Transmittals

Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)

Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD).

Update to Pub. 100-02, Chapter 11 End-Stage Renal Disease (ESRD) through Calendar Year (CY) 2026

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

Calendar Year 2026 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4, 150.6, 200.2, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3 for Coding Revisions to National Coverage Determinations (NCDs) - July 2025 Change Request (CR) 13939

January 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS).

January 2026 Update of the Ambulatory Surgical Center [ASC] Payment System.

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider Statistical & Reimbursement (PS&R) System.

Completion of Changes to Remove Reliance on the AX Modifier to Accurately Pay End Stage Renal Disease (ESRD) Claims.

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7

Revisions to Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services-Advance Copy

Updates of Chapters 3, 4, and Exhibits in Publication (Pub.) 100-08, Including Updates to the Provider Notification Process and Vetting with the CMS Process.

Additional updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of Government Entity Exclusion (Pub. 100-02, chapter 16, sections 40 and 50.3.3 and newly created section 40.7) and Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority (Pub. 100-04, chapter 1, section 10.4) - This CR Rescinds and Fully Replaces CR 13903.

Additional updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of Government Entity Exclusion (Pub. 100-02, chapter 16, sections 40 and 50.3.3 and newly created section 40.7) and Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority (Pub. 100-04, chapter 1, section 10.4) - This CR Rescinds and Fully Replaces CR 13903.

Manual Update for Emergency Department Procedure Coded for Method II Critical Access Hospital (CAH)

Revisions to the State Operations Manual (SOM) Appendix A - Hospitals.

Medicare Secondary Payer (MSP) Special Project Savings 9000 – Central Office Savings to be Reported and Appear on the Fiscal Intermediary Shared System (FISS) MSP Savings Summary Report (09A)

Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Quarter Notification for FY 2026