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HHS Guidance Documents
Title OpDiv/StaffDiv Guidance Status Issue Date
Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18, Section 10.2.2.1, to Clarify the Payment Method on Vaccines for Critical Access Hospitals (CAHs)  Centers for Medicare & Medicaid Services (CMS) Final
Healthcare Integrated General Ledger Accounting System (HIGLAS) Payment to CMSHQ – Return to Trust Fund  Centers for Medicare & Medicaid Services (CMS) Final
Online Electronic Correspondence Referral System (ECRS) Added Edits Checking for Medicare Entitlement and Part D Enrollment For Specific Group Health Plan (GHP) Types and Batch Edits. Effective April, 2023, Hierarchy Rules Will Be Applied to Primary and S  Centers for Medicare & Medicaid Services (CMS) Final
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2023 Update  Centers for Medicare & Medicaid Services (CMS) Final
User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Additional Documentation Request (ADR) Automated Development System (ADS) Letters  Centers for Medicare & Medicaid Services (CMS) Final
Internet-Only Manual (IOM) Updates to Pub. 100-04, Chapter 12 for the New Hospital Inpatient or Observation Care Code Family, Nursing Facility Visits Code Family, Billing the Substantive Portion of a Split (or Shared) Visit, Changes for Prolonged Services  Centers for Medicare & Medicaid Services (CMS) Final
April 2023 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement  Centers for Medicare & Medicaid Services (CMS) Final
Revisions to State Operations Manual (SOM) Chapter 5.  Centers for Medicare & Medicaid Services (CMS) Final
Revisions to State Operations Manual (SOM), Chapter 7  Centers for Medicare & Medicaid Services (CMS) Final
User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Process Change for ZIP Code Price Method of the Quarterly ZIP Code Update  Centers for Medicare & Medicaid Services (CMS) Final
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