Regulatory Information Center Updates: December 2, 2025


These updates are now available on Codify by AAPC. You can access them by selecting Publications/Regulatory Information from the top menu or by clicking the links below.

CMS Center/Transmittals

Document #

Update to the List of Advanced Life Support, Level 2 (ALS2) Procedures in Chapter 10, Ambulance Services, Section 30.1.1, Definition of Ground Ambulance Services

R13470CP

OIG HHS/Reports Document #

Medicare Payments for Continuous Glucose Monitors and Supplies Exceeded Supplier Costs and Retail Market Prices, Indicating Medicare Can Save At Least Tens of Millions of Dollars in One Year

OEI-04-23-00430

Gaps in NIH’s Oversight Put Millions in Funding for Other Transactions at Greater Risk of Fraud, Waste, or Abuse OEI-04-24-00140
Four of Thirty Selected Dental Providers Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments A-02-23-01013
Federal Register Proposed Rule Document #
Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program 2025-21456
Federal Register/Notice Document #
Notice of Medicaid Information Sharing Between the Centers for Medicare & Medicaid Services and the Department of Homeland Security 2025-20911
Agency Information Collection Activities: Proposed Collection; Comment Request 2025-21121
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request 2025-21124
Agency Information Collection Activities: Submission for OMB Review; Comment Request 2025-21210
Privacy Act of 1974; Matching Program; Correction 2025-21394
Agency Information Collection Activities: Submission for OMB Review; Comment Request 2025-21433
Agency Information Collection Activities: Proposed Collection; Comment Request 2025-21435
Medicare Program; Inflation Reduction Act (IRA) Medicare Drug Price Negotiation Program Final Guidance 2025-21501
Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July through September 2025 2025-21622
Agency Information Collection Activities: Submission for OMB Review; Comment Request 2025-21690
Federal Register/Rule Document #
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots 2025-20907
Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction 2025-21458
Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies 2025-21767
Medicare Program Integrity Manual Document #
Chapter 5 – Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items and Services Having Special DME Review Considerations pim83c05
Chapter 6 - Medicare Contractor Medical Review Guidelines for Specific Services pim83c06
Medicare Claim Processing Manual Document #
Chapter 11 - Processing Hospice Claims clm104c11
Chapter 28 - Coordination With Medigap, Medicaid, and Other Complementary Insurers clm104c28
Chapter 32 – Billing Requirements for Special Services clm104c32