CMS issued a Draft Transmittal 8, for the RHC/FQHC (222-92 forms). This is effective for FYE on or after 10/1/2009 (i.e. must be used for these FYE). T.8 changes W/S B part I, line 1 instructions to emphasize that physician data (FTEs and Visits), for services furnished to facility patients by staff physicians working under a contractual agreement with an RHC on a regular ongoing basis in the RHC/FQHC facility, are placed on line 1, and are subject to productivity standards in accordance with 42 CFR 491.8. T.8 also modified W/S C part II, line 15 calculation to phase out the Outpatient Mental Health Treatment Limit of 62.5%, over 5 years. The Limit remains 62.5% for services through 12/31/2009. For services 1/1/2010 to 12/31/2011, the Limit is 68.75%. For services 1/1/2012 to 12/31/2012, the Limit is 75%. For services 1/1/2013 to 12/31/2013, the Limit is 81.25%. For services on or after 1/1/2014, the Limit is zero, or 100% reimbursement is computed. T.8 also modified W/S B-1 for the H1N1 vaccine costs. Effective for services on or after 9/1/2009, columns 2.01 and 2.02 were added to calculate the costs of H1N1. Medical Supply cost, Total Injections, and Medicare Injections must be identified (split), between Pneumococcal, Seasonal Influenza, H1N1 Only, and H1N1 and Influenza combined. Once T.8 Draft is finalized, we will have to process a CMS Test Case and get a new approval for our software.