This message is for users of the PECOS PI application in the Production environment.

CMS's upgrade of PECOS's PI Java Framework was completed as scheduled on August 1st, 2026.

If you experience any issues, please submit a request through the EUS Help Desk at https://eus.cms.gov/.

Thank you,

PECOS Production Support

CMS Announces Expansion of Proven Joint Replacement Model

What’s new: As part of the FY 2027 Inpatient and Long-Term Care Hospital Prospective Payment System (IPPS) Final Rule announced on July 31, CMS finalized the CJR-X (Comprehensive Care for Joint Replacement Expanded) Model to promote a seamless care experience from pre-surgery education through post-op recovery for patients undergoing hip, knee, and ankle replacements.

Why it matters: CJR-X will be the first expanded mandatory episode-based payment model for hospitals in Original Medicare; findings from CJR-X’s predecessor, the Comprehensive Care for Joint Replacement (CJR) Model, showed episode-based payments motivate hospitals, surgeons, and post-acute providers to collaborate to help patients achieve optimal health outcomes while reducing avoidable hospitalizations, complications, and unnecessary costs.

What to expect: Under CJR-X, hospitals will be accountable for Medicare expenditures related to joint replacement surgery, hospitalization, and the initial 90 days of recovery following hospital discharge, including follow-up treatments like physical therapy.

The big picture: CJR-X delivers on the Trump Administration’s commitment to create a more affordable health care system that works better for Americans by revamping joint replacement surgery management and payment nationwide.

Additional details: The CJR Model operated from April 2016 through December 2024 to improve care for Medicare patients undergoing joint replacement procedures, saving Medicare more than $100 million while maintaining quality of care for patients.

Under the CJR-X Model, patients across the country will still choose their own doctors and will not face any added complexity in how they receive care. Certain hospitals may be exempt from CJR-X, including those participating in the Transforming Episode Accountability Model, those located in Maryland, and those not paid under both the IPPS and Outpatient Prospective Payment System.

Find out more: 

• Press Release: CMS Announces Nationwide Expansion of Proven Joint Replacement Program
• CJR-X Webpage
• CMS Innovation Center Strategic Direction 
• Value-Based Care Spotlight 
• Innovation Insights

This message is for users of the PECOS PI and AI applications in the Production environment.

Release 7.58.0.2 of the Provider Enrollment, Chain and Ownership System (PECOS) is now Live.

The following PI defect fixes are included in this release:

• The PECOS Provider Interface application has been modernized to remove security and support risks associated with its outdated technology stack. The legacy Apache Struts 1.x framework, which reached end-of-life in 2013, has been replaced with Spring MVC 5.3. The runtime has been upgraded from Java 8 to Java 17 (LTS), eliminating the risks tied to aging Java support. Additionally, the application server has been updated to JBoss EAP 7.4 running on RHEL 8. These upgrades provide a secure, industry standard foundation for future enhancements and long-term maintainability.
• Updates to 855B form to prompt required message when the "Electronic Storage Address" information is missing in the COI workflow.
• Updates to 855B form to prompt required message when the "Telephone number" is missing for the Authorized Official in the COI workflow.
• Updates to 855B form to prompt required message when the "Serial Number" for IDTF Equipment and CPT-4/HCPCS Codes is missing in the COI workflow.

Thank you,

PECOS PROD and UAT Support Teams