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The CMS Quarterly Provider Update
October 2004


Regulations

Under Development This Quarter




To the extent practical, CMS publishes regulatory documents on the fourth Friday of each month in the Federal Register. Scheduled publication dates for this quarter are:

  • October 22, 2004
  • November 26, 2004
  • December 23, 2004
Please note that CMS' regulatory work is governed by statutory publication dates and other mandates that do not always coincide with the fourth Friday of the month. In these instances, CMS will comply with the statutory publication requirements.

While we expect to publish the documents contained in this release of the QPU, this listing does not create an obligation on the government to publish. We welcome your comments, and encourage you to submit your comments online.


    Types of Regulations
    CN - CORRECTION NOTICE NOI - NOTICE OF INTENT F - FINAL RULE
    FN - FINAL NOTICE
    PN - PROPOSED NOTICE
    NPR - NOTICE OF
    PROPOSED RULEMAKING
    N - NOTICE
    P - PROPOSED RULE
    IFC - INTERIM FINAL RULE WITH COMMENT PERIOD FC - FINAL RULE
    WITH COMMENT PERIOD
    NC - FINAL NOTICE
    WITH COMMENT PERIOD


ALL PROVIDERS

REFERENCE NUMBER SUBJECT
CMS-0008-F Electronic Medicare Claims Submission
CMS-2150-NC Request for Information on Benefit-Specific Waiting Periods
CMS-2151-F HIPAA Titles I and IV: Health Coverage Portability for Group Health Plans and Group Health Insurance Issuers
CMS-2158-P HIPAA Titles I and IV: Tolling Certain Time Periods and Interactions with Family and Medical Leave Act
CMS-2203-N Recognition of NAIC Standards for Regulation of Medicare Supplemental Insurance
CMS-3145-IFC Fire Safety Requirement for Certain Health Care Facilities; Alcohol-Base Hand Sanitizer & Smoke Detector Amendment
CMS-4004-FC Expedited Determination Procedures for Provider Service Terminations (BIPA 521)
CMS-4064-IFC Revisions to the Appeals Process for Initial Claim Determinations

AMBULANCES

REFERENCE NUMBER SUBJECT
CMS-1267-N Fee Schedule for Payment of Ambulance Services – Update for CY 2005

AMBULATORY SURGICAL CENTERS

REFERENCE NUMBER SUBJECT
CMS-1478-PN Update of the List of Covered Procedures for Ambulatory Surgical Centers for 2005
CMS-2202-FN American Association for Accreditation of Ambulatory Surgery Facilities, Inc. Request for Continued Deeming Authority for Ambu
CMS-3112-FN CY 2004 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers (ASCs)

CLINICAL DIAGNOSTIC LABORATORIES

REFERENCE NUMBER SUBJECT
CMS-2490-N Clinical Laboratory Improvement Amendments of 1988 (CLIA); Continued Approval of the American Association of Blood Banks (AABB) for Deeming Authority

DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES

REFERENCE NUMBER SUBJECT
CMS-1374-GNC FY 2005 Criteria and Standards for Evaluating Contractors

HOME HEALTH AGENCIES

REFERENCE NUMBER SUBJECT
CMS-1265-F Home Health Prospective Payment System Rate Update for Calendar Year 2005

HOSPICES

REFERENCE NUMBER SUBJECT
CMS-3844-P Hospice Care Conditions of Participation***

HOSPITALS

REFERENCE NUMBER SUBJECT
CMS-1213-F Prospective Payment System for Psychiatric Hospitals for FY 2004
CMS-1427-FC Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates
CMS-3835-P Hospital Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplan

MEDICARE+CHOICE

REFERENCE NUMBER SUBJECT
CMS-4041-IFC Modifications to Medicare Managed Care Rules; Correcting Amendment
CMS-4067-FN Approval of the Utilization Review Accreditation Commission (URAC) for Deeming Authority for M+C

MEETING NOTICES

REFERENCE NUMBER SUBJECT
CMS-1269-N3 EMTALA Technical Advisory Group Meeting and Announcement of Members-November 17 & 18, 2004
CMS-1285-N Annoucement of Bi-Annual Ambulatory Payment Classification (APC) Panel Meeting
CMS-1302-N Town Hall Meeting on the Medicare Provider Feedback Group (MPFG) -- November 15, 2004
CMS-1484-N Meeting of the Practicing Physicians Advisory Council for November 22, 2004
CMS-3149-N Medicare Coverage Advisory Committee/Executive Committee for January 25, 2005
CMS-4078-N Advisory Panel on Medicare Education Meeting - November 2004
CMS-5033-N2 ESRD Advisory Group: Announcement of Members and First Meeting - November 16, 2004
CMS-5033-N3 ESRD Advisory Group: Announcement of Meeting - January 31, 2005

ORGAN PROCUREMENT ORGANIZATIONS

REFERENCE NUMBER SUBJECT
CMS-3064-P Organ Procurement Organization Conditions for Coverage

OTHER CMS BUSINESS

REFERENCE NUMBER SUBJECT
CMS-5011-WN Notice of Withdraw of the Solicitation of Proposals for the Program of All-Inclusive Care for the Elderly (PACE) Private, For-Profit Demonstration Project
CMS-5035-N Senior Risk Reduction Demonstration
CMS-5036-N Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities
CMS-5037-N Demonstration for Coverage of Chiropractic Services Under Medicare
CMS-9024-N Quarterly Issuances Notice - July-September 2004
CMS-9026-N Timeline for Publishing Medicare Final Regulations after a Proposed or Interim Final Regulation

PHYSICIANS

REFERENCE NUMBER SUBJECT
CMS-1429-FC Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005

RENAL DIALYSIS FACILITIES/NETWORK ORGANIZATIONS

REFERENCE NUMBER SUBJECT
CMS-3818-P End Stage Renal Disease (ESRD) Conditions for Coverage

SUPPLIERS

REFERENCE NUMBER SUBJECT
CMS-2175-F Time Limitation on Recordkeeping Requirements Under the Drug Rebate Program
CMS-3017-IFC Conditions for Coverage of Power Mobility Devices, including Powered Wheelchairs and Power-Operated Vehicles (Scooters)


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