Federal Register #CMS-5547-N

CMS Advisory: Updated Billing Information Needed for 2026 APM Incentive Payment

This advisory from the Centers for Medicare & Medicaid Services (CMS), under the Department of Health and Human Services, addresses clinicians eligible for the 2026 Alternative Payment Model (APM) Incentive Payment. - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - Purpose: - CMS is unable to process the 2026 APM Incentive Payment for certain Qualifying APM participants due to missing or outdated Medicare billing information. - Clinicians are requested to update their billing details, including taxpayer identification numbers (TINs), to ensure payment. - Requirements: - Submission of updated Medicare billing information, including TINs. - Required documentation includes CMS Form 588 and a voided check if banking information has changed. - Failure to provide updated information by the deadline will result in forfeiture of the incentive payment. - Payment Details: - The advisory outlines payment percentages for various performance years. - No OEMs or vendors are involved, as this is an administrative notice regarding payment processing, not a procurement of products or services.

Description

This advisory issued by the Centers for Medicare & Medicaid Services (CMS) alerts clinicians who are Qualifying Alternative Payment Model (APM) participants that CMS lacks current billing information necessary to disburse the 2026 APM Incentive Payment. It provides instructions for updating billing information to receive the payment for the 2026 payment year. The advisory specifies that clinicians must submit updated Medicare billing information by October 13, 2026, to avoid forfeiture of the payment. It also details the payment percentages for different performance years and the importance of including all required documentation to facilitate payment.

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