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News by Topic: Medicare

Dec 2, 2024 - Notice from the Centers for Medicare and Medicaid Services announcing the application fee for providers initially enrolling in the Medicare or Medicaid programs, or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. The new fee is $730 and is required for applications submitted January 1, 2025, through December 31, 2025.
Source: Federal Register
Nov 29, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Program: Procedures for Making National Coverage Decisions and 2) Transcatheter Valve Therapy (TVT) Registry. Comments are due December 30, 2024.
Source: Federal Register
Nov 27, 2024 - The Centers for Medicare & Medicaid is seeking comments on an information collection titled "Medicaid Program: Medicare Savings Program Application and Eligibility Determinations" which will help enroll participants in the Medicare Savings Programs. Comments are due by December 27, 2024.
Source: Federal Register
Nov 27, 2024 - Notice of final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2025. This rule also updates the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, Rural Emergency Hospital Quality Reporting (REHQR) Program, Ambulatory Surgical Center Quality Reporting (ASCQR) Program, and Hospital Inpatient Quality Reporting Program and finalizes updates to the Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services. Among other things, this rule summarizes comments received in response to an information request on potential modifications to the Safety of Care measure group in the Overall Hospital Quality Star Rating methodology. This rule also finalizes exceptions to the Medicaid clinic services benefit four walls requirement for Indian Health Service and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas. The provisions of this rule are effective January 1, 2025. Comments are due by December 31, 2024.
Source: Federal Register
Nov 25, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on revisions to an information collection titled "Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the collection of data related to the Patient-Driven Payment Model and the Skilled Nursing Facility Quality Reporting Program (QRP)." Revisions include four new items as standardized patient assessment data elements, one modified item collected as a standardized patient assessment data element, and twenty-two removed items that are not needed for case-mix adjusting the SNF per diem payment for PDPM. Comments are due by January 24, 2025.
Source: Federal Register
Nov 14, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing the inpatient hospital deductible and coinsurance amounts for hospital and extended care services provided during calendar year 2025 under Medicare's Hospital Insurance Program (Medicare Part A). These rates are effective on January 1, 2025.
Source: Federal Register
Nov 14, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing the monthly actuarial rates for beneficiaries enrolled in Part B of the Medicare Supplementary Medical Insurance (SMI) program beginning January 1, 2025. It also announces the monthly premium, the deductible for 2025, and income-related monthly adjustment amounts for beneficiaries with modified adjusted gross income above certain threshold amounts. These rates are effective on January 1, 2025.
Source: Federal Register
Nov 14, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing Medicare's Hospital Insurance (Part A) premium for uninsured enrollees in calendar year (CY) 2025. The premium is paid by enrollees aged 65 and over who are not otherwise eligible for Part A benefits and by certain disabled individuals who have exhausted other entitlement. This premium is effective on January 1, 2025.
Source: Federal Register
Nov 12, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2025 and updates the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). This rule also updates the requirements for the Conditions for Coverage for ESRD facilities, the ESRD Quality Incentive Program, and the ESRD Treatment Choices Model. These regulations are effective January 1, 2025.
Source: Federal Register
Nov 12, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the Community Health Accreditation Program (CHAP) for continued recognition as a national accrediting organization for hospices 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