[Federal Register Volume 62, Number 212 (Monday, November 3, 1997)] [Notices] [Pages 59358-59365] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 97-28972] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration [BPO-150-N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--First Quarter 1997 AGENCY: Health Care Financing Administration (HCFA), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice lists HCFA manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published during January, February, and March of 1997 that relate to the Medicare and Medicaid programs. It also identifies certain devices with investigational device exemption numbers approved by the Food and Drug Administration that may be potentially covered under Medicare. Section 1871(c) of the Social Security Act requires that we publish a list of Medicare issuances in the Federal Register at least every 3 months. Although we are not mandated to do so [[Page 59359]] by statute, for the sake of completeness of the listing, we are including all Medicaid issuances and Medicare and Medicaid substantive and interpretive regulations (proposed and final) published during this time frame. FOR FURTHER INFORMATION CONTACT: Bridget Wilhite, (410) 786-5248 (For Medicare instruction information). Betty Stanton, (410) 786-3247 (For Medicaid instruction information). Sharon Hippler, (410) 786-4633 (For Food and Drug Administration- approved investigational device exemption information). Cathy Johnson, (410) 786-5241 (For all other information). SUPPLEMENTARY INFORMATION: I. Program Issuances The Health Care Financing Administration (HCFA) is responsible for administering the Medicare and Medicaid programs, which pay for health care and related services for 38 million Medicare beneficiaries and 36 million Medicaid recipients. Administration of these programs involves (1) providing information to Medicare beneficiaries and Medicaid recipients, health care providers, and the public, and (2) effective communications with regional offices, State governments, State Medicaid Agencies, State Survey Agencies, various providers of health care, fiscal intermediaries and carriers that process claims and pay bills, and others. To implement the various statutes on which the programs are based, we issue regulations under the authority granted the Secretary under sections 1102, 1871, and 1902 and related provisions of the Social Security Act (the Act) and also issue various manuals, memoranda, and statements necessary to administer the programs efficiently. Section 1871(c)(1) of the Act requires that we publish in the Federal Register at least every 3 months a list of all Medicare manual instructions, interpretive rules, and guidelines of general applicability not issued as regulations. We published our first notice June 9, 1988 (53 FR 21730). Although we are not mandated to do so by statute, for the sake of completeness of the listing of operational and policy statements, we are continuing our practice of including Medicare substantive and interpretive regulations (proposed and final) published during the 3-month time frame. Since the publication of our quarterly listing on June 12, 1992 (57 FR 24797), we decided to add Medicaid issuances to our quarterly listings. Accordingly, we list in this notice Medicaid issuances and Medicaid substantive and interpretive regulations published during January through March 1997. II. How to Use the Addenda This notice is organized so that a reader may review the subjects of all manual issuances, memoranda, substantive and interpretive regulations, or Food and Drug Administration-approved investigational device exemptions published during the time frame to determine whether any are of particular interest. We expect it to be used in concert with previously published notices. Most notably, those unfamiliar with a description of our Medicare manuals may wish to review Table I of our first three notices (53 FR 21730, 53 FR 36891, and 53 FR 50577) and the notice published March 31, 1993 (58 FR 16837), and those desiring information on the Medicare Coverage Issues Manual may wish to review the August 21, 1989 publication (54 FR 34555). To aid the reader, we have organized and divided this current listing into five addenda. Addendum I lists the publication dates of the most recent quarterly listings of program issuances. Addendum II identifies previous Federal Register documents that contain a description of all previously published HCFA Medicare and Medicaid manuals and memoranda. Addendum III of this notice lists, for each of our manuals or Program Memoranda, a HCFA transmittal number unique to that instruction and its subject matter. A transmittal may consist of a single instruction or many. Often it is necessary to use information in a transmittal in conjunction with information currently in the manuals. Addendum IV lists all substantive and interpretive Medicare and Medicaid regulations and general notices published in the Federal Register during the quarter covered by this notice. For each item, we list the date published, the Federal Register citation, the parts of the Code of Federal Regulations (CFR) that have changed (if applicable), the agency file code number, the title of the regulation, the ending date of the comment period (if applicable), and the effective date (if applicable). On September 19, 1995, we published a final rule (60 FR 48417) establishing in regulations at 42 CFR 405.201 et seq. that certain devices with an investigational device exemption approved by the Food and Drug Administration and certain services related to those devices may be covered under Medicare. That final rule states that we will announce in this quarterly notice all investigational device exemption categorizations, using the investigational device exemption numbers the Food and Drug Administration assigns. Addendum V includes listings of the Food and Drug Administration-approved investigational device exemption numbers that have been approved or revised during the quarter covered by this notice. The listings are organized according to the categories to which the device numbers are assigned (that is, Category A or Category B) and identified by the investigational device exemption number. III. How To Obtain Listed Material A. Manuals An individual or organization interested in routinely receiving any manual and revisions to it may purchase a subscription to that manual. Those wishing to subscribe should contact either the Government Printing Office (GPO) or the National Technical Information Service (NTIS) at the following addresses: Superintendent of Documents, Government Printing Office, ATTN: New Orders, PO Box 371954, Pittsburgh, PA 15250-7954, Telephone (202) 512- 1800, Fax number (202) 512-2250 (for credit card orders). National Technical Information Service, Department of Commerce, 5825 Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630. In addition, individual manual transmittals and Program Memoranda listed in this notice can be purchased from NTIS. Interested parties should identify the transmittal(s) they want. GPO or NTIS can give complete details on how to obtain the publications they sell. Additionally, all manuals are available at the following Internet address: http//www.hcfa.gov/pubforms/progman.htm. B. Regulations and Notices Regulations and notices are published in the daily Federal Register. Interested individuals may purchase individual copies or subscribe to the Federal Register by contacting the GPO at the address given above. When ordering individual copies, it is necessary to cite either the date of publication or the volume number and page number. The Federal Register is also available on 24x microfiche and as an online database through GPO Access. The online database is updated by 6 a.m. each day the Federal Register is published. The database includes both [[Page 59360]] text and graphics from Volume 59, Number 1 (January 2, 1994) forward. Free public access is available on a Wide Area Information Server (WAIS) through the Internet and via asynchronous dial-in. Internet users can access the database by using the World Wide Web; the Superintendent of Documents home page address is http:// www.access.gpo.gov/su__docs/, by using local WAIS client software, or by telnet to swais.access.gpo.gov, then log in as guest (no password required). Dial-in users should use communications software and modem to call (202) 512-1661; type swais, then log in as guest (no password required). C. Rulings We publish Rulings on an infrequent basis. Interested individuals can obtain copies from the nearest HCFA Regional Office or review them at the nearest regional depository library. We have, on occasion, published Rulings in the Federal Register. In addition, Rulings, beginning with those released in 1995, are available online, through the HCFA Home Page. The Internet address is http://www.hcfa.gov/regs/ rulings.htm. D. HCFA's Compact Disk-Read Only Memory (CD-ROM) Our laws, regulations, and manuals are also available on CD-ROM, which may be purchased from GPO or NTIS on a subscription or single copy basis. The Superintendent of Documents list ID is HCLRM, and the stock number is 717-139-00000-3. The following material is on the CD- ROM disk:Titles XI, XVIII, and XIX of the Social Security Act. HCFA-related regulations. HCFA manuals and monthly revisions. HCFA program memoranda. The titles of the Compilation of the Social Security Act are current as of January 1, 1995. The remaining portions of CD-ROM are updated on a monthly basis. Because of complaints about the unreadability of the Appendices (Interpretive Guidelines) in the State Operations Manual (SOM), as of March 1995, we deleted these appendices from CD-ROM. We intend to re- visit this issue in the near future, and, with the aid of newer technology, we may again be able to include the appendices on CD-ROM. Any cost report forms incorporated in the manuals are included on the CD-ROM disk as LOTUS files. LOTUS software is needed to view the reports once the files have been copied to a personal computer disk. IV. How to Review Listed Material Transmittals or Program Memoranda can be reviewed at a local Federal Depository Library (FDL). Under the FDL program, government publications are sent to approximately 1400 designated libraries throughout the United States. Interested parties may examine the documents at any one of the FDLs. Some may have arrangements to transfer material to a local library not designated as an FDL. To locate the nearest FDL, contact any library. In addition, individuals may contact regional depository libraries, which receive and retain at least one copy of most Federal government publications, either in printed or microfilm form, for use by the general public. These libraries provide reference services and interlibrary loans; however, they are not sales outlets. Individuals may obtain information about the location of the nearest regional depository library from any library. Superintendent of Documents numbers for each HCFA publication are shown in Addendum III, along with the HCFA publication and transmittal numbers. To help FDLs locate the instruction, use the Superintendent of Documents number, plus the HCFA transmittal number. For example, to find the Intermediary Manual, Part 3--Claims Process (HCFA Pub 13-3) transmittal entitled ``Oral Cancer Drugs,'' use the Superintendent of Documents No. HE 22.8/6 and the HCFA transmittal number 1700. V. General Information It is possible that an interested party may have a specific information need and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing information contact persons to answer general questions concerning these items. Copies are not available through the contact persons. Copies can be purchased or reviewed as noted above. Questions concerning Medicare items in Addendum III may be addressed to Bridget Wilhite, Office of Communications and Operations Support, Division of Regulations and Issuances, Health Care Financing Administration, Telephone (410) 786-5248. Questions concerning Medicaid items in Addendum III may be addressed to Betty Stanton, Center for Medicaid State Operations, Policy Coordination and Planning Group, Health Care Financing Administration, C4-25-02, 7500 Security Boulevard, Baltimore, MD 21244- 1850, Telephone (410) 786-3247. Questions concerning Food and Drug Administration-approved investigational device exemptions may be addressed to Sharon Hippler, Office of Clinical Standards and Quality, Coverage Analysis Group, Health Care Financing Administration, C4-11-04, 7500 Security Boulevard, Baltimore, MD 21244-1850, Telephone (410) 786-4633. Questions concerning all other information may be addressed to Cathy Johnson, Office of Communications and Operations Support, Division of Regulations and Issuances, Health Care Financing Administration, C5-12-16, 7500 Security Boulevard, Baltimore, MD 21244- 1850, Telephone (410) 786-5241. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare--Hospital Insurance, Program No. 93.774, Medicare-- Supplementary Medical Insurance Program, and Program No. 93.714, Medical Assistance Program) Dated: October 10, 1997. Pamela J. Gentry, Director, Office of Communications and Operations Support. Addendum I This addendum lists the publication dates of the most recent quarterly listings of program issuances. June 26, 1996 (61 FR 33119) December 18, 1996 (61 FR 66676) April 21, 1997 (62 FR 19328) May 12, 1997 (62 FR 25957) Addendum II--Description of Manuals, Memoranda, and HCFA Rulings An extensive descriptive listing of Medicare manuals and memoranda was published on June 9, 1988, at 53 FR 21730 and supplemented on September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR 50577. Also, a complete description of the Medicare Coverage Issues Manual was published on August 21, 1989, at 54 FR 34555. A brief description of the various Medicaid manuals and memoranda that we maintain was published on October 16, 1992, at 57 FR 47468. [[Page 59361]] Addendum III.--Medicare and Medicaid Manual Instructions [January 1997 through March 1997] ------------------------------------------------------------------------ Trans. No. Manual/Subject/Publication No. ------------------------------------------------------------------------ Intermediary Manual Part 3--Claims Process (HCFA Pub. 13-3) (Superintendent of Documents No. HE 22.8/6) ------------------------------------------------------------------------ 1696 Review of Form HCFA-1450 for Inpatient and Outpatient Bills. Bill Review for Partial Hospitalization Services Provided in Community Mental Health Centers. Pneumoccocal Pneumonia Influenza Virus and Hepatitis B Vaccines. 1697 Laboratory Tests for Hemodialysis, Intermittent Peritoneal Dialysis and Continuous Cycling Peritoneal Dialysis Included in Composite Rate. Laboratory Tests for CAPD Covered Routinely and Separately Billable. 1698 Review of Form HCFA-1450 for Inpatient and Outpatient Bills. Review of Hospice Bills. 1699 Medical--Subject to Waiver. 1700 Oral Cancer Drugs. Self-Administered Antiemetic Drugs Mammography Quality Standards Act. 1701 Hospital Outpatient Partial Hospitalization Services. 1702 Billing for Durable Medical Equipment Orthotic/ Prosthetic Devices and Surgical Dressings. 1703 Applicability of Limitation on Liability to Items or Services Furnished by Providers of Services Payable Under Part A When to Make Limitation on Liability Decisions. 1704 Contractor Data Security and Confidentiality Requirements. File Specifications, Records Specifications, and Data Element Definitions for EMC Bills. Electronic Media Claims. Requirements for Submission of EMC Data. Claims Processing Timeliness. 1705 Federal BL Program Address. 1706 Ambulance Services. 1707 Review of Form HCFA-1450 for Inpatient and Outpatient Bills. EMC Flat File Record for ESRD Medical Documentation--Record Type (RT) 76. Flat File Requirements for RT 76, ESRD Medical Documentation. Provider Electronic Billing File and Record Format. Alphabetic Listing of Data Elements. Medical Review Attachment Data Definitions and Codes. 1708 Routine Services and Appliances. ------------------------------------------------------------------------ Carriers Manual Part 2--Program Administration (HCFA Pub. 14-2) (Superintendent of Documents No. HE 22.8/7-3) ------------------------------------------------------------------------ 13 Claims Processing Timeliness. Functional Standards for Claims Processing Operations. ------------------------------------------------------------------------ Carriers Manual Part 3--Claims Process (HCFA Pub. 14-3) (Superintendent of Documents No. HE 22.8/7) ------------------------------------------------------------------------ 1555 Reasonableness and Necessity. 1556 Beneficiary Address Change. 1557 Laboratory Tests. Separately Billable Tests Furnished to Patients of Independent Dialysis Facilities. 1558 Type of Service. 1559 Reasonableness and Necessity. 1560 Contractor Data Security and Confidentiality Requirements. EMC Testing and Verification. Data Sets and Formats for EMC and Electronic Remittance Advice. Requirements for Processing EMC. Technical Requirements. Requirements for Processing EMC. 1561 Federal Black Lung Program Address. Charges by Relative or Member of Immediate Household. Duplicate and/or Overlapping Bills With Discrepant Charges. Evidence of Medical Necessity for Parenteral and Enteral Nutrition. TPP Pays Primary Benefits When Not Required. Federal Government's Right to Sue and Collect Double Damages. Documentation of Conformance. When Medicare Secondary Benefits are Payable. When Medicare Secondary Benefits are Not Payable. Calculating Medicare Secondary Payments for Services Reimbursed on Reasonable Charge or Other Basis Under Part B. Effect of Failure to File Proper Claim. Effect of Primary Payments on Deductibles and Coinsurance. Right of Physician or Supplier to Charge Beneficiary. Charging Expenses Against Annual Limit on Incurred Expenses for Services of Independently Practicing Physical Therapist. Nondiscrimination. Medicare Secondary Payment for Managed Care Organization Copayments. Individuals Receiving Delayed Compensation Payments Subject to FICA Taxes. Referral to Internal Revenue Services. Primary Payer is Bankrupt or Insolvent. [[Page 59362]] Determining Size of Employers. Current Employment Status. Limitation on Payment for Services to Individuals Entitled to Benefits on the Basis of ESRD Who are Covered by GHPs. Prohibition Against Taking into Account, Medicare Eligibility or Entitlement and Benefit Differentiation During Coordination Period. Determining Period During Which Medicare May Be Secondary Payer. Dual Eligibility/Entitlement Situations. Effect of ESRD MSP on Consolidated Omnibus Budget Reconciliation Act Continuation Coverage. Medicare Secondary Payer Provision for Disabled Beneficiaries Items and Services Furnished on or After August 10, 1993 and Before October 1, 1998. Individuals Not Subject to MSP Provision. The 100-or-More Employees Requirement. Disabled Individuals Who Return to Work. Dually-Entitled Individuals. Items and Services Furnished on or After January 1, 1987 and Before August 10, 1993. Prohibition Against Financial and Other Incentives. Federal Government's Right to Sue and Collect Double Damages. Excise Tax Penalties for Contributors to Nonconforming Group Health Plans. 1563 Paper Remittance Notice Requirements. ------------------------------------------------------------------------ Program Memorandum Intermediaries (HCFA Pub. 60A) (Superintendent of Documents No. HE 22.8/6-5) ------------------------------------------------------------------------ A-97-1 Extension of Due Date for Filing Provider 2552- 96 Cost Reports. A-97-2 Hospital Outpatient Procedures: Medicare Changes for Radiology and Other Diagnostic Coding Due to the 1997 HCPCS Update and New Dermatology HCPCS Codes. A-97-3 Cost Report Filing Requirements for Hospitals with Multiple Skilled Nursing Facilities. ------------------------------------------------------------------------ Program Memorandum Intermediaries/Carriers (HCFA Pub. 60A/B) (Superintendent of Documents No. HE 22.8/6-5) ------------------------------------------------------------------------ AB-96-12 Sterile Intravitreal Implant with Cytovene (Trade Name: Vitrasert). AB-96-13 Revaccination of Beneficiaries Who Received Recalled Influenza Virus Vaccine. AB-97-1 New Interest Rate Payable on Clean Claims Not Paid Timely. AB-97-2 Calculation Methodology for Hematocrit Levels Used to Determine the Applicability of Payment for EPO Provided to ESRD Patients. AB-97-3 Binding Contractor Hearing Officers to L/RMRP. AB-97-4 Common Working File (CWF) Crossover Edits in Release 97.1. AB-97-5 New Panels Approved by CPT. ------------------------------------------------------------------------ State Operations Manual Provider Certification (HCFA Pub. 7) (Superintendent of Documents No. HE 22.8/12) ------------------------------------------------------------------------ 279 Model Letter to Provider (Send with Form HCFA- 2567) (Immediate Jeopardy Does Not Exist) Model Letter Notifying Provider Acceptance of Allegation of Compliance. Model Letter Notifying Provider of Results of Revisit. Notice Requirements. Timing of CMPs. Procedures for Recommending Enforcement Remedies When Immediate Jeopardy Does Not Exist. Response to Allegation of Compliance. Basis for Imposing CMPs. 280 Updates of Interpretive Guidelines and Survey Procedures for Hospitals. ------------------------------------------------------------------------ Hospital Manual (HCFA Pub. 10) (Superintendent of Documents No. HE 22.8/ 2) ------------------------------------------------------------------------ 704 Outpatient Therapeutic Services. 705 Pneumococcal Pneumonia Influenza Virus and Hepatitis B Vaccines. 706 Laboratory Tests for Hemodialysis, Intermittent Peritoneal Dialysis (IPD) and Continuous Cycling Peritoneal Dialysis (CCPD) Included in Composite Rate. Laboratory Tests for CAPD Covered Routinely and Separately Billable. 707 Oral Cancer Drugs. Self-Administered Antiemetic Drugs. 708 Billing for Hospital Outpatient Partial Hospitalization Services. 709 Billing for DME, Orthotic/Prosthetic Devices and Surgical Dressings. 710 Ambulance Service Claims. 711 Outpatient Therapeutic Services. ------------------------------------------------------------------------ [[Page 59363]] Home Health Agency Manual (HCFA Pub. 11) (Superintendent of Documents No. HE 22.8/5) ------------------------------------------------------------------------ 282 Billing for Oral Cancer Drugs. Self-Administered Antiemetic Drugs. ------------------------------------------------------------------------ Medicare Renal Dialysis Facility Manual (Non-Hospital Operated) (HCFA Pub. 29) (Superintendent of Documents No. HE 22.8/13) ------------------------------------------------------------------------ 77 Laboratory Tests for Hemodialysis, IPD and CCPD. ------------------------------------------------------------------------ Medicare Outpatient Physical Therapy and Comprehensive Outpatient Rehabilitation Facility Manual (HCFA Pub. 9) (Superintendent of Documents No. HE 22.8/9) ------------------------------------------------------------------------ 129 Billing Instructions for Partial Hospitalization Services Provided in Community Mental Health Centers. ------------------------------------------------------------------------ Medicare Coverage Issues Manual (HCFA Pub. 6) (Superintendent of Documents No. HE 22.8/14) ------------------------------------------------------------------------ 91 Laboratory Tests--CRD Patients. 92 Osteogenic Stimulation. 93 Treatment of Motor Function Disorders with Electric Nerve Stimulation. Transmyocardial Revascularization With Laser-- Not Covered. Intraocular Lenses (IOL). Partial Ventriculectomy (Also known as Ventricular Reduction, Ventricular Remodeling or Heart Volume Reduction Surgery). Cryosurgery of Prostate. Vertebral Axial Decompression (VAX-D). Infusion Pumps. ------------------------------------------------------------------------ Medicare Provider Reimbursement Manual Part 1--(HCFA Pub.15-1) (Superintendent of Documents No. HE 22.8/4) ------------------------------------------------------------------------ 398 Regional Medicare Swing-Bed SNF Rates. ------------------------------------------------------------------------ Provider Reimbursement Manual Part II--Provider Cost Reporting Forms and Instructions (HCFA Pub. 15-II-AF) (Superintendent of Documents No. HE 22.8/4) ------------------------------------------------------------------------ 3 Home Health Agency Complex Identification Data. Adjustments to Expenses. Cost Allocation--General Service Costs, and Cost Allocation--Statistical Basis. 4 Home Health Agency Cost Report. Home Health Agency Complex Identification Data. Cost Allocation--General Service Costs, and Cost Allocation--Statistical Basis. Cost Center Coding. ------------------------------------------------------------------------ State Medicaid Manual--Part 3--Eligibility (HCFA Pub. 45-3) (Superintendent of Documents No. HE 22.8/10) ------------------------------------------------------------------------ 67 Changes Due to Welfare Reform. Changes in SSI Definition of Disability Due to Welfare Reform. Citizenship and Alienage. Aliens. ------------------------------------------------------------------------ State Medicaid Manual--Part 4--Services (HCFA Pub. 45-4) (Superintendent of Documents No. HE 22.8/10) ------------------------------------------------------------------------ 70 Home Respiratory Care for Ventilator-Dependent Individuals. Home and Community-Based Services--Basis, Scope, and Purpose. Description of Waiver Participants. Definition of Services. Safeguards--Assurances and Documentation. Evaluations--Assurances and Documentation. Cost Effectiveness--Assurances and Documentation. Annual Report--Assurances and Documentations. Independent Assessment of the Waiver. Home and Community-Based Services--Model Waiver Request. Home and Community-Based Services--Procedures to Request Renewal of Approved Waivers. Home and Community-Based Services--Amendments. ------------------------------------------------------------------------ State Medicaid Manual--Part 6 Payment for Services (HCFA Pub. 45-6) (Superintendent of Documents No. HE 22.8/10) ------------------------------------------------------------------------ 33 Physician Services to Children Under 21. Physician Services to Pregnant Women. ------------------------------------------------------------------------ Medicare/Medicaid Sanction--Reinstatement Report (HCFA Pub. 69) ------------------------------------------------------------------------ 97-1 Report of Physicians/Practitioners, Providers and/or Other Health Care Suppliers Excluded/ Reinstated--December 1996. [[Page 59364]] 97-2 Cumulative Report of Physicians/Practitioners, Providers and/or Other Health Care Suppliers Sanctioned/Reinstated. 97-3 Report of Physicians/Practitioners, Providers and/or Other Health Care Suppliers Excluded/ Reinstated--January 1997. 97-4 Report of Physicians/Practitioners, Providers and/or Other Health Care Suppliers Excluded/ Reinstated--February 1997. ------------------------------------------------------------------------ Addendum IV.--Regulation Documents Published in the Federal Register -------------------------------------------------------------------------------------------------------------------------------------------------------- End of Publication date FR vol. 61 CFR File code* Regulation title comment Effective page part(s) period date -------------------------------------------------------------------------------------------------------------------------------------------------------- 01/02/97........................ 26-31 413 BPD-788-F Medicare Program; Electronic ........... 02/01/97 Cost Reporting for Skilled Nursing Facilities and Home Health Agencies. 01/13/97........................ 1682-1685 435 MB-105-FC Medicaid Program; 03/14/97 01/13/97 Redeterminations of Medicaid Eligibility Due to Welfare Reform. 01/13/97........................ 1768-1776 ......... BPD-882-N Notification Procedures for ........... ........... States Implementing ``Alternative Mechanisms'' in the Individual Health Insurance Market. 01/16/97........................ 2373-2374 ......... ORD-095-N New and Pending Demonstration ........... ........... Project Proposals Submitted Pursuant to Section 1115(a) of the Social Security Act: November 1996. 01/23/97........................ 3563 ......... BPD-886-N Department of Health and Human ........... ........... Services, Health Care Financing Administration; Department of Labor, Pension and Welfare Benefits Administration; and Department of the Treasury, Office of Tax Policy and Internal Revenue Service (the Agencies ); Health Insurance Portability; Correction. 01/29/97........................ 4305-4311 ......... ORD-089-N Medicare and Medicaid Programs; ........... ........... Small Business Innovation Research Grants for Fiscal Year 1997. 01/31/97........................ 4772-4776 ......... MB-104-N Medicaid Program; Preliminary ........... ........... Limitations on Aggregate Payments to Disproportionate Share Hospitals: Federal Fiscal Year 1997. 02/05/97........................ 5433-5442 ......... HSQ-244-N CLIA Program; Clinical ........... 10/28/96 Laboratory Improvement Amendments of 1988--Denial of Exemption of Laboratories in the Commonwealth of Puerto Rico. 02/21/97........................ 7945-7946 410 BPD-852-CN Medicare Program; Revisions to ........... 01/01/97 415 Payment Policies and Five-Year Review of and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1997; Correction. 02/25/97........................ 8451-8452 ......... ORD-096-N New and Pending Demonstration ........... ........... Project Proposals Submitted Pursuant to Section 1115(a) of the Social Security Act: December 1996. 03/06/97........................ 10286 ......... OPL-014-N Medicare Program; March 24, ........... ........... 1997 Meeting of the Practicing Physicians Advisory Council. 03/10/97........................ 11035-11064 484 HSQ-238-P Medicare and Medicaid Programs; 06/09/97 ........... Use of the OASIS as Part of the Conditions of Participation for Home Health Agencies. 03/10/97........................ 11005-11035 484 BPD-819-P Medicare and Medicaid Programs; 06/09/97 ........... Conditions of Participation for Home Health Agencies. 03/28/97........................ 14851-14878 413 BPD-808-P Medicare and Medicaid Programs; 05/27/97 ........... Salary Equivalency Guidelines for Physical Therapy, Respiratory Therapy, Speech Language Pathology, and Occupational Therapy Services. 03/31/97........................ 15187-15191 ......... ORD-097-N New and Pending Demonstration ........... ........... Project Proposals Submitted Pursuant to Section 1115(a) of the Social Security Act: January 1997 and Supplement to December 1996 Listing. -------------------------------------------------------------------------------------------------------------------------------------------------------- [[Page 59365]] Addendum V--Categorization of Food and Drug Administration-Approved Investigational Device Exemptions Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c), devices fall into one of three classes. Also, under the new categorization process to assist HCFA, the Food and Drug Administration assigns each device with a Food and Drug Administration-approved investigational device exemption to one of two categories. To obtain more information about the classes or categories, please refer to the Federal Register notice published on April 21, 1997 (62 FR 19328). The following information presents the device number, category (in this case, A), and criterion code. G960213 A2 G960218 A1 G960258 A1 G960266 A1 G970004 A1 G970007 A1 G970015 A2 G970016 A2 G970018 A2 G970022 A2 G970035 A2 G970051 A2 G970053 A2 The following information presents the device number category (in this case, B), and criterion code. G950115 B1 G956391 B2 G960193 B4 G960199 B2 G960208 B1 G960229 B1 G960230 B2 G960231 B3 G960234 B4 G960235 B3 G960241 B2 G960243 B2 G960245 B2 G960246 B1 G960247 B1 G960248 B4 G960249 B4 G960250 B3 G960252 B2 G960253 B4 G960254 B2 G960255 B2 G960256 B1 G960257 B3 G960259 B4 G960262 B3 G960263 B3 G960264 B3 G960267 B1 G970001 B3 G970002 B4 G970003 B3 G970005 B4 G970011 B2 G970012 B4 G970019 B3 G970023 B4 G970025 B3 G970026 B3 G970028 B3 G970029 B3 G970030 B1 G970031 B3 G970032 B3 G970033 B4 G970034 B4 G970037 B4 G970038 B4 G970039 B4 G970040 B3 G970041 B4 G970046 B1 G970047 B3 G970052 B1 G970054 B4 G970059 B3 [FR Doc. 97-28972 Filed 10-31-97; 8:45 am] BILLING CODE 4120-03-P