Traditional MedicareCoverageLow impact
Psychiatric Partial Hospitalization Programs
Medicare/CMS - LCD·Psychiatry·Local Coverage Determination
Effective date
Mar 26, 2026
We identified it
Jun 17, 2026
Summary
A new Local Coverage Determination for Psychiatric Partial Hospitalization Programs has been issued by CGS Administrators (Medicare contractor). This policy establishes coverage criteria and billing requirements for psychiatric partial hospitalization services under Medicare Part A and Part B.
Action Required
Review Local Coverage Determination L34196 for Psychiatric Partial Hospitalization Programs effective March 26, 2026. Billing team should access the full policy at the CMS Medicare Coverage Database to understand specific coverage criteria, documentation requirements, and billing guidelines for psychiatric partial hospitalization services in the CGS contractor jurisdiction.