CMS to MACs: Lift claims hold
By HME News Staff
Updated 10:25 AM CDT, Tue October 28, 2025
WASHINGTON – CMS has instructed all Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with dates of service Oct. 1, 2025, and later for certain services impacted by select expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act of 2025.
This includes claims paid under the:
- Medicare Physician Fee Schedule
- Ground ambulance transport
- Federally Qualified Health Center (FQHC)
- Telehealth for behavioral and mental health services
CMS has directed all MACs to continue to temporarily hold claims for other telehealth services (i.e. those that CMS cannot confirm are definitively for behavioral and mental health services) and for acute Hospital Care at Home claims.
Read more here.
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