Transmittals

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool (MCSDT)

Amending sections 20.2.2 and 20.2.3 to update information on the state Medicaid agency contracts and addition of new Section 90, 90.1, 90.2, 90.2.1 and 90.3 on SNP Health Risk Assessment Screening Requirement.

Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS)

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 UpdateInternational Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update

Annual Clotting Factor Furnishing Fee Update 2024

New Place of Service (POS) Code 27 - "Outreach Site/Street”

Quarterly Update to Home Health (HH) Grouper

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

January 2024 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Cancellation Process Phase 2

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2023 Update

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2024

Prior Authorization (PA) Changes to Implement the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD)

National Coverage Determination (NCD) 280.16 Power Seat Elevation Equipment on Power Wheelchairs

Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update Fiscal Year (FY) 2024

Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for Fiscal Year (FY) 2024

Fiscal Year 2018 and After Payments to Skilled Nursing Facilities (SNFs) That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9944.

National Coverage Determination (NCD) 30.3.3 Acupuncture for Chronic Low Back Pain Revised Frequency Edits