Quarterly Provider Update-Regulations

October 1 – December 31, 2009

Key:
ASCs-Ambulatory Surgical Centers HHA-Home Health Agency
CMHCs-Community Mental Health Centers MA-Medicare Advantage
OPO-Organ Procurement Organization OPT-Outpatient Physical Therapy
CORF-Comprehensive Outpatient Rehabilitation Facility RHCs-Rural Health Clinics
DME-Durable Medical Equipment SNF-Skilled Nursing Facility
FQHC-Federally Qualified Health Center ESRD – End Stage Renal Disease

File Code Subject Issue or Provider

Publication Type
Date
CMS-0033-P Electronic Health Record (EHR) Incentive Program Pending ALL Providers
CMS-4064-F Medicare Program; Changes to the Medicare Appeals Procedures; Final Rule 12/09/2009 ALL Providers
CMS-4085-P Medicare Program; Policy and Technical Changes to the Medicare 10/22/2009 ALL Providers
Advantage and the Medicare Prescription Drug Benefit Programs; Proposed
Rule
CMS-4127-F Medicare Program; Application of Certain Appeals Provisions to the Medicare 12/09/2009 ALL Providers
Prescription Drug Appeals Process (Part D Process)
CMS-4137-IFC Sections 101 through 104 of the Genetic Information Nondiscrimination Act of Pending ALL Providers
2008
CMS-4140 HIPAA Mental Health Parity and Addiction Equity Act of 2008 Amendments Pending ALL Providers
CMS-6023-N Advanced Diagnostic Imaging Provider Accreditation Applications 11/25/2009 ALL Providers
CMS-8038-N Medicare Program; Part A Premium for Calendar Year 2010 for the 10/22/2009 ALL Providers
Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted
Other Entitlement
CMS-8039-N Medicare Program; Medicare Part B Monthly Actuarial Rates, 10/22/2009 ALL Providers
Premium Rate, and Annual Deductible Beginning January 1, 2010
CMS-1414-FC Medicare Program: Changes to the Hospital Outpatient Prospective 11/20/2009 ASC
Payment System and CY 2010 Payment Rates; Changes to the Ambulatory
Surgical Center Payment System and CY 2010 Payment Rates; Final Rule
CMS-2476-FN Approval of Application by the American Association for Accreditation for 11/27/2009 ASC
Ambulatory Surgical Centers for Continued Deeming Authority for Ambulatory
Surgical Centers

12/31/2009
1
 Quarterly Provider Update-Regulations
October 1 – December 31, 2009

Key:
ASCs-Ambulatory Surgical Centers HHA-Home Health Agency
CMHCs-Community Mental Health Centers MA-Medicare Advantage
OPO-Organ Procurement Organization OPT-Outpatient Physical Therapy
CORF-Comprehensive Outpatient Rehabilitation Facility RHCs-Rural Health Clinics
DME-Durable Medical Equipment SNF-Skilled Nursing Facility
FQHC-Federally Qualified Health Center ESRD – End Stage Renal Disease

CMS-1414-CN Medicare Program: Changes to the Hospital Outpatient Prospective Payment 12/31/2009 ASC
System and CY 2010 Payment Rates; Changes to the Ambulatory Surgical
Center Payment System and CY 2010 Payment Rates
CMS-2308-N Deeming Notice for American Society for Histocompatibility and Pending CLIA
Immunogenetics (ASHI) as an Accrediting Organization Under the Clinical
Laboratory Improvement Amendments of 1988
CMS-1418-N Medicare Programs; End-Stage Renal Disease Prospective Payment 11/04/2009 ESRD
System; Extension of Comment Period
CMS-1560-F Medicare Program; Home Health Prospective Payment System Rate Update 11/10/2009 HHA
for CY 2010
CMS-2305-FN Approval of the Application by the Accreditation Commission for Health Care 11/27/2009 Hospice
(ACHC) for Approval of Deeming Authority for Hospices
CMS-2900-FN Medicare and Medicaid Programs; Approval of the Application by the 10/23/2009 Hospice
Community Health Accreditation Program (CHAP) for Continued Deeming
Authority for Hospices
CMS-1414-FC Changes to the Hospital Outpatient Prospective Payment System and Pending Hospital
Ambulatory Surgical Center Payment System for CY 2010
CMS-1505-N Medicare Program; Criteria for Medicare Coverage of Inpatient Hospital 10/23/2009 Hospital
Rehabilitation Services
CMS-2302-FN Approval of the Application by the Joint Commission for Continued Deeming 11/27/2009 Hospital
Authority for Hospitals
CMS-8037-N Medicare Program; Inpatient Hospital Deductible and Hospital and 10/22/2009 Hospital
Extended Care Services Coinsurance Amounts for Calendar Year 2010
CMS-1538-CN Medicare Program; Inpatient Rehabilitation Facility Prospective Payment 10/01/2009 Hospital
System for Federal Fiscal Year 2010; Correction

12/31/2009
2
 Quarterly Provider Update-Regulations
October 1 – December 31, 2009

Key:
ASCs-Ambulatory Surgical Centers HHA-Home Health Agency
CMHCs-Community Mental Health Centers MA-Medicare Advantage
OPO-Organ Procurement Organization OPT-Outpatient Physical Therapy
CORF-Comprehensive Outpatient Rehabilitation Facility RHCs-Rural Health Clinics
DME-Durable Medical Equipment SNF-Skilled Nursing Facility
FQHC-Federally Qualified Health Center ESRD – End Stage Renal Disease

CMS-1406-CN Medicare Program; Changes to the Hospital Inpatient Prospective Payment 10/07/2009 Hospital
Systems for Acute Care Hospitals and Fiscal Year 2010 Rates and to the
Long-Term Care Hospital Prospective Payment System and Rate Year 2010
Rates; Corrections
CMS-1414-CN Medicare Program: Changes to the Hospital Outpatient Prospective Payment 12/31/2009 Hospital
System and CY 2010 Payment Rates; Changes to the Ambulatory Surgical
Center Payment System and CY 2010 Payment Rates
CMS-4085-P Revisions to the Medicare Advantage and Medicare Prescription Drug Benefit Pending MA
Programs for Contract Year 2011
CMS-2238-F2 Multiple Source Drug Definition Amendment Pending Medicaid
CMS-2232-F3 Medicaid Program; State Flexibility for Medicaid Benefit Packages and 11/30/2009 Medicaid
CMS-2244-F4 Premiums and Cost Sharing
CMS-2232-P2 Medicaid Program: State Flexibility for Medicaid Benefit Packages 10/30/2009 Medicaid
and Premiums and Cost Sharing
CMS-2244-P2 Medicaid Program: State Flexibility for Medicaid Benefit Packages 10/30/2009 Medicaid
and Premiums and Cost Sharing
CMS-2261-WN Medicaid Program; Coverage for Rehabilitative Services; 11/23/2010 Medicaid
Withdrawal
CMS-2311-NC Medicaid Program and Children’s Health Insurance Program; Model of 12/18/2009 Medicaid
Interstate Coordinated Enrollment and Coverage Process for Low-Income
Children
CMS-2474-NC Medicaid and CHIP Programs; Initial Core Set of Children's Healthcare Quality 12/29/2009 Medicaid
Measures for Voluntary Use by Medicaid and CHIP Programs
CMS-1416-N Medicare Program; First Semi-Annual Meeting of the Advisory Panel on 12/18/2009 Meeting Notices
Ambulatory Payment Classification Groups -- February 17-19, 2010

12/31/2009
3
 Quarterly Provider Update-Regulations
October 1 – December 31, 2009

Key:
ASCs-Ambulatory Surgical Centers HHA-Home Health Agency
CMHCs-Community Mental Health Centers MA-Medicare Advantage
OPO-Organ Procurement Organization OPT-Outpatient Physical Therapy
CORF-Comprehensive Outpatient Rehabilitation Facility RHCs-Rural Health Clinics
DME-Durable Medical Equipment SNF-Skilled Nursing Facility
FQHC-Federally Qualified Health Center ESRD – End Stage Renal Disease

CMS-1513-N Town Hall Meeting on the Fiscal Year 2011 Applications for New Medical Pending Meeting Notices
Services and Technologies Add-On Payments Under the Hospital Inpatient
Prospective Payment System—February 10, 2010
CMS-1565-N Medicare Program; Meeting of the Practicing Physicians Advisory Council 10/30/2009 Meeting Notices
(PPAC)—December 7, 2009
CMS-1813-N Plan to Transition to a Medicare Value-Based Purchasing Program for Pending Meeting Notices
Physician and other Professional Services: Listening Session, December 1,
2009
CMS-3218-N Medicare Program; Meeting of the Medicare Evidence Development 11/30/2009 Meeting Notices
and Coverage Advisory Committee
CMS-7017-N Medicare Program; Meeting of the Advisory Panel on Medicare Education, 12/18/2009 Meeting Notices
February 3, 2010
CMS-3221-N Medicare Program; Physician Quality Reporting Initiative (PQRI): Listening 12/18/2009 Meeting Notices
Session – February 2, 2010
CMS-9056-N Medicare and Medicaid Programs; Quarterly Listing of Program Issuances – 12/18/2009 Other
July Through September 2009
CMS-6023-CN Medicare Program; Solicitation of Independent Accrediting Organizations To 11/30/2009 Other
Participate in the Advanced Diagnostic Imaging Supplier Accreditation
Program; Correction
CMS-3218-N Medicare Program; Meeting of the Medicare Evidence Development 11/30/2009 Other
and Coverage Advisory Committee
CMS-1413-FC Revisions to Payment Policies Under the Physician Fee Schedule and Part B 11/25/2009 Physician
for CY 2010
CMS-1413-CN3 Medicare Program; Payment Policies Under the Physician Fee Schedule and 12/10/2009 Physician
Other Revisions to Part B for CY 2010; Corrections

12/31/2009
4