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Notice

Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July 2004 Through September 2004

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Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

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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 July 2004 through September 2004, 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. Finally, this notice also includes listings of all approval numbers from the Office of Management and Budget for collections of information in CMS regulations.

Section 1871(c) of the Social Security Act requires that we publish a list of Start Printed Page 78429Medicare 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.

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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 Eileen Davidson, 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) 786-6874.

Questions concerning approval numbers for collections of information in Addendum VII may be addressed to Dawn Willinghan, Office of Strategic Operations and Regulatory Affairs, Regulations Development and Issuances Group, Centers for Medicare & Medicaid Services, C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-6141.

Questions concerning all other information may be addressed to Margaret Teeters, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Centers for Medicare & Medicaid Services, C5-13-18, 7500 Security Boulevard, Baltimore, MD 21244-1850, or you can call (410) 786-4678.

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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 six 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; and title 20 of the CFR.

III. How to Obtain Listed Material

A. Manuals

Those wishing to subscribe to program manuals should contact either the Government Printing Office (GPO) Start Printed Page 78430or 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, 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 National Coverage Determinations publication titled “Islet Cell Transplantation,” use CMS-Pub. 100-03, Transmittal No. 18.

(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)

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Dated: December 13, 2004.

Jacquelyn Y. White,

Director, Office of Strategic Operations and Regulatory Affairs.

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Addendum I

This addendum lists the publication dates of the most recent quarterly listings of program issuances.

June 28, 2002 (67 FR 43762)

September 27, 2002 (67 FR 61130)

December 27, 2002 (67 FR 79109)

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)

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. Start Printed Page 78431

Addendum III.—Medicare and Medicaid Manual Instructions July Through September 2004

Transmittal No.Manual/Subject/Publication Number
Medicare General Information (CMS-Pub. 100-01)
08Standard Terminology for Claims Processing Systems Standard Terminology Chart.
09Transmittal rescinded and replaced with Transmittal 10.
10Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year 2005. Basis for Determining the Part A Coinsurance Amounts. Part B Annual Deductible.
Medicare Benefit Policy (CMS-Pub. 100-02)
18This revision rescinded Transmittal 12.
19Hospital Services Covered Under Part B Outpatient Observation Services.
20This revision rescinded Transmittal 17.
21Medicare Comprehensive Outpatient Rehabilitation Facility Coverage.
Comprehensive Outpatient Rehabilitation Facility Services Provided by Medicare.
Required Services.
Optional Comprehensive Outpatient Rehabilitation Facility Services.
Rules for Provision of Services.
Physician's Services.
Physical Therapy Services.
Occupational Therapy Services.
Speech-Language Pathology Services.
Respiratory Therapy Services.
Prosthetic and Orthotic Devices and Supplies.
Social Services.
Psychological Services.
Nursing Services.
Drugs and Biologicals.
Home Environment Evaluation.
Outpatient Mental Health Treatment Limitation.
22This revision rescinded transmittal 15.
Medicare National Coverage Determinations (CMS-Pub. 100-03)
17Manualization of the Negotiated Clinical Diagnostic Laboratory National Coverage Determinations.
Urine Culture, Bacterial.
Human Immunodeficiency Virus Testing (Prognosis Including Monitoring).
Human Immunodeficiency Virus Testing (Diagnosis).
Blood Counts.
Partial Thromboplastin Time.
Prothrombin Time.
Serum Iron Studies.
Collagen Crosslinks, Any Method.
Blood Glucose Testing.
Glycated Hemoglobin/Glycated Protein.
Thyroid Testing.
Lipid Testing.
Digoxin Therapeutic Drug Assay.
Alpha-fetoprotein.
Carcinoembryonic Antigen.
Human Chorionic Gonadotropin.
Tumor Antigen by Immunoassay.
Prostate Specific Antigen.
Gamma Glutamyl Transferase.
Hepatitis Panel/Acute Hepatitis Panel.
Fecal Occult Blood Test.
18Islet Cell Transplantation.
Pancreas Transplants (Effective July 1, 1999).
Islet Cell Transplantation in the Context of a Clinical Trial (Effective October 1, 2004).
19Blood-Derived Products for Chronic Non-Healing Wounds.
20Issued to a specific audience, not posted to Internet/Intranet due to sensitivity of Instruction.
21Magnetic Resonance Spectroscopy for Diagnosing Brain Tumors.
Magnetic Resonance Imaging.
Magnetic Resonance Spectroscopy.
Magnetic Resonance Angiography.
Medicare Claims Processing (CMS-Pub. 100-04).
222Skilled Nursing Facility Consolidated Billing Requirements for Durable Medical Equipment Prosthetic, Orthotics & Supplies.
Skilled Nursing Facility Consolidated Billing and Durable Medical Equipment Provided by Durable Medical Equipment Prosthetic, Orthotics & Supplies Suppliers.
General Information.
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223Positron Emissions Tomography Scans and Related Claims Processing.
Positron Emission Tomography Scans—General Information.
Billing Instructions.
Use of Gamma Cameras and Full Ring and Partial Ring Positron Emissions Scanners.
Positron Emission Tomography Scan Qualifying Conditions and Health.
Common Procedure Coding System Code Chart.
Positron Emissions Tomography Scans for Imaging of the Perfusion of the Heart Using Rubidium 82.
Expanded Coverage of Positron Emission Tomography Scans for Solitary Pulmonary Nodules.
Expanded Coverage of Positron Emissions Tomography Scans Effective for Services on or after July 1, 1999.
Expanded Coverage of Positron Emissions Tomography Scans Effective for Services on or after July 1, 2001.
Expanded Coverage of Positron Emissions Tomography Scans for Breast Cancer Effective for Dates on or after October 1, 2002.
Coverage of Positron Emissions Tomography Scans for Myocardial Viability.
Coverage of Positron Emissions Tomography Scans for Thyroid Cancer.
Coverage of Positron Emissions Tomography Scans for Perfusion of the Heart Using Ammonia N-13.
224October Quarterly Update to 2004 Annual Update of Health Common Procedure Coding System Codes Used For Skilled Nursing Facility.
Consolidated Billing Enforcement.
225Changes to the Laboratory National Coverage Determination Edit Software for October 2004.
226Quarterly Update of Health Common Procedure Coding System Codes Used for Home Health Consolidated Billing Enforcement.
Home Health Prospective Payment System Consolidated Billing and Primary Home Health Agency.
227Local Medical Review Policy/Local Coverage Determination Medicare.
Summary Notice Message Revision.
Medical Necessity.
Necesidad Médica.
228General Policy.
Patient and Insured Information.
229Additional Clarification of Bill Type 22x and 23x Submitted by Skilled Nursing Facilities With Instructions for Involuntarily Moving A Beneficiary Out of the Skilled Nursing Facility and Ending a Benefit Period.
Skilled Nursing Facility Prospective Payment System and Consolidated Billing Overview.
Consolidated Billing Requirements for Skilled Nursing Facility.
Other Excluded Services Beyond the Scope of a Skilled Nursing Facility Part A Benefit.
Outpatient Surgery and Related Procedures “ Inclusions.
Emergency Services.
Dialysis and Dialysis Related Services to a Beneficiary With End Stage Renal Disease.
End Stage Renal Disease Services.
Coding Applicable to Epoetin Services.
Coding for Darbepoetin Alfa.
Ambulance Services.
Screening and Preventive Services.
Therapy Services.
Situations that Require a Discharge or Leave of Absence.
Billing Procedures for Periodic Interim Payment Method of Payment Ending A Benefit Period.
Other Billing Situations.
Billing for Outpatient Skilled Nursing Facility Services
230Update to the Claims Status Codes.
Health Care Claims Status Category Codes and Health Care Claims Status Codes for Use with Health Care Claims Status Request and Response.
231Indian Health Service or Tribal Critical Access Hospital Payment Methodology for Inpatient and Outpatient Services.
Payment for Inpatient Services Furnished by an Indian Health Service or Tribal Critical Access Hospital.
Payment for Outpatient Services Furnished by an Indian Health Service or Tribal Critical Access Hopsital.
232Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
233Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
234Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations Edit Software.
235Instructions for Downloading the Medicare Zip Code File.
2362005 Durable Medical Equipment Prosthetic, Orthotics & Supplies Pricing.
File Record Layout Expansion and New Pricing Procedures for Certain Durable Medical Equipment Prosthetic, Orthotics & Supplies Items Based on Modifiers.
Payment of Durable Medical Equipment Prosthetic, Orhtotics & Supplies Items based on Modifiers.
Intermediary Format for Durable Medical Equipment, Prosthetic, Orthotic and Supply Fee Schedule.
237Implementation of Patient Status Code 65, Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital.
238Health Insurance Portability and Accountability Act Institutional Health Care Claim Implementation Guide Additional Updates.
239Transmittal 239 is Rescinded and replaced with Transmittal 270.
240Expansion of the Existing Interrupted Stay Policy Under Long Term Care.
Hospital Prospective Payment System.
241Processing Part B Claims for Indian Health Services.
General.
Services That May Be Paid to Indian Health Service/Tribe/Tribal Organization Facilities.
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Services Paid Under the Physician Fee Schedule.
Other Part B Services.
Durable Medical Equipment.
Prosthetics and Orthotics.
Prosthetics Devices.
Surgical Dressings and Splints and Casts.
Therapeutic Shoes.
Drugs.
Clinical Laboratory Services.
Ambulance Services.
Claims Processing.
Claims Processing Requirements for Benefits, Improvements & Protection Act of 2000 Services.
Claims Processing Requirements for Medicare Modernization Act Enrollment and Billing for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.
Claims Processing for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.
Enrollment for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.
Claims Submission for Durable Medical Equipment, Prosthetic, Orthotics & Supplies.
Enrollment and Billing for Clinical Laboratory and Ambulance Services Claims Submission and Processing for Clinical Laboratory and Ambulance Service.
Enrollment for Clinical Laboratory and Ambulance Services and Part B drugs.
242Quarterly Update to Correct Coding Initiative edits, Version 10.3, Effective October 1, 2004.
243Patient Status Code and Reason for Patient Visit for the Hospital Outpatient Prospective Payment System.
Patient Status Code and Reason for Patient Visit for the Hospital.
244Transmittal 244 is Rescinded and Replaced with Transmittal 269.
245Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
246Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
247Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
248Durable Medical Equipment Regional Carrier/Local Carriers/Statistical Analysis Durable Medical Equipment Regional Carrier—Drug Pricing Limits as of January 1, 2005.
Payment Rules for Drugs and Biologicals.
Medicare Modernization Act Drug Pricing-Average Sales Price.
Single Drug Pricer.
Calculation of the Payment Allowance Limit for Durable Medical Equipment.
Regional Carrier Drugs.
Calculation of the Average Wholesale Price.
Detailed Procedures for Determining Average Wholesale Price and the Drug.
Payment Allowance Limits.
Background.
Review of Sources for Medicare Covered Drugs and Biologicals.
Use of Generics.
Find the Strength and Dosage.
Restrictions.
Inherent Reasonableness for Drugs and Biologicals.
Injection Services.
Injections Furnished to End Stage Renal Disease Beneficiaries.
249New Medicare Summary Notice Message 31.18.
Adjustments.
Ajustes.
250Coordination of Benefits Agreement Claims Selection Options.
Consolidated Claims Crossover Process.
Consolidation of the Claims Crossover Process.
251Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services.
Inpatient Part B Hospital Services.
Editing of Hospital Part B Inpatient Services. Billing for Inpatient Skilled Nursing Facility Services Paid Under Part B.
Editing of Skilled Nursing Facilities Part B Inpatient Services.
252Paper Remittance Advice format change to accommodate the forced balancing Amount to balance at the claim level as well as the provider level, a flat file change, and a change in the companion document for fiscal intermediaries.
253Fiscal Intermediary Shared System Changes to Allow for Provider Liability Days on Skilled Nursing Facility and Swing Bed Facility Inpatient Bills.
Billing Skilled Nursing Facility Prospective Payment System Services.
254October 2004 Outpatient Prospective Payment System Code Editor Specifications Version 5.3.
255October Update to the Medicare Outpatient Code Editor Version 20.0 for Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System.
256Use of Group Health Plan Payment System/Medicare Managed Care System To Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries Under Section 721 of the Medicare Modernization Act.
257Shared Systems Changes for Medicare Part B Drugs for End Stage Renal Disease Independent Dialysis Facilities.
258New Waived Tests—October 1, 2004.
259Scheduled Release for October Updates to Software Programs and Pricing/Coding Files.
260Cryosurgery of the Prostate.
Cryosurgery of the Prostate Gland.
Coverage Requirements.
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Billing Requirements.
Payment Requirements.
261Billing and Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health Clinical Trial.
Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health Clinical Trial.
Healthcare Common Procedural Coding System Codes for Carriers.
Applicable Modifier for Islet Cell Transplant Claims for Carriers.
Special Billing and Payment Requirements for Carriers.
Special Billing and Payment Requirements for Intermediaries.
Special Billing and Payment Requirements Medicare Advantage Beneficiaries.
262Confidential.
263Inpatient Rehabilitation Facility Annual Update: Prospective Payment System.
Pricer Changes for Fiscal Year 2005.
Outlier Payments: Cost-to-Charge Ratios.
264This Transmittal is Rescinded and Replaced with Transmittal 271.
265Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
266Revision of Common Working File Editing for Same-Day, Same-Provider Acute Care Readmissions.
Repeat Admissions.
267Crossover Patients in New Long Term Care Hospital.
Billing Procedures for a Provider Assigned Multiple Provider Numbers or a Change in Provider Number.
Crossover Patients in New Long Term Care Hospital.
268Medicare Part A Skilled Nursing Facility Prospective Payment.
System Pricer Update Fiscal Year 2005.
Skilled Nursing Facility Prospective Payment System Pricer Software.
269This Transmittal Replaces Transmittal 244.
270This Transmittal Replaces Transmittal 239.
271This Transmittal Replaces Transmittal 264.
272October Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule.
273Modification of CMS’ Medicare Contingency Plan for Health Insurance Portability & Accountability Act Implementation.
Receipt Date.
Payment Ceiling Standards.
Payment Floor Standards.
Determining and Paying Interest.
274Good Cause Waiver of Late Claim Filing Payment Reduction Penalty.
Extend Time for Good Cause.
Conditions Which Establish Good Cause.
Procedure to Establish Good Cause.
Good Cause Is Not Found.
Preparing Common Working File Claim Records for Services Subject to 10 Percent Payment Reduction.
275The Supplemental Security Income/Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Prospective Payment System Hospitals.
276Further Information Related to CR 3175, Distinct Part Units of Critical Access Hospitals.
Requirements for Critical Access Hospital Services, Critical Access Hospital Skilled Nursing Care Services and Distinct Part Units.
Inpatient Rehabilitation Facility Prospective Payment System.
Billing Requirements Under Inpatient Rehabilitation Facility Prospective Payment System.
277Sensitive.
278This Transmittal is no longer sensitive and can be posted to Internet/Intranet.
279Issued to a specific audience, not posted to Internet/Intranet due to sensitivity of instruction.
280Issued to a specific audience, not posted to Internet/Intranet due to sensitivity of instruction.
281Issued to a specific audience, not posted to Internet/Intranet due to confidentiality of instruction.
282This Transmittal replaces Transmittal 274.
2832005 Healthcare Common Procedure Coding System Annual Update Reminder.
Health Care Common Procedure Coding System Annual Update Reminder.
284Durable Medical Equipment Regional Carriers Only—Appeals of Duplicate Claims.
285Addition of Physician Assistants, Nurse Practitioners and Clinical Nurse.
Specialists as Emergency On-Call Providers for Critical Access Hospitals.
Costs of Emergency Room On-Call Providers.
286Medicare Physician Fee Schedule Database 2005 File Layout.
Addendum.
287Schedule for Completing the Calendar Year 2005 Fee Schedule Updates and the Participating Physician Enrollment Procedures.
288Fiscal Year 2005 Payment for Services Furnished in Ambulatory Surgical Centers.
289File Descriptions and Instructions for Retrieving the 2005 Pricing Files Through CMS” Mainframe Telecommunications System.
Recurring Update Notification Containing New Pricing File Names and Retrieval Dates for 2005.
290October 2004 Update of the Hospital Outpatient Prospective Payment System.
291Use of Transmission Date in the Service Date/Assessment Date Field for Inpatient Rehabilitation Facility Prospective Payment System Claims.
Payment Adjustment for Late Transmission of Patient Assessment Data.
292Confidential.
293Confidential.
294Sensitive/Controversial.
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295Transmittal 214 is Rescinded and Replaced with Transmittal 295.
296This Transmittal replaces Transmittal 196.
297Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses.
298This Transmittal replaces Transmittal 295.
299Use of Condition Code 44, “Inpatient Admission Changed to Outpatient”.
300Payment For Outpatient End Stage Renal Disease-Related Services.
301Transmittal 301 Replaces Transmittal 251.
302Nursing Facility Visits (Codes 99301-99313).
303Instructions for Completion of Form CMS-1450.
304Transmittal 304 Replaces Transmittal 205.
Medicare Secondary Payer (CMS-Pub. 100-05)
17Clarification of CR 3064.
General Policy.
18Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members With Coverage Under the Federal Employees Health Benefits Program.
Individuals Not Subject to the Limitation on Payment.
Individuals Not Subject to Medicare Secondary Payer Provision.
19Clarification of Medicare Secondary Payer Rules in Relation to a Temporary Leave of Absence.
Rules Defining Employees Covered by Group Health Plans and Large Group Health Plans.
Medicare Financial Management (CMS-Pub. 100-06)
49Procedures For Re-Issuance and Stale Dating of Medicare Checks
50Unsolicited/Voluntary Refunds
General Information.
Office of Inspector General Initiatives.
Unsolicited/Voluntary Refund Accounts.
Receiving and Processing Unsolicited/Voluntary Refund Checks When Identifying Information Is Provided.
51This transmittal is rescinded and replaced with Transmittal 52.
52Notice of New Interest Rate for Medicare Overpayments and Underpayments.
53Change Request 3367, Debt Collection System, replaces Change Request 2952, Debt Collection System
54Notification to Providers of Intent to Complete a Post-Payment Audit.
Contractor's Responsibility Prior to Submission of Cost Reports.
Medicare State Operations Manual (Pub. 100-07)
02Provider Identification Number.
Medicare Program Integrity (CMS-Pub. 100-08)
79Local Medical Review Policy/Local Coverage Determination Medicare Summary.
Notice Message Revision.
Prepayment Edits.
80Program Integrity Management Fraud and Abuse Complaint Screening Revisions. Complaint Screening.
81Implementation of the Quarterly Strategy Analysis.
The Quarterly Strategy Analysis.
The Quarterly Strategy Analysis Format.
Executive Summary.
Problem Specific Activities.
Problem Specific Activity Definitions.
Narrative.
82Home Health Demand Bills.
Home Health.
Effectuating Favorable Final Appellate.
Decisions That a Beneficiary Is “Confined to Home” .
Medical Review of Home Health Demand Bills.
83Program Integrity Management Revisions for Chapter 4.
Program Safeguard Contractor and Medicare Contractor Benefit Integrity Unit.
Benefit Integrity Security Requirements.
Medical Review for Benefit Integrity Purposes.
Requests for Information from Outside Organizations.
Conducting Investigations.
Disposition of Cases.
Types of Fraud Alerts.
Background.
Investigation, Case, and Suspension Entries.
Initial Entry Requirements for Investigations.
Referral of Cases to the Office of the Inspector General/Office of Investigations.
Start Printed Page 78436
Suspension.
Referral to Quality Improvement Organizations
Exceptions.
Medicare Contractor Beneficiary and Provider Communications (CMS-Pub. 100-09)
07Confidential.
Medicare Managed Care (CMS-Pub. 100-16)
56Administrative Contracting Requirements.
57Coverage of Clinical Trials.
Hospital Inpatient Data.
Diagnostic Coding and Guidelines for Data Collection From Provider Network.
58Terminology.
59State and County Code Corrections.
Completion of Enrollment Form.
Passive Elections.
Eligibility Requirements for Medicare Medical Savings Account Plans.
Annual Elective Period.
Open Enrollment Period.
Open Enrollment Period Through 2005.
Open Enrollment Period in 2006.
Open Enrollment Period in 2007 and Beyond.
Open Enrollment for Newly Eligible Individuals in 2006 and Beyond.
Open Enrollment Period for Institutionalized Individuals in 2006 and Beyond.
Special Enrollment Period for Beneficiaries Age 65.
60Streamlined Marketing Review Process.
File and Use.
Guidelines for Advertising and Pre-Enrollment Materials.
Guidelines for Advertising Materials.
Guidelines for Pre-Enrollment Materials.
61Emergency and Urgently Needed Services.
62Revisions to Chapter 13—Medicare+Choice Beneficiary Grievances, Organization Determinations and Appeals.
Demonstrations (CMS-Pub. 100-19)
05Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstration/Program Sites Serving Medicare Fee For Service Beneficiaries—Updated List of Plan Numbers.
06Revision of CR 3269 for the Demonstration Project to Clarify the Definition of Homebound (Homebound Demonstration).
One Time Notification (CMS-Pub. 100-20)
92Additional Instructions Related to the “Redistribution of Unused Resident Positions,” Section 422 of the Medicare Modernization Act of 2003 P.L. 108-173, for Purposes of Graduate Medical Education Payments.
93Temporary Skilled Nursing Facility Extension.
94Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act.
Transaction Release Testing.
95Modifications to Post-payment Adjustment Process for Home Health Prospective Payment System Claims Failing to Report Prior Inpatient Discharges.
96Annual Changes to the Amount in Controversy Thresholds For the Administrative Law Judge and Judicial Review.
Levels of the Claim Appeals Process as Required by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
97Implementation of the Business Segment Identifier in the Healthcare Integrated General Ledger Accounting System.
98Change to Previous Transmittal Regarding the Discounted Use of Revenue Code 0910.
99This One-Time Notification is a full replacement for Transmittal 86.
100This Transmittal is Rescinded and Replaced with Transmittal 103.
101Change of the Premera Blue Cross Medicare Part A Plan Under Contract to BCBSA to a Part A Fiscal Intermediary Contract with Noridian Mutual Insurance Company in the States of Washington and Alaska.
102Update to the Healthcare Provider Taxonomy Codes/Medicare Specialty Code Crosswalk.
103This Transmittal replaces Transmittal 100.
104Confidential.
105Confidential.
106Medicare Modernization Act Drug Pricing Update-Payment Limits for J9045 (Carboplatin Injection) and (Rituximab Cancer Treatment).
107Common Working File Analysis to Process Claims Per the Renovated Override Code Processing (re: CR3190) and Common Working File Analysis to Review System Edits for Additional 2-byte Modifiers Added in CR3190 (Phase 2).
108New Remark Code Message for Use With Claims for Parental Pumps-Durable Medical Equipment Regional Carrier Only.
109Billing Instructions for ADVATE rAHF-PFM on Medicare Claims.
110Medicare Modernization Act Drug Pricing Update-Payment Limits for J100 (Depo-estradiol cypionate inj).
111Creation of Common Working File Auxilliary File and Associated Logic to Property.
Start Printed Page 78437
Calculate Medicare-Equivalent Deductibles for Department of Veteran Affairs Claims.
112This Transmittal replaces Transmittal 109.
113Implementation of § 921 of the Medicare Modernization Act Provider Customer Program.
114Sensitive.
115Instructions for Fiscal Intermediary Standard System and Multi-Carrier System Healthcare Integrated General Ledger Accounting System Changes.
116Notification of Medlearn Matters Article for Confidential Change Request (CR) 3301.

Addendum IV.—Regulation Documents Published in the Federal Register

[July 2004 Through September 2004]

Publication dateFR Vol. 69 page No.CFR parts affectedFile codeTitle of regulation
July 1, 20044028842 CFR Part 414CMS-1492-IFCMedicare Program; Medicare Ambulance MMA Temporary Rate Increases Beginning July 1, 2004.
July 23, 200444036CMS-1334-NMedicare Program; Public Meeting in Calendar Year 2004 for Coding and Payment Determinations for Power Wheelchairs.
July 23, 200444035CMS-1364-NMedicare Program; August 30, 2004, Meeting of the Practicing Physicians Advisory Council and Request for Nominations.
July 23, 200444034CMS-4074-NMedicare Program; Meeting of the Advisory Panel on Medicare Education—September 9, 2004.
July 23, 200444031CMS-3142-NCMedicare Program; Evaluation Criteria and Standards for Quality Improvement Program Contracts.
July 23, 200444029CMS-3112-NC2Medicare Program; Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Surgical Centers.
July 23, 200444027CMS-2202-PNMedicare and Medicaid Programs; Application by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., for Continued Deeming Authority for Ambulatory Surgical Centers.
July 23, 200444013CMS-2187-NState 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.
July 23, 20044395642 CFR Part 402CMS-6146-PMedicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures.
July 23, 20044392645 CFR Part 146CMS-2033-FRequirements for the Group Health Insurance Market; Non-Federal Governmental Plans Exempt From HIPAA Title I Requirements.
July 23, 20044392445 CFR Part 146CMS-2152-F2Amendment to the Interim Final Regulation for Mental Health Parity.
July 30, 200445822CMS-4068-NMedicare Program; Open Public Meeting Regarding the Development of the Model Guidelines for Categories and Classes of Drugs.
July 30, 200445775CMS-1249-NMedicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update.
July 30, 200445721CMS-1360-NMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005.
July 30, 20044564042 CFR Part 484CMS-1265-CNMedicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005; Correction Notice.
July 30, 20044560442 CFR Parts 405 and 411CMS-6014-FMedicare Program; Interest Calculation.
August 3, 20044686642 CFR Parts 417 and 422CMS-4069-PMedicare Program; Establishment of the Medicare Advantage Program.
August 3, 20044663242 CFR Parts 403, 411, 417, and 423CMS-4068-PMedicare Program; Medicare Prescription Drug Benefit.
August 5, 20044748842 CFR Parts 405, 410, 411, 414, 418, 424, 484, and 486CMS-1429-PMedicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005.
August 5, 200447446CMS-1275-NMedicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups—September 1, 2, and 3, 2004.
Start Printed Page 78438
August 11, 20044891642 CFR Parts 403, 412, 413, 418, 460, 480, 482, 483, 485, and 489CMS-1428-FMedicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates.
August 16, 20045044842 CFR Parts 410, 411, 419CMS-1427-PMedicare Program; Proposed Changes to the Hospital Outpatient and Prospective Payment System and Calendar Year 2005 Payment Rates.
August 27, 200452723CMS-1279-N2Medicare 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).
August 27, 200452722CMS-3136-NMedicare Program; Meeting of the Medicare Coverage Advisory Committee—September 28, 2004.
August 27, 200452721CMS-5025-CNMedicare Program; Medicare Replacement Drug Demonstration; Correction.
August 27, 200452710CMS-1264-NMedicare Program; Hospice Wage Index for Fiscal Year 2005.
August 27, 200452706CMS-4067-PNMedicare and Medicaid Programs; Application by the Utilization Review Accreditation Commission (URAC) for Deeming Authority for Medicare Advantage.
August 27, 200452700CMS-2201-NState Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2005.
August 27, 200452699CMS-1269-N2Medicare Program; Second Request for Nominations for Two Specific Categories of Members of the Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG).
August 27, 20045262042 CFR Parts 431 and 457CMS-6026-PMedicaid Program and State Children's Health Insurance Program (SCHIP): Payment Error Rate Measurement.
August 27, 20045262042 CFR Part 402CMS-6146-CNMedicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures.
September 9, 200454674CMS-8020-NMedicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible Beginning January 1, 2005.
September 9, 200454673CMS-8022-NMedicare Program; Part A Premium for 2005 for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement, Thursday, September 9, 2004.
September 9, 200454671CMS-8021-NMedicare Program; Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 2005, Thursday, September 9, 2004.
September 14, 200455440CMS-6027-NMedicare 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).
September 16, 20045576342 CFR Part 414CMS-1380-FMedicare Program; Manufacturer Submission of Manufacturer's Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals.
September 24, 200457325CMS-3141-NProcedure for Producing Guidance Documents Describing Medicare's Coverage Process.
September 24, 200457325CMS-3137-NMedicare Program; Meeting of the Medicare Coverage Advisory Committee—November 4, 2004.
September 24, 200457324CMS-2200-N4Medicare Program; Meeting of the State Pharmaceutical Assistance Transition Commission—October 14, 2004.
September 24, 200457312CMS-9023-NMedicare and Medicaid Programs; Quarterly Listing of Program Issuances—April 2004 Through June 2004.
September 24, 200457310CMS-4077-PNMedicare and Medicaid Programs; Application by the National Committee for Quality Assurance Preferred Provider Organization for Deeming Authority for Medicare Advantage.
September 24, 200457308CMS-2208-PNMedicare and Medicaid Programs; Application by the American Osteopathic Association for Continued Approval of Deeming Authority for Hospitals.
September 24, 200457307CMS-2256-PNMedicare and Medicaid Programs; Application by the Community Health Accreditation Program (CHAP) for Home Health Agencies.
Start Printed Page 78439
September 24, 200457305CMS-2204-PNMedicare and Medicaid Programs; Application by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for Home Health Agencies.
September 24, 200457304CMS-3154-NMedicare Program; Request for Nominations for Members for the Medicare Coverage Advisory Committee.
September 24, 20045724442 CFR Parts 431 and 457CMS-6026-CNMedicaid Program and State Children's Health Insurance Program (SCHIP); Payment Error Rate Measurement; Correction.
September 24, 20045722642 CFR Part 411CMS-1810-IFC2Medicare Program; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships (Phase II); Correcting Amendment.
September 24, 20045722442 CFR Part 406CMS-4018-FMedicare Program; Continuation of Medicare Entitlement When Disability Benefit Entitlement Ends Because of Substantial Gainful Activity.
September 24, 20045785942 CFR Part 493Laboratory Requirements; OFR Correction.
September 30, 20045859642 CFR Parts 431 and 457CMS-6026-CNMedicaid Program and State Children's Health Insurance Program (SCHIP); Payment Error Rate Measurement; OFR Correction.

Addendum V—National Coverage Determinations [July 2004 Through September 2004]

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 website at http://cms.hhs.gov/​coverage.

National Coverage Determinations

[July 2004 Through September 2004]

TitleNCDM sectionTN#Issue dateEffective date
Manualization of Negotiated Clinical Diagnostic Laboratory NCDsN/AR17NCD07/02/200407/02/2004
Changes to the Laboratory NCD Edit Software for October 2004N/AR225CP04/09/200410/04/2004
Blood-Derived Products for Chronic Non-Healing Wounds270.3R19NCD07/30/200407/23/2004
Islet Cell Transplantation260.3.1R18NCD07/30/200410/04/2004
MRS for Diagnosing Brain Tumors220.2.1R21NCD09/10/200409/10/2004

Addendum VI—FDA-Approved Category B IDEs

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 2nd quarter, July 2004 Through September 2004.

IDE Category

G030093

G030237

G040049

G040052

G040057

G040091

G040092

G040094

G040096

G040098

G040099

G040100

G040102

G040103

G040104

G040105

G040109

G040111

G040112

G040113

G040119

G040122

G040124

G040126

G040128

G040129

G040130

G040134

G040137

G040142

G040143

G040144

G040145

G040146

G040147

G040148

G040149

G040150 Start Printed Page 78440

G040153

G040154

G040160

G980099

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 numbersApproved 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”)
0938-0008414.40, 424.32, 424.44
0938-0022413.20, 413.24, 413.106
0938-0023424.103
0938-0025406.28, 407.27
0938-0027486.100-486.110
0938-0033405.807
0938-0035407.40
0938-0037413.20, 413.24
0938-0041408.6, 408.22
0938-0042410.40, 424.124
0938-0045405.711
0938-0046405.2133
0938-0050413.20, 413.24
0938-0062431.151, 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, 498.3-498.5
0938-0065485.701-485.729
0938-0074491.1-491.11
0938-0080406.7, 406.13
0938-0086420.200-420.206, 455.100-455.106
0938-0101430.30
0938-0102413.20, 413.24
0938-0107413.20, 413.24
0938-0146431.800-431.865
0938-0147431.800-431.865
0938-0151493.1405, 493.1411, 493.1417, 493.1423, 493.1443, 493.1449, 493.1455, 493.1461, 493.1469, 493.1483, 493.1489
0938-0155405.2470
0938-0170493.1269-493.1285
0938-0193430.10-430.20, 440.167
0938-0202413.17, 413.20
0938-0214411.25, 489.2, 489.20
0938-0236413.20, 413.24
0938-0242488.26, 442.30
0938-0245407.10, 407.11
0938-0246431.800-431.865
0938-0251406.7
0938-0266416.41, 416.47, 416.48, 416.83
0938-0267410.65, 485.56, 485.58, 485.60, 485.64, 485.66
0938-0269412.116, 412.632, 413.64, 413.350, 484.245
0938-0270405.376
0938-0272440.180, 441.300-441.305
0938-0273485.701-485.729
0938-0279424.5
0938-0287447.31
0938-0296413.170, 413.184
0938-0301413.20, 413.24
0938-0302418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, 418.100
0938-0313489.11, 489.20
0938-0328482.12, 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, 485.631
0938-0334491.9, 491.10
0938-0338486.104, 486.106, 486.110
0938-0354441.60
0938-0355488.26, 442.30
0938-0358412.20-412.30
0938-0359412.40-412.52
0938-0360488.60
0938-0365484.10, 484.11, 484.12, 484.14, 484.16, 484.18, 484.20, 484.36, 484.48, 484.52
0938-0372414.330
0938-0378482.60-482.62
0938-0379488.26, 442.30
0938-0382488.26, 442.30
0938-0386405.2100-405.2171
0938-0391488.18, 488.26, 488.28
0938-0426476.104, 476.105, 476.116, 476.134
0938-0429447.53
0938-0443473.18, 473.34, 473.36, 473.42
Start Printed Page 78441
0938-04441004.40, 1004.50, 1004.60, 1004.70
0938-0445412.44, 412.46, 431.630, 456.654, 466.71, 466.73, 466.74, 466.78
0938-0447405.2133
0938-0448405.2133, 45 CFR 5, 5b; 20 CFR Parts 401, 422E
0938-0449440.180, 441.300-441.310
0938-0454424.20
0938-0456412.105
0938-0463413.20, 413.24, 413.106
0938-0467431.17, 431.306, 435.910, 435.920, 435.940-435.960
0938-0469417.126, 422.502, 422.516
0938-0470417.143, 417.800-417.840, 422.6
0938-0477412.92
0938-0484424.123
0938-0501406.15
0938-0502433.138
0938-0512486.304, 486.306, 486.307
0938-0526475.102, 475.103, 475.104, 475.105, 475.106
0938-0534410.38, 424.5
0938-0544493.1-493.2001
0938-0564411.32
0938-0565411.20-411.206
0938-0566411.404, 411.406, 411.408
0938-0573412.230, 412.256
0938-0578447.534
0938-0581493.1-493.2001
0938-0599493.1-493.2001
0938-0600405.371, 405.378, 413.20
0938-0610417.436, 417.801, 422.128, 430.12, 431.20, 431.107, 434.28, 483.10, 484.10, 489.102
0938-0612493.801, 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, 493.1299
0938-0618433.68, 433.74, 447.272
0938-0653493.1771, 493.1773, 493.1777
0938-0657405.2110, 405.2112
0938-0658405.2110, 405.2112
0938-0667482.12, 488.18, 489.20, 489.24
0938-0679410.38
0938-0685410.32, 410.71, 413.17, 424.57, 424.73, 424.80, 440.30, 484.12
0938-0686493.551-493.557
0938-0688486.304, 486.306, 486.307, 486.310, 486.316, 486.318, 486.325
0938-0690488.4-488.9, 488.201
0938-0691412.106
0938-0692466.78, 489.20, 489.27
0938-0701422.152
0938-070245 CFR 146.111, 146.115, 146.117, 146.150, 146.152, 146.160, 146.180
0938-070345 CFR 148.120, 148.124, 148.126, 148.128
0938-0714411.370-411.389
0938-0717424.57
0938-0721410.33
0938-0723421.300-421.318
0938-0730405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, 424.24
0938-0732417.126, 417.470
0938-073445 CFR 5b
0938-0739413.337, 413.343, 424.32, 483.20
0938-0742422.300-422.312
0938-0749424.57
0938-0753422.000-422.700
0938-0754441.152
0938-0758413.20, 413.24
0938-0760484 Subpart E, 484.55
0938-0761484.11, 484.20
0938-0763422.1-422.10, 422.50-422.80, 422.100-422.132, 422.300-422.312, 422.400-422.404, 422.560-422.622
0938-0770410.2
0938-0778422.111, 422.64
0938-0779417.470, 417.126, 422.210, 422.64
0938-0781411.404-411.406, 484.10
0938-0786438.352, 438.360, 438.362, 438.364
0938-0787406.28, 407.27
0938-0790460.12, 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, 460.210
0938-0792491.8, 491.11
0938-0798413.24, 413.65, 419.42
Start Printed Page 78442
0938-0802419.43
0938-0818410.141, 410.142, 410.143, 410.144, 410.145, 410.146, 414.63
0938-0829422.568
0938-0832489 and 491
0938-0833483.350-483.376
0938-0841431.636, 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, 457.1180
0938-0842412.23, 412.604, 412.606, 412.608, 412.610, 412.614, 412.618, 412.626, 413.64
0938-0846411.352-411.361
0938-0857419
0938-0860419
0938-086645 CFR Part 162
0938-0872413.337, 483.20
0938-0873422.152
0938-087445 CFR Parts 160 and 162
0938-0878422 Subpart F & G
0938-088345 CFR Parts 160 and 164
0938-0884405.940
0938-088745 CFR 148.316, 148.318, 148.320
0938-0897412.22, 412.533
0938-0907412.230, 412.304, 413.65
0938-0910422.624, 422.626, 422.620
0938-0911426.400, 426.500
0938-0916483.16
0938-0920438.6, 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, 438.810
0938-0921414.804
End Supplemental Information

[FR Doc. 04-28156 Filed 12-29-04; 8:45 am]

BILLING CODE 4120-01-P