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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Jun 30, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the reinstatement with change of an information collection titled "Conditions of Participation for Community Mental Health Centers and Supporting Regulations." Among other things, the Information collected will be used by federal and state agency surveyors for determining whether a CMHC qualifies for approval or re-approval under Medicare. Comments are due by August 29, 2025.
Source: Federal Register
Jun 30, 2025 - Pre-publication notice from the Centers for Medicare & Medicaid Services (CMS) announcing a 6-year model, the Wasteful and Inappropriate Services Reduction (WISeR) Model. This model will test the implementation of technology-enabled prior authorization processes for select services, with the aim of reducing fraud, waste (including low-value care), and abuse in Medicare fee-for-service (FFS) in six states: Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington. This notice is effective January 1, 2026.
Source: Federal Register
Jun 27, 2025 - The Centers for Medicare & Medicaid Services is seeking comment on the following information collections: 1) Medicare Self-Referral Disclosure Protocol; 2) Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification (Non-Privacy/Security) Complaint Form; and 3) Drug Price Negotiation for Initial Price Applicability Year 2028 under Sections 11001 and 11002 of the Inflation Reduction Act Information Collection Request (ICR). Comments are due by August 26, 2025.
Source: Federal Register
Jun 27, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the following information collections: 1) Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services; and 2) Marketplace Quality Standards. Comments are due by July 28, 2025.
Source: Federal Register
Jun 25, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of the Accreditation Commission for Health Care as a national accrediting organization for hospices that wish to participate in the Medicare or Medicaid programs. Comments are due by July 25, 2025.
Source: Federal Register
Jun 25, 2025 - Notice of final rule related to implementation of Patient Protection and Affordable Care Act and Health Insurance Marketplace. Among other things, this rule revises standards relating to past-due premium payments; establishes the evidentiary standard HHS uses to assess an agent's, broker's, or web-broker's potential noncompliance; revises standards related to income eligibility verifications for premium tax credits and cost-sharing reductions, annual eligibility redetermination, the annual open enrollment period and special enrollment periods; and more. These regulations are effective August 25, 2025.
Source: Federal Register
Jun 23, 2025 - Notice from the Centers for Medicare & Medicaid Services is seeking comments on information collection requests titled "Medicare Advantage Model of Care Submission Requirements" and "Certification Statement for Electronic File Interchange Organizations (EFIOs) that submit National Provider Identifier (NPI) data to the National Plan and Provider Enumeration System (NPPES)." Comments are due by July 23, 2025.
Source: Federal Register
Jun 23, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of The Joint Commission as a national accrediting organization for hospitals that wish to participate in the Medicare or Medicaid programs. This approval is applicable July 15, 2025, to July 15, 2030.
Source: Federal Register
Jun 20, 2025 - The Centers for Medicare & Medicaid Services is seeking comment on the following information collections: 1) Healthcare Fraud Prevention Partnership (HFPP) Data Sharing and Information Exchange; 2) Medicare Part D Manufacturer Discount Program; and 3) Emergency Preparedness Requirements for Medicare and Medicaid Providers Participating Providers and Suppliers. Comments are due by August 19, 2025.
Source: Federal Register
Jun 17, 2025 - The Centers for Medicare & Medicaid Services is seeking comment on the following information collections: 1) Notice of Rescission of Coverage and Disclosure Requirements for Patient Protection under the Affordable Care Act; 2) Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID); and 3) Evaluation of Stakeholder Training and Program Support. Comments are due by July 17, 2025.
Source: Federal Register