The Centers for Medicare and Medicaid Services (CMS) announced in an August 7, 2026 MLNMatters newsletter the extension of the Healthcare Integrated General Ledger Accounting System default recoupment date for Part A cost report overpayments.

Specifically, the recoupment date moves from 16 to 41 calendar days after the demand date. This change will take effect January 4, 2027 and affects home health agencies, hospices, and skilled nursing facilities, among other providers billing Medicare Part A.

CMS states that this change aligns with default recoupment dates for Medicare Part B overpayments.

For Part A cost report overpayments that are not paid in full by day 40, recoupment will begin on day 41 unless the overpayment falls into an excluded category.

For more information, refer to MM14457 or contact your Medicare Administrative Contractor.