Rural Health Policy – News

CMS: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities Federal Register

Jul 22, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2025. This proposed rule would also update and refine the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, Rural Emergency Hospital Quality Reporting (REHQR) Program, ASC Quality Reporting (ASCQR) Program, and Hospital Inpatient Quality Reporting Program and proposes Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services. Among other things, this rule would request information on options being considered for future changes to the Overall Hospital Quality Star Rating methodology and further information related to a Tribal Technical Advisory Group request to apply the Indian Health Service encounter rate to all outpatient tribal clinics. This proposed rule would also provide exceptions to the Medicaid clinic services benefit four walls requirement for Indian Health Service and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas. Comments are due by September 9, 2024.

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Biden-Harris Administration Launching Initiative to Build Multi-state Social Worker Licensure Compact to Increase Access to Mental Health and Substance Use Disorder Treatment and Address Workforce Shortages

Jul 16, 2024 - Outlines new investment by the U.S. Department of Health and Human Services to support the creation of a multi-state licensure compact, allowing social workers to practice across state lines without applying for multiple licenses. Notes the potential impacts of the licensure compact on rural communities by easing provider shortages and expanding telehealth service availability.

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CMS Proposes New Payments for Digital Health Under CY2025 PFS Draft Rule

Jul 11, 2024 - The Centers for Medicare & Medicaid Services' proposed calendar year 2025 physician fee schedule rule includes new payments and coverage for digital health and telehealth services. The draft rule contains significant provisions for Rural Health Clinics and Federally Qualified Health Centers and gives opioid treatment programs more flexibility in their use of telehealth services.

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Supreme Court's Grants Pass Decision Could Set Precedent for Homelessness in Other Rural Counties

Jun 26, 2024 - Provides overview of the City of Grants Pass V. Gloria Johnson case at the U.S. Supreme Court and possible implications for rural homelessness regulations. Notes that many rural Oregon counties have high per capita rates of homelessness but limited resources to support homeless populations.

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End of Pandemic Internet Subsidies Threatens a Health Care Lifeline for Rural America

Jun 5, 2024 - Features a Fort Hall Reservation resident impacted by the end of the Affordable Connectivity Program, which offered monthly subsidies to support internet access for millions of low-income and rural Americans. Notes the importance of internet access for accessing medical records, scheduling appointments, and communicating with providers.

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