Explanation of Content and Changes

In the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Congress mandated that SSA transfer its responsibility for adjudicating Medicare appeals to the Department of Health and Human Services (HHS) between July 1, 2005 and October 1, 2005. HALLEX Chapter I-5-5 contains Temporary Instructions (TIs) for processing Medicare Cases. Currently there is only one TI in this chapter, TI I-5-5-2 (Medicare Payment for Services Rendered in a Noncertified Bed (Hospital or Skilled Nursing Facility) which was issued on April 12, 1985. This TI is outdated and has served its intended purpose and is hereby deleted. Chapter I-5-5 (Health Care Financing Administration Matters) is removed from HALLEX. This Chapter will be reserved for future use.

Date: June 21, 2005