Outpatient Prospective Payment System

Technology

Last mentioned: Feb 25, 2026

Timeline

  1. Enforcement Begins

    Mandatory NPI and attestation requirements take full effect for Medicare reimbursement eligibility.

  2. Attestation Deadline

    Final date for hospitals to submit initial provider-based attestations for existing off-campus sites.

  3. Legislation Enacted

    President signs the Consolidated Appropriations Act of 2026, ending the voluntary attestation era.

Stories mentioning Outpatient Prospective Payment System 1

Regulation Bearish

Hospitals Face 2028 Deadline for Mandatory Off-Campus NPI and Attestations

The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal compliance attestations. Hospitals must meet these new transparency requirements by January 1, 2028, to maintain eligibility for Medicare payments under the Outpatient Prospective Payment System.

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