Medicare Modernization Act
Accomplishments and Projections
Accomplishments and Projections
Red text indicates information updated since we sent our last notification.
Links to a provision-by-provision summary are available by clicking on the section numbers provided below.
Links to the completed/published CMS publication are available by clicking on the document name link provided in the "Regulation or Manual Instruction" column below.
| Section of the Law |
Regulation (R) or Manual Instruction (M) |
Subject | Effective Date |
Change Request Number(s) |
Date Released |
Information on Pending Items |
|---|---|---|---|---|---|---|
| 101 | (R) CMS-4063-IFC (1 mb) |
Medicare Program; Medicare Prescription Drug Discount Card | 06/08/2004 | n/a | 12/15/2003 | |
| 101 | (R) CMS-4063-N (21 mb) |
Medicare Prescription Drug Discount Card and Transitional Low-Income Assistance Program: Notice of Solicitation of Application | 06/08/2004 | n/a | 12/15/2003 | |
| 101 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 102 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 103 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 104 | (R) CMS-2203-N |
Recognition of NAIC Standards for Regulation of Medicare Supplemental Insurance | 09/01/2005 | n/a | Pending | Pending |
| 104 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 105 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 106 | (R) CMS-2200-N4 (47 kb) |
State Pharmaceutical Assistance Transition Commission Members and October 14, 2004 Meeting | n/a | 09/24/2004 | ||
| 106 | (R) CMS-2200-N3 (51 kb) |
State Pharmaceutical Assistance Transition Commission Meeting | 03/01/2004 | n/a | 06/18/2004 | |
| 106 | (R) CMS-2200-N2 (39 kb) |
Establishment of the State Pharmaceutical Assistance Transition Commission | 03/01/2004 | n/a | 03/05/2004 | |
| 106 | (R) CMS-2200-N (40 kb) |
Request for Nominations for the State Pharmaceutical Assistance Transition Commission | 03/01/2004 | n/a | 02/27/2004 | |
| 106 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 107 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 108 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 109 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 110 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 111 | (R) CMS-4068-P (1.3 mb) |
Medicare Drug Benefit Effective CY 2006 (Title I) | 01/01/2006 | n/a | 08/03/2004 | |
| 201 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 201 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 211 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 211 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 221 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 221 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 222 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 222 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 223 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 223 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 231 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 231 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 232 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 232 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 233 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 233 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 234 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 234 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 235 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 235 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 236 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 236 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 237 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 237 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 238 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 238 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 241 | (R) CMS-4069-N (53 kb) |
Public Meeting on Medicare Advantage Program (Title II); July 21, 2004 | n/a | 05/28/2004 | ||
| 241 | (R) CMS-4069-P (2.2 mb) |
Medicare Advantage Program (Title II) | 01/01/2006 | n/a | 08/03/2004 | |
| 302 | (M) R35OTN (192 kb) |
Payment for Durable Medicare Equipment; Competitive Acquisition of Certain Items and Services | 01/01/2004 | 3020 | 12/24/2003 | |
| 302 | (M) R54CP (475 kb) |
Payment for Durable Medicare Equipment; Competitive Acquisition of Certain Items and Services | 01/01/2004 | 3022 | 12/24/2003 | |
| 302 | (M) R55CP (361 kb) |
Payment for Durable Medicare Equipment; Competitive Acquisition of Certain Items and Services | 01/01/2004 | 3025 | 12/24/2003 | |
| 302 | (M) R110CP (241 kb) |
Payment for Durable Medicare Equipment; Competitive Acquisition of Certain Items and Services | 01/01/2004 | 3078 | 02/27/2004 | |
| 302 | (M) R119CP (183 kb) |
Payment for Durable Medicare Equipment; Competitive Acquisition of Certain Items and Services | 01/01/2004 | 3161 | 03/15/2004 | |
| 302 | CMS-3017-IFC | Conditions for Coverage of Power Mobility Devices, including Powered Wheelchairs and Power-Operated Vehicles (Scooters) | 12/08/2003 | n/a | Pending | Pending |
| 302 | (R) CMS-1279-N (47 kb) |
Solicitation of Nominations for the Program Advisory and Oversight Committee; Competitive Bidding | n/a | 06/02/2004 | ||
| 302 | (R) 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 | (M) R54CP (475 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3022 | 12/24/2003 | |
| 303 | (M) R55CP (361 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3025 | 12/24/2003 | |
| 303 | (M) R110CP (241 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3078 | 02/27/2004 | |
| 303 | (M) R119CP (183 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3161 | 03/15/2004 | |
| 303 | (M) R248CP (141 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3232 | 07/23/2004 | |
| 303 | (M) R269CP (65 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3231 | 08/03/2004 | |
| 303 | (M) R110OTN (29 kb) |
Payment for Drugs and Biologicals | 01/01/2004 | 3418 | 08/27/2004 | |
| 303 | (M) | Payment for Drugs and Biologicals | 01/01/2004 | 3332 | Pending | Pending |
| 303 | (M) | Payment for Drugs and Biologicals | 01/03/2005 | 3436 | Pending | Pending |
| 303 | (R) CMS-1372-IFC (4 mb) |
Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004 | 01/01/2004 | n/a | 01/07/2004 | |
| 303 | (R) CMS-1380-IFC (201 mb) |
Manufacturer Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP)*** | 04/30/2004 | n/a | 04/06/2004 | |
| 303 | (R) CMS-1380-F (58 kb) |
Manufacturer's Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP) | 10/01/2004 | n/a | 09/16/2004 | |
| 304 | (M) R54CP (475 kb) R55CP (361 kb) R47OTN (91 kb) R75CP (99 kb) R110CP (241 kb) R119CP (183 kb) |
Extension of application of payment reform for covered outpatient drugs and biologicals to other physician services | 01/01/2004 |
3022 3025 3043 3105 3078 3161 |
12/24/2003 12/24/2003 01/23/2004 01/30/2004 02/27/2004 03/15/2004 |
|
| 305 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 305 | (R) CMS-1372-IFC (4 mb) |
Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004 | 01/01/2004 | n/a | 01/07/2004 | |
| 305 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 305 | (M) R54CP (475 kb) R55CP (361 kb) R75CP (99 kb) R110CP (241 kb) R119CP (183 kb) |
Payment for inhalation drugs | 01/01/2004 | 3022 3025 3105 3078 3161 |
12/24/2003 12/24/2003 01/30/2004 02/27/2004 03/15/2004 |
|
| 401 | (M) R16OTN (106 kb) R64OTN (298 kb) |
Equalizing urban and rural standardized payment amounts under the Medicare Inpatient Hospital Prospective Payment System | 10/01/2003 | 2971 3158 |
10/31/2003 03/26/2004 |
|
| 401 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 401 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 402 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 402 | (M) R64OTN (298 kb) |
Beginning in FY 2004, the formula currently used to calculate the DSH adjustment... | 04/05/2004 | 3158 | 03/26/2004 | |
| 402 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 403 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 403 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 405 | (M) R63CP (303 kb) R68CP (270 kb) R103CP (272 kb) |
Improvements to Critical Access Hospital Program: Revision of Bed Limitation for Hospitals | 01/01/2004 | 3051 3052 3114 |
01/16/2004 01/16/2004 02/20/04 |
|
| 405 | (M) R285CP (62 kb) |
Improvements to Critical Access Hospital Program: Revision of Bed Limitation for Hospitals | 01/01/2004 | 3228 | 08/27/2004 | |
| 405 | (M) R276CP (114 kb) |
Improvements to Critical Access Hospital Program: Revision of Bed Limitation for Hospitals | 01/01/2004 | 3399 | 08/13/2004 | |
| 405 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 405 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 406 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 406 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 408 | (M) R15BP (93 kb) R205CP (174 kb) |
Recognition of Attending Nurse Practitioners as Attending Physicians to Serve Hospice Patients | 10/04/2004 | 3226 | 06/15/2004 | |
| 408 | (R) CMS-3844-P |
Hospice Care Conditions of Participation | 12/08/2003 | n/a | Pending | Pending |
| 410 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 411 | (M) R30OTN (244 kb) |
2-Year Extension of Hold Harmless Provisions for Small Rural Hospitals and Sole Community Hospitals Under the Prospective Payment System for Hospital Outpatient Department Services | 01/01/2004 | 3015 | 12/19/2003 | |
| 412 | (M) R28OTN (252 kb) |
Establishment of Floor on Work Geographic Adjustment | 01/01/2004 | 3009 | 12/12/2003 | |
| 413 | (M) | Medicare Incentive Payment Program Improvements for Physician Scarcity | Pending | 3472 | Pending | Pending |
| 413 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 413 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 414 | (M) R88CP (507 kb) R220CP (302 kb) |
Payment for Rural and Urban Ambulance Services | 07/05/2004 07/06/2004 |
3099 | 02/06/2004 Re-issued 06/25/2004 |
|
| 414 | (R) CMS-1492-IFC (119 kb) |
Medicare Ambulance Fee Schedule Updates Beginning July 1, 2004 | 07/01/2004 | n/a | 07/01/2004 | |
| 416 | (M) R100CP (257 kb) |
Treatment of Certain Diagnostic Laboratory Tests Furnished to Hospital Outpatients in Certain Areas | 07/06/2004 | 3130 | 02/13/2004 | |
| 421 | (M) R59OTN (166 kb) |
Increase payments to home health agencies for services provided in a rural area by 5 percent for one year, beginning April 1, 2004 | 04/01/2004 | 3085 | 02/20/2004 | |
| 421 | (R) CMS-1265-F |
Home Health Prospective Payment System Rate Update Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 421 | (R) CMS-1265-P (246 kb) |
Home Health Prospective Payment System Rate Update Calendar Year 2005 | 04/01/2004 | n/a | 06/02/2004 | |
| 422 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 422 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 422 | (M) R77OTN (81 kb) |
Redistribution of Unused Resident Positions | 06/04/2004 | 3247 | 04/30/2004 | |
| 501 | n/a | Hospital Quality Initiative Use this link to view "Reporting Hospital Data for Annual Update." | ||||
| 501 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 501 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 502 | (M) R61OTN (200 kb) |
Raised the IME adjustment between April 1, 2004 and October 1, 2004 to 5.98%... | 04/01/2004 | 3071 | 03/12/2004 | |
| 502 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 502 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 503 | (R) CMS-1268-N (46 kb) |
Town Hall Meeting on New Technology Applicants--March 15, 2004 | 03/15/2004 | n/a | 02/27/2004 | |
| 503 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 503 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 504 | (M) R64OTN (298 kb) |
The PPS rate for hospitals in Puerto Rico... | 04/05/2004 | 3158 | 03/26/2004 | |
| 504 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 504 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 505 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 505 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 507 | (M) R62OTN (140 kb) |
Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals | 04/02/2004 | 3036 | 03/19/2004 | |
| 508 | (M) R32OTN (728 kb) R64OTN (298 kb) R65OTN (223 kb) |
Time Appeals Process for Hospital Wage Index Classification | 01/01/2004 | 3007 3158 3084 |
12/18/2003 03/26/2004 03/26/2004 |
|
| 508 | (R) CMS-1373-N (53 kb) |
Notice of One-Time Appeal Process for Hospital Wage Index Classification | 01/01/2004 | n/a | 01/06/2004 | |
| 508 | (R) CMS-1373-N2 (53 kb) |
Revisions to the One-Time Appeal Process for Hospital Wage Index Classification | 01/01/2004 | n/a | 02/13/2004 | |
| 511 | (M) R160CP (81 kb) |
Payment for Covered Skilled Nursing Facility Services | 10/04/2004 | 3291 | 04/30/2004 | |
| 511 | (R) CMS-1249-N (1.61 mb) |
Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities�Update for FY 2005 | 07/30/2004 | n/a | 07/30/2004 | |
| 601 | (M) R28OTN (252 kb) R34OTN (250 kb) R38OTN (576 kb) |
Revision of Updates for Physicians' Services | 01/01/2004 | 3009 3028 3040 |
12/12/2003 12/24/2003 01/02/2004 |
|
| 602 | (R) 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 | n/a | 03/26/2004 | |
| 602 | (R) CMS-1372-IFC (4 mb) |
Changes To Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004 | 01/01/2004 | n/a | 01/07/2004 | |
| 602 | (M) R28OTN (252 kb) |
Treatment of Physicians� Services Furnished in Alaska | 01/01/2004 | 3009 | 12/12/2003 | |
| 603 | (M) R4BP (314 kb) |
Inclusion of podiatrists, dentists, and optometrists under private contracting authority | 01/01/2004 | 3016 | 01/02/2004 | |
| 611 | (R) CMS-1427-P |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 01/01/2005 | n/a | 08/16/2004 | |
| 611 | (R) CMS-1427-FC |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 01/01/2005 | n/a | Pending | Pending |
| 611 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 612 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 612 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 613 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 613 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 614 | (R) CMS-1427-P |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 01/01/2005 | n/a | 08/16/2004 | |
| 614 | (R) CMS-1427-FC |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 01/01/2005 | n/a | Pending | Pending |
| 621 | (R) CMS-1371-IFC (233 kb) |
Hospital Outpatient Prospective Payment System Payment Reform for Calendar Year 2004 | 01/01/2004 | n/a | 01/06/2004 | |
| 621 | (R) CMS-1427-P |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 01/01/2005 | n/a | 08/16/2004 | |
| 621 | (R) CMS-1427-FC |
Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 01/01/2005 | n/a | Pending | Pending |
| 621(a) | (M) R112CP (263 kb) R113CP (192 kb) |
Requires use of Medicaid definitions for drugs | 04/01/2004 | 3144 3145 |
02/27/2004 | |
| 621(a) | (M) | Requires use of Medicaid definitions for drugs | 04/01/2004 | 3488 | Pending | Pending |
| 623 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 623 | (R) CMS-5033-N (51 kb) |
Establishment of an ESRD Advisory Group and Solicitation for New Members | 01/01/2006 | n/a | 06/02/2004 | |
| 623 | (R) CMS-5033-N2 |
ESRD Advisory Group: Announcement of Members and First Meeting | 01/01/2006 | n/a | Pending | Pending |
| 623 | (R) CMS-5033-N3 |
ESRD Advisory Group: Announcement of Meeting-January 31, 2005 | 01/01/2006 | n/a | Pending | Pending |
| 623(b) | (M) R7BP (139 kb) R101CP (258 kb) |
The composite rate will be increased by 1.6% for services provided on or after January 1, 2005: ... dialysis facility exceptions... | 03/01/2004 | 3119 | 02/20/2004 | |
| 624 | (M) R42CP (348 kb) R40OTN (521 kb) |
2-year moratorium on therapy caps; provisions relating to reports | Upon enactment | 3005 3045 |
12/08/2003 Provider Ed article released on 01/06/2004 |
|
| 626(a) | (M) R51OTN (174 kb) |
For FY 2004, beginning April 1, reduces the update to CPI minus 3 percentage points | 04/01/2004 | 3082 | 02/05/2004 | |
| 628 | (M) R20OTN (221 kb) R31OTN (168 kb) |
Payment for clinical diagnostic laboratory tests | 01/01/2004 | 2959 3013 |
11/07/2003 12/19/2003 |
|
| 629 | (M) R3GI (319 kb) |
The Part B Medicare deductible remains $100 through 2004... | 01/03/2005 | 3121 | 03/12/2004 | |
| 629 | (R) CMS-8020-N (263 kb) |
Medicare Part B Monthly Actuarial Rates and Premium Rate Beginning January 1, 2005 | 09/30/2004 | n/a | 09/09/2004 | |
| 630 | (M) R241CP (210 kb) |
5-Year Authorization of Reimbursement for All Medicare Part B Services Furnished by Certain Indian Hospitals and Clinics | 01/03/2005 | 3288 | 07/23/2004 | |
| 641 | (R) CMS-5025-N (291 kb) |
Demonstration for Coverage of Certain Prescribed Drugs and Biologicals | 03/08/2004 | n/a | 06/29/2004 | |
| 641 | (R) CMS-5025-CN (51 kb) |
Medicare Replacement Drug Demonstration-Correction | 03/08/2004 | n/a | 08/27/2004 | |
| 642 | (M) R6BP (264 kb) R74CP (253 kb) |
Extension of coverage of intravenous immune globulin | 04/01/2004 | 3059 3060 |
01/23/2004 | |
| 642 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 642 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 651 | (M) | Demonstration of coverage of chiropractic services under Medicare: Establishes a 3-year demonstration project... | 10/01/2004 | 3345 | Pending | Pending |
| 651 | (R) CMS-5037-N |
Demonstration for Coverage of Chiropractic Services under Medicare | n/a | Pending | Pending | |
| 701 | (M) R59OTN (166 kb) |
Home health prospective payment system (PPS) update | 04/01/2004 | 3085 | 02/20/2004 | |
| 701 | (R) CMS-1265-F |
Home Health Prospective Payment System Rate Update Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 701 | (R) CMS-1265-P (246 kb) |
Home Health Prospective Payment System Rate Update Calendar Year 2005 | 04/01/2004 | n/a | 06/02/2004 | |
| 702 | (M) R3DEMO (107 kb) |
Establishes a 2-year demonstration to test an expanded homebound definition... | 10/04/2004 | 3269 | 05/07/2004 | |
| 711 | (M) R61OTN (265 kb) |
Reinstates the freeze on further updates to hospitals with per resident amounts above 140 percent of the national average | 04/01/2004 | 3071 | 03/12/2004 | |
| 711 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 711 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 712 | (M) R61OTN (265 kb) |
Exception to initial residency period for geriatric residency or fellowship programs | 01/01/2004 | 3071 | 03/12/2004 | |
| 712 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 712 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 713 | (M) R61OTN (265 kb) |
Treatment of volunteer supervision | 01/01/2004 | 3071 | 03/12/2004 | |
| 713 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 713 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 721 | (R) CMS-5004-N (95 kb) |
Chronic Care Improvement Program | 12/08/2004 | n/a | 04/23/2004 | |
| 721 | (M) R256CP (29 kb) |
Voluntary Chronic Care Improvement Under Traditional Fee-For-Service | 01/03/2005 | 3410 | 07/30/2004 | |
| 731 | (M) | Improvements in National and Local Coverage Determination Process to Respond to Changes in Technology | 01/03/2005 | 3355 3356 |
Pending | Pending |
| 731 | (R) CMS-3141-N (52 kb) |
Procedure for Producing Guidance Documents Describing Medicare's Coverage Process | 01/01/2004 | n/a | 09/24/2004 | |
| 732 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 732 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 733 | (M) R18NCD (25 kb) |
Payment for Pancreatic Islet Cell Investigational Transplants for Medicare Beneficiaries in Clinical Trials | 10/04/2004 | 3385 | 07/30/2004 | |
| 811 | (R) CMS-8020-N (263 kb) |
Medicare Part B Monthly Actuarial Rates and Premium Rate Beginning January 1, 2005 | 09/30/2004 | n/a | 09/09/2004 | |
| 902 | (R) CMS-9026-N |
Schedule for Publishing Medicare Final Regulations after a Proposed or Interim Final Regulation | 12/08/2003 | n/a | Pending | Pending |
| 911 | (M) R97OTN (66 kb) |
Consolidation and flexibility in contracting | 01/03/2005 | 3362 | 07/23/2004 | |
| 921 | (M) R113OTN (389 kb) |
Implementation of §921 of the MMA—Provider Customer Service Program | 01/03/2005 | 3376 | 09/10/2004 | |
| 921 | (M) | Provider Education and Technical Assistance... | 01/03/2005 | 3355 3356 |
Pending | Pending |
| 926 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 926 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 932 | CMS-4064-IFC | Revisions to the Appeals Process for Initial Claim Determinations | 12/08/2003 | n/a | Pending | Pending |
| 933 | CMS-4064-IFC | Revisions to the Appeals Process for Initial Claim Determinations | 12/08/2003 | n/a | Pending | Pending |
| 933(c) | (M) | Revisions to Medicare Appeals Process... | 01/03/2005 | 3355 3356 |
Pending | Pending |
| 935 | (M) R54FM (72 kb) |
Recovery of Overpayments | 10/25/2004 | 3441 | 09/24/2004 | |
| 937 | (R) CMS-4004-FC |
Expedited Determination Procedures for Provider Service Terminations (BIPA 521) | 11/15/2005 | n/a | Pending | Pending |
| 938 | (M) | Prior Determination Process for Certain Items and Services; Advance Beneficiary Notices... | 01/03/2005 | 3355 3356 |
Pending | Pending |
| 939 | CMS-4064-IFC | Revisions to the Appeals Process for Initial Claim Determinations | 12/08/2003 | n/a | Pending | Pending |
| 940 | (M) R96OTN (57 kb) |
Revisions to Appeals Timeframes and Amounts | 10/01/2004 | 3354 | 07/23/2004 | |
| 940 | (R) CMS-4064-IFC |
Revisions to the Appeals Process for Initial Claim Determinations | 12/08/2003 | n/a | Pending | Pending |
| 942 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 942 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 942 | (M) |
Improvement in oversight of technology and coverage | Upon enactment | Pending | ||
| 943 | (M) R11MSP (303 kb) Pending |
Treatment of Hospitals for Certain Services Under Medicare Secondary Payer (MSP) Provisions | Effective 12/08/2003. Implement 30 days after date of issuance. | 3064 3267 |
03/29/2004 Pending |
n/a |
| 945 | (R) CMS-1269-N (58 kb) |
Establishment of an EMTALA Technical Advisory Group and Solicitation for New Members | 01/01/2004 | n/a | 05/28/2004 | |
| 945 | (R) CMS-1269-N2 (53 kb) |
EMTALA Technical Advisory Group Meeting and Announcement of Members--October 2004 | 01/01/2004 | n/a | 08/27/2004 | |
| 945 | (R) CMS-1269-N3 |
EMTALA Technical Advisory Group Meeting and Announcement of Members--October 2004 | 01/01/2004 | n/a | Pending | Pending |
| 946 | (R) CMS-3844-P |
Hospice Care Conditions of Participation*** | 12/08/2003 | n/a | Pending | Pending |
| 951 | (R) CMS-1428-F (4.53 mb) |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 08/11/2004 | |
| 951 | (R) CMS-1428-P |
Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates | 08/01/2004 | n/a | 05/18/2004 | |
| 952 | (M) R111CP (225 kb) |
Allows physicians to reassign payment for Medicare covered services to entities... | 03/12/2004 | 3083 | 02/27/2004 | |
| 952 | (M) | Allows physicians to reassign payment for Medicare covered services to entities... | 03/12/2004 | 3267 | Pending | Pending |
| 952 | (R) CMS-1429-P (56 kb) |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/01/2004 | n/a | 08/05/2004 | |
| 952 | (R) CMS-1429-FC |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 01/01/2005 | n/a | Pending | Pending |
| 1001 | (R) CMS-2062-N (16.4 mb) |
Disproportionate Share Hospital (DSH) Payments--Institutions for Mental Disease (IMDs) | 12/08/2003 | n/a | 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 | n/a | 09/14/2004 |