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Rural Health Information Hub
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Rural Health
News by Topic: Medicare

Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Global Benchmark for Efficient Drug Pricing Model ("GLOBE Model"), a new Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model would test whether a payment model that uses an alternative method for calculating Part B inflation rebate amounts for certain separately payable Part B drugs and biological products reduces costs for Medicare fee-for service (FFS) beneficiaries and the Medicare program while preserving quality of care. Comments are due by February 23, 2026.
Source: Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model to test a new Medicare payment model under section 1115A of the Social Security Act. The model proposes a test of an alternative payment method for calculating inflation rebates for certain Part D drugs and biological products. The proposed GUARD Model would test whether changing the calculation of the Part D inflation rebate would reduce costs for the Medicare program while preserving or enhancing quality of care for Part D enrollees. Comments are due by February 23, 2026.
Source: Federal Register
Dec 22, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) CMS Plan Benefit Package (PBP) and Formulary CY 2027; and 2) Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols. Comments are due by February 20, 2026.
Source: Federal Register
Dec 19, 2025 - A notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) revising the requirements of participation for Medicare and Medicaid certified hospitals. The proposed rule prohibits Medicare-participating hospitals from performing certain procedures associated with gender dysphoria on children. Comments are due February 17, 2026.
Source: Federal Register
Dec 17, 2025 - The Centers for Medicare & Medicaid Services is seeking comments on an information collection titled "Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA-PD Plan." The EPCS exception requires a waiver if a prescriber is unable to conduct EPCS due to circumstances outside the prescribers control. Comments are due January 16, 2026.
Source: Federal Register
Dec 17, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographical corrections to the August 5, 2025, final rule titled " Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program."
Source: Federal Register
Dec 16, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the following information collections: 1) Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form; and 2) Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials. Comments are due by January 15, 2026.
Source: Federal Register
Dec 16, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on an information collection titled "Medicare Enrollment Application for Physician and Non-Physician Practitioners." The Form CMS-855I is the enrollment application submitted by physicians and non-physician practitioners to ensure the applicant has the necessary credentials to provide the healthcare services for which they intend to bill Medicare. Comments are due by February 17, 2026.
Source: Federal Register
Dec 11, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the Increasing Organ Transplant Access Model (IOTA Model) for Performance Year (PY) 2, which will begin on July 1, 2026. The IOTA Model tests whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. Comments are due by February 9, 2026.
Source: Federal Register
Dec 8, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Health Outcomes Survey Field Test; and 2) Hospital Notice: Medicare Outpatient Observation Notice (MOON). Comments are due by January 7, 2026.
Source: Federal Register