Traditional MedicareAdministrativeHigh impact
2026-04-16 - CMS Launches First Wave of HealthTech Ecosystem Tools, Fast-Tracking a Fully Digital, Patient-Centered Health System
Medicare/CMS·General
Effective date
May 11, 2026
We identified it
Apr 16, 2026
Summary
CMS launched new digital health tools and requires providers to enroll third-party vendors for Medicare eligibility checking by May 11. Multiple billing updates include new ASC payment codes, hospital billing processes, and therapeutic shoe documentation requirements.
Action Required
By May 11, 2026: If using third-party vendors for Medicare eligibility checking, billing team must enroll each vendor with CMS HETS system by obtaining vendor's unique ID and linking it to your NPI. Visit HETS EDI enrollment page to complete process. Failure to enroll will disrupt eligibility verification services. Alternative: Use Medicare Administrative Contractor's secure portal for direct eligibility checks.