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

Rural Health
News by Topic: Health insurance

Sep 29, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the August 4, 2026, final rule. These corrections are effective October 1, 2026.
Source: Federal Register
Sep 25, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the re-establishment of a matching program between CMS and the U.S. Department of the Treasury's Do Not Pay Working System. The purpose of the matching program is to provide CMS with information to identify providers and suppliers who are ineligible for Medicare enrollment; suspend or revoke the Medicare billing privileges of the identified disqualified providers and suppliers; enable the recoupment of past payments made to those providers and suppliers; detect and prevent fraud, waste, and abuse and avoid making future improper payments to disqualified providers and suppliers; and enhance patient safety for beneficiaries in CMS programs. Comments are due by October 26, 2026.
Source: Federal Register
Sep 24, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking public input regarding the establishment of standards for reasonable and relevant pharmacy contract terms and conditions under the Medicare prescription drug benefit as outlined by Section 6223(a) of the Consolidated Appropriations Act, 2026 (P.L. 119-75). Specifically, CMS seeks comments on pharmacy reimbursement and dispensing fees, current contract practices, trends in contract terms and conditions, and pharmacy quality and performance measures, among other things. Comments are due by November 23, 2026.
Source: Federal Register
Sep 23, 2026 - Notice of interim final rule with comment period from the U.S. Department of Health and Human Services (HHS) codifying its authority to impose a temporary moratorium pausing the registration of agents and brokers that do not have a current Plan Year registration with the Federally-facilitated exchanges. Specifically, this notice announces that the Centers for Medicare & Medicaid Services (CMS) is imposing a temporary moratorium to pause the registration of agents and brokers that do not have Plan Year 2026 Exchange agreements with the Federally-facilitated exchanges and are seeking to enter into agreements with CMS to assist consumers with enrollment through the Federally-facilitated exchanges for Plan Year 2027. This moratorium does not affect registrations on the state-based exchanges. The moratorium is effective September 22, 2026, until February 1, 2027, unless it is modified by CMS in a subsequent Federal Register notice. This interim final rule is effective September 22, 2026. Comments are due by November 21, 2026.
Source: Federal Register
Sep 18, 2026 - Notice from the U.S. Department of Defense (DOD) announcing changes to the TRICARE program benefits for calendar year 2027. Outlines annual changes, new and expanded benefits, demonstration programs, pharmacy out-of-pocket expenses for CY 2027, and more. This TRICARE Health Plan information is applicable to services beginning January 1, 2027.
Source: Federal Register
Sep 17, 2026 - The Centers for Medicare & Medicaid Services (CMS) announces the approval of DNV Healthcare USA Inc. (DNV) as a national accrediting organization for hospitals that wish to participate in the Medicare or Medicaid programs. This approval is applicable from September 26, 2026, through September 26, 2032.
Source: Federal Register
Sep 16, 2026 - Notice from the Centers for Medicare & 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 2027 AIC threshold amounts are $200 for ALJ hearings and $2,000 for judicial review. These adjustments will be effective on January 1, 2027.
Source: Federal Register
Sep 16, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) of the second biannual Healthcare Common Procedure Coding System (HCPCS) Level II public meeting of 2026 on November 2-3, 2026. The meeting will include discussions on the CMS 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 for in-person attendees by October 19, 2026.
Source: Federal Register
Sep 14, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Provider Experience of the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) Program; 2) Use Agreement (DUA) Limited Data Set (LDS) Forms Research Identifiable Files (RIF) Forms; and 3) Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204. Comments are due by November 13, 2026.
Source: Federal Register
Sep 8, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing a virtual town hall meeting to be held on December 9-10, 2026, to discuss FY 2028 applications for add-on payments for new medical services and technologies under the Medicare Hospital Inpatient Prospective Payment System (IPPS). Information on how to join the meeting will be posted on the New Technology website. The deadline to register to present at the meeting is November 2, 2026. Written comments and agenda items for discussion at the meeting are due by November 12, 2026.
Source: Federal Register