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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Jul 11, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) correcting a date in the July 9, 2025, notice.
Source: Federal Register
Jul 11, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) modifying an existing system of records titled "Home Health Agency (HHA) Outcome and Assessment Information Set (OASIS)." Among other things, home health agencies required to comply with Medicare Conditions of Participation (CoP) are now mandated to collect OASIS on patients with any payer source, instead of just patients with Medicare/Medicaid pay sources. This notice is effective July 11, 2025, subject to a 30-day period in which to comment on the new and revised routine uses. Comments are due by August 11, 2025.
Source: Federal Register
Jul 10, 2025 - Announcement additional resources and flexibilities from the Centers for Medicare & Medicaid Services (CMS) to assist with the ongoing public health emergency (PHE) in Texas declared on July 8, 2025 related to the severe storms, straight-line winds, and flooding. Shares information and resources for those impacted and responding to the severe storms and flooding, including CMS waivers, a period of special healthcare enrollment, a disaster toolkit, dialysis care, medical equipment and supplies replacement, and access to Medicare Part D medications.
Source: Centers for Medicare & Medicaid Services
Jul 9, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) correcting a date in the July 2, 2025, proposed rule.
Source: Federal Register
Jul 3, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the following information collections: 1) National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection; and 2) Medicare Registration Application. Comments are due by September 2, 2025.
Source: Federal Register
Jul 3, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the extension of an information collection titled "Medicare Participating Physician or Supplier Agreement." By signing the agreement to participate in Medicare, the physician, supplier, or their authorized official agrees to accept the Medicare-determined payment for Medicare covered services as payment in full and to charge the Medicare Part B beneficiary no more than the applicable deductible or coinsurance for the covered services. Comments are due by August 4, 2025.
Source: Federal Register
Jul 2, 2025 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2026. This rule also proposes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements; updates to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP); technical changes to the home health conditions of participation; permanent and temporary behavior adjustments; and the recalibration of the case-mix weights and update the functional impairment levels, among other things. Comments are due by September 2, 2025.
Source: Federal Register
Jul 2, 2025 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2026 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Among other things, this rule also proposes updated requirements for the ESRD Quality Incentive Program and modifying and terminating requirements for the ESRD Treatment Choices Model. Comments are due by August 29, 2025.
Source: Federal Register
Jul 1, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing a 6-year model, the Wasteful and Inappropriate Services Reduction (WISeR) Model. The WISeR 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