Skip to main content
Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Medicare

May 17, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) describing a new mandatory Medicare payment model, the Increasing Organ Transplant Access Model (IOTA Model). The IOTA Model would test whether performance-based incentive payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. This proposed rule also describes standard provisions for CMS Innovation Center (CMMI) models relating to beneficiary protections, cooperation in model evaluation and monitoring, audits and records retention, rights in data and intellectual property, monitoring and compliance, and more. These standard provisions would apply to any CMMI model whose first performance period begins on or after January 1, 2025, and in whole or in part to any CMMI model whose first performance period began before January 1, 2025. Comments are due by July 16, 2024.
Source: Federal Register
May 16, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of an information collection titled "Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services." CMS requires prior authorization for certain covered OPD services as a condition of Medicare payment to help to reduce unnecessary utilization and payments for these services. Comments are due by June 17, 2024.
Source: Federal Register
May 14, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on revisions to an information collection titled "Fast Track Appeals Notices: NOMNC/DENC." Skilled nursing facilities (SNFs), home health agencies (HHAs), comprehensive outpatient rehabilitation facilities (CORFs), and hospices must provide notice to all beneficiaries/enrollees whose Medicare-covered services are ending no later than two days in advance of the proposed termination of service via the Notice of Medicare Non-Coverage (NOMNC). Comments are due by July 15, 2024.
May 10, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing its approval of The Compliance Team for continued recognition as a national accrediting organization for Rural Health Clinics that wish to participate in the Medicare or Medicaid programs. This recognition is applicable July 17, 2024, to July 17, 2028.
Source: Federal Register
May 6, 2024 - Notice of final rule and interpretation from the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) that reinstates regulatory protections from discrimination on the basis of race, color, national origin, sex, age, or disability in covered health programs and activities. Among other things, HHS is finalizing its interpretation regarding whether Medicare Part B constitutes Federal financial assistance for purposes of civil rights enforcement and to nondiscrimination provisions to prohibit discrimination on the basis of sexual in regulations issued by the CMS governing Medicaid and the Children's Health Insurance Program (CHIP); Programs of All-Inclusive Care for the Elderly (PACE); health insurance issuers and their officials, employees, agents, and representatives; and States and the Exchanges carrying out Exchange requirements; among others. This rule is effective July 5, 2024.
Source: Federal Register
May 2, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2025. Contains details of proposed changes impacting Medicare graduate medical education (GME) for teaching hospitals and payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals, among other things. Comments are due by June 10, 2024.
Source: Federal Register
May 1, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing its approval of the Joint Commission for initial recognition as a national accrediting organization for Rural Health Clinics that wish to participate in the Medicare or Medicaid programs. This recognition is applicable June 1, 2024, to June 1, 2028.
Source: Federal Register
Apr 30, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of the Community Health Accreditation Partner (CHAP) as a national accrediting organization for suppliers providing home infusion therapy services that wish to participate in the Medicare or Medicaid programs. Comments are due by May 30, 2024.
Source: Federal Register
Apr 29, 2024 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from January through March 2024, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Apr 29, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of The Compliance Team (TCT) as a national accrediting organization for suppliers providing home infusion therapy services that wish to participate in the Medicare or Medicaid programs. Comments are due by May 29, 2024.
Source: Federal Register