Transmittals

Phase 5: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99)

Principal Diagnosis Code Reporting Update for Hospice and Manual Updates to Sections 30.3, 40.2, and 50 of Chapter 11 of the Claims Processing Manual: Processing Hospice Claims

Updates to the Internet Only Manual (IOM) Publication100-06 Chapters 3 Overpayments and 4 Debt Collection

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Create a New Additional Development Request (ADR) Location Prior Authorization (PA) Claims

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

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

Manual Updates Regarding Home Health Adjustments and Skilled Nursing Facility, Home Health and Hospice Pricer Information

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."