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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Medicare

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
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 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 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