Merge pull request #601 from CMSgov/develop

Develop

VERSION.md

@@ -1 +1 @@
-1.2.0
+1.3.1

schemas/allowed-amounts/README.md

@@ -24,7 +24,7 @@ The out-of-network object contains information related to the service that was p
 | **name** | Name | String | The name of each item or service for which the costs are payable, in whole or in part, under the terms of the plan or coverage. | Yes |
 | **billing_code_type** | Billing Code Type | String | Common billing code types. Please see a list of the [currently allowed codes](#additional-notes-concerning-billing_code_type) at the bottom of this document. | Yes |
 | **billing_code** | Billing Code | String | The `billing_code_type` code for the item/service | Yes |
-| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2 | Yes |
+| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2 . If there is no version available for the `billing_code_type`, use the current plan's year `YYYY` that is being disclosed.| Yes |
 | **description** | Description | String | Brief description of the item or service. In the case of items and services that are associated with common billing codes (such as the HCPCS codes), the codes’ associated short text description may be provided. In the case of NDCs for prescription drugs, the plain language description must be the proprietary and nonproprietary names assigned to the NDC by the FDA | Yes |
 | **allowed_amounts** | Rates |	Array | An array of [allowed amounts objects](#allowed-amounts-object) | Yes |
 

schemas/in-network-rates/README.md

@@ -25,7 +25,7 @@ This type defines an in-network object.
 | **negotiation_arrangement** | Negotiation Arrangement | String | An indication as to whether a reimbursement arrangement other than a standard fee-for-service model applies. Allowed values: "ffs", "bundle", or "capitation" | Yes |
 | **name** | Name | String | This is name of the item/service that is offered | Yes |
 | **billing_code_type** | Billing Code Type | String | Common billing code types. Please see a list of the [currently allowed codes](#additional-notes-concerning-billing_code_type) at the bottom of this document. | Yes |
-| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2 | Yes |
+| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2. If there is no version available for the `billing_code_type`, use the current plan's year `YYYY` that is being disclosed.  | Yes |
 | **billing_code** | Billing Code | String | The code used by a plan or issuer or its in-network providers to identify health care items or services for purposes of billing, adjudicating, and paying claims for a covered item or service. If a custom code is used for `billing_code_type`, please refer to [custom billing code values](#additional-notes-concerning-billing_code) |  Yes |
 | **description** | Description | String | Brief description of the item/service | Yes |
 | **negotiated_rates** | Negotiated Rates | Array | This is an array of [negotiated rate details object types](#negotiated-rate-details-object) | Yes |
@@ -36,15 +36,15 @@ This type defines an in-network object.
 | Field | Name | Type | Definition | Required |
 | ----- | ---- | ---- | ---------- | -------- |
 | **billing_code_type** | Billing Code Type | String | Common billing code types. Please see a list of the [currently allowed codes](#additional-notes-concerning-billing_code_type) at the bottom of this document. | Yes |
-| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2 | Yes |
+| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2. If there is no version available for the `billing_code_type`, use the current plan's year `YYYY` that is being disclosed. | Yes |
 | **billing_code** | Billing Code | String | The code used by a plan or issuer or its in-network providers to identify health care items or services for purposes of billing, adjudicating, and paying claims for a covered item or service. If a custom code is used for `billing_code_type`, please refer to [custom billing code values](#additional-notes-concerning-billing_code)| Yes |
 | **description** | Description | String | Brief description of the item/service | Yes |
 
 #### Covered Services Object
 | Field | Name | Type | Definition | Required |
 | ----- | ---- | ---- | ---------- | -------- |
 | **billing_code_type** | Billing Code Type | String | Common billing code types. Please see a list of the [currently allowed codes](#additional-notes-concerning-billing_code_type) at the bottom of this document. | Yes |
-| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2 | Yes |
+| **billing_code_type_version** | Billing Code Type Version | String | There might be versions associated with the `billing_code_type`. For example, Medicare's current (as of 5/24/21) MS-DRG version is 37.2. If there is no version available for the `billing_code_type`, use the current plan's year `YYYY` that is being disclosed. | Yes |
 | **billing_code** | Billing Code | String | The code used by a plan or issuer or its in-network providers to identify health care items or services for purposes of billing, adjudicating, and paying claims for a covered item or service. If a custom code is used for `billing_code_type`, please refer to [custom billing code values](#additional-notes-concerning-billing_code)| Yes |
 | **description** | Description | String | Brief description of the item/service | Yes |