**Reminder** FileSpec Version 4.10.0 Now Required for PBJ Submissions

Current Submission RequirementsAs of April 1, 2026, fileSpecVersion 4.10.0 is REQUIRED for all Payroll Based Journal (PBJ) file submissions. Old versions (2.00.0, 2.00.3, and 4.00.0) are no longer accepted. Any files submitted using these versions will be rejected. You must use fileSpecVersion 4.10.0 for all submissions. Daily Hours LimitVersion 4.10.0 …

CMS Finalized Standards for Claims Attachments and Electronic Signatures to Phase Out Fax Machines, Snail Mail for Claims-Related Documentation

The Centers for Medicare & Medicaid Services (CMS), on behalf of the U.S. Department of Health and Human Services (HHS), is making our shareholders aware of the “Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures (CMS-0053-F)” Final Rule that displayed today, March 20, 2026, and will …

iQIES Onboarding Process – Provider Security Official Update

Overview This job aid provides the steps involved to onboard the Provider Security Official (PSO) Role in iQIES. ● For detailed information on onboarding, refer to iQIES Onboarding Guide. ● For detailed information about user roles, refer to User Roles Matrix on the iQIES Help page. ● A red asterisk …

PBJ Technical Information Call Minutes with Q&As- February 26, 2026

CMS hosted an PBJ Technical informational Call for Software Vendors and Developers on Thursday, February 26, 2026. Please see the attached minutes. Downloads PBJ Tech Call Minutes 02/26/2026 https://qtso.cms.gov/news-and-updates/pbj-technical-information-call-minutes-qas-february-26-2026

PBJ Data Specifications (Version 4.10.0) Implementation Required by April 1, 2026

The NEW FileSpecVersion 4.10.0 was originally scheduled to be effective on March 22, 2026.  The NEW effective date is April 1, 2026. If you submit files using fileSpecVersion 4.10.0 before April 1st, the file will be rejected. Manual entry of staffing hours will continue to allow up to a maximum …

iQIES Assessment Management: Assessment Submitter Manual

This document shows how to upload assessments, create and manage assessments, complete change requests, and review Final Validation Reports (FVR) in iQIES. Nov 18, 2025 CMS iQIES Assessment Management for Assessment Submitter v2.2 From https://qtso.cms.gov/software/iqies/reference-manuals

MDS Data Specifications V3.10.2 (FINAL) for Oct. 1, 2025

The MDS Data Specifications V3.10.2 (FINAL) are now available for download. This version reflects changes finalized in the FY 2026 SNF PPS final rule (90 FR 37310). Note that there are some minor changes since DRAFT 3 (below) was posted, including a new edit -4096.  Please reference the Item Change and Edit Change …

iQIES Resources Site Updated

iQIES is the Internet Quality Improvement and Evaluation System, which is the system that the MDS submissions system is being transferred to. The QIES Technical Support Office maintains a website with iQIES reference materials, including an onboarding guide and other training materials. Most recent updates: Jan 22, 2024 Nov 22, …

CISA: Implement Cybersecurity Measures Now to Protect Against Potential Critical Threats (1/22)

This CISA Insights is intended to ensure that senior leaders at every organization in the United States are aware of critical cyber risks and take urgent, near-term steps to reduce the likelihood and impact of a potentially damaging compromise. All organizations, regardless of sector or size, should immediately implement the …

Emergency Preparedness: Healthcare Cybersecurity Readiness and Response (2/21)

As part of our nation’s critical infrastructure, healthcare facilities large and small must be proactive and move quickly to protect themselves from cyberattacks that could directly impact the health and safety of patients and the community at large. According to medical health experts experienced in cybersecurity preparedness, cyberattacks are identified …