Change Request 6938 - cms-2026

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  1. Click ‘Get Form’ to open Change Request 6938 - cms in the editor.
  2. Review the summary of changes section, which outlines the effective and implementation dates. Ensure you understand that this request reorganizes information from chapter 10 to chapter 15.
  3. Fill out any required fields in the form, such as your organization’s name and contact details. Make sure all information is accurate and up-to-date.
  4. Refer to the business requirements table included in the document. Ensure you comply with each requirement listed for your specific provider type.
  5. Once all sections are completed, review your entries for accuracy. Use our platform's tools to edit or sign as necessary before submission.

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Change of Ownership (CHOW) is defined in 42 CFR 489.18 (a) and generally means, in the case of a partnership, the removal, addition, or substitution of a partner, unless the partners expressly agree otherwise, as permitted by applicable State law.
In the CY 2025 OPPS/ASC final rule, CMS is finalizing its proposals to adopt: (1) the Hospital Commitment to Health Equity measure beginning with the CY 2025 reporting period/CY 2027 program determination; (2) the Screening for Social Drivers of Health measure beginning with voluntary reporting in the CY 2025 reporting
Key proposals include revised standards relating to strengthening income verification processes; modifying eligibility redetermination procedures; removing Deferred Action for Childhood Arrivals (DACA) recipients from the definition of lawfully present for eligibility and enrollment in Marketplace and Basic Health
A change request in ACO-MS refers to adding new information or changing existing information in ACO-MS that may require CMS approval.
Thanks to the Inflation Reduction Act, annual out-of-pocket costs will be capped at $2,100 in 2026 for people with Medicare Part D, which is the 2025 out-of-pocket cap of $2,000 indexed for inflation.