CMS TransmittalInpatient (IPPS)
CMS Transmittal R13854OTN: Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient…
CMS-T-R13854OTN
Document details
- Document type
- CMS Transmittal
- Issuing body
- Centers for Medicare & Medicaid Services
- Document ID
- CMS-T-R13854OTN
- Published
- July 3, 2026
- Effective date
- April 6, 2026
- MAC region
- National
Summary
This transmittal implements editing for Programs of All-Inclusive Care for the Elderly (PACE) inpatient claims, effective April 6, 2026. Billing teams should review PACE inpatient claim submissions toCMS implements new claim edits for PACE inpatient billing.
Affected specialty
Inpatient (IPPS) alerts →Source document
https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13854otnCLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.