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Federal Policy·May 27, 2026
CMS Schedules Medicare Clinical Diagnostic Lab Test Advisory Panel for September 2026
CMS will convene the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests on September 15-16, 2026, to establish payment rates for laboratory tests lacking sufficient data from the May-July 2026 reporting period. The public may present crosswalking or gapfilling recommendations during the meeting. The Panel will then advise the Secretary and CMS Administrator on appropriate payment amounts for these tests under the Clinical Laboratory Fee Schedule.
Why it matters for managed care
Medicaid managed care organizations with delegated laboratory arrangements or full-risk contracts should monitor Medicare payment methodology changes, as many state Medicaid programs benchmark lab reimbursement to Medicare CLFS rates.
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