# Outpatient Prospective Payment System

Type: Technology

Source: Healthcare Intelligence Brief — https://gethealthbrief.com/entity/outpatient-prospective-payment-system
Canonical HTML page: https://gethealthbrief.com/entity/outpatient-prospective-payment-system

## Timeline

- **2028-01-01**: Enforcement Begins — Medicare payments will be withheld from off-campus HOPDs that lack a unique NPI and valid attestation.
- **2027-12-31**: Initial Filing Deadline — Final day for hospitals to submit initial attestations for all existing off-campus departments.
- **2026-02-03**: Legislation Enacted — President signs the Consolidated Appropriations Act of 2026 into law.
- **2026**: CMS Rulemaking — CMS expected to establish the formal process and portal for NPI and attestation submissions.

## Recent coverage (1 stories)

### Hospitals Face Mandatory NPI and Attestation Rules for Off-Campus Departments
2026-02-25 23:30:20 · Sentiment: Negative · Impact: 7/10 · Sources: 2

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.
Full story: https://gethealthbrief.com/story/mandatory-npi-attestation-off-campus-hopd-2026

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