CMS Proposes Implementation Framework for Provider-Based Attestation and Separate NPI Requirements for Off-Campus Hospital Outpatient Departments

Earlier this year, Congress enacted legislation requiring hospitals to submit provider-based attestations and obtain separate National Provider Identifiers (NPIs) for each off-campus outpatient department as a condition of Medicare payment beginning January 1, 2028. On July 7, 2026, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule to implement these requirements. For … Continued