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News by Topic: Medicare

Aug 10, 2026 - Pre-publication notice from the Centers for Medicare & Medicaid Services (CMS) requesting comments on the process used to accelerate Medicare coverage through the Regulatory Alignment for Predictable and Immediate Device (RAPID) coverage pathway for new technologies. The RAPID coverage pathway will provide accelerated Medicare beneficiary access to certain eligible Class II and Class III Food and Drug Administration Breakthrough-designated Devices. Comments are due within 60 days of the publication of this notice, which is scheduled for August 11, 2026.
Source: Federal Register
Aug 4, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) revising the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2027. This rule also makes changes to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and requirements for certain quality programs, among other things. The Office of the National Coordinator for Health Information Technology (ONC) also adopts certain health information technology (health IT) standards and specifications on behalf of HHS. These regulations are effective October 1, 2026.
Source: Federal Register
Aug 3, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating the prospective payment system (PPS) rates for inpatient rehabilitation facilities (IRFs) for fiscal year 2027. Among other things, this rule includes classification and weighting factors for the IRF prospective payment system's case-mix groups, finalizes the third and final year of the 3-year phase-out of the rural adjustments, and updates the IRF Quality Reporting Program and changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. This rule also summarizes comments received in response to requests for information regarding alternative data sources for the IRF PPS wage index and potential future IRF PPS payment reform. These regulations are effective October 1, 2026.
Source: Federal Register
Aug 3, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2027. Among other things, this rule finalizes conforming regulation text changes to discharge from hospice care regulations and the face-to-face encounter regulations. This rule also summarizes comments received in response to requests for information regarding community-based palliative care; the construction of a hospice-specific wage index; and the overlap between hospice and medical aid in dying laws. These regulations are effective October 1, 2026.
Source: Federal Register
Jul 31, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2027 prospective payment rates, outlier threshold, and wage index for Medicare Inpatient Hospital Services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. Among other things, this rule also refines the IPF PPS outlier policy, implements a standardized IPF patient assessment, and removes two measures used in the IPF Quality Reporting Program. These regulations are effective October 1, 2026.
Source: Federal Register
Jul 31, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2027. This rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. These regulations are effective October 1, 2026.
Source: Federal Register
Jul 30, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing updates to the Healthcare Common Procedure Coding System (HCPCS) codes on the Master List, as well as HCPCS codes on the Required Face-to-Face Encounter and Written Order Prior to Delivery List and the Required Prior Authorization List. These updates, excluding prior authorization requirements for upper limb orthoses, are effective October 28, 2026. Prior authorization requirements for upper limb orthoses will be implemented in three phases, and will be effective in all states and territories on April 26, 2027.
Source: Federal Register
Jul 27, 2026 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from April through June 2026, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Jul 24, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Medicare Transaction Facilitator under Sections 11001 and 11002 of the Inflation Reduction Act (IRA) and 2) Collection of Prescription Drug Event Data from Contracted Part D Providers for Payment. Comments are due by September 22, 2026.
Source: Federal Register
Jul 24, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Medicare Current Beneficiary Survey and 2) Beneficiary and Family Centered Data Collection. Comments are due by August 24, 2026.
Source: Federal Register