Rural Health
News by Topic: Reimbursement and payment models
CMS: Medicaid Program: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
Federal Register
May 22, 2026 - Notice of proposed rule from the Centers
for Medicare & Medicaid Services describing alternatives to
modify the limit on the total payment rate and other
requirements for State directed payments in Medicaid
managed care. This rule also proposes to set a limit for
certain targeted Medicaid payments in Medicaid
fee-for-service. Includes rural considerations throughout. Comments are due July 21, 2026.
Source: Federal Register
May 22, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
May 21, 2026 - Announces proposed legislation to extend the Rural Community Hospital Demonstration (RCHD) Program for 5 more years. RCHD allows for innovative hospital payment models to support rural facilities.
Source: Office of Representative Randy Feenstra
May 12, 2026 - Notice of final rule from the U.S. Department of Health and Human Services (HHS) amending the Child Care and Development Fund (CCDF) regulations. Among other things, this rule rescinds four requirements added to the CCDF regulations in the March 2024 final rule, including limiting family co-payments to 7 percent of family income, providing some direct services through grants or contracts, paying providers prospectively, and paying providers based on enrollment. This rule is effective July 13, 2026.
Source: Federal Register