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Transmittals

  • Update of Edits That Deny Payment of Healthcare Common Procedure Coding System (HCPCS) Add-On Code G2211
  • Updates to Chapter 18, Preventive and Screening Service
  • Technical revisions to the State Operations Manual (SOM) Appendix X for transplant programs.
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026.
  • Implementation CR - Send Transplant Program Hospital Type and the New Organ Types to the Fiscal Intermediary Shared System (FISS) on Provider Enrollment Chain & Ownership System (PECOS) Extract Files and for FISS to Process so PECOS is the System of Record for the Transplant Program Hospital Type and for the Organs Type Transplanted at the Hospital
  • This transmittal updates Chapter 43, Hospice Cost Report (Form CMS-1984-14), to revise and modify the forms and instructions.
  • This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-265-11, by revising the existing instructions and electronic cost report (ECR) specifications.
  • This transmittal updates Chapter 45, Community Mental Health Center Cost Report, Form CMS-2088-17, by revising the existing instructions and electronic cost report (ECR) specifications.
  • 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)
  • Revisions to the State Operations Manual (SOM) Appendix U - Religious Nonmedical Healthcare Institutions
  • National Coverage Determination (NCD) 110.17- Anti-Cancer Chemotherapy for Colorectal Cancer
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – July 2026
  • The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider Statistical & Reimbursement (PS&R) System
  • National Fee Schedule for Vaccine Administration Quarterly Update - July 2026
  • Laboratory Specimen Collection Travel Allowance Billing to the Tenth of a Mile
  • Completion of Changes to Remove Reliance on the AX Modifier to Accurately Pay End Stage Renal Disease (ESRD) Claims
  • Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026
  • Require Healthcare Integrated General Ledger Accounting System (HIGLAS) Users to Begin Using Phishing-resistant Multi-Factor Authentication (MFA) for Login
  • Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare-Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the Consolidated Appropriations Act, 2026
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