Outpatient Prospective Payment System

Technology

Last mentioned: Feb 25, 2026

Timeline

Jan 1, 2028
Enforcement Begins

Medicare payments will be withheld from off-campus HOPDs that lack a unique NPI and valid attestation.
Dec 31, 2027
Initial Filing Deadline

Final day for hospitals to submit initial attestations for all existing off-campus departments.
Invalid Date
CMS Rulemaking

CMS expected to establish the formal process and portal for NPI and attestation submissions.
Feb 3, 2026
Legislation Enacted

President signs the Consolidated Appropriations Act of 2026 into law.

Stories mentioning Outpatient Prospective Payment System 1

Hospitals Face Mandatory NPI and Attestation Rules for Off-Campus Departments

The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal provider-based attestations. This regulatory shift ends the long-standing voluntary compliance system and sets a hard enforcement deadline of January 1, 2028.

Feb 25, 2026 2 sources