Alert detail
Federal Register Proposed Rule: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor
Policy ID: FR-2026-13656Specialty: Hospital Outpatient (OPPS)Added: 7/7/2026proposed rule
What changed
CY2027 OPPS/ASC proposed rule expands prior auth for Botulinum Toxin.
Who’s affected: Hospital Outpatient (OPPS) billing teams
Primary source: View the official CMS/MAC document ↗
Get the action steps and full analysis
This change affects 4 billing codes. Comment deadline: Aug 31, 2026.
The full analysis, the revision comparison and the as-of-date version of this policy are what a partner packet carries. The source document above is free and always will be.