Transmittals

Update to Exhibit 46.2, 46.3, 46.4, and 46.5 in Publication (Pub.) 100-08

Update to Exhibit 46.2, 46.3, 46.4, and 46.5 in Publication (Pub.) 100-08

New to State Operations Manual (SOM), Appendix X, Survey Protocol and Interpretive Guidelines for Organ Transplant Programs

July 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS)

July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions

Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports

Claim Status Category and Claim Status Codes Update

Claim Status Category and Claim Status Codes Update

Update the International Classification of Diseases, Tenth Revision (ICD-10) 2020 Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims

Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model

Reporting the Patient Relationship Categories and Codes

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2019 Update

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2019 Update

Updating Fiscal Intermediary Shared System (FISS) for Pricing Drugs at Different Rates Depending on Provider Type

Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2019

Re-implementation of the AMCC Lab Panel Claims Payment System Logic

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)