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News by Topic: Medicare

Jul 1, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) implementing the provision of the 21st Century Cures Act specifying that a healthcare provider determined by the U.S. Department of Health and Human Services (HHS) Inspector General to have committed information blocking shall be referred to the appropriate agency to be subject to appropriate disincentives. This rule also establishes disincentives for certain healthcare providers that have been determined to have committed information blocking. This rule is effective July 31, 2024.
Source: Federal Register
Jul 1, 2024 - Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) proposing policies for assessing performance year (PY) 2023 financial performance of Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organizations (ACOs) in light of significant, anomalous, and highly suspect (SAHS) billing activity for selected intermittent urinary catheters on Medicare Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) claims. Among other things, rule proposes benchmarks for ACOs starting agreement periods in 2024, 2025, and 2026; and financial calculations used in the application cycle for ACOs applying to enter a new agreement period beginning on January 1, 2025, and the change request cycle for ACOs continuing their participation in the program for PY 2025. Comments are due by July 29, 2024.
Source: Federal Register
Jun 28, 2024 - Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2025 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Among other things, this rule also proposes updated requirements for the Conditions for Coverage for ESRD facilities, the ESRD Quality Incentive Program, and the ESRD Treatment Choices Model. Comments are due by August 26, 2024.
Source: Federal Register
Jun 27, 2024 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Organ Procurement Organization Histocompatibility Laboratory Cost Report; and 2) Hospice Facility Cost Report Form. Comments are due by August 26, 2024.
Source: Federal Register
Jun 27, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application from the Accreditation Association for Ambulatory Health Care for continued recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. Comments are due by July 29, 2024.
Source: Federal Register
Jun 27, 2024 - Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2025. This rule also proposes changes to the Home Health Quality Reporting Program (HH QRP) requirements; provides an update on potential approaches for integrating health equity in the Expanded Health Value-Based Purchasing (HHVBP) Model; proposes a new standard for acceptance to service policy in the home health conditions of participation (CoPs); proposes rebasing and revising the home health market basket; and proposes updates to provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses, among other things. Also includes requests for information seeking input on permitting rehabilitative therapists to conduct the initial and comprehensive assessment and the factors that may influence the patient referral and intake processes. Comments are due by August 26, 2024.
Source: Federal Register
Jun 25, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the extension of an information collection titled "Home Health Change of Care Notice." Comments are due by August 26, 2024.
Source: Federal Register
Jun 25, 2024 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Appointment of Representative and Supporting Regulations in 42 CFR 405.910 and 2) Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey. Comments are due by July 25, 2024.
Source: Federal Register
Jun 24, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographical corrections to the May 10, 2024, final rule. The effective date of the Minimum Staffing final rule is June 21, 2024. This notice is effective June 21, 2024.
Source: Federal Register
Jun 17, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Prescription Drug Benefit (Part D) and Office of the National Coordinator for Health Information Technology (ONC) regulations to implement changes related to required standards for electronic prescribing and adoption of health information technology (IT) standards for Department of Health and Human Services (HHS) use. Among other things, CMS will require Part D sponsors, prescribers, and dispensers of covered Part D drugs for eligible individuals to comply with standards CMS has either adopted directly or is requiring by cross-referencing ONC standards for electronically transmitting prescriptions and prescription-related information. These regulations are effective July 17, 2024.
Source: Federal Register