2026 Fee Schedule Update Delays

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Published January 22nd, 2026

Detected March 17th, 2026

Summary

The State Labor agency is experiencing delays in updating its 2026 fee schedules for certain medical services. While some schedules are updated effective January 22, 2026, others are delayed due to reliance on CMS data. Reimbursement for affected services will continue at 2025 rates.

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What changed

The State Labor agency (WSI) has announced delays in the release of its 2026 fee schedules for several medical service categories, including Ambulance, Outpatient Hospital, and Physician-Administered Drugs. While some fee schedules were updated and made available on January 22, 2026, the remaining updates are pending the release of final data from the Centers for Medicare & Medicaid Services (CMS). This delay impacts providers who rely on these schedules for billing and reimbursement.

Regulated entities, specifically healthcare providers, should note that reimbursement for services affected by the delay will continue at the 2025 rates until the new schedules are finalized and published. No specific timeline has been provided for the release of the remaining fee schedules. Providers should monitor future WSI announcements for updates and ensure their billing systems are prepared to accommodate the eventual changes to avoid payment disruptions.

What to do next

Monitor WSI for updates on the delayed 2026 fee schedules.
Ensure billing systems are prepared to process reimbursements at 2025 rates for affected services.
Prepare to update billing systems once the remaining 2026 fee schedules are released.

Source document (simplified)

2026 Fee Schedule Update

Thursday, January 22, 2026

Categories: Medical Provider All News Medical Provider Billing Agency News WSI is experiencing delays with the 2026 fee schedule update. Effective January 22, 2026, the Home Health, Clinical Lab, Durable Medical Equipment, Long-Term Care Hospital, Anesthesia, and Inpatient Hospital fee schedules have been updated and are available. Updates to the Ambulance, Outpatient Hospital, Ambulatory Surgical Center, Physician-Administered Drug, and Medical Provider fee schedules will be delayed.

Currently, there is no estimated timeline for when the remaining files will be available. WSI’s fee schedules are based on information from the Centers for Medicare & Medicaid Services (CMS), which has not yet posted the final versions of these files. Pending the release of the files, reimbursement for services under the affected fee schedules will continue at the 2025 rates to avoid payment delays. A follow-up article will be published once the remaining fee schedules become effective.

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