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Rural Health
News by Topic: Medicare

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 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
Sep 1, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Survey of Retail Prices; 2) Basic Health Program (BHP) Supporting Regulations; and 3) Solicitation for Applications for Medicare Prescription Drug Plan 2028 Contracts. Comments are due by November 2, 2026.
Source: Federal Register
Aug 26, 2026 - Highlights the agenda for MedPAC meetings in 2026-2027. Topics to be discussed include Medicare Part D spending, the enrollment process, quality measurement and value-based payment programs, cost-sharing liability for Rural Health Clinics, the impact of converting a hospital to Rural Emergency Hospital (REH) status, reimbursement rates including for REHs, and Medicare Advantage (MA). Offers recommendations for engaging with the group and information on scheduled publications.
Source: MedPAC News
Aug 13, 2026 - Advisory notice from the Centers for Medicare & Medicaid Services to alert certain clinicians who are Qualifying APM participants (QPs) and have earned an Alternative Payment Model (APM) Incentive Payment that CMS does not have the current information needed to disburse the payment. Provides information to QPs on how to update their Medicare billing information so that CMS can disburse payments. All information should be sent to CMS by October 13, 2026.
Source: Federal Register