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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Healthcare business and finance

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
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 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 27, 2025 - Notice from the Indian Health Service (IHS) announcing the decision to expand the geographic boundaries of the Purchased/Referred Care Delivery Area (PRCDA) for the Chippewa Cree Tribe of the Rocky Boy's Reservation (Chippewa Cree Tribe) to include Cascade County in Montana. Includes a full list of counties in the PRCDA. This expansion is effective effective 27, 2025.
Source: Federal Register
Jun 27, 2025 - Notice from the Indian Health Service (IHS) announcing the decision to expand the geographic boundaries of the Purchased/Referred Care Delivery Area (PRCDA) for the Iowa Tribe of Kansas and Nebraska (Iowa Tribe) to include Jackson County in Kansas and Holt County in Missouri. Includes a full list of counties in the PRCDA. This expansion is effective June 27, 2025.
Source: Federal Register
Jun 27, 2025 - Notice from the Indian Health Service (IHS) announcing the decision to expand the geographic boundaries of the Purchased/Referred Care Delivery Area (PRCDA) for the Sac and Fox Nation of Missouri in Kansas and Nebraska (Sac and Fox Nation of Missouri) to include Doniphan and Jackson counties in Kansas and Holt County in Missouri. Includes a full list of counties in the PRCDA. This expansion is effective June 27, 2025.
Source: Federal Register