Final Hospital Transmittal 20

HFS received CMS approval for T.20 on 9/17/2009. This will be our Version 20.0.118.0. One major change from the Draft, is that Capital IME is still reimbursed through 9/30/2010. The T.20 instructional changes for W/S L part I, were rescinded. Transmittal 20 is effective for FY Begin 5/1/2009 and after, but has varying effective dates for some of the changes. TOPS was extended through 12/31/2009, so the "extension" is effective 1/1/2009 and after, and now includes Small, SCH; as well as Small Rural Hospitals. W/S S-8 lines 9 and 10 are now N/A due to HIPPA info, and is effective for 5/1/2009 FY Begin and after. New line 55.30 on W/S A, for Implantable Devices, is effective for 5/1/2009 FY Begin and after, but may be used by providers now, if they choose. The new ESRD changes for lines 5.xx on E part A, column 1.01, are effective for Services on or after 1/1/2009. The E part A line 7 instructional changes to allow the use of 2006 data, is effective for 1/1/2009 FY Begin and after. The E-3 part VI, line 6 and 7 instruction chnages have no effective date, so they are retroactive back to 9/30/1996 FYE and after.