Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.3.3
Publishing Payment Rates
90.3.3 – Publishing Payment Rates
(Rev. 13150; Issued:04-11-25; Effective: 01-01-25; Implementation:05-12-25)
The MACs must issue preliminary estimated payment rates for an upcoming calendar
year at least 90 days prior to the effective date, including the rationale for the payment
rate as described in sections 90.3.1 and 90.3.2. Final payment rates must be issued by the
MACs prior to their effective date.