Skip to Main Content

News

New Payment Policy: CG.CC.PP.01 (Concert Laboratory Payment Policy) | Effective 06/15/2026

Date: 05/01/26

Managed Health Services (MHS) is announcing a new payment policy that applies to providers. This update supports consistent, accurate, and timely claims processing.

What’s Changing

All providers billing for infectious disease laboratory and screening services must include standard, complete information on the claim, or payment for the services may be denied.

Who Is Impacted

  • Provider types: All providers billing for infectious disease laboratory and screening services.
  • Services or codes: All providers billing for infectious disease laboratory and screening services must include standard, complete information on the claim, or payment for the services may be denied. Coding must be consistent with AMA coding guidelines or the NCCT manual, or payment for services may be denied.
  • Line(s) of business: Marketplace & Medicare

Effective Date

This policy is effective 6/15/2026. Claims processed on or after this date will follow the updated guidance.

What Providers Should Do

  1. Review the full payment policy
  2. Validate billing and coding workflows align with the policy
  3. Share this information with internal billing teams or vendors

Why This Policy Matters

This update helps ensure compliance with applicable requirements and promotes consistent reimbursement practices.

Resources & Support

As always, thank you for being our partner in care. If you have any questions or require assistance, please contact the MHS Contact Center.