The CMS regulations establish or modify the way CMS administers its programs. CMS’ regulations may impact providers or suppliers of services or the individuals enrolled or entitled to benefits under CMS programs.
The CMS generally limits the number of days it publishes regulations and notices in the Federal Register to the fourth Friday of each month. By limiting the number of days that it publishes regulations and notices, CMS hopes to add an element of predictability to its communications with the public and reduce the time it takes for the public to research changes. Some of our regulatory work, however, is mandated by specific statutory publication dates, and CMS will continue to comply with the statutory requirements.
Section of the Law |
Regulation |
Subject |
Effective Date |
Date Released |
101 |
CMS-4063-IFC (1 mb) |
Medicare Program; Medicare Prescription Drug Discount Card |
06/08/2004 |
12/15/2003 |
101 |
CMS-4063-N (21 mb) |
Medicare Prescription Drug Discount Card and Transitional Low-Income Assistance Program: Notice of Solicitation of Application |
06/08/2004 |
12/15/2003 |
101 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
102 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
103 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
104 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
105 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
106 |
CMS-2200-N
(40 kb) |
Request for Nominations for the State Pharmaceutical Assistance Transition Commission |
03/01/2004 |
02/27/2004 |
106 |
CMS-2200-N2
(39 kb) |
Establishment of the State Pharmaceutical Assistance Transition Commission |
03/01/2004 |
03/05/2004 |
106 |
CMS-2200-N3
(51 kb) |
State Pharmaceutical Assistance Transition Commission Meeting |
03/01/2004 |
06/18/2004 |
106 |
CMS-2200-N4
(47 kb) |
State Pharmaceutical Assistance Transition Commission Members and October 14, 2004 Meeting |
|
09/24/2004 |
106 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
107 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
108 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
109 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
110 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
111 |
CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) |
01/01/2006
|
08/03/2004 |
201 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
201 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
211 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
211 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
221 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
221 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
222 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
222 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
223 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
223 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
231 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
231 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
232 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
232 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
233 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
233 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
234 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
234 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
235 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
235 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
236 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
236 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
237 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
237 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
238 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
238 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
241 |
CMS-4069-N
(53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 |
n/a |
05/28/2004 |
241 |
CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) |
01/01/2006
|
08/03/2004 |
302 |
CMS-1279-N
(47 kb)
|
Solicitation of Nominations for the Program Advisory and Oversight Committee; Competitive Bidding
|
|
06/02/2004 |
302 |
CMS-1279-N2
(54 kb) |
Meeting of the Program Advisory and Oversight Committee for Competitive Acquisition for Certain DMEPOS--October 6, 2004 |
n/a |
08/27/2004 |
303 |
CMS-1372-IFC
(4 mb) |
Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004 |
01/01/2004 |
01/07/2004 |
303 |
CMS-1380-IFC
(201 mb) |
Manufacturer Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP)*** |
04/30/2004 |
04/06/2004 |
303 |
CMS-1380-F
(58 kb) |
Manufacturer's Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP) |
10/01/2004 |
09/16/2004 |
305 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
305 |
CMS-1372-IFC
(4 mb) |
Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004 |
01/01/2004 |
01/07/2004 |
305 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
401 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
402 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
403 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
403 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
405 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
405 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
406 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
406 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
410 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
413 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
414 |
CMS-1492-IFC (119 kb) |
Medicare Ambulance Fee Schedule Updates Beginning July 1, 2004 |
07/01/2004 |
07/01/2004 |
421 |
CMS-1265-P
(246 kb) |
Home Health Prospective Payment System Rate Update Calendar Year 2005 |
04/01/2004 |
06/02/2004 |
422 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
422 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
501 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
501 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
502 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
502 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
503 |
CMS-1268-N (46 kb) |
Town Hall Meeting on New Technology Applicants--March 15, 2004 |
03/15/2004 |
02/27/2004 |
503 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
503 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
504 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
504 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
505 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
505 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
508 |
CMS-1373-N
(53 kb) |
Notice of One-Time Appeal Process for Hospital Wage Index Classification |
01/01/2004 |
01/06/2004 |
508 |
CMS-1373-N2
(53 kb) |
Revisions to the One-Time Appeal Process for Hospital Wage Index Classification |
01/01/2004 |
02/13/2004
|
511 |
CMS-1249-N (1.61 mb) |
Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update for FY 2005 |
07/30/2004
|
07/30/2004 |
602 |
CMS-1372-CN
(2.5 mb) |
Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004--Correction Notice |
01/01/2004 |
03/26/2004 |
602 |
CMS-1372-IFC
(4 mb) |
Changes To Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004 |
01/01/2004
|
01/07/2004 |
611 |
CMS-1427-P |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates |
01/01/2005 |
08/16/2004 |
611 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
612 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
613 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
614 |
CMS-1427-P |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates |
01/01/2005 |
08/16/2004 |
621 |
CMS-1371-IFC (233 kb) |
Hospital Outpatient Prospective Payment System Payment Reform for Calendar Year 2004 |
01/01/2004 |
01/06/2004 |
621 |
CMS-1427-P |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates |
01/01/2005 |
08/16/2004 |
623 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
623 |
CMS-5033-N
(51 kb) |
Establishment of an ESRD Advisory Group and Solicitation for New Members |
01/01/2006 |
06/02/2004 |
629 |
CMS-8020-N
(263 kb) |
Medicare Part B Monthly Actuarial Rates and Premium Rate Beginning January 1, 2005 |
09/30/2004 |
09/09/2004 |
641 |
CMS-5025-N
(291 kb) |
Demonstration for Coverage of Certain Prescribed Drugs and Biologicals |
03/08/2004 |
06/29/2004 |
641 |
CMS-5025-CN
(51 kb) |
Medicare Replacement Drug Demonstration-Correction |
03/08/2004 |
08/27/2004 |
642 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
701 |
CMS-1265-P
(246 kb) |
Home Health Prospective Payment System Rate Update Calendar Year 2005 |
04/01/2004 |
06/02/2004 |
711 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
711 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
712 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
712 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
713 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
713 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
721 |
CMS-5004-N (95 kb) |
Chronic Care Improvement Program |
12/08/2004 |
04/23/2004 |
731 |
CMS-3141-N (52 kb) |
Procedure for Producing Guidance Documents Describing Medicare's Coverage Process |
01/01/2004 |
09/24/2004 |
732 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
811 |
(R)
CMS-8020-N
(263 kb) |
Medicare Part B Monthly Actuarial Rates and Premium Rate Beginning January 1, 2005 |
09/30/2004 |
09/09/2004 |
926 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
926 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
942 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
945 |
CMS-1269-N
(58 kb) |
Establishment of an EMTALA Technical Advisory Group and Solicitation for New Members |
01/01/2004 |
05/28/2004 |
945 |
CMS-1269-N2
(53 kb) |
EMTALA Technical Advisory Group Meeting and Announcement of Members--October 2004 |
01/01/2004 |
08/27/2004 |
951 |
CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004
|
08/11/2004 |
951 |
CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates |
08/01/2004 |
05/18/2004 |
952 |
CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
11/01/2004
|
08/05/2004 |
1001 |
CMS-2062-N
(16.4 mb) |
Disproportionate Share Hospital (DSH) Payments--Institutions for Mental Disease (IMDs) |
12/08/2003 |
03/26/2004 |
1860 |
(R) CMS-6027-N
(52 kb) |
Open Door Forum September 30, 2004–-Requirements for Coordination Between Plans Primary or Secondary to Part D Under the MMA |
07/01/2005 |
09/14/2004 |
Section of the Law |
Regulation |
Subject |
Effective Date |
104 |
CMS-2203-N |
Recognition of NAIC Standards for Regulation of Medicare Supplemental Insurance |
09/01/2005 |
302 |
CMS-3017-IFC |
Conditions for Coverage of Power Mobility Devices, including Powered Wheelchairs and Power-Operated Vehicles (Scooters) |
12/08/2003 |
408 |
CMS-3844-P |
Hospice Care Conditions of Participation
|
12/08/2003 |
413 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
421 |
CMS-1265-F
|
Home Health Prospective Payment System Rate Update Calendar Year 2005 |
04/01/2005 |
611 |
CMS-1427-FC |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates |
01/01/2005 |
611 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
612 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
613 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
614 |
CMS-1427-FC |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates |
01/01/2005 |
621 |
CMS-1427-FC |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates |
01/01/2005 |
623 |
CMS-5033-N2
|
ESRD Advisory Group: Announcement of Members and First Meeting
|
01/01/2006 |
623 |
CMS-5033-N3
|
ESRD Advisory Group: Announcement of Meeting-January 31, 2005 |
01/01/2006 |
642 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
651 |
CMS-5037-N |
Demonstration for Coverage of Chiropractic Services under Medicare |
|
701 |
CMS-1265-F
|
Home Health Prospective Payment System Rate Update Calendar Year 2005 |
01/01/2005 |
732 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
902 |
CMS-9026-N |
Schedule for Publishing Medicare Final Regulations after a Proposed or Interim Final Regulation
|
12/08/2003 |
932 |
CMS-4064-IFC |
Revisions to the Appeals Process for Initial Claim Determinations |
12/08/2003 |
933 |
CMS-4064-IFC |
Revisions to the Appeals Process for Initial Claim Determinations |
12/08/2003 |
937 |
CMS-4004-FC |
Expedited Determination Procedures for Provider Service Terminations (BIPA 521) |
11/15/2005 |
939 |
CMS-4064-IFC |
Revisions to the Appeals Process for Initial Claim Determinations |
12/08/2003 |
940 |
CMS-4064-IFC |
Revisions to the Appeals Process for Initial Claim Determinations |
12/08/2003 |
942 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |
945 |
CMS-1269-N3
|
EMTALA Technical Advisory Group Meeting and Announcement of Members--October 2004 |
01/01/2004 |
946 |
CMS-3844-P |
Hospice Care Conditions of Participation*** |
12/08/2003
|
952 |
CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
01/01/2005 |