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Medicare & Medicaid · Aug 30, 2026

The complete edition, organized by topic. Every published finding remains available.

Archived edition. This edition reflects its original coverage dates and may not reflect current requirements. Read the latest edition →

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7 articles: 7 new or updated, 0 continuing, 0 closed.

All articles are listed below, including continuing and closed findings. The approved report also includes horizons, trends and implementation material.

All articles in this edition

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7 articles shown, grouped by category.

Higher-priority matters

Active high- and medium-priority findings, organized by topic.

Billing & payment 1 articles

Billing & paymentMedicare & MedicaidNew in this edition

Medi-Cal requires quarterly validation of the public fee for service provider directory beginning October 1, 2026, with Provider Portal Transaction Center access at stake

DHCS’s August 26 notice requires quarterly validation of the public fee-for-service provider directory starting October 1. Administrators have a forty-five-day window and must save completed survey responses; missed updates affect every user’s Transaction Center access in the organization.

Medium priority · Aug 30, 2026 editionRead story →

Coverage & clinical policy 1 articles

Coverage & clinical policyMedicare & MedicaidNew in this edition

Noridian finalizes two MolDX coverage policies for California effective October 12 and retires the thrombophilia policy October 11

Noridian’s August 27 notices finalize two MolDX policies for October 12 and retire the older thrombophilia policy October 11. Coverage remains conditional on each policy’s clinical and testing criteria; a test’s name alone does not establish coverage.

Medium priority · Aug 30, 2026 editionRead story →

Provider operations 1 articles

Audits & program integrity 1 articles

Audits & program integrityMedicare & MedicaidNew in this edition

CMS reports $1.6 billion in Medicare laboratory program integrity actions across revocations, suspensions, recoupments and referrals

CMS’s August 28 laboratory announcement combines projected savings, suspended payments, recoupments and referral-related prevention. Its examples describe rapid billing intervention, but the headline total is not a single recovered sum or an adjudication that every associated claim was fraudulent.

High priority · Aug 30, 2026 editionRead story →

More matters and continuing watch

Lower-priority and watch items, plus closed matters kept for the edition record.

Billing & payment 2 articles

Coverage & clinical policy 1 articles

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