Transmittals

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

Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens and New Updates for 2025

Roster Billing for Hepatitis B - July 2025 Release

Instructions for Downloading the Medicare ZIP Code File for April 2025 Files

April 2025 Coding Updates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)

"Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Creation of New Reason Codes to Validate the National Provider Identifier (NPI) on Prior Authorization (PA) Unique Tracking Numbers (UTNs) and Claims."

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Updates to the Automated Paperless Exception System (APEX) Request Screen (APEX/1).

Documentation for Claims for Replacement of Essential Accessories for Beneficiary-Owned Continuous Glucose Monitors (CGMs)

nternet Only Manual Update, Pub. 100-04, Chapter 3 (Inpatient Hospital Billing), Sections 20.1.2.7, 140.2.10, 150.28, 190.7.2.5, and Chapter 4 (Part B Hospital) Section 10.7.2.4 Procedures for Medicare Contractors to Perform and Record Outlier Reconciliation Adjustments

Qualifications for Speech-Language Pathologists Furnishing Outpatient Speech-Language Pathology Services.

Update - Federally Qualified Health Center (FQHC) Participation in and Payment Under the Maryland Primary Care Program (MDPCP) for Healthcare Common Procedure Coding System (HCPCS) Codes 99453 and 99454.

Payment for Part B Preventive Vaccines and Their Administration on the Claim for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

" This transmittal updates Chapter 48, Home Office Cost Statement, Form CMS-287-22, to clarify instructions effective for cost reporting periods ending on or after November 1, 2024."

This transmittal updates Chapter 43, Hospice Cost Report (Form CMS-1984-14), to revise and modify the forms and instructions as follows:

"This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-265-11, by revising the existing instructions and electronic cost report (ECR) specifications to include updates from the CY2025 ESRD final rule that expanded

Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Copy Over Existing SuperOp Sequences (Active/Inactive/Archived)

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Create Error Message in the Beneficiary Information Tracking System (BITS) to Limit the Prior Authorization (PA) Healthcare Common Procedure Coding System (HCPCS)

Updates to several sections in Chapter 1 of the State Payment of Medicare Premiums Manual.

Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Quarter Notification for FY 2025

The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process