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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Feb 13, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on an information collection titled "CMS Electronic Data Interchange (EDI) Enrollment Registration, CMS EDI Enrollment Form, and CMS EDI Enrollment Attestation Form." The forms collect essential information necessary to identify Medicare providers and suppliers during electronic transactions, authorize requested EDI functions, and establish appropriate access privileges for healthcare entities. These forms ensure compliance with HIPAA transaction standards while implementing strengthened security requirements for billing vendors and clearing houses that handle Medicare data. Comments are due by March 16, 2026.
Source: Federal Register
Feb 13, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Advantage and Prescription Drug Program; 2) National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS); and 3) Elimination of Cost-Sharing for Full Benefit Dual-Eligible Individuals Receiving Home and Community-Based Services. Comments are due by March 16, 2026.
Source: Federal Register
Feb 13, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR 424.103; 2) Consumer Experience Survey Data Collection; 3) Summary of Benefits and Coverage and Uniform Glossary; and 4) Transformed—Medicaid Statistical Information System (T-MSIS). Comments are due by April 14, 2026.
Source: Federal Register
Feb 11, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services presenting methods to improve the implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs. Among other things, this proposed rule also contains 2027 user fee rates for qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). Comments are due March 13, 2026.
Source: Federal Register
Feb 10, 2026 - The Centers for Medicare & Medicaid Services is seeking comments on the Medical Loss Ratio (MLR) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) in order to determine is MLRs meet the statutory standard of a minimum of 85%. Comments are due April 13, 2026.
Source: Federal Register
Feb 6, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; 2) 13th SOW Quality Innovation Network—Quality Improvement Organization (QIN-QIO) and American Indian Alaskan Native (AIAN) Measure Data Collection; and 3) Conditions of Participation for Psychiatric Residential Treatment Facilities' (PRTFs) Use of Restraint & Seclusion. Comments are due by March 9, 2026.
Source: Federal Register
Feb 4, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the reinstatement of an information collection titled "Requirements Related to Surprise Billing; Part II." This information collection has two components: 1) good faith estimates and 2) certification and recertification of SDR entities. Comments are due by April 6, 2026.
Source: Federal Register
Feb 3, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP); and 2) Complaints Submission Process under the No Surprises Act. Comments are due by March 5, 2026.
Source: Federal Register
Feb 2, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) closing a loophole in a regulatory statistical test applied to State proposals for Medicaid tax waivers. The loophole allows some healthcare-related taxes, especially taxes on managed care organizations, to be imposed at higher tax rates on Medicaid taxable units than non-Medicaid taxable units. This rule adds additional safeguards to ensure that tax waivers that exploit the loophole are not approved. This final rule also summarizes comments CMS received in response to the proposed rule, including the impact of changes to healthcare-related tax revenues on rural providers. These regulations are effective April 3, 2026.
Source: Federal Register
Jan 29, 2026 - Notice of proposed rulemaking from the Centers for Medicare & Medicaid Services (CMS) seeking comments on potential options for Medicare participating hospitals to help foster a more resilient supply chain for American-made personal protective equipment and essential medicines, as well as a possible new "Secure American Medical Supplies" friendly designation that could be earned by hospitals. Among other things, this notice also seeks input on a potential new structural quality measure as part of the Hospital Inpatient Quality Reporting (IQR) Program that could promote hospital commitments to invest in domestic procurement. Comments are due by March 30, 2026.
Source: Federal Register