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Rural Health
News by Topic: Medicare

May 31, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Ambulatory Surgical Center Conditions for Coverage and 2) Submission of 1135 Waiver Request Automated Process. Comments are due by July 1, 2024.
Source: Federal Register
May 24, 2024 - The Centers for Medicare & Medicaid Services (CMS) will hold a virtual public meeting of the Advisory Panel for Outreach and Education (APOE) on June 27, 2024, from 12:00 – 5:00 p.m. Eastern. Agenda items include remarks from CMS leadership; a recap of the April 2024 meeting; presentations on CMS programs, initiatives, and priorities; and more. Presentations and written comments must be submitted to the designated federal official by June 13, 2024. Registration is required.
Source: Federal Register
May 23, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the reestablishment of a matching program between CMS and the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) titled "Identification and Recovery of Duplicate Payments for Medical Claims." This matching program will assist CMS and VHA in identifying those VHA-enrolled beneficiaries who are also enrolled as Medicare beneficiaries; the specific claims where VHA and CMS made duplicate payments for the same healthcare services; and potential fraud, waste, and abuse. Comments are due by June 24, 2024.
Source: Federal Register
May 21, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of an information collection titled "Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections." This generic clearance will cover surveys and feedback collections designed to obtain data and feedback from MIPS eligible clinicians, third-party intermediaries, Medicare beneficiaries, and any other audiences that would support CMS in improving MIPS or the Quality Payment Program. Comments are due by July 22, 2024.
Source: Federal Register
May 17, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) describing a new mandatory Medicare payment model, the Increasing Organ Transplant Access Model (IOTA Model). The IOTA Model would test whether performance-based incentive 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. This proposed rule also describes standard provisions for CMS Innovation Center (CMMI) models relating to beneficiary protections, cooperation in model evaluation and monitoring, audits and records retention, rights in data and intellectual property, monitoring and compliance, and more. These standard provisions would apply to any CMMI model whose first performance period begins on or after January 1, 2025, and in whole or in part to any CMMI model whose first performance period began before January 1, 2025. Comments are due by July 16, 2024.
Source: Federal Register
May 16, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of an information collection titled "Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services." CMS requires prior authorization for certain covered OPD services as a condition of Medicare payment to help to reduce unnecessary utilization and payments for these services. Comments are due by June 17, 2024.
Source: Federal Register
May 14, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on revisions to an information collection titled "Fast Track Appeals Notices: NOMNC/DENC." Skilled nursing facilities (SNFs), home health agencies (HHAs), comprehensive outpatient rehabilitation facilities (CORFs), and hospices must provide notice to all beneficiaries/enrollees whose Medicare-covered services are ending no later than two days in advance of the proposed termination of service via the Notice of Medicare Non-Coverage (NOMNC). Comments are due by July 15, 2024.
May 10, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing its approval of The Compliance Team for continued recognition as a national accrediting organization for Rural Health Clinics that wish to participate in the Medicare or Medicaid programs. This recognition is applicable July 17, 2024, to July 17, 2028.
Source: Federal Register
May 6, 2024 - Notice of final rule and interpretation from the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) that reinstates regulatory protections from discrimination on the basis of race, color, national origin, sex, age, or disability in covered health programs and activities. Among other things, HHS is finalizing its interpretation regarding whether Medicare Part B constitutes Federal financial assistance for purposes of civil rights enforcement and to nondiscrimination provisions to prohibit discrimination on the basis of sexual in regulations issued by the CMS governing Medicaid and the Children's Health Insurance Program (CHIP); Programs of All-Inclusive Care for the Elderly (PACE); health insurance issuers and their officials, employees, agents, and representatives; and States and the Exchanges carrying out Exchange requirements; among others. This rule is effective July 5, 2024.
Source: Federal Register