# 2025-00081: Government Needs Entire Document Just To Fix Typos In Previous Document

2025-00081, Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment, is a Federal Register rule from an unnamed agency published 2025-01-13, effective 2025-01-08; PRIA reads it as touching household money (as of 2026-06-11).

- Canonical: https://policyrisk.com/federal-register/2025-00081
- As of: 2026-06-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2025-00081
- Title: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment
- Type: Rule
- Agencies: unknown
- Citation: unknown
- Published: 2025-01-13
- Effective: 2025-01-08
- Comments close: not stated
- Significant: no
- Touches household money: yes
- Regulation identifier numbers: none
- Last updated: 2026-06-11

## In one line

Government Needs Entire Document Just To Fix Typos In Previous Document

## Summary

This update fixes small errors in a big Medicare and Medicaid rule that affects hospitals, outpatient centers, and tribal health services. It clarifies payment systems, quality reporting, safety standards for childbirth services, and special rules for people leaving jail. These changes take effect starting January 1, 2025, helping providers and patients get clearer, fairer care and payments.

## Abstract

This document corrects technical and typographical errors in the final rule with comment period that appeared in the November 27, 2024 Federal Register titled "Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities".

## Effects PRIA read

- Skin cell autograft payment corrected: benefit, medium. CMS assigned CPT code 15013 (skin cell suspension autograft preparation) and HCPCS code C8002 to APC 1532 (New Technology–Level 32) with a CY 2025 payment rate of $7,250.50 and status indicator "S", effective January 1, 2025. This replaces the prior assignment to APC 1567 and the lower $6,250.50 pa…
- HCPCS C9734 remains active for CY2025: benefit, low. CMS clarified that HCPCS code C9734 will not be retired and will remain assigned to APC 5115 (Level 5 Musculoskeletal Procedures) for CY 2025; CMS will crosswalk C9734 claims data to set the payment for CPT code 5X008 (55882) for CY 2025. This correction is applicable beginning January 1, 2025.
- Multiple OPPS/ASC addenda payment fixes: benefit, medium. CMS corrected multiple CY 2025 OPPS and ASC addenda items: device offset percentages (for example APC 5463 changed from 26.11% to 26.17%), duplicate or incorrect rows for several CPT codes were removed, certain brachytherapy and radiopharmaceutical payment rates were fixed, and CPT code 53865 was r…
- Obstetrical staff training interval clarified: benefit, low. CMS corrected wording in the Conditions of Participation to replace "biannual/biannually" with "biennial/biennially," clarifying that required obstetrical staff training occurs every other year (biennially), not twice a year. This clarification is reflected in regulatory text and is applicable begi…
- CHIP continuous eligibility text clarified: benefit, medium. CMS revised 42 CFR 457.342 to state that a State must provide continuous eligibility for children under a separate CHIP in accordance with Sec. 435.926 and related statutory provisions; this regulatory text is corrected and applicable beginning January 1, 2025. The provision addresses continuous el…

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## Sources
- [2025-00081 on federalregister.gov](https://www.federalregister.gov/documents/2025/01/13/2025-00081/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical)
- [2025-00081 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2025-01-13/pdf/2025-00081.pdf)

## Related
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- [Next: 2025-00198, Wyoming Regulatory Program](https://policyrisk.com/federal-register/2025-00198)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2025-00081 (as of 2026-06-11).