R13444OTN

Transmittal #
R13444OTN
Issue Date
2025-12-04
Subject

Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted for Indirect Medical Education (IME) Payment

Implementation Date
2026-04-06
CR #
14169
Publication #
100-20
Transmittal Year
2025

MLN Connects® Newsletter Message

Programs of All-Inclusive Care for the Elderly: Claims Processing Updates Effective July 1, 2026  

CMS will implement system updates, effective July 1, 2026, for Programs of All-Inclusive Care for the Elderly (PACE) plan claims:

  • Inpatient: We’ll make sure Medicare doesn’t make a separate payment for Indirect Medical Education or Direct Graduate Medical Education
  • Institutional: We’ll find and correct claims paid incorrectly

See the instruction to your Medicare Administrative Contractor (PDF). 

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