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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Dec 4, 2025 - Notice from the Centers for Medicare and Medicaid Services announcing the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process. The calendar year 2026 AIC threshold amounts are $200 for ALJ hearings and $1,960 for judicial review. These adjustments will be effective on January 1, 2026.
Source: Federal Register
Dec 4, 2025 - Highlights the work of the University of Nevada, Reno School of Medicine in supporting rural health across the state. Discusses their work in securing funding for expanding medical training, partnering with the state's Medicaid program to advance maternal health outcomes, and supporting the emergency care workforce through professional development.
Source: Nevada Today
Dec 3, 2025 - Notice from the Centers for Medicare and Medicaid Services announcing the application fee for providers initially enrolling in the Medicare or Medicaid programs, or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. The new fee is $750 and is required for applications submitted January 1, 2026, through December 31, 2026.
Source: Federal Register
Dec 2, 2025 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2026. This rule also finalizes changes to the face-to-face encounter policy, Home Health Quality Reporting Program (HH QRP), and the expanded Health Value-Based Purchasing (HHVBP) Model requirements; updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP); and makes a technical change to the home health conditions of participation. Among other things, this rule also finalizes permanent and temporary behavior adjustments and recalibrates the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. These regulations are effective January 1, 2026.
Source: Federal Register
Dec 1, 2025 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from July through September 2025, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Nov 28, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010 and 2) Solicitation for Applications for Medicare Prescription Drug Plan 2027 Contracts. Comments are due by December 29, 2025.
Source: Federal Register
Nov 28, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the November 5, 2025, final rule. This correction is effective January 1, 2026.
Source: Federal Register
Nov 28, 2025 - Notice of a proposed rule from the Centers of Medicare & Medicaid Services (CMS) that would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations. Proposed revisions would implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas for contract year 2027. Among other things, this proposed rule also includes a request for information regarding changes to the Medicare Advantage (MA) that would modernize and improve the MA program and could be implemented through either programmatic changes or through a CMS Innovation Center (CMMI) model. Comments are due by January 26, 2026.
Source: Federal Register
Nov 28, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making corrections to the November 18, 2025, notice titled "Determining Eligibility for Enrollment in Applicable State Health Subsidy Programs Under the Patient Protection and Affordable Care Act."
Source: Federal Register
Nov 28, 2025 - Notice from the Department of Health and Human Services releasing the Federal Medical Assistance Percentages (FMAP) rates for the period of October 1, 2026, through September 30, 2027. The rates are used to determine the amount of Federal matching for state Medicaid, Temporary Assistance for Needy Family (TANF) Contingency Funds, and Enhanced Federal Medical Assistance Percentages (eFMAP) rates for the Children's Health Insurance Program (CHIP) expenditures, among other federal assistance programs.
Source: Federal Register