Effective date
Medicare changes effective January 4, 2027
25 CMS and MAC policy updates take effect on this date. Every entry links to the government document it came from.
CMS Transmittal · 25
- CMS Transmittal R13944CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…
CMS-T-R13944CPNationalHospicesource ↗
- CMS Transmittal R13966FM: Creation of the 'PROVIDER-TERMINATED' Status at the Provider/Customer Level on the Healthcare…
CMS-T-R13966FMNationalMulti-specialtysource ↗
- CMS Transmittal R13882OTN: Modify the Application Logic to Conditionally Retain the Medicare Carrier System (MCS) Medicare…
CMS-T-R13882OTNNationalMulti-specialtysource ↗
- CMS Transmittal R13984CP: Combined Common Edits/Enhancements Modules (CCEM) Code Set Update
CMS-T-R13984CPNationalMulti-specialtysource ↗
- CMS Transmittal R13965CP: Instructions for Retrieving the January 2027 Opioid Treatment Program (OTP) Payment Rates File…
CMS-T-R13965CPNationalOutpatientsource ↗
- CMS Transmittal R13988CP: Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health…
CMS-T-R13988CPNationalHome Healthsource ↗
- CMS Transmittal R13860CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…
CMS-T-R13860CPNationalHospicesource ↗
- CMS Transmittal R13933OTN: Fiscal Intermediary Shared System (FISS) - Modify the Expert Claims Processing System (ECPS) to…
CMS-T-R13933OTNNationalMulti-specialtysource ↗
- CMS Transmittal R13923OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…
CMS-T-R13923OTNNationalMulti-specialtysource ↗
- CMS Transmittal R13932OTN: A/B Medicare Administrative Contractors (MACs) Part A and the Fiscal Intermediary Shared System…
CMS-T-R13932OTNNationalInpatient (IPPS)source ↗
- CMS Transmittal R13906OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…
CMS-T-R13906OTNNationalMulti-specialtysource ↗
- CMS Transmittal R13903OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…
CMS-T-R13903OTNNationalMulti-specialtysource ↗
- CMS Transmittal R13921NCD: NCD 210.3 Screening for Colorectal Cancer-Non-Invasive Biomarker Tests
CMS-T-R13921NCDNationalClinical Laboratorysource ↗
- CMS Transmittal R13921CP: NCD 210.3 Screening for Colorectal Cancer-Non-Invasive Biomarker Tests
CMS-T-R13921CPNationalClinical Laboratorysource ↗
- CMS Transmittal R13937CP: Annual Clotting Factor Furnishing Fee Update 2027
CMS-T-R13937CPNationalDMEsource ↗
- CMS Transmittal R13938CP: Instructions for Downloading the Healthcare Common Procedure Coding System (HCPCS) Files for the…
CMS-T-R13938CPNationalMulti-specialtysource ↗
- CMS Transmittal R13942CP: 2027 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
CMS-T-R13942CPNationalPhysician Fee Schedulesource ↗
- CMS Transmittal R13952CP: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2027…
CMS-T-R13952CPNationalClinical Laboratorysource ↗
- CMS Transmittal R13946CP: Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)…
CMS-T-R13946CPNationalMulti-specialtysource ↗
- CMS Transmittal R13948CP: Quarterly Update to the National Correct Coding Initiative (NCCI) Add-on Code (AOC)Edits,…
CMS-T-R13948CPNationalMulti-specialtysource ↗
- CMS Transmittal R13958CP: January 2027 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and…
CMS-T-R13958CPNationalMulti-specialtysource ↗
- CMS Transmittal R13899FM: Extending the Default Recoupment Date for Part A Cost Report Overpayments and Revision of the…
CMS-T-R13899FMNationalInpatient (IPPS)source ↗
- CMS Transmittal R13960CP: Instructions for Retrieving the January 2027 Medicare Physician Fee Schedule Database (MPFSDB)…
CMS-T-R13960CPNationalPhysician Fee Schedulesource ↗
- CMS Transmittal R13964CP: Annual Instructions for Downloading the Medicare ZIP Code Files for the Calendar Year 2027
CMS-T-R13964CPNationalMulti-specialtysource ↗
- CMS Transmittal R13974CP: Quarterly Update to Home Health (HH) Grouper
CMS-T-R13974CPNationalHome Healthsource ↗