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CMS MLN Connects Weekly Newsletter · April 29, 2026 · Primary source

MLN Connects Newsletter for April 30, 2026

Score 66PRIMARYregulatoryCMSHIPAA

Summary

The April 30, 2026 MLN Connects newsletter covers several CMS administrative and compliance updates. Key items include: a May 1 deadline for applicable clinical diagnostic laboratories to begin reporting private payor rate data under the Clinical Laboratory Fee Schedule (CLFS); a May 11 deadline for providers to enroll third-party vendors with CMS for HETS eligibility transaction access; and a new HCPCS code (G0136) for physical activity and nutrition risk assessments finalized under the CY 2026 Physician Fee Schedule. The newsletter also flags a 30.5% improper payment rate for manual wheelchairs in 2024, with a projected $28.1 million in improper payments, and announces the CMS/FDA RAPID coverage pathway for certain Breakthrough Devices.

What this may mean

Applicable laboratories face a July 31, 2026 reporting deadline for CLFS private payor rate data with civil monetary penalty exposure for non-compliance. Providers using third-party vendors for Medicare eligibility checks must complete HETS enrollment by May 11 or risk transaction failures with AAA error code 41. DME suppliers billing manual wheelchairs face heightened audit scrutiny given the 30.5% improper payment rate and $28.1 million projected improper payment amount identified for 2024.

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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