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Rural Health
News by Topic: Health insurance

Apr 3, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2025 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 proposed revisions to the patient-level adjustment factors, the Emergency Department adjustment, and the payment amount for electroconvulsive therapy; and seeks to adopt a new quality measure and modify reporting requirements under the IPF Quality Reporting Program beginning with the FY 2027 payment determination. Seeks comments regarding potential future revisions to the IPF prospective payment system (PPS) facility-level adjustments and the development of a standardized IPF Patient Assessment Instrument. Comments are due by May 28, 2024.
Source: Federal Register
Apr 3, 2024 - 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 2025. Includes proposals to rebase and revise the SNF market basket to reflect a 2022 base year; update the wage index used under the SNF PPS to reflect data collected during the most recent decennial census; technical revisions to the code mappings used to classify patients under the Patient-Driven Payment Model (PDPM) to improve payment and coding accuracy; and update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. Among other things, this rule also includes proposals to strengthen nursing home enforcement requirements. Comments are due by May 28, 2024.
Source: Federal Register
Apr 3, 2024 - Notice of final rules from the Department of the Treasury, Department of Labor (DOL), and Department of Health and Human Services (HHS) amending the definition of short-term, limited-duration insurance, which is excluded from the definition of individual health insurance coverage under the Public Health Service Act. This notice also amends the regulations for hospital indemnity or other fixed indemnity insurance to be considered an excepted benefit in the group and individual health insurance markets. These regulations are effective June 17, 2024.
Source: Federal Register
Apr 2, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) making changes to simplify the eligibility and enrollment processes in Medicaid, the Children's Health Insurance Program (CHIP), and the Basic Health Program. This rule aligns enrollment and renewal requirements for most individuals in Medicaid; creates timeliness requirements for redeterminations of eligibility; makes transitions between programs easier; eliminates access barriers for children enrolled in CHIP by prohibiting premium lock-out periods, benefit limitations, and waiting periods; and modernizes recordkeeping requirements to ensure proper documentation of eligibility determinations. These regulations are effective June 3, 2024.
Source: Federal Register
Mar 29, 2024 - 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 2025. Among other things, this rule proposes updates to the Office of Management and Budget (OMB) market area delineations for the IRF prospective payment system (PPS) wage index, proposes a 3-year phase-out of the rural adjustments, and includes proposals for the IRF Quality Reporting Program. Comments are due by May 28, 2024.
Source: Federal Register
Mar 28, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Conditions for Certification for Rural Health Clinics and Conditions for Coverage for Federally Qualified Health Centers in 42 CFR 49 and 2) Establishment of Qualified Health Plans and American Health Benefit Exchanges. Comments are due by May 28, 2024.
Source: Federal Register
Mar 27, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) ADA Dental Claim Form; and 2) Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs. Comments are due by April 26, 2024.
Source: Federal Register
Mar 26, 2024 - The Centers for Medicare & Medicaid Services (CMS) Advisory Panel on Outreach and Education (APOE) will hold an in-person public meeting on April 18, 2024, from 12:00 p.m. - 5:00 p.m. Eastern. Presentations and written comments must be submitted to the designated federal official by April 4, 2024. Agenda items include remarks from CMS leadership; a recap of the February 2024 meeting; a discussion of CMS programs, initiatives, and priorities; and more. Registration is required.
Source: Federal Register
Mar 22, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the Utilization Review Accreditation Commission (URAC) as a national accrediting organization providing home infusion therapy services that wish to participate in the Medicare or Medicaid programs. The approval is effective March 27, 2024, through March 27, 2030.
Source: Federal Register
Mar 18, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the extension of an information collection titled "Disclosure Requirement for the In-Office Ancillary Services Exception." CMS will use the information collected to enforce the requirement that physicians who provide certain imaging services (MRI, CT, and PET) under the in-office ancillary services exception to the physician self-referral prohibition must provide the disclosure notice as well as the list of other imaging suppliers to the patient. Comments are due by May 17, 2024.
Source: Federal Register