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Data / Federal rules / 2026-00487

Medicare Program; Updates to the Master List of Items Potentially Subject to Face to Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements; Updates to the Required Face-to-Face Encounter and Written Order Prior to Delivery List; and Updates to the Required Prior Authorization List

The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on January 13, 2026. It took effect on April 13, 2026.

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What the agency says

This document announces the updated Healthcare Common Procedure Coding System (HCPCS) codes on the Master List. It also announces updates to the HCPCS codes on the Required Face-to-Face and Written Order Prior to Delivery List and the Required Prior Authorization List.

Key facts

Document number
2026-00487
Type
Final rule
Action
Updates to the Master List of Items Potentially Subject to Face-To-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements (the "Master List"); Updates to the Required Face-to-Face and Written Order Prior to Delivery List; and Updates to the Required Prior Authorization List
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
January 13, 2026
Takes effect
April 13, 2026
Dates
Implementation of updates to the Master List, the Required Face- to-Face and Written Order Prior to Delivery List, and the Required Prior Authorization List are effective on April 13, 2026.
Docket
CMS-6097-N
Regulation ID (RIN)
0938-ZB98
Code of Federal Regulations
42 CFR 410; 42 CFR 414
Pages
6

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Published in January 2026

Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.