Transmittals

Create APIs to Support ACO REACH Model - Full Agile Pilot

This transmittal updates Chapter 47, Home Health Agency Cost Report, Form CMS-1728-20, by clarifying the existing instructions, forms, and electronic cost report (ECR) specifications. Revisions

Outlier Reconciliation and Cost-to-Charge Ratio (CCR) Updates for the Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS

Revisions to Manual for the State Payment of Medicare Premiums

Stay of Enrollment

Technical Revision Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03, Chapter 1, Part 4, section 310.1

Manual Updates for Clarification on Services Under the Medicare Hospice Benefit for Dually Eligible Veterans

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 2

Revisions to State Operations Manual (SOM) Appendix A-Hospitals

Guiding an Improved Dementia Experience (GUIDE) Model Implementation

Changes to The Electronic Correspondence Referral System (ECRS) Web Includes Updates to Submitting Duplicate and Overlapping Drug Records; Addition of Action Code (DR) to Investigate Deleted Drug Records and Updates to the Electronic Data Interchange (EDI) and Coordination of Benefits Voluntary Agreement (COBVA) Email Addresses

Making Care Primary (MCP) Model Implementation

Manual Update to Section 20.7 in Chapter 23 of Publication (Pub) 100-04

Report of Hospice Election for Part D (Response File)

New Physician Specialty Code for Epileptologists

Additional Implementation Edits on Hospice Claims for Hospice Certifying Physician Medicare Enrollment

CY 2024 Home Infusion Therapy (HIT) Payment Rates and Instructions for Retrieving the January 2024 Home Infusion Therapy (HIT) Services Payment Rates Through the CMS Mainframe Telecommunications System

Revisions to the State Operations Manual (SOM) Appendix B – Home Health Agencies

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4

April Quarterly Update for 2024 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule