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CMS MLN Connects Weekly Newsletter · June 25, 2026 · Primary source

MLN Connects Newsletter for June 25, 2026

Score 68PRIMARYregulatoryCMS

Summary

The June 25, 2026 MLN Connects newsletter announces a CMS proposed rule updating payment rates and policies under the Medicare ESRD Prospective Payment System for CY 2027, proposing to increase the ESRD PPS base rate to $299.55, a projected 1.1% increase for all ESRD facilities, including a $15.96 increase attributable to the incorporation of phosphate binders. The newsletter also notes OIG findings of improper Medicare payments for intermittent urinary catheters, a 25.6% improper payment rate for tracheostomy supplies in 2024 with a projected $6.5 million improper payment amount, and a new CMS telehealth enrollment guide. CLFS reporting deadline of July 31, 2026 is repeated.

What this may mean

ESRD facilities, both freestanding and hospital-based, are subject to the proposed 1.1% payment rate increase to $299.55 base rate for CY 2027 if the rule is finalized, with phosphate binders incorporated into the bundle. DMEPOS suppliers billing for urinary catheters and tracheostomy supplies face identified improper payment patterns and OIG compliance scrutiny, including a 25.6% improper payment rate for tracheostomy supplies and a $6.5 million projected improper payment amount for 2024. Applicable laboratories face the July 31, 2026, CLFS data reporting deadline.

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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