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 18 - Preventive and Screening Services | clm104c18 |
| Chapter 32 – Billing Requirements for Special Services | clm104c32 |
| Chapter 39 – Opioid Treatment Programs (OTPs) | clm104c39 |
| Forms | Document # |
|---|---|
| Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers | cms855b |
| Federal Register/Rule | Document # |
|---|---|
| Medicaid Program; Community Engagement Requirement for Certain Individuals | 2026-11094 |
| OIG HHS/Reports | Document # |
|---|---|
| Lehigh Valley Hospital Received At Least $17.8 Million in Medicare Overpayments | A-03-23-00001 |
| CMS Should Improve Its Policies and Procedures for the Oversight of States’ Reported Medicaid Expenditures to Better Protect the Financial Integrity of the Medicaid Program | A-06-23-09006 |
| CMS Center/Transmittals | Document # |
|---|---|
| Update to the Internet Only Manual (IOM) Publication 100-04, Chapters 3, 13, 17, 18 and 32 for Coding Revisions to National Coverage Determination (NCDs) - January 2026 Change Requests (CRs) 14194 and 14197 | R13809CP |
| Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026 | R13816OTN |
| Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted for Indirect Medical Education (IME) Payment | R13818OTN |