CMS finalizes Transparency in Coverage revisions (CMS-9882-F)

Key changes

• In-network rate files posted per provider network rather than per plan, quarterly rather than monthly, with product-type and network identifiers.
• Implausible provider–service combinations removed.
• New Taxonomy and Utilization files.
• Out-of-network files aggregated by market, with the claim threshold lowered from 20 to 11 and longer reporting and lookback periods.
• A root-level .txt locator file and a "Price Transparency" footer link.
• An attestation by a named senior official.

Applicability dates

• Self-service tool changes, including phone access: plan years beginning on or after January 1, 2027.
• Machine-readable-file changes: March 6, 2027.
• Taxonomy, Utilization and .txt locator files, and the footer link: September 6, 2027.
• Until then, the prior rule applies.

Not finalized

enrollment totals, a change-log file, and an API requirement.

Sources

• CMS fact sheet TiC CMS-9882-F Primary · 2026-10-05 · checked 2026-10-19
• Federal Register TiC final rule Primary · 2026-10-06 · checked 2026-10-19

Related on this site

• Policy §4
• Records ledger

Register: the record store · record id transparency-in-coverage-final-rule-2026-10-06 · SOURCE-VERIFIED · HUMAN REVIEW PENDING.