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Medicare/CMSTraditional Medicare · Coverage · CoverageMedium impact

2025-12-18 - MAHA ELEVATE Brings Lifestyle Medicine to Original Medicare

Act
by Dec 31, 2025
Effective date
Sep 1, 2026
Identified
Jan 12, 2026

Summary

CMS announced the MAHA ELEVATE Model, a voluntary program funding up to 30 chronic disease prevention and lifestyle medicine programs starting September 2026. This newsletter also includes multiple other Medicare updates including drug survey requirements, billing code changes, and compliance tips.

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What to do

by Dec 31, 2025 · 3 steps
01Register for the Short-Term Acute Care Hospitals PEPPER webinar if applicable.
02By January 2, 2026: Critical Access Hospitals must ensure physician reassignments are filed in PECOS or claims will be returned to provider.
03By March 31, 2026: Hospitals that received OPPS payments for outpatient drugs from July 1, 2024 – June 30, 2025 must complete the Drug Acquisition Cost Survey and register at OPPSDrugSurvey@cms.hhs.gov with CMS Certification Number.

Codes mentioned

L1933L1952E1032

Original notice

2025-12-18 - MAHA ELEVATE Brings Lifestyle Medicine to Original Medicare
cms.gov · Always check the source before changing claims.
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