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US · guidance

CMS Pub. 100-06, ch. 6, § 290

Completing Health Professional Shortage Area (HPSA) Quarterly Report,

activein force · 2026-08-25 – presentas-observed

Form CMS-1565E - General

(Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24)

The carriers/Part B MACs prepare and submit to CMS each quarter a report on information

regarding incentive payments made to physicians who render covered Medicare services in HPSAs

(see Pub. 100-04, Chapter 12, §§90.4 – 90.4.7) on the results of its review of sample claims for

HPSA incentive payments processed during the reporting quarter. It submits this report via

CROWD no later than the 75th day following the close of the reporting quarter.

History

(Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
27e23ee31a9a17c95d22688a8e163bd05f8479419cf4d55dd5651434880c7def
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