Transmittals

New Waived Tests

Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Code 87636

Updates to Medicare Benefit Policy Manual for Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services

Cognitive Assessment & Care Plan Services

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions

Revisions to the State Operations Manual (SOM) Appendix Z - Emergency Preparedness

Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2021

Common Working File (CWF) Edits for Medicare Telehealth Services and Manual

April 2021 Update of the Ambulatory Surgical Center (ASC) Payment System

Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.2, Effective July 1, 2021

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2021

April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Modifications to the National Coordination of Benefits Agreement (COBA) Claims Crossover Process

Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (Manual Updates Only)

July 2021 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After January 1, 2021