Article Detail - JF Part A

Related CR Release Date: August 15, 2025 
MLN Matters Number: MM14098
Effective Date: January 1, 2026 
Related Change Request (CR) Number: CR 14098
Implementation Date: January 5, 2026 
Related CR Transmittal Number: R13301DEMO & R13368DEMO

CR 14098 tells you about:

• CMS will allow acute care hospitals who participate in the model to discharge patients without a 3-day hospital stay to a qualified SNF or swing bed provider, including a CAH
• The patient must meet the eligibility criteria for Transforming Episode Accountability Model (TEAM) and have a qualifying outpatient procedure or hospital inpatient stay prior to admission to the SNF
• The admission date to the SNF must happen no later than 30 days after the hospital or outpatient department discharges the patient 
• We’ll pay for services when the SNF claim meets certain payment criteria, including submitting the claim with the required TEAM demonstration code A9

Make sure your billing staff knows about the details, participation, and payment for the new TEAM running from January 1, 2026 – December 31, 2030.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14098.