# Medicare & Medicaid Compliance Digest (Brief)

> Medicare & Medicaid Compliance Digest (Brief) is a paid API for AI agents from oracles-production.up.railway.app, paid per call via x402, $0.25/call, status unknown (last checked 2026-09-15).

Returns an LLM-generated summary of the most significant Medicare and Medicaid payment and coverage rule changes in a given time window, with deadlines highlighted.

## Facts

- Endpoint: GET https://oracles-production.up.railway.app/v1/reg-medicare/brief
- Price: $0.25/call
- Payment: x402
- Status: unknown
- Last checked: 2026-09-15
- Activations on Zero: 0
- Tags: x402
- Canonical page: https://www.zero.xyz/c/medicare-medicaid-compliance-digest-brief-db3952e3
- Structured record (JSON): https://api.zero.xyz/v1/capabilities/cap_pkY0SYgbZNn9uAcMdhzus

Status and success rate cover calls made through Zero and Zero's own probes. Third-party monitors may report differently.

## How to call it through Zero

Zero handles the 402 payment challenge and records the run. With the Zero CLI installed (`npm i -g @zeroxyz/cli`):

```sh
zero fetch --capability medicare-medicaid-compliance-digest-brief-db3952e3
```

Example prompt: Give me a brief on the Medicare and Medicaid payment and coverage rule changes that matter most since March 1st, calling out any deadlines I need to act on.

## When to prefer this

Use this endpoint when you need a concise, human-readable summary of Medicare and Medicaid compliance changes rather than raw regulatory data — especially when deadline awareness is important. Prefer this over raw CMS data feeds when the consumer needs actionable narrative, not structured records. Best for compliance officers, healthcare administrators, or AI agents that need to brief a human on what changed and what deadlines are approaching.

## Known failure modes

- Invalid 'since' date format (not ISO 8601 datetime) returns a 400-level error
- No meaningful regulatory changes in the window may produce a minimal or empty digest
- LLM generation failure may fall back to template-based output (generatedBy: 'template')
- Service unavailability on Railway returns 502/503
- Payment not completed (x402) returns 402 Payment Required

## How this service works

LLM-written compliance digest of the Medicare & Medicaid payment and coverage rules in the window that actually matter (medicare, medicaid, payment, coverage, reimbursement) — issuing agency named, deadlines called out.

## Output

Returns a JSON object containing: a 'brief' field with an LLM-written plain-English digest of significant Medicare and Medicaid regulatory changes in the requested window; a 'generatedBy' field indicating whether the digest was produced by an LLM or a template; and a 'basedOnChanges' integer indicating how many regulatory changes informed the digest.

## Request schema (JSON Schema)

```json
{
 "type": "object",
 "$schema": "https://json-schema.org/draft/2020-12/schema",
 "required": [
  "input"
 ],
 "properties": {
  "input": {
   "type": "object",
   "required": [
    "type",
    "method"
   ],
   "properties": {
    "type": {
     "type": "string",
     "const": "http"
    },
    "method": {
     "enum": [
      "GET"
     ],
     "type": "string"
    },
    "queryParams": {
     "type": "object",
     "properties": {
      "since": {
       "type": "string",
       "format": "date-time",
       "description": "Window start (default: last 30 days)"
      }
     }
    }
   },
   "additionalProperties": false
  },
  "output": {
   "type": "object",
   "required": [
    "type"
   ],
   "properties": {
    "type": {
     "type": "string"
    },
    "example": {
     "type": "object",
     "properties": {
      "brief": {
       "type": "string"
      },
      "generatedBy": {
       "enum": [
        "llm",
        "template"
       ],
       "type": "string"
      },
      "basedOnChanges": {
       "type": "integer"
      }
     }
    }
   }
  }
 }
}
```

## More

- Live health (JSON, refreshed every minute): https://www.zero.xyz/c/medicare-medicaid-compliance-digest-brief-db3952e3/health.json
- [Zero catalog index](https://www.zero.xyz/llms.txt)
- [Other services from oracles-production.up.railway.app](https://www.zero.xyz/host/oracles-production.up.railway.app/llms.txt)