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News by Topic: Medicare

Jul 28, 2025 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Medicare Geographic Classification Review Board Procedures and Criteria; 2) Part C and Part D Medicare Prescription Payment Plan Model Documents; and 3) Applicable Integrated Plan Coverage Decision Letter. Comments are due by August 27, 2025.
Source: Federal Register
Jul 23, 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 Critical Access Hospitals that wish to participate in the Medicare or Medicaid programs. Comments are due by August 22, 2025.
Source: Federal Register
Jul 21, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the reinstatement of an information collection titled "Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations." The information collected is used to ensure that home health agencies comply with the Conditions of Participation. Comments are due by August 20, 2025.
Source: Federal Register
Jul 17, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026, including changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. Among other updates, this rule also proposes updates related to the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. Comments are due September 15, 2025.
Source: Federal Register
Jul 17, 2025 - The Centers for Medicare & Medicaid Services (CMS) will hold a virtual meeting of the Advisory Panel on Hospital Outpatient Payment on August 25, 2025. The purpose of the Panel is to advise the Secretary on the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, which are major elements of the Medicare Hospital Outpatient Prospective Payment System and the Ambulatory Surgical Center payment system, and supervision of hospital outpatient therapeutic services. The agenda and information on how to join the meeting will be posted on the Panel's website. Presentations and comment letters are due by August 1, 2025.
Source: Federal Register
Jul 15, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) addressing: 1) changes to the Physician Fee Schedule and Medicare Part B payment policies; 2) policies for the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; 3) the Ambulatory Specialty Model; 4) updates to the Medicare Diabetes Prevention Program expanded model; 5) updates to drugs and biological products paid under Part B; 6) Medicare Shared Savings Program requirements; 7) updates to the Quality Payment Program; 8) updates to policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); 9) updates to the Ambulance Fee Schedule regulations; 10) codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; and 11) updates to the Medicare Promoting Interoperability Program. Comments are due on September 12, 2025.
Source: Federal Register
Jul 14, 2025 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Medicare Current Beneficiary Survey; and 2) Review Choice Demonstration for Home Health Services. Comments are due by September 12, 2025.
Source: Federal Register
Jul 14, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) setting forth the interpretation of "Federal public benefit" as used in in Title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), Pub. L. 104–193, 8 U.S.C. § 1611. This notice revises the interpretation of the term set forth in the August 4, 1998, notice ("the 1998 HHS PRWORA Notice"). This notice also describes and preliminarily identifies the HHS programs that provide "Federal public benefits" within the scope of PRWORA, including HHS programs that were not listed in the 1998 HHS PRWORA Notice. Comments are due by August 13, 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