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HHS Guidance Documents
Title OpDiv/StaffDiv Guidance Status Issue Date
Update End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Change Requests (CRs) to Exclude Acute Kidney Injury (AKI)  Centers for Medicare & Medicaid Services (CMS) Final
July 2025 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement  Centers for Medicare & Medicaid Services (CMS) Final
Internet Only Manual (IOM) Update, Publication (Pub.) 100-01, Chapter 7, 40.2 - General Information, Eligibility, and Entitlement Manual Chapter 7 - Contract Administrative Requirements  Centers for Medicare & Medicaid Services (CMS) Final
Update to the List of Advanced Life Support, Level 2 (ALS2) Procedures in Chapter 10, Ambulance Services, Section 30.1.1, Definition of Ground Ambulance Services  Centers for Medicare & Medicaid Services (CMS) Final
Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process  Centers for Medicare & Medicaid Services (CMS) Final
New Edit Implementation for Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) for Point of Origin (PoO) Admission or Visit Code “D” Related to the Emergency Department (ED) Adjustment Policy  Centers for Medicare & Medicaid Services (CMS) Final
Modifying Editing for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC) Hospice Physician Services When the Beneficiary has Medicare Advantage  Centers for Medicare & Medicaid Services (CMS) Final
April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule  Centers for Medicare & Medicaid Services (CMS) Final
Instructions for Downloading the Medicare ZIP Code File for April 2025 Files  Centers for Medicare & Medicaid Services (CMS) Final
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2025 Update   Centers for Medicare & Medicaid Services (CMS) Final
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