CMS TransmittalHospital Outpatient (OPPS)
Federal Register Final Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Form
FR-2025-00081
Document details
- Document type
- CMS Transmittal
- Issuing body
- Centers for Medicare & Medicaid Services
- Document ID
- FR-2025-00081
- Published
- June 5, 2026
- Effective date
- January 8, 2025
- MAC region
- National
Summary
The recent correction to the Hospital Outpatient Prospective Payment System reaffirms reimbursement protocols that impact outpatient services and ambulatory surgical centers. Stakeholders must be awarUpdates on Hospital Outpatient payment systems affect reimbursements.
Affected specialty
Hospital Outpatient (OPPS) alerts →Source document
https://www.federalregister.gov/documents/2025/01/13/2025-00081/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgicalCLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.