Medicare AdvantageReimbursementMedium impact
MA00.056, Reimbursement For Advanced Practice Provider Services
Independence Blue Cross·Claims & Billing
Effective date
Feb 1, 2026
We identified it
Jun 19, 2026
Summary
A new Medicare Advantage policy MA00.056 regarding reimbursement for Advanced Practice Provider (APP) services has been established. This policy will govern how nurse practitioners, physician assistants, and other APPs are reimbursed under Medicare Advantage plans starting February 1, 2026.
Action Required
Before February 1, 2026: Billing team must review the full policy MA00.056 at the provided URL to understand new reimbursement requirements for Advanced Practice Provider services. Update billing procedures and staff training for APP billing under Medicare Advantage plans. Ensure proper credentialing and billing protocols are in place for nurse practitioners and physician assistants.