CMS Changes to Off-Campus Provider-Based Status Requirements

Medicare-participating hospitals and their off-campus provider-based departments will soon face substantial new compliance obligations under the recently adopted Consolidated Appropriations Act of 2026 (“CAA”). Beginning January 1, 2028, Medicare will stop paying provider-based reimbursement for items or services provided at a hospital’s off-campus departments unless the off-campus department satisfies three statutory requirements:... By: Dinsmore & Shohl LLP