Federal Register #2026-22743

CMS Final Rule Updating Medicare Physician Fee Schedule and Part B Policies

CMS issued a final rule revising Medicare physician payment and related Part B coverage policies. - Government agency: Centers for Medicare & Medicaid Services (CMS), within the U.S. Department of Health and Human Services (HHS). - Scope: Updates the Medicare Physician Fee Schedule and policies for Part B drugs and biological products, the Medicare Prescription Drug Inflation Rebate Program, the Ambulatory Specialty Model, and the Medicare Shared Savings Program. - Additional policy areas: Quality Payment Program, Rural Health Clinics and Federally Qualified Health Centers, Ambulance Fee Schedule, Clinical Laboratory Fee Schedule, and Medicare Promoting Interoperability Program. - Procurement items: No products, quantities, vendors, OEMs, or contracted services are requested; this is a regulatory action, not a procurement opportunity.

Description

This final rule updates the Medicare physician fee schedule and other Part B payment and coverage policies to reflect changes in medical practice, service values, and statute. It establishes or updates policies for the Medicare Prescription Drug Inflation Rebate Program, the Ambulatory Specialty Model, drugs and biological products paid under Part B, and Medicare Shared Savings Program requirements. It also addresses the Quality Payment Program, Rural Health Clinics and Federally Qualified Health Centers, the Ambulance Fee Schedule, Clinical Laboratory Fee Schedule regulations, and the Medicare Promoting Interoperability Program. The regulations are effective January 1, 2027.

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