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Rural Health
News by Topic: Reimbursement and payment models

Sep 21, 2022 - Announces flexibilities and resources through the Centers for Medicare & Medicaid Services in response to the Public Health Emergency in Puerto Rico, including provider waivers, dialysis care, and medical equipment and supplies replacement waivers.
Source: Centers for Medicare & Medicaid Services
Sep 16, 2022 - The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) will facilitate tribal consultation sessions regarding the expansion of VA's Indian Health Services/Tribal Health Program's (IHS/THP) Reimbursement Agreements Program to include Purchase Referred Care (PRC) and Contracted Travel. An in-person consultation will be held on September 27, 2022, from 4:30 – 6:00 p.m. Eastern. A virtual consultation will be held on September 30, 2022, from 1:00 – 2:00 p.m. Eastern. Written comments are due by September 30, 2022.
Source: Federal Register
Aug 29, 2022 - Notice from the Centers for Medicare & Medicaid Services (CMS) finalizing the proposal to delay the start date of the Radiation Oncology (RO) Model and establish the start and end dates for the model through future rulemaking, which may involve modifications to the model design. The RO Model will test whether prospective episode payments to hospital outpatient departments and freestanding radiation therapy centers for radiation therapy episodes of care preserve or enhance the quality of care furnished to Medicare beneficiaries while reducing Medicare program spending. This final rule is effective October 28, 2022.
Source: Federal Register
Aug 10, 2022 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2023. Among other things, this rule establishes new requirements and revises existing requirements for eligible hospitals and Critical Access Hospitals (CAHs) participating in the Medicare Promoting Interoperability Program, updates policies for quality reporting programs, and revises the hospital and CAH conditions of participation (CoPs) for infection prevention and control and antibiotic stewardship programs. This rule also provides updates on the Rural Community Hospital Demonstration Program and the Frontier Community Health Integration Project (FCHIP). This rule is effective October 1, 2022.
Source: Federal Register
Aug 4, 2022 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Hospital Wage Index Occupational Mix Survey and 2) Basic Health Program (BHP) Supporting Regulations. Comments are due by October 3, 2022.
Source: Federal Register
Aug 3, 2022 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the skilled nursing facility (SNF) payment rates for fiscal year 2023, the Patient Driven Payment Model (PDPM) parity adjustment, the SNF Quality Reporting Program (QRP), the SNF Value-Based Purchasing (VBP) Program, and more. Among other things, this rule establishes a permanent cap policy to smooth the impact of year-to-year changes in SNF payments related to changes in the SNF wage index and announces the application of a risk adjustment for the SNF Readmission Measure for COVID-19 beginning in FY 2023. Includes rural references throughout. This rule is effective October 1, 2022.
Source: Federal Register