[Federal Register Volume 60, Number 220 (Wednesday, November 15, 1995)]
[Notices]
[Pages 57435-57448]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-28172]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[BPO-132-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances and Coverage Decisions--Second Quarter 1995
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Notice.
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SUMMARY: This notice lists HCFA manual instructions, substantive and
interpretive regulations and other Federal Register notices, and
statements of policy that were published during April, May, and June of
1995 that relate to the Medicare and Medicaid programs. Section 1871(c)
of the Social Security Act requires that we publish a list of Medicare
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, we are including all Medicaid issuances and Medicare and
Medicaid substantive and interpretive regulations (proposed and final)
published during this timeframe. We are also providing the content of
revisions to the Medicare Coverage Issues Manual published between
April 1 and June 30, 1995. On August 21, 1989, we published the content
of the Manual (54 FR 34555) and indicated that we will publish
quarterly any updates. Adding to this listing the complete text of the
changes to the Medicare Coverage Issues Manual allows us to fulfill
this requirement in a manner that facilitates identification of
coverage and other changes in our manuals.
FOR FURTHER INFORMATION CONTACT:
Margaret Cotton, (410) 786-5255 (For Medicare instruction information).
Pat Prete, (410) 786-3246 (For Medicaid instruction information).
Nancy Ranels, (410) 786-8928 (For all other information).
[[Page 57436]]
SUPPLEMENTARY INFORMATION:
I. Program Issuances
The Health Care Financing Administration (HCFA) is responsible for
administering the Medicare and Medicaid programs, which pay for health
care and related services for 38 million Medicare beneficiaries and 36
million Medicaid recipients. Administration of these programs involves
(1) Providing information to Medicare beneficiaries and Medicaid
recipients, health care providers, and the public; and (2) effective
communications with regional offices, State governments, State Medicaid
Agencies, State Survey Agencies, various providers of health care,
fiscal intermediaries and carriers who process claims and pay bills,
and others. To implement the various statutes on which the programs are
based, we issue regulations under authority granted the Secretary under
sections 1102, 1871, and 1902 and related provisions of the Social
Security Act (the Act) and also issue various manuals, memoranda, and
statements necessary to administer the programs efficiently.
Section 1871(c)(1) of the Act requires that we publish in the
Federal Register at least every 3 months a list of all Medicare manual
instructions, interpretive rules, statements of policy, and guidelines
of general applicability not issued as regulations. 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, we are continuing our practice of
including Medicare substantive and interpretive regulations (proposed
and final) published during the 3-month timeframe. Since the
publication of our quarterly listing on June 12, 1992 (57 FR 24797), we
decided to add Medicaid issuances to our quarterly listings.
Accordingly, we are listing in this notice Medicaid issuances and
Medicaid substantive and interpretive regulations published from April
1 through June 1995.
II. Medicare Coverage Issues
We receive numerous inquiries from the general public about whether
specific items or services are covered under Medicare. Providers,
carriers, and intermediaries have copies of the Medicare Coverage
Issues Manual, which identifies those medical items, services,
technologies, or treatment procedures that can be paid for under
Medicare. On August 21, 1989, we published a notice in the Federal
Register (54 FR 34555) that contained all the Medicare coverage
decisions issued in that manual.
In that notice, we indicated that revisions to the Coverage Issues
Manual will be published at least quarterly in the Federal Register. We
also sometimes issue proposed or final national coverage decision
changes in separate Federal Register notices. Readers should find this
an easy way to identify both issuance changes to all our manuals and
the text of changes to the Coverage Issues Manual.
Revisions to the Coverage Issues Manual are not published on a
regular basis but on an as-needed basis. We publish revisions as a
result of technological changes, medical practice changes, responses to
inquiries we receive seeking clarifications, or the resolution of
coverage issues under Medicare. If no Coverage Issues Manual revisions
were published during a particular quarter, our listing will reflect
that fact.
Not all revisions to the Coverage Issues Manual contain major
changes. As with any instruction, sometimes minor clarifications or
revisions are made within the text. We have reprinted manual revisions
as transmitted to manual holders. The new text is shown in italics. We
will not reprint the table of contents, since the table of contents
serves primarily as a finding aid for the user of the manual and does
not identify items as covered or not.
III. How to Use the Addenda
This notice is organized so that a reader may review the subjects
of all manual issuances, memoranda, substantive and interpretive
regulations, or coverage decisions published during the timeframe to
determine whether any are of particular interest. We expect it to be
used in concert with previously published notices. Most notably, 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) and the notice published March 31, 1993 (58 FR 16837),
and those desiring information on the Medicare Coverage Issues Manual
may wish to review the August 21, 1989 publication (54 FR 34555).
To aid the reader, we have organized and divided this current
listing into five addenda. Addendum I identifies updates that changed
the Coverage Issues Manual. We published notices in the Federal
Register that included the text of changes to the Coverage Issues
Manual. These updates, when added to material from the manual published
on August 21, 1989 constitute a complete manual as of June 30, 1995.
Parties interested in obtaining a copy of the manual and revisions
should follow the instructions in section IV of this notice.
Addendum II identifies previous Federal Register documents that
contain a description of all previously published HCFA Medicare and
Medicaid manuals and memoranda.
Addendum III of this notice lists, for each of our manuals or
Program Memoranda, a HCFA transmittal number unique to that instruction
and its subject matter. A transmittal may consist of a single
instruction or many. Often it is necessary to use information in a
transmittal in conjunction with information currently in the manuals.
Addendum IV sets forth the revisions to the Medicare Coverage
Issues Manual that were published during the quarter covered by this
notice. For the revisions, we give a brief synopsis of the revisions as
they appear on the transmittal sheet, the manual section number, and
the title of the section. We present a complete copy of the revised
material, no matter how minor the revision, and identify the revisions
by printing in italics the text that was changed. If the transmittal
includes material unrelated to the revised section, for example, when
the addition of revised material causes other sections to be
repaginated, we do not reprint the unrelated material.
Addendum V 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, the Federal Register citation, the title of
the regulation, the parts of the Code of Federal Regulations (CFR)
which have changed (if applicable), the agency file code number, the
ending date of the comment period (if applicable), and the effective
date (if applicable).
IV. How to Obtain Listed Material
A. Manuals
An individual or organization interested in routinely receiving any
manual and revisions to it may purchase a subscription to that manual.
Those wishing to subscribe should contact either the Government
Printing Office (GPO) or the National Technical Information Service
(NTIS) at the following addresses:
Superintendent of Documents, Government Printing Office, ATTN: New
Order, P.O. Box 371954, Pittsburgh, PA 15250-7954, Telephone (202) 512-
1800, Fax number (202) 512-2250 (for credit card orders); or
[[Page 57437]]
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.
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
indicated above. When ordering individual copies, it is necessary to
cite either the date of publication or the volume number and page
number.
C. Rulings
Rulings are published on an infrequent basis by HCFA. Interested
individuals can obtain copies from the nearest HCFA Regional Office or
review them at the nearest regional depository library. We also
sometimes publish Rulings in the Federal Register.
D. HCFA's Compact Disk-Read Only Memory (CD-ROM)
HCFA's laws, regulations, and manuals are now available on CD-ROM,
which 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 contained on
the CD-ROM disk:
Titles XI, XVIII, and XIX of the Act.
HCFA-related regulations.
HCFA manuals and monthly revisions.
HCFA program memoranda.
The titles of the Compilation of the Social Security Laws are
current as of January 1, 1993. The remaining portions of CD-ROM are
updated on a monthly basis.
The CD-ROM disk does not contain Appendix M (Interpretative
Guidelines for Hospices). Copies of this appendix may be reviewed at a
Federal Depository Library (FDL).
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.
V. How to Review Listed Material
Transmittals or Program Memoranda can be reviewed at a local FDL.
Under the FDL program, government publications are sent to
approximately 1400 designated libraries throughout the United States.
Interested parties may examine the documents at any one of the FDLs.
Some may have arrangements to transfer material to a local library not
designated as an FDL. To locate the nearest FDL, individuals should
contact any library.
In addition, individuals may contact regional depository libraries,
which 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. Superintendent of Documents
numbers for each HCFA publication are shown in Addendum III, along with
the HCFA publication and transmittal numbers. To help FDLs locate the
instruction, use the Superintendent of Documents number, plus the HCFA
transmittal number. For example, to find the Carriers Manual, Part 2--
Program Administration (HCFA-Pub. 14-2) transmittal entitled
``Beneficiary Services,'' use the Superintendent of Documents No. HE
22.8/7-3 and the HCFA transmittal number 132.
VI. General Information
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. Copies can be purchased or reviewed as
noted above.
Questions concerning Medicare items in Addenda III may be addressed
to Margaret Cotton, Bureau of Program Operations, Issuances Staff,
Health Care Financing Administration, S3-01-27, 7500 Security Blvd.,
Baltimore, MD 21244-1850, Telephone (410) 786-5255.
Questions concerning Medicaid items in Addenda III may be addressed
to Pat Prete, Medicaid Bureau, Office of Medicaid Policy, Health Care
Financing Administration, C4-25-02, 7500 Security Boulevard, Baltimore,
MD 21244-1850, Telephone (410) 786-3246.
Questions concerning all other information may be addressed to
Nancy Ranels, Bureau of Policy Development, Office of Regulations,
Health Care Financing Administration, C5-09-05, 7500 Security Blvd.,
Baltimore, MD 21244-1850, Telephone (410) 786-8928.
(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)
Dated: November 3, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
Addendum I
This addendum lists the publication dates of the most recent
quarterly listing of program issuances and coverage decision updates to
the Coverage Issues Manual. For a complete listing of the quarterly
updates to the Coverage Issues Manual published between March 20, 1990
through November 14, 1994, please refer to the January 3, 1995 update
(60 FR 134).
January 3, 1995 (60 FR 132)
April 6, 1995 (60 FR 17538)
July 26, 1995 (60 FR 38344)
Addendum II--Description of Manuals, Memoranda, and HCFA 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 Medicare Coverage Issues
Manual 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.
[[Page 57438]]
Addendum III.--Medicare and Medicaid Manual Instructions
[April through June 1995]
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Trans. No. Manual/Subject/Publication No.
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Intermediary Manual
Part 2--Audits, Reimbursement
Program Administration (HCFA-Pub. 13-2)
(Superintendent of Documents No. HE 22.8/6-1)
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The patient must be an insulin-treated diabetic;
The patient's physician states that the patient is capable
of being trained to use the particular device prescribed in an
appropriate manner. In some cases, the patient may not be able to
perform this function, but a responsible individual can be trained to
use the equipment and monitor the patient to assure that the intended
effect is achieved. This is permissible if the record is properly
documented by the patient's physician; and
The device is designed for home rather than clinical use.
There is also a blood glucose monitoring system designed especially
for use by those with visual impairments. The monitors used in such
systems are identical in terms of reliability and sensitivity to the
standard blood glucose monitors described above. They differ by having
such features as voice synthesizers, automatic timers, and specially
designed arrangements of supplies and materials to enable the visually
impaired to use the equipment without assistance.
These special blood glucose monitoring systems are covered under
Medicare if the following conditions are met:
The patient and device meet the four conditions listed
above for coverage of standard home blood glucose monitors; and
The patient's physician certifies that he or she has a
visual impairment severe enough to require use of this special
monitoring system.
The additional features and equipment of these special systems
justify a higher reimbursement amount than allowed for standard blood
glucose monitors. Separately identify claims for such devices and
establish a separate reimbursement amount for them. For those carriers
using HCPCS, the procedure code and definition is: EO609--Blood Glucose
Monitor--with special features (e.g., voice synthesizers, automatic
timer).
Transmittal No. 76; sections 50-36--50-39.1 Positron Emission
Tomography (PET or PETT) Scans--New Implementing Instructions--
Effective Date: Services furnished on or after March 14, 1995.
Section 50-36, Positron Emission Tomography (PET or PETT) Scans.--
This section is revised to provide limited coverage of positron
emission tomography scans. Previously, PET scans were considered
experimental by HCFA. PET scans are covered for use in noninvasive
imaging of the perfusion of the heart for diagnosis and management of
patients with known or suspected coronary artery disease. Coverage is
limited to scans which employ Rubidium-82, done on equipment approved
by the Food and Drug Administration, and when done in place of, but not
in addition to a single photon emission computed tomography (SPECT)
scan. PET centers must file claims for Medicare beneficiaries using
specific G codes, and provide information regarding the results of
previous tests. PET centers are also expected to maintain patient
records for each Medicare patient with sufficient information to
substantiate the need for the scan.
[[Page 57446]]
50-36 Positron Emission Tomography (Pet or Pett) Scans (Effective for
Services Performed on or After March 14, 1995)
Positron emission tomography (PET), also known as positron emission
transverse tomography (PETT), is a noninvasive imaging procedure that
assesses perfusion and the level of metabolic activity in various organ
systems of the human body. A positron camera (tomograph) is used to
produce cross-sectional tomographic images by detecting radioactivity
from a radioactive tracer substance (radiopharmaceutical) that is
injected into the patient.
Until recently Medicare considered PET scans experimental and,
therefore, not covered. HCFA has now concluded that one use of PET
scans, imaging of the perfusion of the heart using Rubidium 82 (Rb 82),
is no longer experimental, and may be covered, provided that several
conditions, outlined below, are met. This conditional coverage is
dictated by two significant factors that apply to PET scans.
First, although PET is no longer considered experimental for this
single use, it duplicates other covered forms of diagnostic testing,
and the degree to which PET scans may substitute as primary tests for
such uses, as compared to a confirming or medically necessary
additional test, is not as clear as is preferable. For example, in the
case of imaging perfusion of the heart, body size and type may result
in a technically uninterpretable single photon emission computed
tomography (SPECT) test in some cases, necessitating a PET scan in
order to produce clearer images and allow diagnosis and treatment of
the patient.
Second, the Food and Drug Administration (FDA) has approved only
Rubidium 82 for general PET scan use. The FDA considers
radiopharmaceuticals drugs, subject to all of the requirements for
manufacture, testing and approval (including approval for certain
specific uses) that the FDA applies to all drugs. Thus some uses of PET
cannot be considered for coverage due to the lack of approval of the
radiopharmaceuticals involved in those uses.
Although the FDA has approved another radiopharmaceutical (deoxy-2-
Fluoro-D-glucose (FDG)), that approval is very limited and is
restricted to a single PET site at this time. The FDA currently
requires each site to submit its version of FDG for testing and
approval as a new drug. In view of these restrictions, coverage of PET
with FDG is not being considered at this time. HCFA will continue to
monitor the use of PET with FDG, with a view toward considering
coverage of such uses when they appear appropriate.
The following coverage requirements must be met to assure that PET
scans (1) are medically necessary, (2) do not unnecessarily duplicate
other covered diagnostic tests, and (3) do not involve investigational
drugs or procedures using investigational drugs.
A. Approved Sites.--PET scans may be covered only at PET imaging
centers with PET scanners that have been approved by the FDA. Medicare
contractors must determine, prior to making payment for any PET scans,
whether the center applying for payment has an FDA-approved scanner.
B. Use of Rubidium 82 (Rb 82) and Related Tests.--Coverage of PET
scans under Medicare is currently limited to rest alone or rest with
pharmacologic stress PET scans used for noninvasive imaging of the
perfusion of the heart for the diagnosis and management of patients
with known or suspected coronary artery disease using the FDA-approved
radiopharmaceutical Rubidium 82 (Rb 82). Coverage is further limited to
scans that meet either one of the following conditions:
The PET scan, whether rest alone or rest with stress, is
used in place of, but not in addition to, a single photon emission
computed tomography (SPECT); or
The PET scan, whether rest alone or rest with stress, is
used following a SPECT that was found inconclusive. In these cases, the
PET scan must have been considered necessary in order to determine what
medical or surgical intervention is required to treat the patient. (For
purposes of this requirement, an inconclusive test is a test(s) whose
results are equivocal, technically uninterpretable, or discordant with
a patient's other clinical data.)
Note: PET scans using Rubidium 82, whether rest or stress are
not covered by Medicare for routine screening of asymptomatic
patients, regardless of the level of risk factors applicable to such
patients.
C. Submission of Claims Data.--Claims for PET scans must include
the following information. Failure to submit this information may
result in denial of a claim.
The PET center must, for any PET scan for which payment is claimed,
complete all required information on the claim form (including proper
codes and modifiers) to indicate the results of the PET scan, as well
as information as to whether the PET scan was done after an
inconclusive noninvasive cardiac test. The information submitted with
respect to the previous cardiac test must specify the type of test done
prior to the PET scan and whether it was inconclusive or
unsatisfactory. These explanations are in the form of special G codes
used for billing PET scans.
D. Maintenance of Patient Record Data Onsite.--In view of these
limitations on coverage, HCFA may decide to conduct some post-payment
reviews to determine that the use of PET scans is consistent with this
instruction. PET centers must keep patient record information on file
for each Medicare patient for whom a PET scan claim is made. These
medical records will be used in any post-payment reviews and must
include the information necessary to substantiate the need for the PET
scan. The records must include standard information (e.g., age, sex,
and height) along with any annotations regarding body size or type
which indicated a need for a PET scan to determine that patient's
condition (i.e., any reason the nature of the patient's body size or
type mandated the use of a PET scan in order to continue treatment).
Transmittal No. 77; sections 60-16--60-19 (Cont.) Pneumatic
Compression Devices (Used for Lymphedema) CLARIFICATION--Effective
Date: Not Applicable.
Section 60-16, Pneumatic Compression Devices (Used for
Lymphedema).--This section is revised to clairfy (1) That the
nonsegmented and segmented pump without manual control of pressure in
each chamber is considered the least costly alternative that meets the
clinical needs of the individual for this type of durable medical
equipment (HCPCS codes E0650 and E0651), unless there is documentation
that warrants payment of the more costly manual control pump (HCPCS
code E0652); (2) the documentation needed for determination of the type
of pump to be used for the treatment of lymphedema; and (3) which
pneumatic compression pump is appropriate for chronic venous
insufficiency. 60-16 Pneumatic Compression Devices (used for
Lymphedema)
Lymphedema is the swelling of subcutaneous tissues due to the
accumulation of excessive lymph fluid. The accumulation of lymph fluid
results from an impairment to the normal clearing function of the
lymphatic system and/or from an excessive production of lymph. It is a
relatively uncommon, chronic condition which may be due to many causes,
e.g., surgical removal of lymph nodes, post radiation fibrosis,
scarring of lymphatic
[[Page 57447]]
channel, onset of puberty (Milroy's Disease), and congenital anomalies.
In the home setting, both the segmental and nonsegmental pneumatic
compression devices are covered only for the treatment of generalized,
refractory lymphedema.
Pneumatic compression devices are only covered as a treatment of
last resort, i.e., other less intensive treatments must have been tried
first and found inadequate. Such treatments would include leg or arm
elevation and custom fabricated gradient pressure stockings or sleeves.
Pneumatic compression devices may be covered only when prescribed
by a physician and when they are used with appropriate physician
oversight, i.e., physician evaluation of the patient's condition to
determine medical necessity of the device, suitable instruction in the
operation of the machine, a treatment plan defining the pressure to be
used and the frequency and duration of use, and ongoing monitoring of
use and response to treatment.
The determination by the physician of the medical necessity of a
pneumatic compression device must include (1) The patient's diagnosis
and prognosis; (2) symptoms and objective findings, including
measurements which establish the severity of the condition; (3) the
reason the device is required, including the treatments which have been
tried and failed; and (4) the clinical response to an initial treatment
with the device. The clinical response includes the change in pre-
treatment measurements, ability to tolerate the treatment session and
parameters, and ability of the patient (or caregiver) to apply the
device for continued use in the home.
In general, the nonsegmented (HCPCS code E0650) or segmented (HCPCS
code E0651) compression device without manual control of pressure in
each chamber is considered the least costly alternative that meets the
clinical needs of the individual.
Therefore, when a claim for a segmented pneumatic compression
device which allows for manual control in each chamber is received,
payment must be made for the least expensive medically appropriate
device. If the patient medically needs a segmented device but does not
need manual controls, payment must be made for HCPCS code E0651. The
segmented device with manual control (HCPCS code E0652) is covered only
when there are unique characteristics that prevent the individual from
receiving satisfactory pneumatic treatment using a less costly device,
e.g., significant sensitive skin scars or the presence of contracture
or pain caused by a clinical condition that requires the more costly
manual control device.
The use of pneumatic compression devices may be medically
appropriate only for those patients with generalized, refractory edema
from venous insufficiency with lymphatic obstruction (i.e., recurrent
cellulitis with secondary scarring of the lymphatic system) with
significant ulceration of the lower extremity(ies) who have received
repeated, standard treatment from a physician using such methods as a
compression bandage system or its equivalent, but fail to heal after 6
months of continuous treatment. The exact nature of the medical problem
must be clear from the medical evidence submitted. If, after obtaining
this information, a question of medical necessity remains, the
contractor's medical staff resolves the issue.
Addendum V.--Regulation Documents Published in the Federal Register
--------------------------------------------------------------------------------------------------------------------------------------------------------
FR Vol. 60 End of comment
Publication date page CFR part File code Regulation title period Effective date
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04/06/95................ 17538-17547 .............. BPO-130-N............... Medicare and Medicaid Programs; .............. 04/06/95
Quarterly Listing of Program
Issuances and Coverage Decisions--
Fourth Quarter 1994.
04/10/95................ 18136-18137 .............. MB-084-N................ Medicaid Program; Rescission of the .............. ..............
Guidelines for Documenting Medicaid
Recipient Access to Immunizations
Under the Vaccines for Children
(VFC) Program.
04/20/95................ 19753 .............. OFHR-001-N.............. New Address and Telephone Numbers of .............. 05/22/95
the Office of Acquisition and
Grants, Office of Financial and
Human Resources.
04/21/95................ 19856-19862 440, 441 MB-041-F................ Medicaid Program; Required Coverage .............. 05/22/95
Of Nurse Practitioner Services.
04/24/95................ 20035-20051 493 HSQ-216-FC.............. CLIA Program; Categorization of 06/23/95 04/24/95
Tests and Personnel Modifications.
05/01/95................ 21048 421 BPO-083-F............... Medicare Program; Revisions to .............. 05/01/95
Criteria and Standards for
Evaluating Intermediaries and
Carriers (Correction).
05/03/95................ 21824-21825 .............. HSQ-227-N............... Medicaid Program; Peer Review .............. 05/03/95
Organization Contracts:
Solicitation of Statements of
Interest From In-State
Organizations-Alaska, Delaware, the
District of Columbia, Idaho,
Kentucky, Maine, Nebraska, Nevada,
South Carolina, Vermont, and
Wyoming.
05/08/95................ 22533-22535 406 BPD-738-F............... Medicare Program; Clarification of .............. 06/07/95
Resumption of Entitlement Rules for
Medicare Patients With End-Stage
Renal Disease (ESRD).
05/25/95................ 27736 .............. OPL-005-N............... Medicare Program; June 12, 1995 .............. 05/25/95
Meeting of the Practicing
Physicians Advisory Council.
06/02/95................ 29202-29434 412, 485, 413, BPD-825-P............... Medicare Program; Changes to the 08/01/95 ..............
489, 424 Hospital Inpatient Prospective
Payment Systems and Fiscal Year
1996 Rates.
06/12/95................ 30877-30891 .............. BPD-832-N............... Medicaid Program; HHS' Approval of .............. 08/11/95
NAIC Statements Relating to
Duplication of Medicare Benefits.
[[Page 57448]]
06/13/95................ 31158-31161 .............. ORD-075-N............... New and Pending Demonstration .............. 06/13/95
Project Proposals Submitted
Pursuant to Section 1115(a) of the
Social Security Act: February and
March 1995.
06/27/95................ 31126-31137 .............. BPD-366-F............... Medicare Program; Clarification of .............. 07/27/95
Medicare's Accrual Basis of
Accounting Policy.
06/27/95................ 33123-33126 413 BPD-689-F............... Medicare Program; Uniform Electronic .............. 07/27/95
Cost Reporting System for Hospitals.
06/27/95................ 33262-33298 417, 483, 430, BPD-718-F............... Medicare and Medicaid Programs; .............. 07/27/95
484, 431, 489, Advance Directives.
434
06/27/95................ 33137-33143 .............. BPD-794-F............... Medicare Program; Date for Filling .............. 06/27/95
Medicare Cost Reports.
06/27/95................ 33221-33224 .............. ORD-076-N............... New and Pending Demonstration .............. 06/27/95
Project Proposals Submitted
Pursuant to Section 1115(a) of the
Social Security Act: April 1995.
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* GN--General Notice; PN--Proposed Notice; FN--Final Notice; P--Notice of Proposed Rulemaking (NPRM); F--Final Rule; FC--Final Rule with Comment Period;
CN--Correction Notice; SN--Suspension Notice; WN--Withdrawal Notice; NR--Notice of HCFA Ruling.
[FR Doc. 95-28172 Filed 11-14-95; 8:45 am]
BILLING CODE 4120-01-P
