Traditional Medicare, Medicare Advantage, Medi-Cal fee-for-service and managed care, D-SNP, and California MAC guidance translated into operational actions.
Latest published edition Nov 8, 2026Coverage Nov 1–7, 2026Editions 9
Choose an edition to read its leading stories, browse every article or open the complete report.
CMS issues CY 2027 Physician Fee Schedule final rule (CMS-1848-F): conversion factors fall, same-day E/M and 0-day global payment cut, new 340B Part D claims repository duty
Medicare to pay ASP minus 28 percent for separately payable 340B-acquired drugs at non-exempt hospitals from January 1, 2027 (pass-through drugs, vaccines and non-opioid pain relief drugs excluded); every separately paid OPPS drug line must carry modifier JG, TB or ND
CY 2027 ESRD PPS final rule: base rate, low-volume attestation and quality changes
Published November 8, 2026 · Coverage November 1–7, 2026, Pacific. Later developments are labelled.
Coverage is incomplete for named official sources. Each complete report identifies the remaining limitations; absence of an item does not establish no activity.
CMS reports $1.6 billion in Medicare laboratory program integrity actions across revocations, suspensions, recoupments and referrals
Medi-Cal requires quarterly validation of the public fee for service provider directory beginning October 1, 2026, with Provider Portal Transaction Center access at stake
Published August 30, 2026 · Reviewed through Aug 29, 2026
Coverage notes
These limitations belong to the dated editions below. The complete report includes its coverage record.
November 4, 2026 edition: limited coverage
Limited coverage. Coverage is incomplete for named official sources. Each complete report identifies the remaining limitations; absence of an item does not establish no activity.
Limited coverage. Coverage limitation for 2026-10-11 through 2026-10-17: California regulator source review (https://www.cdph.ca.gov/Programs/OPA/Pages/NR26-NewsReleases.aspx): Actual complete 2026 News MainContent index read at 2026-10-20T08:59:13.710Z at https://www.cdph.ca.gov/Programs/OPA/Pages/News-Releases-2026.aspx. The latest displayed release is September 18 and Page Last Updated is September 23, 2026. No October 11-17 row is displayed, but authoritative coverage through the required week is unproved. A complete read of this stale page does not establish complete current-week discovery or zero activity. Preserve the original NR26-NewsReleases.aspx failure and exact alternative URL. Missing requirement: an authoritative adequately current dated result/archive or supported limitation for October 11-17. No failed new request is invented. DHCS audit and program-integrity publications (https://www.dhcs.ca.gov/individuals/audits-and-investigations-auditsinvestigations/): Earlier actual mission/navigation and program-integrity material remain retained, without a dated October11-17 result inventory. Exact original source response at 2026-10-21T20:22:11.637Z is HTTP200, complete945-byte Incapsula unsuccessful-request iframe, not audit results. A new official alternative Medical Audits index request also returned a212-byte shell. A supported web reader exposes report-year rows, but report year, file metadata and audit period do not establish posting within October11-17. Preserve the dated publication/query hold and original observations; no zero activity, new human request or source completion is inferred. DHCS audit and investigation actions (https://www.dhcs.ca.gov/individuals/audits-and-investigations-auditsinvestigations/): Earlier actual mission/navigation and program-integrity material remain retained, without a dated October11-17 result inventory. Exact original source response at 2026-10-21T20:22:11.637Z is HTTP200, complete945-byte Incapsula unsuccessful-request iframe, not audit results. A new official alternative Medical Audits index request also returned a212-byte shell. A supported web reader exposes report-year rows, but report year, file metadata and audit period do not establish posting within October11-17. Preserve the dated publication/query hold and original observations; no zero activity, new human request or source completion is inferred. This edition contains supported selected findings; it does not establish complete activity for the named missing authorities or unresolved candidates.
Limited coverage. Coverage limitation for 2026-10-04 through 2026-10-10: DMHC enforcement actions: The canonical enforcement form did not yield a date-filtered result set. Web access failed and the bounded direct request failed DNS. The official newsroom alternative did not establish dated window actions. DHCS audit and investigation actions: The canonical page yielded an undated program description, and the bounded direct request failed DNS. The official program-integrity alternative failed access and did not establish dated window actions. This edition reports verified findings from the listed sources; it does not establish complete activity for these authorities.
Limited coverage. Coverage limitation for 2026-09-27 through 2026-10-03: DHCS audit and investigation actions: The canonical DHCS action pages did not expose a complete dated action set. Two HTTP 200 responses contained an Incapsula JavaScript shell, and official descriptive alternatives supplied no bounded weekly records. This edition reports verified findings from the listed sources; it does not establish complete activity for these authorities.
Limited coverage. Coverage limitation for 2026-09-20 through 2026-09-26: DMHC enforcement actions: The date-filtered official enforcement search remains blocked. The official alternative CSV ends May 22, 2026 and cannot establish September 20-26 activity. DHCS audit and investigation actions: Direct canonical requests return a browser challenge. Readable official A&I and sanctions descriptions do not establish a complete dated September 20-26 action list. This edition reports verified findings from the listed sources; it does not establish complete activity for these authorities.
