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 Program Integrity Manual | Document # |
|---|---|
| Chapter 3 - Verifying Potential Errors and Taking Corrective Actions | pim83c03 |
| Chapter 4 - Program Integrity | pim83c04 |
| Federal Register/Notice | Document # |
|---|---|
| Agency Information Collection Activities: Submission for OMB Review; Comment Request | 2026-12328 |
| Federal Register Proposed Rule | Document # |
|---|---|
| Request for Information (RFI): Pharmacy Benefit Manager Compensation and Data Collection | 2026-12344 |
| OIG HHS/Reports | Document # |
|---|---|
| Inaccurate Medicaid Managed Care Provider Directories May Limit Enrollees’ Access to Maternal Health Care | OEI-05-24-00090 |
| Inaccurate Medicaid Managed Care Network Lists May Compromise State Oversight of Access to Maternal Health Care | OEI-05-24-00091 |
| Jefferson Regional Medical Center Received at Least $4.7 Million in Medicare Overpayments | A-04-22-07101 |
| CMS’s Processes Were Not Effective in Ensuring the Accuracy of Staffing Information Reported in the Payroll-Based Journal | A-09-24-02005 |
| North Dakota Could Better Ensure That Providers Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 44 Residential Settings | A-07-24-04137 |
| CMS Center/Transmittals | Document # |
|---|---|
| October 2026 (2027 File) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) | R13792CP |
| Update to Several Sections of the Internet-Only Manual (IOM) Publication (Pub.) 100-04, Medicare Claims Processing Manual, Chapter 23 - Fee Schedule Administration and Coding Requirements. | R13701CP |
| Creating Additional Medicare Secondary Payer (MSP) Error Codes to Better Identify Incoming MSP Claims that Conflict with MSP Records Found on the Common Working File (CWF) | R13833MSP |
| July 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS) | R13832CP |
| July Quarterly Update for 2026 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | R13805CP |
| Update to GUIDE Model Appendices for July 2026 | R13804DEMO |