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Transmittals

  • Face-to-Face Encounter Requirements for Replacements Occurring After the Reasonable Use Lifetime (RUL)
  • Upload of Hospice Aggregate Cap Determination Letters and Hospice Filed Self-Determined Hospice Cap Documentation into the System for Tracking Audit and Reimbursement (STAR)
  • Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Stay of Enrollment
  • April 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs)
  • The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2024 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
  • Internet-Only Manual Update, Pub. 100-04, Chapter 18 (Preventive and Screening Services), Section 10.2.1
  • Revisions to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub.) 100-08 (Medicare Program Integrity Manual)
  • April 2026 Coding Updates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)
  • Cardiac Contractility Modulation (CCM) for Heart Failure (HF)
  • Cardiac Contractility Modulation (CCM) for Heart Failure (HF)
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2026 Update
  • Manual Updates Adding language to the Timing and Content of Certification, Revocation and Discharge Guidance, and Hospice Election
  • Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 32, Sections 40.1 and 40.2.1 for Updates in Change Request (CR) 14263 International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2026
  • Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)
  • Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)
  • Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)
  • Annual Instructions for Downloading the Medicare ZIP Code Files for the Remainder of Calendar Year 2026
  • Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2026
  • This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report (Form CMS-2552-10), by clarifying and revising the existing instructions and by revising existing edits. Effective dates vary.
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