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CMS MLN Connects Weekly Newsletter · May 20, 2026 · Primary source

MLN Connects Newsletter for May 21, 2026

Score 60PRIMARYregulatoryCMS

Summary

The May 21, 2026 MLN Connects newsletter covers several CMS updates. CMS published preliminary gapfill rates for the Clinical Laboratory Fee Schedule, with a public comment deadline of July 13, 2026. Applicable laboratories must report private payor rate and volume data by July 31, 2026, under the updated CLFS/PAMA data collection period of January 1 through June 30, 2025. The newsletter also addresses Allo-HSC acquisition cost reporting requirements for subsection (d) hospitals on Medicare Cost Report Worksheet D-6, and CMS finalized a new HCPCS code G0136 for a physical activity and nutrition risk assessment as an add-on to E/M or annual wellness visits.

What this may mean

Independent, physician office, and hospital outreach laboratories meeting the applicable laboratory definition under the CLFS must submit private payor rate data by July 31, 2026. Subsection (d) hospitals furnishing inpatient allogeneic hematopoietic stem cell transplants must report acquisition costs accurately on CMS-2552-10 Worksheet D-6 and maintain itemized patient-level records. The new HCPCS code G0136 is billable every six months as an add-on to qualifying E/M or annual wellness visits.

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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