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2026 Medicare participation enrollment

View the CMS announcement about Medicare participation for CY 2026.

Why participate? 

  • Medicare fee schedule amounts are 5% higher if you participate
  • Inclusion in the Medicare Participating Directory (MEDPARD)
  • Participants have "one stop" billing for beneficiaries who also have Medigap coverage and who assign their Medigap payments to the participant. When a participating provider bills us, we also automatically advise the Medigap insurer to pay the participant for the beneficiary's co-insurance and/or deductible.  
  • Direct and timely reimbursement
     

When is the enrollment period? 

The annual participation enrollment program for CY 2026 will run through December 31, 2025. Participation agreements cover the period January 1 through December 31, 2026, and may not be changed after December 31, 2025.

What do I have to do? 

To be a participating physician:

  • If you are currently participating, do nothing.  
  • If you are not currently a Medicare participant, complete and mail the CMS-460 - Medicare Participating Physician or Supplier Agreement Form  making sure to include all of the names and identification numbers under which you bill.
  • The signed CMS-460 form must be postmarked no later than December 31, 2025.

To be a non-participating physician:

  • If you are currently not participating, do nothing.  
  • If you are currently a participant, submit a written, dated notice that includes:
    • Provider’s name and NPI
    • A statement indicating that you are rescinding your participation agreement.
    • The written notice must be postmarked prior to December 31, 2025.

Submit the participation agreement or disenrollment to:

First Coast Service Options
Provider Enrollment
P.O. Box 3409
Mechanicsburg PA 17055-1849

CMS-460: Medicare Participating Physician or Supplier Agreement Form

Fee Schedule information - How can I find reimbursement rates for 2026?

To view the calendar year 2026 Medicare Physician Fee Schedule and Anesthesia Conversion Factors, as they become available, please visit your First Coast Part B Fee Schedule webpage.

We encourage you to visit the Medicare Learning Network (MLN) the place for official CMS Medicare fee-for-service provider educational information. There you can find one of our most popular products, MLN Matters national provider education articles. These articles help you understand new or changed Medicare policy and how those changes affect you. A full array of other educational products (including web-based training courses, hard copy and downloadable publications, and CD-ROMs) are also available. You can also find other important websites by visiting the Physician Center Webpage and the All Fee-For-Service Providers Webpage. 

In addition to educational products, the MLN also offers providers and suppliers opportunities to learn more about the Medicare program through MLN National Provider Calls. These national conference calls, held by CMS for the Medicare fee-for-service provider and supplier community, educate, and inform participants about new policies and/or changes to the Medicare program. Offered free of charge, continuing education credits may be awarded for participation in certain National Provider Calls. To receive notification of upcoming MLN Connects calls, please subscribe  to the CMS weekly email newsletter MLN Connects  for the latest Medicare Program information, MLN Connects Call announcements, other event announcements, claims and pricer information and MLN educational product updates. 

2026 Participation email

You may receive an email informing you about the annual participation process:

2026 Participation2026 participation