Initial Implementation

30 - Initial Implementation (Rev. 47, 06-25-04) While CMS will assign the contractor number, the initial implementation of the BSI will require the claims administration contractors to assign the state codes (positions 6 and 7 of the contractor workload identifier) to their providers according to the master list on exhibit 1. Contractors shall assign the BSI as follows: • Fiscal intermediaries shall assign each provider they service to a specific state associated workload based on the state in which the provider is located. Intermediaries shall assign providers not located in the contracted state jurisdiction (i.e. providers that are “out of area” through nominations and/or chains of providers that elect the FI) according to the following rules: o If the “out of area” provider or chain of providers is serviced through a nomination of selected contractor or a chain relationship, assign the provider to the state-associated workload to which the nomination relates. o If the “state” of the nomination cannot be determined, assign the provider to the state represented by the contractor’s home office for administrative budget and cost reporting purposes. EXAMPLE: A fiscal intermediary services Part A providers in States XX, YY and ZZ, as well as providers in several other states that nominated the FI or previous intermediaries, the workloads of which are now awarded to the current FI. Providers serviced by this FI should be assigned to either XX, YY or ZZ and would be coded XXA_, YYA_, or ZZA_ respectively. • Carriers shall assign the state code based on where the physician or supplier is located. EXAMPLE: A carrier services Part B providers in States XX and YY and will utilize XXB_ and YYB_ respectively. • RHHIs shall assign a state code based on where the home health agency or hospice is located or, if a chain of providers, where the home office is located. • DMERCs shall assign codes as follows: DMERC Region A = RAD_ DMERC Region B = RBD_ DMERC Region C = RCD_ DMERC Region D = RDD_.