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CMS MLN Connects Weekly Newsletter · May 7, 2026 · Primary source

MLN Connects Newsletter for May 7, 2026

Score 76PRIMARYregulatoryCMSHIPAA

Summary

The May 7, 2026 MLN Connects newsletter covers several CMS operational and compliance topics. CMS is encouraging providers to begin FHIR API testing for electronic prior authorization with EHR vendors and payers in advance of upcoming implementation requirements. A Medicare GLP-1 Bridge demonstration launches July 1, 2026, operating outside standard Part D plan coverage with a $50 beneficiary cost share and a central prior authorization processor. Additional items include a May 11 deadline for HETS third-party vendor enrollment, a May 15 Open Payments data review deadline, a July 31 CLFS data reporting deadline for applicable laboratories, and an OIG finding that fewer postoperative visits are furnished than CMS accounts for in global surgery fee valuations.

What this may mean

Providers using third-party vendors for Medicare eligibility verification must link those vendors to their NPI in HETS by May 11, 2026, or risk service disruption. Applicable laboratories must report CLFS private payor rate data by July 31, 2026. Prescribers who want to refer Medicare patients to the GLP-1 Bridge must submit prior authorization requests beginning July 1, 2026, using a central processor rather than the beneficiary's Part D plan.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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