Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots

CMS has released a proposed rule updating Medicare payment rates and policies for hospital outpatient and ambulatory surgical center (ASC) settings for calendar year 2027. The rule proposes expanding prior authorization requirements to cover additional Botulinum Toxin Injection services and implements provisions from the Consolidated Appropriations Act, 2026 for off-campus outpatient departments. Physical therapists practicing in hospital outpatient or ASC settings should review the proposed payment rate changes and quality reporting updates, as these directly affect reimbursement for outpatient services.

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