As discussed in the CY 2024 PFS final rule (88 FR 79400 through 79406), we proposed but did not finalize to revise the definition of attribution-eligible beneficiary at 414.1305 to use covered professional services as the basis for attribution for purposes of Threshold Score calculations for all Advanced APMs regardless of the attribution methodology used under the specific Advanced APMs in which the eligible clinician participates
The FY2026 tabular places four Excludes1 notes at the F17 category level: history of tobacco dependence (Z87.891), tobacco use NOS (Z72.0), tobacco use during pregnancy/childbirth/puerperium (O99.33-), and toxic effect of nicotine (T65.2-)
(v) The prepaid shared savings multiplier is the lesser of the following: (A) Two-thirds of the pro-rated, adjusted average per capita amount computed in paragraph (f)(2)(iv) of this section
accordingly, health IT developers must update and provide certified Health IT Modules to their customers consistent with the Maintenance of Certification requirements in 45 CFR 170.402(b)(3) by this date, including the following updates: ONC updated the Transmission to public health agencieselectronic case reporting criterion in45 CFR 170.315(f)(5) to specify the use of consensus-based, industry-developed electronic standards and implementation guides (IGs) to replace functional, descriptive requirements in the existing criterion on and after January 1, 2026 (89 FR 1228)