CMS Obstetrical Service Requirements for Hospitals and Critical Access Hospitals, Effective January 1, 2026

Published: 10/06/2025

Sources:
  • Centers for Medicare and Medicaid Services
Relevant To:
  • Critical Access Hospitals,
  • Hospitals

In November 2024, CMS released the 2025 Final Rule for the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System. The rule included annual updates to payment policies and also introduced new Conditions of Participation (CoPs) specifically for hospitals and critical access hospitals (CAHs) that provide obstetrical (OB) services.

The OB-related CoPs will be implemented through a phased rollout, giving facilities time to align clin

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