Rural Health
News by Topic: Reimbursement and payment models
CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
Federal Register
Nov 19, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on an information collection titled "Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204." CMS will use the information to monitor ongoing compliance with section 1902(a)(30)(A) of the Social Security Act, and to make informed approval decisions on State plan amendments that propose to make Medicaid rate reductions or restructure payment rates. Beneficiaries, providers, and other affected stakeholders may use the information to raise access issues to state Medicaid agencies and work with agencies to address those issues. Comments are due by January 20, 2026.
Source: Federal Register
Nov 19, 2025 - The Centers for Medicare & Medicaid Services (CMS) will hold a virtual public meeting on December 17, 2025 from 9:00 a.m. until 5:00 p.m. Eastern to discuss CMS preliminary coding, Medicare benefit category, and Medicare payment determinations, if applicable, for new revisions to the HCPCS Level II code set for non-drug and non-biological items and services. If all of the agenda items are not addressed on December 17, 2025, a subsequent virtual session will be held on December 18, 2025 at 9:00 a.m. Eastern. All individuals who plan to speak must register by December 3, 2025.
Source: Federal Register
Nov 12, 2025 - Describes a medical coding and billing training for rural healthcare providers in Texas. The training aims to help small clinics accurately submit reimbursement claims so that financially vulnerable facilities can stay open.
Source: KBTX
Nov 5, 2025 - Notice of a final 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. These regulations are effective January 1, 2026.
Source: Federal Register
Oct 31, 2025 - Describes challenges with offering labor and delivery services in rural Texas, discussing reimbursement, workforce shortages, and distance to care.
Source: The Optimist
Oct 26, 2025 - Discusses the impact of the expansion of Medicaid dental benefits on the oral health of Missouri residents. Notes that areas with dental workforce shortages are less likely to feel the positive impact of increases in reimbursement rates.
Source: Kansas City Magazine
Oct 8, 2025 - Louisiana has increased Medicaid reimbursement rates in an attempt to increase the number of physicians that will accept Medicaid patients. Discusses the impact on rural Louisiana where Medicaid use is higher.
Oct 6, 2025 - Discusses the benefits and downsides for hospitals considering converting to a Rural Emergency Hospital, highlighting the choices made by rural hospitals around Arkansas. Discusses reimbursement rates, labor and delivery service access, and general healthcare access.
Source: Arkansas Advocate