Transmittals

Implementing Payment Changes for FCHIP (Frontier Community Health Integration Project), Mandated by Section 123 of MIPPA 2008 and as Amended by Section 3126 of the ACA of 2010 (This CR Rescinds and Replaces CR 8683)

Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2016 Updates

2016 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments

State Operations Manual (SOM) for All Types of Providers and Suppliers Subject to Certification

Revisions and Deletion to the State Operations Manual (SOM) Chapter 9 Exhibits

QIO Manual Chapter 6 – “Medicare + Choice Organizations (M+COs)”

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update

Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS)

2016 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder

Postpayment Review Requirements

October 2015 Update of the Ambulatory Surgical Center (ASC) Payment System

October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3

October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3

Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria

Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria

Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM)

Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM)

Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.0, Effective January 1, 2016