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Federal Register Notices Relevant to Rural Health

Selected Federal Register notices of interest to the rural health community from the past 90 days.

Jul 30, 2021 - The Indian Health Service (IHS) is accepting applications for the Community Health Aide Program (CHAP) Tribal Assessment and Planning (TAP) program. The national CHAP will increase access to direct health services, including inpatient and outpatient visits, by providing a network of health aides trained to support licensed health professionals while providing direct health care, health promotion, and disease prevention services. The purpose of the TAP program is to support the assessment and planning of Tribes and Tribal Organizations (T/TO) in determining the feasibility of implementing CHAP in their respective communities. Applications are due by September 6, 2021.
Source: Federal Register
Jul 30, 2021 - The Indian Health Service (IHS) is accepting applications for the Community Health Aide Program (CHAP) Tribal Assessment and Planning (TAP) program. The national CHAP will increase access to direct health services, including inpatient and outpatient visits, by providing a network of health aides trained to support licensed health professionals while providing direct health care, health promotion, and disease prevention services. The purpose of the TPI program is to support the planning and implementation for Tribes and Tribal Organizations (T/TO) positioned to begin operating a CHAP or support a growing CHAP in the contiguous 48 states. Applications are due by September 1, 2021.
Source: Federal Register
Jul 30, 2021 - Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and cap amount for fiscal year 2022. Includes changes to the labor shares of hospice payment rates, updates to the Hospice Quality Reporting Program, and finalizes clarifying changes to the election statement addendum that was implemented on October 1, 2020. Among other things, this rule also makes permanent selected regulatory blanket waivers issued to Medicare-participating hospice agencies during the COVID-19 public health emergency public and finalizes changes to public reporting for the Home Health Quality Reporting Program to address exceptions related to the COVID-19 public health emergency. Includes rural considerations throughout. This rule is effective October 1, 2021.
Source: Federal Register
Jul 30, 2021 - Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2022 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. This rule also updates and clarifies the IPF teaching policy with respect to IPF hospital closures and displaced residents, finalizes a technical change to the 2016-based IPF market basket price proxies, and updates quality measures and reporting requirements. The changes will be effective for IPF discharges beginning October 1, 2021 - September 30, 2022. These regulations are effective on October 1, 2021.
Source: Federal Register
Jul 30, 2021 - Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2022. Among other things, this rule updates the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2022 and updates quality measures and reporting requirements under the IRF quality reporting program. These regulations are effective on October 1, 2021.
Source: Federal Register
Jul 30, 2021 - Pre-publication notice of final rule Centers for Medicare and Medicaid Services (CMS) updating the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year 2022. Among other things, this rule rebases and revises the SNF market basket, updates the diagnosis code mappings used under the Patient-Driven Payment Model (PDPM), and finalizes a technical correction to the physical environment requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs. This rule also includes updates the SNF Quality Reporting Program (QRP). Includes rural considerations throughout. This rule is effective October 1, 2021.
Source: Federal Register
Jul 30, 2021 - Notice of interim final rule from the Small Business Administration making changes regarding the forgiveness of loans made under the Paycheck Protection Program (PPP). This interim final rule is effective July 28, 2021. This final rule also extends the loan deferment period for PPP loans when the borrower files a timely appeal of a loan review decision. Comments are by August 30, 2021.
Source: Federal Register
Jul 29, 2021 - The Centers for Medicare and Medicaid Services (CMS) is seeking comments on a revision to the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey. Data collected from OAS CAHPS can enable consumers to make more informed decisions when choosing an outpatient surgery facility, aid facilities in their quality improvement efforts, and help CMS monitor and report on the performance of outpatient surgery facilities. Comments are due by August 30, 2021.
Source: Federal Register
Jul 29, 2021 - Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) Medicare Beneficiary Experiences with Care Survey (MBECS) System and 2) CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting. Comments are due by August 30, 2021.
Source: Federal Register
Jul 29, 2021 - Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) Outcome and Assessment Information Set (OASIS) OASIS-D and 2) Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory Programs. Comments are due by August 30, 2021.
Source: Federal Register

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