# 2026-16472: Medicare to Docs: Fix Your Billing or Kiss Incentive Pay Goodbye!

2026-16472, Medicare Program; Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians-Request for Current Billing Information for Qualifying APM Participants, is a Federal Register notice from Health and Human Services Department, Centers for Medicare & Medicaid Services published 2026-08-13, effective 2026-08-13; PRIA reads it as touching household money (as of 2026-08-20).

- Canonical: https://policyrisk.com/federal-register/2026-16472
- As of: 2026-08-20
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2026-16472
- Title: Medicare Program; Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians-Request for Current Billing Information for Qualifying APM Participants
- Type: Notice
- Agencies: Health and Human Services Department; Centers for Medicare & Medicaid Services
- Citation: 91 FR 52305
- Published: 2026-08-13
- Effective: 2026-08-13
- Comments close: not stated
- Significant: no
- Touches household money: yes
- Regulation identifier numbers: none
- Last updated: 2026-08-20

## In one line

Medicare to Docs: Fix Your Billing or Kiss Incentive Pay Goodbye!

## Summary

This advisory is to alert certain clinicians who are Qualifying Alternative Payment Model (APM) participants (QPs) and eligible to receive an APM Incentive Payment that the Centers for Medicare & Medicaid Services (CMS) does not have the current billing information needed to disburse the payment. This advisory provides information to these clinicians on how to update their billing information to receive this payment for the 2026 payment year.

## Effects PRIA read

- Submit Billing Info or Forfeit Payment: cost, medium. If you are a clinician who was a Qualifying APM Participant (QP) for the 2024 performance period and expected an APM incentive payment for the 2026 payment year, CMS does not have current billing/TIN information for some QPs. You must provide updated Medicare billing information through the Quality…
- 2026 APM Incentive Payment Rate: benefit, medium. CMS states that QPs who attained QP status in the 2024 performance period earned an APM incentive payment for the 2026 payment year equal to 1.88 percent of the estimated aggregate paid amounts for covered professional services furnished in calendar year 2025. This is the percentage CMS used to cal…
- How to Avoid Payment Delays: mixed, low. CMS asks clinicians to follow the instructions at the '2026 QP Notice for APM Incentive Payment' on the QPP website and to contact the QPP Help Desk at 1-866-288-8292 with questions. If your banking information changed in the last year, CMS strongly recommends submitting a voided check and CMS Form…

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## Sources
- [2026-16472 on federalregister.gov](https://www.federalregister.gov/documents/2026/08/13/2026-16472/medicare-program-alternative-payment-model-apm-incentive-payment-advisory-for-clinicians-request-for)
- [2026-16472 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2026-08-13/pdf/2026-16472.pdf)

## Related
- [Previous: 2026-16471, Reopening of Comment Period; Notices of Request for Exemptive Relief, Pursuant…](https://policyrisk.com/federal-register/2026-16471)
- [Next: 2026-16473, Agency Information Collection Activities; Submission to the Office of Managemen…](https://policyrisk.com/federal-register/2026-16473)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2026-16472 (as of 2026-08-20).