News
- Medicare Participating Physician or Supplier Agreement Form Expires on November 30
- DMEPOS Suppliers: Submit Comments by December 22
- Clotting Factor: CY 2026 Furnishing Fee
- Home Health & Hospice Resources: Talk to Your Patients About Medicare-Covered Services
Fraud, Waste & Abuse
Compliance
Claims, Pricers & Codes
MLN Matters® Articles
- Implementing the Transforming Episode Accountability Model: Telehealth Waiver
- Outpatient Services for Hospice Patients: New Edit
News
Medicare Participating Physician or Supplier Agreement Form Expires on November 30
The Medicare Participating Physician or Supplier Agreement (PDF) Form CMS-460 expires on November 30, 2025. It’s currently under review by the Office of Management and Budget (OMB).
Medicare Administrative Contractors will continue to accept the current version of the form dated after November 30. We’ll let you know when OMB approves the updated form.
DMEPOS Suppliers: Submit Comments by December 22
CMS requests your comments on the Medicare Enrollment Application for DMEPOS Suppliers, Form CMS-855S. Visit the PRA Listing webpage to get the supporting statement and related forms. The comment period closes on December 22.
Clotting Factor: CY 2026 Furnishing Fee
The CY 2026 blood clotting factor furnishing fee is $0.265 per unit. CMS updates this fee annually based on the percentage increase in the consumer price index for medical care.
More Information:
- Average Sale Price Billing Resources webpage
- Instruction to your Medicare Administrative Contractor (PDF)
Home Health & Hospice Resources: Talk to Your Patients About Medicare-Covered Services
Medicare covers a wide range of home health and hospice services. During Home Care & Hospice Month, get familiar with these Medicare Learning Network® resources:
- Medicare Payment Systems:
- Creating an Effective Hospice Plan of Care fact sheet
- Enhancing Registered Nurse Supervision of Hospice Aide Services (PDF) fact sheet
- Safeguards for Medicare Patients in Hospice Care (PDF) fact sheet
Information for Patients:
- Care Compare: Search for home health services or hospice care
- Home Health:
- Home health services webpage
- Medicare & Home Health Care booklet
- Hospice:
- Hospice care webpage
- Medicare Hospice Benefits booklet
- Medicare & Hospice Benefits: Getting Started brochure
Fraud, Waste & Abuse
Crushing Fraud
Help CMS fight fraud, waste, and abuse. Learn about our actions to crush fraud conducted by DMEPOS suppliers and find updated information at our Crushing Fraud, Waste & Abuse webpage, including:
- Urgent fraud scheme alerts
- Recent successes
- Fast facts
- How to report
Compliance
Opioid Use Disorder: Learn about Services to Help Your Patients Continue Treatment
In a report, the Office of the Inspector General determined that buprenorphine—the most common medication used to treat opioid use disorder (OUD) in Medicare—can decrease both opioid use and overdose deaths, leading to improved outcomes.
Medicare Part B covers many services that help your patients continue treatment for OUD for as long as reasonable and necessary. Visit the Opioid Treatment Programs webpage for more information.
Claims, Pricers & Codes
RARCs, CARCs, Medicare Remit Easy Print, & PC Print: October Update
Get updated remittance advice remark codes (RARCs) and claim adjustment reason codes (CARCs). Watch for software updates if you use Medicare Remit Easy Print or PC Print.
More Information:
- Medicare Claims Processing Manual, Chapter 22 (PDF), sections 40.5, 60.2, and 60.3
- Instruction to your Medicare Administrative Contractor (PDF)
MLN Matters® Articles
Implementing the Transforming Episode Accountability Model: Telehealth Waiver
Learn about details, participation, and payment (PDF) for telehealth services under the Model with dates of service on or after January 1, 2026, including:
- CMS will waive geographic and originating site requirements for patients receiving these services
- The patient must meet the eligibility criteria and have a qualifying outpatient procedure or hospital inpatient stay
- The service must happen no later than 30 days after the start of the episode of care
- We added 9 new HCPCS codes G0660–G0668 for evaluation and management services
- We’ll pay for services when the claim meets certain payment criteria, including submitting the required demonstration code A9
Outpatient Services for Hospice Patients: New Edit
Learn about updates to hospice outpatient services (PDF) effective April 1, 2026:
- New systems’ edits will compare primary diagnosis codes on hospital and hospice claims for Medicare hospice patients to prevent duplicate payments
- How to properly use condition code 07
Subscribe to the MLN Connects® newsletter, or read past editions.
View the Medicare Learning Network® Content Disclaimer and Department of Health & Human Services Disclosure.
The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health & Human Services (HHS).