These updates are now available on Codify. You can access them by selecting Publications/Regulatory Information from the top menu or by clicking the links below.
| Medicare Claim Processing Manual | Document # |
|---|---|
| Chapter 32 – Billing Requirements for Special Services | clm104c32 |
| Forms | Document # |
|---|---|
| Application For Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances) | CMS-10797 |
| ESRD MEDICAL EVIDENCE REPORT MEDICARE ENTITLEMENT AND/OR PATIENT REGISTRATION | CMS 2728 |
| Federal Register_Notice | Document # |
|---|---|
| Agency Information Collection Activities: Proposed Collection; Comment Request | 2026-06170 |
| Medicare and Medicaid Programs: Application From the Accreditation Commission for Health Care Inc. (ACHC) for Continued Approval of Its Critical Access Hospital Accreditation Program | 2026-06499 |
| Medicare and Medicaid Programs; Approval of Application by the Accreditation Commission for Health Care Inc. (ACHC) for Continued CMS-Approval of its Hospice Accreditation Program | 2026-06500 |
| Medicare and Medicaid Programs; Application From Joint Commission (JC) for Continued CMS-Approval of Its Home Health Agency (HHA) Accreditation Program | 2026-06508 |
| Agency Information Collection Activities: Submission for OMB Review; Comment Request | 2026-06570 |
| Agency Information Collection Activities: Proposed Collection; Comment Request | 2026-06573 |
| Medicare Program; Delayed Implementation of Certain Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model | 2026-06616 |
| Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model; Correction | 2026-06617 |
| Notice of Public Data Asset Release Under the Open, Public, Electronic, and Necessary (OPEN) Government Data Act | 2026-06618 |
| Agency Information Collection Activities: Submission for OMB Review; Comment Request | 2026-06725 |
| Federal Register_Rule | Document # |
|---|---|
| Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program | 2026-06600 |
| Federal Register_Proposed Rule | Document # |
|---|---|
| Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements | 2026-06604 |
| Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program | 2026-06642 |
| Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027 | 2026-06674 |
| Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update | 2026-06675 |
| OIG HHS/Reports | Document # |
|---|---|
| Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Priority Health (Contract H2320) Submitted to CMS | A-07-22-01208 |
| Louisiana Healthcare Connections Generally Complied With Federal and State Process Requirements When Denying Prior Authorization Requests | A-06-24-02000 |
| Vibrent Health Claimed Unallowable Costs Under a National Institutes of Health Other Transaction Award | A-04-24-02049 |
| Transmittal | Document # |
|---|---|
| Medicare Administrative Contractors (MACs) Part B, the Multi- Carrier System (MCS) and Durable Medicare Equipment (DME) MACs Updates on Processing Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs) | R13706OTN |
| April 2026 Integrated Outpatient Code Editor (I/OCE) Specifications Version 27.1 | R13715CP |
| Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Section 170.1 and Chapter 32, sections 330.1 and 330.2 for Updates in Change Request (CR) 14356 - International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026 | R13709CP |
| Creation of the 'PROVIDER-TERMINATED' Status at the Provider/Customer Level on the Healthcare Integrated General Ledger Accounting System (HIGLAS) Customer Status History Form | R13708FM |
| Cardiac Contractility Modulation (CCM) for Heart Failure (HF) | R13716NCD |
| Cardiac Contractility Modulation (CCM) for Heart Failure (HF) | R13716CP |