Traditional MedicareAdministrativeHigh impact
2025-11-14 - Medicare Participation Announcement for CY 2026: Decide by December 31
Medicare/CMS·General
Effective date
Jan 1, 2026
We identified it
Jan 12, 2026
Summary
Medicare providers must decide their participation status for 2026 by December 31, 2025. Participating providers receive 5% higher payments than non-participating providers and get paid directly by Medicare.
Action Required
By December 31, 2025: Practice administrators must review current Medicare participation status and decide whether to participate in Medicare for 2026. If changing participation status, visit the Annual Medicare Participation Announcement webpage to complete the process. Also verify and update practice information in NPPES system to ensure correct taxonomy and practice address to avoid enrollment delays.