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IVIG Payment Rates

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) use provided payment rates for the payment rate for the administration of Intravenous Immune Globulin (IVIG) according to the Medicare Intravenous Immune Globulin (IVIG) Access and Strengthening Medicare and Repaying Taxpayers Act of 2012

Full Transmittal:

Subject: IVIG Demonstration: Payment Update for 2018

Number: 186

Title: 10343

Release Date: November 22, 2017

Effective Date: October 1, 2017 -Original demonstration end date was September 30, 2017. Current payment rates can continue through December 31, 2017. CR specifies new payment rate effective January 1, 2018. In addition, all claim editing in place prior to October 1, 2017 should continue on/after October 1, 2017.

Implementation Date: January 2, 2018 - Implementation of 2018 payment rate; April 2, 2018 - Elimination of system edits tied to original demonstration end date and re-processing of claims


Special Transmittal Notes: Transmittal 185, dated November 3, 2017, is being rescinded and replaced by Transmittal 186, dated, November 22, 2017 to change a date in paragraph two of the background section from December 31, 2010 to December 31, 2020. All other information remains the same.


  • Post author
    Lacy Gaskins