Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model; Correction
Published Date: 4/6/2026
Notice
Summary
Medicare fixed some typos and technical mistakes in their rules about prior approval for certain medical services that started January 1, 2026. These corrections clarify exactly which services need prior authorization, helping doctors and patients avoid confusion and delays. If you’re a Medicare provider or beneficiary, these updates keep things running smoothly without changing costs or timing.
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Previous / Next Documents
Previous: 2026-06616, Medicare Program; Delayed Implementation of Certain Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
Medicare is hitting the pause button on prior authorization for two specific services—Deep Brain Stimulation and Lumbar Decompression—originally set to start in January 2026. This delay gives everyone more time to get ready, so these services won’t need extra approval just yet. If you’re a Medicare provider or patient, keep an eye out for the new start date and any money-related updates coming soon!
Next: 2026-06618, Notice of Public Data Asset Release Under the Open, Public, Electronic, and Necessary (OPEN) Government Data Act
CMS is releasing new public data sets about Medicare and Medicaid spending in easy-to-use formats to help everyone spot fraud and promote transparency. This affects healthcare providers and the public, with data available soon under open licenses that protect privacy. No extra costs are expected, but this move boosts accountability and public trust starting in 2026.