Acuis Daily is written by AI based on official sources. It may contain errors or omissions. Acuis Daily is for information purposes only. It is not legal or professional advice. Always check the official source before relying on an entry.
Nov 6, 2026
/
Department of Health and Human Services
/
Final rule
CMS revises Medicare outpatient and ambulatory surgery payment rules
The CMS rule revises Medicare payment systems for hospital outpatient departments and ambulatory surgical centers for 2027 and updates their quality reporting requirements. It expands prior authorization to additional botulinum toxin injection services and allows hospital accrediting organizations to assess compliance with certain EMTALA administrative requirements. The provisions take effect January 1, 2027; comments are due January 4, 2027.
Importance
Significant
Lenses
RegulatoryLegal
Why it matters
The rule revises Medicare payment systems and requirements affecting hospital outpatient departments and ambulatory surgical centers nationwide.
Institutions
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
Audience
Compliance teamsRegulatory affairs teamsFinance and risk teams
Tags
Health
Sectors
Health and social care
Dates
- Jan 1, 2027 · Medicare payment rule provisions take effect
- Jan 4, 2027 · Comments close on the Medicare payment rule
References
- Federal Register document: 2026-22739
- Federal Register citation: 91 FR 70284
- RIN: 0938-AV83
- CFR: 42 CFR 413, 42 CFR 416, 42 CFR 419, 42 CFR 427, 42 CFR 488, 42 CFR 489
- Docket: CMS-1850-FC