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Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Dec 20, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the November 7, 2024, final rule. This correction is effective January 1, 2025.
Source: Federal Register
Dec 17, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making corrections to the December 9, 2024, notice regarding an information collection titled "Community Mental Health Center Cost Report."
Source: Federal Register
Dec 17, 2024 - Notice from the U.S. Department of Veterans Affairs (VA) Veterans Health Administration (VHA) seeking comments on the revision of an information collection titled "Survey of Veteran Enrollees' Health and Use of Health Care." Information collected is used to gain insights into factors influencing healthcare choices, enrollees' perceived health status and need for assistance, available insurance, self-reported utilization of VA services versus other healthcare services, barriers to seeking care, ability and comfort level with accessing virtual care, and more. Comments are due by January 16, 2025.
Source: Federal Register
Dec 16, 2024 - Notice from the Indian Health Service (IHS) announcing the calendar year 2025 reimbursement rates for inpatient and outpatient medical care provided by IHS facilities to Medicare, Medicaid, and other federal program beneficiaries. The updated rates apply to all qualifying services provided on or after January 1, 2025.
Source: Federal Register
Dec 15, 2024 - Explores the impacts of behavioral health provider shortages on rural communities in the northwest. Notes that immigrants may face additional challenges finding care due to language barriers and some providers not accepting Medicaid. Describes strategies to increase access to behavioral health providers, including telehealth, increased reimbursement for services, and workforce programs.
Source: Northwest News Network
Dec 13, 2024 - Notice of final rule from the U.S. Department of Health and Human Services (HHS) adopting updated versions of the retail pharmacy standards for electronic transactions adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). These updated versions are modifications to the currently adopted standards for the following retail pharmacy transactions: healthcare claims or equivalent encounter information; eligibility for a health plan; referral certification and authorization; and coordination of benefits. This final rule also adopts a modification to the standard for the Medicaid pharmacy subrogation transaction. This rule is effective February 11, 2025. Compliance with this rule is required by February 11, 2028.
Source: Federal Register
Dec 12, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the American Association for Accreditation of Ambulatory Healthcare for continued recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. This approval is applicable from November 20, 2024, through November 20, 2029.
Source: Federal Register
Dec 11, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Payment Collections Operations Contingency Plan; and 2) Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in. Comments are due by February 10, 2025.
Source: Federal Register
Dec 11, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of DNV Healthcare USA, Inc. (DNV) as a national accrediting organization for Critical Access Hospitals that wish to participate in the Medicare or Medicaid programs. This approval is applicable from December 23, 2024, through December 23, 2028.
Source: Federal Register
Dec 10, 2024 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicaid, Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to Star Ratings, marketing and communications, agent/broker compensation, health equity, drug coverage, dual eligible special needs plans (D-SNPs), utilization management, network adequacy, and other programmatic areas, including the Medicare Drug Price Negotiation Program. This proposed rule also includes proposals to codify existing subregulatory guidance in the Part C and Part D programs. Comments are due by January 27, 2025.
Source: Federal Register