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  Professionals   Governments   Consumers   Public Affairs

The CMS Quarterly Provider Update
October 2004


Regulations

Published Last Quarter



    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


To view the entire Adobe Acrobat (PDF) version of a published regulation, click on the reference number. If you do not have Adobe Acrobat Reader, refer to the disclaimer at the bottom of this page.

ALL PROVIDERS

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1380-F
(PDF - 58 KB)


VIEW REGULATION SUMMARY

Medicare Program; Manufacturer Submission of Manufacturer's Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals 09/16/2004
CMS-2033-F
(PDF - 56 KB)


VIEW REGULATION SUMMARY

Requirements for the Group Health Insurance Market; Non-Federal Governmental Plans Exempt From HIPAA Title I Requirements 07/23/2004
CMS-3141-N
(PDF - 52 KB)


VIEW REGULATION SUMMARY

Procedure for Producing Guidance Documents Describing Medicare's Coverage Process 09/24/2004
CMS-4068-P
(PDF - 1.3 MB)


VIEW REGULATION SUMMARY

Medicare Program; Medicare Prescription Drug Benefit 08/03/2004
CMS-6014-F
(PDF - 61 KB)


VIEW REGULATION SUMMARY

Medicare Program; Interest Calculation 07/30/2004
CMS-6146-CN
(PDF - 45 KB)


VIEW REGULATION SUMMARY

Medicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures 08/27/2004
CMS-6146-P
(PDF - 82 KB)


VIEW REGULATION SUMMARY

Medicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures 07/23/2004
CMS-8020-N
(PDF - 263 KB)


VIEW REGULATION SUMMARY

Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible Beginning January 1, 2005 09/09/2004
CMS-8022-N
(PDF - 52 KB)


VIEW REGULATION SUMMARY

Medicare Program; Part A Premium for 2005 for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement 09/09/2004

AMBULANCES

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1492-IFC
(PDF - 119 KB)


VIEW REGULATION SUMMARY

Medicare Program; Medicare Ambulance MMA Temporary Rate Increases Beginning July 1, 2004 07/01/2004

AMBULATORY SURGICAL CENTERS

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-2202-PN
(PDF - 60 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Application by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., for Continued Deeming Authority for Ambulatory Surgical Centers 07/23/2004
CMS-3112-NC2
(PDF - 59 KB)


VIEW REGULATION SUMMARY

Medicare Program; Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Surgical Centers 07/23/2004

HOME HEALTH AGENCIES

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1265-CN
(PDF - 136 KB)


VIEW REGULATION SUMMARY

Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005; Correction Notice 07/30/2004
CMS-2204-PN
(PDF - 52 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Application by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for Home Health Agencies 09/24/2004
CMS-2256-PN
(PDF - 53 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Application by the Community Health Accreditation Program (CHAP) for Home Health Agencies 09/24/2004

HOSPICES

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1264-N
(PDF - 124 KB)


VIEW REGULATION SUMMARY

Medicare Program; Hospice Wage Index for Fiscal Year 2005 08/27/2004

HOSPITALS

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1360-N
(PDF - 1.24 MB)


VIEW REGULATION SUMMARY

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005 07/30/2004
CMS-1427-P
PART 1 (PDF - 2.32 MB)
PART 2 (PDF - 5.39 MB)
PART 3 (PDF - 5.48 MB)
PART 4 (PDF - 4.22 MB)
PART 5 (PDF - 4.34 MB)

VIEW REGULATION SUMMARY

Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates 08/16/2004
CMS-1428-F
(PDF - 4.53 MB)


VIEW REGULATION SUMMARY

Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates 08/11/2004
CMS-2208-PN
(PDF - 57 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Application by the American Osteopathic Association for Continued Approval of Deeming Authority for Hospitals 09/24/2004
CMS-4018-F
(PDF - 51 KB)


VIEW REGULATION SUMMARY

Medicare Program; Continuation of Medicare Entitlement When Disability Benefit Entitlement Ends Because of Substantial Gainful Activity 09/24/2004
CMS-8021-N
(PDF - 57 KB)


VIEW REGULATION SUMMARY

Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 2005 09/09/2004

MEDICAID

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-2187-N
(PDF - 117 KB)


VIEW REGULATION SUMMARY

State Children's Health Insurance Program (SCHIP); Extended Availability of Unexpended SCHIP Funds From the Appropriation for Fiscal Years 1998 Through 2001; and Provision of Authority for Qualifying States To Use a Portion of SCHIP Funds for Medicaid Expenditures 07/23/2004
CMS-2201-N
(PDF - 193 KB)


VIEW REGULATION SUMMARY

State Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2005 08/27/2004
CMS-6026-P
(PDF - 103 KB)


VIEW REGULATION SUMMARY

Medicaid Program and State Children's Health Insurance Program (SCHIP): Payment Error Rate Measurement 08/27/2004
CMS-6026-CN
(PDF - 43 KB)


VIEW REGULATION SUMMARY

Medicaid Program and State Children's Health Insurance Program (SCHIP); Payment Error Rate Measurement; Correction 09/24/2004

MEDICARE+CHOICE

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-4067-PN
(PDF - 58 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Application by the Utilization Review Accreditation Commission (URAC) for Deeming Authority for Medicare Advantage 08/27/2004
CMS-4069-P
(PDF - 2.2 MB)


VIEW REGULATION SUMMARY

Medicare Program; Establishment of the Medicare Advantage Program 08/03/2004
CMS-4077-PN
(PDF - 53 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Application by the National Committee for Quality Assurance Preferred Provider Organization for Deeming Authority for Medicare Advantage 09/24/2004

MEETING NOTICES

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1269-N2
(PDF - 53 KB)


VIEW REGULATION SUMMARY

Medicare Program; Second Request for Nominations for Two Specific Categories of Members of the Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG) 08/27/2004
CMS-1275-N
(PDF - 58 KB)


VIEW REGULATION SUMMARY

Medicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups--September 1, 2, and 3, 2004 08/05/2004
CMS-1279-N2
(PDF - 54 KB)


VIEW REGULATION SUMMARY

Medicare Program; Public Meeting of the Program Advisory and Oversight Committee (PAOC) for Quality Standards and Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 08/27/2004
CMS-1334-N
(PDF - 54 KB)


VIEW REGULATION SUMMARY

Medicare Program; Public Meeting in Calendar Year 2004 for Coding and Payment Determinations for Power Wheelchairs 07/23/2004
CMS-1364-N
(PDF - 55 KB)


VIEW REGULATION SUMMARY

Medicare Program; August 30, 2004, Meeting of the Practicing Physicians Advisory Council and Request for Nominations 07/23/2004
CMS-2200-N4
(PDF - 47 KB)


VIEW REGULATION SUMMARY

Medicare Program; Meeting of the State Pharmaceutical Assistance Transition Commission--October 14, 2004 09/24/2004
CMS-3136-N
(PDF - 47 KB)


VIEW REGULATION SUMMARY

Medicare Program; Meeting of the Medicare Coverage Advisory Committee--September 28, 2004 08/27/2004
CMS-3137-N
(PDF - 46 KB)


VIEW REGULATION SUMMARY

Medicare Program; Meeting of the Medicare Coverage Advisory Committee--November 4, 2004 09/24/2004
CMS-3154-N
(PDF - 53 KB)


VIEW REGULATION SUMMARY

Medicare Program; Request for Nominations for Members for the Medicare Coverage Advisory Committee 09/24/2004
CMS-4068-N
(PDF - 50 KB)


VIEW REGULATION SUMMARY

Medicare Program; Open Public Meeting Regarding the Development of the Model Guidelines for Categories and Classes of Drugs 07/30/2004
CMS-4074-N
(PDF - 55 KB)


VIEW REGULATION SUMMARY

Medicare Program; Meeting of the Advisory Panel on Medicare Education--September 9, 2004 07/23/2004
CMS-6027-N
(PDF - 52 KB)


VIEW REGULATION SUMMARY

Medicare Program; September 30, 2004 Open Door Forum: Requirements for Coordination Between Plans Primary or Secondary to Medicare Part D Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) 09/14/2004

OTHER CMS BUSINESS

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-2152-F2
(PDF - 56 KB)


VIEW REGULATION SUMMARY

Amendment to the Interim Final Regulation for Mental Health Parity 07/23/2004
CMS-3142-NC
(PDF - 63 KB)


VIEW REGULATION SUMMARY

Medicare Program; Evaluation Criteria and Standards for Quality Improvement Program Contracts 07/23/2004
CMS-5025-CN
(PDF - 51 KB)


VIEW REGULATION SUMMARY

Medicare Program; Medicare Replacement Drug Demonstration; Correction 08/27/2004
CMS-9023-N
(PDF - 97 KB)


VIEW REGULATION SUMMARY

Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--April 2004 Through June 2004 09/24/2004

PHYSICIANS

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1429-P
(PDF - 56 KB)


VIEW REGULATION SUMMARY

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 08/05/2004
CMS-1810-IFC2
(PDF - 66 KB)


VIEW REGULATION SUMMARY

Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships (Phase II); Correcting Amendment 09/24/2004

SKILLED NURSING FACILITIES

REFERENCE NUMBER SUBJECT PUBLICATION DATE
CMS-1249-N
(PDF - 1.61 MB)


VIEW REGULATION SUMMARY

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update--Notice 07/30/2004


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