005 Bakersfield Heart Hospital 3001 Sillect Avenue Bakersfield, CA 93308 Medicare Provider #050724 College Station Medical Center 1604 Rock Prairie Road College Station, TX 77845 Medicare Provider #450299 Good Samaritan Hospital 2222 Philadelphia Drive Dayton, OH 45406-1891 Medicare Provider #360052 Lakeland Regional Medical Center 1324 Lakeland Hills Boulevard Lakeland, FL 33805 Medicare Provider #100157 Mercy Medical Center 301 St. Paul Place Baltimore, MD 21202 Medicare Provider #210008 Mount Carmel St. Ann's Hospital 500 South Cleveland Avenue Westerville, OH 43081-8998 Medicare Provider #360012 Western Medical Center-Santa Ana 1001 North Tustin Avenue Santa Ana, CA 92705 Medicare Provider #050746 May 26, 2005 Benefits Healthcare 1101 26th Street South Great Falls, MT 59405 Medicare Provider #270012 Blanchard Valley Regional Health Center 145 West Wallace Street Findlay, OH 45840 Medicare Provider #360095 Central Dupage Hospital 25 North Winfield Road Winfield, IL 60190 Medicare Provider #140242 [The] Christ Hospital 2139 Auburn Avenue Cincinnati, OH 45219 Medicare Provider #360163 Fletcher Allen Health Care Medical Center Campus 111 Colchester Avenue Burlington, VT 05401-1473 Medical University of South Carolina Hospital Authority 169 Ashley Avenue P.O. Box 250347 Charleston, SC 29425 Medicare Provider #420004 [The] Mount Sinai Hospital 1 Gustave L. Levy Place New York, NY 10029 Medicare Provider #330024 North Memorial Health Care 3300 Oakdale Avenue North Robbinsdale, MN 55422 Medicare Provider #240001 Our Lady of Bellefonte Hospital St. Christopher Drive Ashland, KY 41101 Medicare Provider #180036 Rapid City Regional Hospital 353 Fairmont Boulevard Rapid City, SD 57701 Medicare Provider #430077 Sacred Heart Medical Center Oregon Heart & Vascular Institute 1255 Hilyard Street P.O. Box 10905 Eugene, OR 97440 Medicare Provider #380033 Shands Jacksonville Medical Center 655 West Eighth Street Jacksonville, FL 32209 Medicare Provider #100001 Southern Maryland Hospital Center 7503 Surratts Road Clinton, MD 20735 Medicare Provider #520054 Southwest Washington Medical Center P.O. Box 1600 Vancouver, WA 98668 Medicare Provider #500050 St. Joseph's Mercy Health Center 300 Werner Street Hot Springs, AR 71903 Medicare Provider #040026 Texan Heart Hospital
                        ( print page 55883) 6700 IH-10 West San Antonia, TX 78201 Medicare Provider #450878 University of Alabama Hospital 619 South 19th Street Birmingham, AL 35233 Medicare Provider #010033 University Health System 1520 Cherokee Trail, Suite 200 Knoxville, TN 37920-2205 Medicare Provider #440015 Utah Valley Regional Medical Center 1034 North 500 West Provo, UT 84605 Medicare Provider #460001 West Allis Memorial Hospital 8901 West Lincoln Avenue West Allis, WI 53227 Medicare Provider #520139 June 1, 2005 Community Hospital 901 MacArthur Boulevard Munster, IN 46321 Medicare Provider #150125 Freeman Health System 1102 West 32nd Street Joplin, MO 64804 Medicare Provider #260137 Harlingen Medical Center 5501 South Expressway 77 Harlingen, TX 78550 Medicare Provider #450855 Mission Hospital Regional Medical Center 27700 Medical Center Road Mission Viejo, CA 92691 Medicare Provider #050567 Piedmont Hospital 1968 Peachtree Road, NW. Atlanta, GA 30309 Medicare Provider #110083 Portsmouth Regional Hospital 333 Borthwick Avenue P.O. Box 7004 Portsmouth, NH 03802-7004 Medicare Provider #300029 Provena St. Mary's Hospital 500 West Court Street Kankakee, IL 60901 Medicare Provider #140155 Saint Michael's Medical Center 268 Martin Luther King Jr. Boulevard Newark, NJ 07012 Medicare Provider #310096 St. Anthony's Medical Center 10010 Kennerly Road St. Louis, MO 63128 Medicare Provider #260077 St. Francis Hospital 100 Port Washington Boulevard Roslyn, NY 11576-1348 Medicare Provider #330182 St. Joseph Mercy Oakland 44405 Woodward Avenue Pontiac, MI 48341-5023 Medicare Provider #230029 St. Mary Medical Center 1201 Langhorne-Newtown Road Langhorn, PA 19047 Medicare Provider #390258 University Medical Center 1501 N. Campbell Avenue Tucson, AZ 85724 Medicare Provider #030064 June 2, 2005 Community Hospital 5637 Marine Parkway P.O. Box 996 New Port Richey, FL 34656 Medicare Provider #100191 Cox Medical Center South 3801 S. National Avenue Springfield, MO 65807 Medicare Provider #260040 Mary Washington Hospital 1001 Sam Perry Boulevard Fredericksburg, VA 22401 Medicare Provider #490022 Memorial Health University Medical Center 4700 Waters Avenue Savannah, GA 31404 Medicare Provider #110036 North Ridge Medical Center 5757 North Dixie Highway Ft. Lauderdale, FL 33334 Medicare Provider #100237 Oregon Health and Science University Oregon Stroke Center 3181 SW. Sam Jackson Park Road CR-131 Portland, OR 97239 Medicare Provider #380009 Riverside Medical Center 350 North Wall Street Kankakee, IL 60901 Medicare Provider #140186 Sunrise Hospital and Medical Center Sunrise Children's Hospital 3186 South Maryland Parkway Las Vegas, NV 89109 Medicare Provider #290003 June 7, 2005 Brackenridge Hospital 601 East 15th Street Austin, TX 78701-1096 Medicare Provider #450124 Doctors Hospital at Renaissance 5501 S. McColl Road Edinburg, TX 78539 Medicare Provider #450869 Florida Hospital 601 East Rollins Street Orlando, FL 32803 Medicare Provider #100007 Gadsden Regional Medical Center 1007 Goodyear Avenue Gadsden, AL 35903 Medicare Provider #010040 Huntsville Hospital 101 Sivley Road Huntsville, AL 35801 Medicare Provider #010039 Memorial Medical Center 701 North First Street Springfield, IL 62781 Medicare Provider #140148 Ohio Valley Medical Center 2000 Eoff Street Wheeling, WV 26003 Medicare Provider #510039 Providence Alaska Medical Center 3200 Providence Drive P.O. Box 196604 Anchorage, AK 99519-6604 Medicare Provider #020001 San Ramon Regional Medical Center 6001 Norris Canyon Road San Ramon, CA 94583 Medicare Provider #050689 St. Bernards Medical Center 225 E. Jackson Avenue Jonesboro, AR 72401 Medicare Provider #040020 St. Vincent Healthcare 1233 North 30th Street Billings, MT 59101 Medicare Provider #270049 June 8, 2005 Brotman Medical Center 3828 Delmas Terrace Culver City, CA 90231-2459 Medicare Provider #050144 Comanche County Memorial Hospital P.O. Box 129 3401 West Gore Boulevard Lawton, OK 73502 Medicare Provider #370056 Covenant Health System 3615 19th Street Lubbock, TX 79410 Medicare Provider #450040 Iberia Medical Center 2315 East Main Street P.O. Box 13338 New Iberia, LA 70562-3338 Medicare Provider #190054 Lehigh Valley Hospital and Health Network Cedar Crest Campus Cedar Crest & I-78 P.O. Box 689 Allentown, PA 18105 Medicare Provider #390133 Midwest Regional Medical Center 2825 Parklawn Drive Midwest City, OK 73110 Medicare Provider #370094 Mount Carmel Health (Mount Carmen East and Mount Carmen West) 793 West State Street Columbus, OH 43222 Medicare Provider #360035 Northwest Texas Healthcare System 1501 South Coulter Drive Amarillo, TX 79106-1770 Medicare Provider #450209 Saint Joseph's Hospital 611 St. Joseph Avenue Marshfield, WI 54449-1898 Medicare Provider #520037 Saint Joseph's Hospital of Atlanta 5665 Peachtree Dunwoody Road N.E. Atlanta, GA 30342-1764 Medicare Provider #110082 St. Francis Hospital and Medical Center 114 Woodland Street Hartford, CT 06105 Medicare Provider #070002 Thomas Jefferson University Hospital 111 South 11th Street Philadelphia, PA 19107 Medicare Provider #390174 Unity Health System Park Ridge Hospital 1555 Long Pond Road 
                        ( print page 55884) Rochester, NY 14626 Medicare Provider #330226 York Hospital/Wellspan Health 1001 South George Street P.O. Box 15198 York, PA 17405-7198 Medicare Provider #390046 June 14, 2005 Abbott Northwestern Hospital 800 East 28th Street Minneapolis, MN 55407 Medicare Provider #240057 Appleton Medical Center 1818 North Meade Street Appleton, WI 54911 Medicare Provider #520160 Brookwood Medical Center 2010 Brookwood Medical Center Drive Birmingham, AL 35209 Medicare Provider #010139 Community Memorial Hospital W 180 N8085 Town Hall Road Menomonee Falls, WI 53051 Medicare Provider #520103 Crestwood Medical Center One Hospital Drive S.E. Huntsville, AL 35801 Medicare Provider #010131 Lankenau Hospital 100 Lancaster Avenue Wynnewood, PA 19096 Medicare Provider #390195 Mission Hospitals, Inc. 509 Biltmore Avenue Asheville, NC 28801 Medicare Provider #340002 North Shore University Hospital 300 Community Drive Manhasset, NY 11030 Medicare Provider #330105 Palmetto General Hospital 2001 West 68th Street Hialeah, FL 33016 Medicare Provider #100187 Rockford Memorial Hospital 2400 North Rockton Avenue Rockford, IL 61103 Medicare Provider #140239 Saint Francis Hospital 6161 South Yale Avenue Tulsa, OK 74136 Medicare Provider #370091 Sequoia Hospital 170 Alameda de las Pulgas Redwood City, CA 94062 Medicare Provider #050197 Seton Medical Center 1201 West 38th Street Austin, TX 78705-1056 Medicare Provider #450056 St. Alexius Medical Center 900 E. Broadway P.O. Box 5510 Bismark, ND 58506-5510 Medicare Provider #350002 St. John's Regional Health Center 1235 East Cherokee Street Springfield, MO 65804-2263 Medicare Provider #260065 Tenet Health System d/b/a Piedmont Medical Center 222 South Herlong Avenue Rock Hill, SC 29732 Medicare Provider #420002 Theda Clark Medical Center 130 2nd Street P.O. Box 2021 Neenah, WI 54947-2021 Medicare Provider #520045 Trinity Medical Center West Campus 2701 17th Street Rock Island, IL 61201 Medicare Provider #140280 University of Connecticut Health Center John Dempsey Hospital 263 Farmington Avenue Farmington, CT 06030 Medicare Provider #070036 Washington Adventist Hospital 7600 Carroll Avenue Takoma Park, MD 29859 Medicare Provider #210016 June 20, 2005 Augusta Medical Center 78 Medical Center Drive Fisherville, VA 22939 Medicare Provider #490018 Deaconess Hospital Inc. 600 Mary Street Evansville, IN 47747 Medicare Provider #150082 Froedtert Memorial Lutheran Hospital 9200 West Wisconsin Avenue Milwaukee, WI 53226 Medicare Provider #520177 Greenville Memorial Hospital 701 Grove Road Greenville, SC 29605 Medicare Provider #420078 Heart Hospital of New Mexico 504 Elm Street NE. Albuquerque, NM 87102 North Arundel Hospital 301 Hospital Drive Glen Burnie, MD 21061 Medicare Provider #210043 Overlake Hospital Medical Center 1035 116th Avenue NE. Bellevue, WA 98004 Medicare Provider #050051 Penn State Milton S. Hershey Medical Center 500 University Drive Hershey, PA 17033 Medicare Provider #390256 Pomona Valley Hospital Medical Center 1798 North Garey Avenue Pomona, CA 91767 Medicare Provider #050231 Providence St. Peter Hospital 413 Lilly Road Northeast Olympia, WA 98506-5166 Medicare Provider #500024 Regional Medical Center Bayonet Point 14000 Fivay Road Hudson, FL 34667 Medicare Provider #100256 Saint Francis Hospital 5959 Park Avenue Memphis, TN 38199-5198 Medicare Provider #440183 Scripps Memorial Hospital La Jolla 9888 Genesee Avenue La Jolla, CA 92037 Medicare Provider #050324 Seven Rivers Regional Medical Center 6201 North Suncoast Blvd Crystal River, FL 34428-6712 Medicare Provider #100249 St. Anthony Hospital 1000 North Lee Street Oklahoma City, OK 73101 Medicare Provider #370037 St. Joseph's Hospital and Medical Center 350 West Thomas Road Phoenix, AZ 85013 Medicare Provider #030024 University of Wisconsin Hospitals and Clinics 600 Highland Avenue Madison, WI 53792 Medicare Provider #520098 June 27, 2005 Atlanta Medical Center 303 Parkway Drive, NE. Atlanta, GA 30312-1212 Medicare Provider #110115 Bronson Methodist Hospital 601 John Street Kalamazoo, MI 49007 Medicare Provider #230017 Bryn Mawr Hospital 130 South Bryn Mawr Avenue Bryn Mawr, PA 19010 Medicare Provider #390139 Cleveland Clinic Hospital 3100 Weston Road Weston, FL 33331 Medicare Provider #100289 Lake Cumberland Regional Hospital 305 Langdon Street Somerset, KY 42503 Medicare Provider #180132 Memorial Hospital 1400 East Boulder Street Colorado Springs, CO 80909 Medicare Provider #060022 Menorah Medical Center 5721 West 119th Street Overland Park, KS 66209 Medicare Provider #170182 Methodist Medical Center of Illinois 221 Northeast Glen Oak Avenue Peoria, IL 61636-0002 Medicare Provider #014209 North Carolina Baptist Hospital Medical Center Blvd Winston-Salem, NC 27157 Medicare Provider #340047 Osceola Regional Medical Center 700 West Oak Street P.O. Box 458004 Kissimmee, FL 34745-8004 Medicare Provider #100110 Palm Beach Garden's Medical Center 3360 Burns Road Palm Beach Gardens, FL 33410 Medicare Provider #100176 Presbyterian Healthcare Services P.O. Box 26666 Albuquerque, NM 87125-6666 Medicare Provider #320021 Providence Hospital 16001 West Nine Mile Road Southfield, MI 48075 
                        ( print page 55885) Medicare Provider #230019 Saint Joseph Medical Center Creighton University Medical Center 601 North 30th Street Omaha, NE 68131-2197 Medicare Provider #280030 Shasta Regional Medical Center 1100 Butte Street Redding, CA 96001 Medicare Provider #050733 South Jersey Healthcare 1505 West Sherman Avenue Vineland, NJ 08360 Medicare Provider #310032 St. Joseph's Hospital 69 West Exchange Street St. Paul, MN 55102 Medicare Provider #240063 St. Mary's Hospital 1601 West St. Mary's Road Tucson, AZ 85745 Medicare Provider #030010 Trident Medical Center 9330 Medical Plaza Drive Charleston, SC 29406 Medicare Provider #420079 University of Iowa Hospitals and Clinics Neurointerventional Radiology Department of Radiology 200 Hawkins Drive Iowa City, IA 52242 Medicare Provider #160058 Venice Regional Medical Center 540 The Rialto Venice, FL 34285 Medicare Provider #100070 Virginia Mason Medical Center 1100 Ninth Avenue P.O. Box 98111 Seattle, WA 98111 Medicare Provider #500005 WellStar Cobb Hospital 805 Sandy Plains Road Marietta, GA 30060 Medicare Provider #110143 WellStar Kennestone Hospital 805 Sandy Plains Road Marietta, GA 30060 Medicare Provider #110035 June 29, 2005 Arkansas Heart Hospital 1701 S. Shackleford Road Little Rock, AR 72211 Medicare Provider #040134 Baptist Healthcare of Oklahoma, Inc. d/b/a INTEGRIS Bass Baptist Health Center 600 S. Monroe P.O. Box 3168 Enid, OK 73702 Medicare Provider #370016 Boca Raton Community Hospital 800 Meadows Road Boca Raton, FL 33486 Medicare Provider #100168 Carolinas Medical Center 1000 Blythe Blvd Charlotte, NC 28203 Medicare Provider #340113 Decatur Memorial Hospital 2300 North Edward Street Decatur, IL 62526 Medicare Provider #140135 Doctors Community Hospital 8118 Good Luck Road Lanham, MD 20706-3586 Medicare Provider #210051 Duke University Medical Center Department of Radiology P.O. Box 3808 Durham, NC 27710 Medicare Provider #340030 Heartland Health 5325 Faraon Street St. Joseph, MO 64506-3398 Medicare Provider #260006 INTEGRIS Baptist Medical Center, Inc. 3300 Northwest Expressway Oklahoma City, OK 73112 Medicare Provider #370028 Lehigh Valley Hospital Muhlenberg Campus 2545 Schoenersville Road Bethlehem, PA 18017 Medicare Provider #390263 McLaren Regional Medical Center 401 South Ballenger Highway Flint, MI 48532-3685 Medicare Provider #230141 Mountain States Health Alliance 400 North State of Franklin Road Johnson City, TN 37604-6094 Medicare Provider #440063 New York University Medical Center 550 First Avenue, HCC-15 New York, NY 10016-6481 Medicare Provider #330214 Overlook Hospital 99 Beauvoir Avenue P.O. Box 220 Summit, NJ 07802-0220 Medicare Provider #310051 Saint Marys Hospital 1216 Second Street S.W. Rochester, MN 55902 Medicare Provider #240010 Sarasota Memorial Hospital 1700 S. Tamiami Trail Sarasota, FL 34239 Medicare Provider #100087 Shands Hospital at the University of Florida P.O. Box 100326 Gainesville, FL 32610-0326 Medicare Provider #100113 Sisters of Charity Hospital 2157 Main Street Buffalo, NY 14214 Medicare Provider #330078 St. Luke's Hospital 4202 Belfort Road Jacksonville, FL 32216-5898 Medicare Provider #100151 University Medical Center 602 Indiana Avenue Lubbock, TX 79415 Medicare Provider #450686 Vanderbilt University Medical Center D-3300 Medical Center North Nashville, TN 37232-2104 Medicare Provider #440039 West Virginia University Hospitals, Inc. Medical Center Drive P.O. Box 8059 Morgantown, WV 36506 Medicare Provider #510001


[FR Doc. 05-18926 Filed 9-22-05; 8:45 am] BILLING CODE 4120-01-P