Federal Policy
CMS Sets October 13 Deadline for APM Participants to Update Billing Information or Forfeit 2026 Payments
CMS issued an advisory requiring certain alternative payment model participants to update taxpayer identification numbers by October 13, 2026, to receive APM incentive payments for the 2026 payment year based on 2024 performance. The agency could not identify valid TINs for some participants after processing payments. Clinicians who fail to submit updated billing information by the deadline will forfeit their APM incentive payments for this payment period.
Why it mattersMedicaid managed care organizations with value-based payment arrangements tied to APM participation need to verify that participating providers update their billing information to avoid forfeited payments that could undermine shared savings calculations and provider engagement.