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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

May 12, 2025 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) Laboratory Personnel Report (CLIA) and Supporting Regulations; 2) End Stage Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations; 3) Hospice Information for Medicare Part D Plans; 4) Part D Coordination of Benefits Data; and 5) Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in. Comments are due by June 11, 2025.
Source: Federal Register
May 7, 2025 - Notice from the Centers for Medicare and Medicaid Services (CMS) of a hybrid public meeting on June 2-3, 2025, to discuss the preliminary coding, Medicare benefit category, and Medicare payment determinations for new revisions to the Healthcare Common Procedure Coding System (HCPCS) Level II code set. The agenda and information on how to join the meeting will be posted on the CMS website. Registration is required.
Source: Federal Register
Apr 30, 2025 - Notice of a 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 2026. Contains details of proposed changes related to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and certain quality programs, among other things. Comments are due by June 10, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would update the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2026. Among other things, this rule includes proposals to update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. Comments are due by June 30, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2026. Includes proposals related to admission to hospice regulations and the hospice face-to-face attestation requirements under the certification of terminal illness regulations. This proposed rule also includes a technical correction to the regulatory text and provides updates to the Hospice Quality Reporting Program requirements. Among other things, this rule seeks comments regarding requests for information surrounding future measure concepts for Hospice Quality Reporting Program. Includes rural references and considerations throughout. Comments are due by June 30, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2026 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. Includes a proposed revision to the payment adjustment factors for teaching status and for IPFs in rural areas. This proposed rule also proposes changes to measures used in the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program and changes to update and codify the Extraordinary Circumstances Exception policy. Among other things, this rule seeks comments regarding potential future revisions to the IPFQR Program. Comments are due by June 10, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Among other things, this rule proposes classification and weighting factors for the IRF prospective payment system's case-mix groups, continues the second year of the 3-year phase-out of the rural adjustments, and includes proposals for the IRF Quality Reporting Program. Comments are due by June 10, 2025.
Source: Federal Register
Apr 28, 2025 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) National Implementation of the In-Center Hemodialysis CAHPS Survey; 2) Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act; and 3) Coverage of Certain Preventive Services Under the Affordable Care Act. Comments are due by May 28, 2025.
Source: Federal Register
Apr 28, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application from DNV Healthcare Inc. for initial recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. Comments are due by May 28, 2025.
Source: Federal Register
Apr 21, 2025 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) Creditable Coverage Disclosure to CMS On-Line Form and Instructions; 2) Essential Community Provider Data Collection to Support QHP Certification; 3) Transparency in Coverage Reporting by Qualified Health Plan Issuers; 4) Notice of Research Exception under the Genetic Information Nondiscrimination Act; 5) Student Health Insurance Coverage; and 6) Medicare Participating Physician or Supplier Agreement. Comments are due June 20, 2025.
Source: Federal Register