Transmittals

This transmittal updates Chapter 45, Community Mental Health Center Cost Report, Form CMS-2088-17, by revising instructions, worksheets, and electronic cost report (ECR) specifications.

Update to Medical Review Instructions for Inpatient Hospital Claims in Chapter 6 of Publication (Pub.) 100-08, Program Integrity Manual (PIM)

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

Revisions to State Operations Manual (SOM) Chapter 5 - Complaint Procedures, Sections 5500-5590.

Laboratory Specimen Collection Travel Allowance Billing to the Tenth of a Mile

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update—CR 2 of 2

October Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Enhancing MCS 276/277 Claim Status Processing to Include Medicare Adjudication Portal (MAP) Claims

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2025 Update

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

Provider Education for Prior Authorization (PA) of Certain Services in the Ambulatory Surgical Center (ASC) Setting

ViPS Medicare System (VMS) - Display Testing/Production Region Identifier in VMS Automated Parameters (VMAP) Phase 2

Fiscal Year (FY) 2026 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Changes

Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver – Implementation

Allowing Additional Revenue Codes for Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) beginning in Calendar Year (CY) 2025

Updates of Chapter 3 and the Appendices Chapter in Publication (Pub.) 100-15, Including Updates to the Medicaid Proactive Project Development Process

Enhancing Compliance and Payment Accuracy for Physician Services in Skilled Nursing Facilities

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update—CR 2 of 2

This transmittal updates Exhibit C-3 by adding factors for the months of January 2024 through December 2024, based on the Composite Therapy Index from IHS Global Insight, Inc.

This transmittal updates Exhibit C-3 by adding factors for the months of January 2024 through December 2024, based on the Composite Therapy Index from IHS Global Insight, Inc.