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Medicare Participation Announcement for CY 2026: Decide by December 31

Please see this important announcement for CY 2026 regarding Medicare participation.

Cognitive assessment and care plan services

If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan. Use…

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1,…

Medicare Participation Announcement for CY 2026: Decide by December 31

Please see this important announcement for CY 2026 regarding Medicare participation.

Update history: LCD and article updates

View the most recent updates for our LCDs and articles.

Update history: LCD and article updates

View the most recent updates for our LCDs and articles.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

MLN Connects Special Edition for November 7, 2025

View this special edition update on processing of telehealth and acute hospital care at home claims.

Proposed 2026 Medicare allowances for portable x-ray transportation codes

Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is now closed.