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FAQs on HHS-Operated Risk Adjustment Program Code Filtering for 2026 Benefit Year and Beyond: Telehealth and Other Codes (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] 
[Official Guidance] Mar. 11, 2026 "For the 2026 benefit year and beyond, HHS is replacing the May 13, 2024, Risk Adjustment Telehealth and Audio-only Services FAQ, with [these] FAQs to clarify how HHS determines eligible services for the filtering criteria HHS uses to extract risk adjustment-eligible diagnoses from claims. HHS continues to accept certain telehealth and audio-only service codes for risk adjustment diagnosis filtering." MORE >> |
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