FQHC & IOP Payment Rates: CY 2026 Update

Related CR Release Date: December 5, 2025
MLN Matters Number: MM14309
Effective Date: January 1, 2026 
Related Change Request (CR) Number: CR 14309
Implementation Date: January 5, 2026 
Related CR Transmittal Number: R13506BP

CR 14309 tells you about:

  • Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) base payment rate
  • Intensive outpatient program (IOP) service rates

Make sure your billing staff knows about these payment rates for CY 2026.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14309.

Last Updated Dec 11 , 2025