New Requirements for CMS Attestations for 2026 for Eligibility Inquiries

Incident Report for Waystar System Status Check

Resolved

Who Needs to Complete EDI Enrollment?

All providers and suppliers who submit 270 Eligibility transactions to the Medicare Administrative Contractors (MACs), are enrolled in Original Medicare EDI, submit claims and have authorized HIPAA business associates must complete the HETS EDI enrollment.

Complete Attestations Now
All Medicare Administrative Contractors (MACs) have finished the Provider Attestation onboarding process. All provider/supplier customers who submit 270 Eligibility transactions to the MACs listed below should complete their attestation immediately.

In the event that providers/suppliers who submit 270 Eligibility transactions do not complete the attestation process before May 11, 2026, they will lose access to HETS data and eligibility inquiries will fail.

Jurisdiction Information:

CEDI:
JA States: Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont

JB States: Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin

JC States: Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, US Virgin Islands, Virginia, and West Virginia

JD States: Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Island, Oregon, South Dakota, Utah, Washington and Wyoming

NGS:
JS (Home Health and Hospice) (HH&H) or JK (HH&H)

Noridian:
JE States: California, Guam, Hawaii, Nevada

JF States: Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington

Novitas:
JH States: Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas
JL States: Delaware, Maryland, New Jersey, Pennsylvania, and the District of Columbia

First Coast:
JN States: Florida, Puerto Rico, and the US Virgin Islands

Additional information for providers/suppliers can be found at the CMS website https://www.cms.gov/data-research/cms-information-technology/hipaa-eligibility-transaction-system-hets/hets-edi-how-enroll?

If you have any questions, please contact the Medicare Help Desk @1-866-324-7315.
Posted Apr 16, 2026 - 15:36 EDT
This incident affected: Financial Clearance & Patient Access (Waystar Eligibility, Enterprise Eligibility, Medicare Eligibility (former eSolutions), Dorado (former eSolutions)).