CMS dropped 1,800+ pages of CY 2026 Physician Fee Schedule rules — and four of them quietly rewrote how PMHNPs supervise, bill, and prescribe starting January 1, 2026. Most early-career PMHNPs are still working off 2025 assumptions that no longer apply. Two AI hosts walk through the four headline changes from CMS-1832-F and where they actually move the paycheck: • Permanent virtual direct supervision (incident-to no longer requires a shared office suite — and the narrow global-surgery carve-out you can't ignore). • New BHI/CoCM add-on G-codes (G0568, G0569, G0570) stacking on top of the Advanced Primary Care Management base codes — what's billable, what isn't. • Digital mental health treatment now covering ADHD devices under 21 CFR § 882.5803, plus how G0552, G0553, and G0554 fit into a real treatment plan. • Subsequent inpatient, subsequent nursi ...