Implementation of Laboratory Competitive Bidding Demonstration
Change Request (CR) 5772 establishes the implementation date for the
Laboratory Competitive Bidding Demonstration in the first Competitive Bidding Site (CBA1) and changes
some of the requirements that were stated in CR 5205, Transmittal 49, issued August 1, 2006 as well as in
CR 5359, Transmittal 50, issued November 1, 2006. This project will cover demonstration tests for all
Medicare Part B beneficiaries who live in the CBA1 and includes new requirements as listed: Laboratories
providing Clinical Laboratory Services exclusively to beneficiaries residing in nursing homes or receiving
Home Health Services in the CBA1 will not be required to bid and will be considered passive, new record
layout for the quarterly data file report in which contractors are to send to CMS Mainframe, new record
layout for the Provider Lab Demonstration status file as well as allowing Referring/Reference Labs to be
covered under this demonstration with some restrictions as listed under the Business Requirements.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2008
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