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Resources (396)

• 2020 Quality Payment Program Experience Report, 08/2022, view details
• 2021 Quality Payment Program Experience Report, 07/2023, view details
• 2022 Quality Payment Program Experience Report, 05/2024, view details
• 2022 Rural-Urban Disparities in Health Care in Medicare, 11/2022, view details
• 2023 Rural-Urban Disparities in Health Care in Medicare, 11/2023, view details
• 2023 Technical Expert Panel Meetings: Expanded Home Health Value-Based Purchasing Model Summary Report, 12/2023, view details
• 2024 MIPS Eligibility Decision Tree, 02/2024, view details
• 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report, 03/2024, view details
• 2024 Rural-Urban Disparities in Health Care in Medicare, 11/2024, view details
• 5 Ways to Conduct Outreach in Rural Communities, 07/2018, view details
• Access to Care among Medicare Beneficiaries Aged 65 and Over Living with High-Impact Chronic Pain, 06/2023, view details
• Access to Maternal Health Care in Rural Communities: A Patient's Personal Story, 06/2019, view details
• Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, view details
• Accountable Health Communities (AHC) Model Evaluation: Second Evaluation Report, 05/2023, view details
• Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report, 11/2024, view details
• Accountable Health Communities Model, view details
• ACO Primary Care Flex Model, view details
• ACO Primary Care Flex Model: Model Overview Factsheet, view details
• Acute Inpatient Prospective Payment System (IPPS) Regulations and Notices, view details
• Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2023 Year in Review, 11/2023, view details
• Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review, 11/2024, view details
• Advancing Rural Health Equity: Fiscal Year 2022 Year in Review, 11/2022, view details
• Advancing Rural Maternal Health Equity, 05/2022, view details
• Alternative Payment Models in the Quality Payment Program as of December 2023, 12/2023, view details
• Ambulatory Surgical Center (ASC) Regulations and Notices, view details
• American Indian and Alaska Native Behavioral Health, view details
• Annual Influenza Vaccination Disparities in Medicare Beneficiaries, 11/2021, view details
• Annual Report 1: HCIA Disease-Specific Evaluation, 11/2014, view details
• Assisting American Indian and Alaska Native Consumers, 05/2024, view details
• Assisting Rural Consumers, 10/2023, view details
• Assisting Rural Consumers: Webinar Slides, 07/2023, view details
• Balancing the Risk Pool: Enrolling Young Adults and Other Hard to Reach Populations, 07/2019, view details
• Billing Requirements for Intensive Outpatient Program Services for Federally Qualified Health Centers & Rural Health Clinics, 01/2024, view details
• Birthing-Friendly Hospitals and Health Systems, view details
• Breast Cancer Screening Disparities in Medicare Beneficiaries, 10/2022, view details
• Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR, 12/2024, view details
• Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule, 11/2023, view details
• Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule, 11/2024, view details
• Care Compare, view details
• Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions, 12/2019, view details
• Care Transformation Toolkit, 01/2021, view details
• CARES Act Telehealth Expansion: Trends in Post-Discharge Follow-Up and Association with 30-Day Readmissions for Hospital Readmissions Reduction Program Health Conditions, 01/2022, view details
• The Center for Medicare and Medicaid Innovation 2018 Report to Congress, 04/2019, view details
• Center for Medicare and Medicaid Innovation: 2024 Report to Congress, 12/2024, view details
• Center for Medicare and Medicaid Innovation: Report to Congress, 12/2016, view details
• Changes in Access to Medication Treatment during COVID-19 Telehealth Expansion and Disparities in Telehealth Use for Medicare Beneficiaries with Opioid Use Disorder, 01/2022, view details
• Characteristics of People Using Medicaid Long-Term Services and Supports, 2021, 07/2024, view details
• CMS Ambulances Services Center, view details
• CMS American Indian/Alaska Native Center, view details
• CMS Bundled Payments for Care Improvement Advanced Model: Fifth Annual Evaluation Report, 05/2024, view details
• CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report, 03/2023, view details
• CMS Bundled Payments for Care Improvement Advanced Model: Third Evaluation Report, 02/2022, view details
• CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report, 06/2020, view details
• CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report, 03/2021, view details
• CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report, 10/2018, view details
• CMS Bundled Payments for Care Improvement Initiative Models 2­-4: Year 7 Evaluation & Monitoring Annual Report, 03/2021, view details
• CMS Critical Access Hospitals Center, view details
• CMS Cross Cutting Initiative: Rural Health, view details
• CMS Federally Qualified Health Centers (FQHC) Center, view details
• CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities, 11/2022, view details
• CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities (Webinar), 01/2024, view details
• CMS Framework for Health Equity 2022–2032, 04/2022, view details
• CMS Home Health Agency (HHA) Center, view details
• CMS Hospice Center, view details
• CMS Innovation Center, view details
• CMS Innovation Center: 2022 Report to Congress, 12/2022, view details
• CMS Manual System: Revisions to Medicare State Operations Manual, Chapter 9 - Critical Access Hospital (CAH) Recertification Checklist: Rural and Distance or Necessary Provider Verification, 02/2016, view details
• CMS Medicare Administrative Contractors, view details
• CMS Native American Contacts, 10/2023, view details
• CMS Nursing Home Resource Center, view details
• CMS OMH Building COVID-19 Vaccine Confidence Webinar, 05/2021, view details
• CMS Open Door Forum Podcast and Transcripts, view details
• CMS Pandemic Plan, 01/2021, view details
• CMS Quality Initiatives - General Information, view details
• CMS Regional Office Rural Health Coordinators, view details
• CMS Roadmap: Strategy to Fight the Opioid Crisis, 06/2020, view details
• CMS: Rural Health, view details
• CMS Rural Health Clinics Center, view details
• CMS Rural Health Strategy, 2018, view details
• CMS State Operations Manual (SOM), view details
• CMS-Approved Accrediting Organizations Contacts for Prospective Clients, view details
• Code of Federal Regulations: 42 CFR 485: Subpart F, Conditions of Participation: Critical Access Hospitals (CAHs), view details
• Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter B, Part 425: Medicare Shared Savings Program, view details
• Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, Part 491, Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage, view details
• Code of Federal Regulations: Title 42: Public Health, Chapter 4 Subchapter G: Standards and Certification Part 484 Home Health Services, view details
• Communication Technology Based Services and Payment for Rural Health Clinic (RHCs) and Federally Qualified Health Centers (FQHCs), 01/2019, view details
• Connected Care Toolkit: Chronic Care Management Resources for Health Care Professionals and Communities, 2018, view details
• A Conversation on Maternal Health Care in Rural Communities: Charting a Path to Improved Access, Quality and Outcomes, 06/2019, view details
• County by County Plan Year 2024 Insurer Participation in Health Insurance Exchanges, 10/2023, view details
• County by County Plan Year 2025 Insurer Participation in Health Insurance Exchanges, 10/2024, view details
• Coverage For American Indian and Alaska Native Children, view details
• COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates, 12/2021, view details
• CPC Practice Spotlights, 01/2015, view details
• Critical Access Hospital (CAH) Emergency Services and Telemedicine: Implications for Emergency Services Condition of Participation (CoPs) and Emergency Medical Treatment and Labor Act (EMTALA) On-Call Compliance, 06/2013, view details
• Critical Access Hospitals (CAHs): Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation, 09/2007, view details
• CY 2023 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1772-FC) Rural Emergency Hospitals — New Medicare Provider Type, 11/2022, view details
• CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC), 11/2023, view details
• CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-FC), 11/2024, view details
• Data.CMS.gov, view details
• Digital Quality Measurement Strategic Roadmap, 03/2022, view details
• Disparities Impact Statement, 08/2024, view details
• Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy, 09/2021, view details
• Driving Health System Transformation - A Strategy for the CMS Innovation Center's Second Decade, 10/2021, view details
• Eligible Clinician eCQMs, view details
• Eligible Hospital / Critical Access Hospital eCQMs, view details
• Emergency Triage, Treat, and Transport (ET3) Model, view details
• Emerging LTSS Issues in Indian Country: Alzheimer's and Dementia, 05/2016, view details
• End-Stage Renal Disease (ESRD) Payment Regulations and Notices, view details
• End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report, 01/2024, view details
• Ending Surprise Medical Bills, 2022, view details
• Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: First Annual Report, 12/2014, view details
• Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Second Annual Report, 03/2016, view details
• Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Third Annual Report, 01/2017, view details
• Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report, 11/2014, view details
• Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Second Annual Report, 03/2016, view details
• Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Third Annual Report, 03/2017, view details
• Evaluation of Hospital-Setting HCIA Awards: First Annual Report, Final, 03/2015, view details
• Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final, 03/2016, view details
• Evaluation of Hospital-Setting HCIA Awards: Third Annual Report, Final, 11/2016, view details
• Evaluation of the Accountable Care Organization Investment Model: AIM Impacts in the First Performance Year, 08/2018, view details
• Evaluation of the Accountable Care Organization Investment Model: AIM Implementation and Impacts over Two Performance Years, 09/2019, view details
• Evaluation of the Accountable Care Organization Investment Model: Final Report, 09/2020, view details
• Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report, 10/2014, view details
• Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Second Annual Report, 03/2016, view details
• Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Third Annual Report, 03/2017, view details
• Evaluation of the Health Care Innovation Awards, Round 2: Final Report, 09/2020, view details
• Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report, 04/2022, view details
• Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report, 09/2023, view details
• Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform, 03/2019, view details
• Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform, 12/2019, view details
• Evaluation of the Maryland All-Payer Model: Volume I - Final Report, 11/2019, view details
• Evaluation of the Maryland Total Cost of Care Model: Progress Report, 04/2024, view details
• Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1), 04/2023, view details
• Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2), 05/2024, view details
• Evaluation of the Medicare Care Choices Model: Annual Report 4, 04/2022, view details
• Evaluation of the Medicare Care Choices Model: Fifth and Final Annual Evaluation Report, 11/2023, view details
• Evaluation of the Medication Management (MM) Health Care Innovation Awardees: Third Annual Report, 02/2017, view details
• Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report, 08/2023, view details
• Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: First Annual Report, 02/2019, view details
• Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report, 02/2022, view details
• Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Second Annual Report, 11/2019, view details
• Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report, 01/2024, view details
• Evaluation of the Primary Care First Model: First Annual Report, 12/2022, view details
• Evaluation of the Primary Care First Model: Second Annual Report, 02/2024, view details
• Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): First Annual Report, 08/2016, view details
• Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report, 08/2017, view details
• Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Third Annual Report, 06/2018, view details
• Evaluation of the Rural Community Hospital Demonstration: Interim Report Two (Covering 2016-2018), 12/2022, view details
• Evaluation of the Rural Community Hospital Demonstration: Report Covering 2005-2017 (Interim Report 1), 09/2021, view details
• Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Annual Report 1, 10/2014, view details
• Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report, 03/2016, view details
• Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report, 06/2021, view details
• Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report, 06/2024, view details
• Evaluation of the Vermont All-Payer Accountable Care Organization Model: First Evaluation Report, 08/2021, view details
• Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report, 12/2022, view details
• Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report, 07/2023, view details
• The Evolution of Annual Wellness Visits at Bellin Health Partners Next Generation Accountable Care Organization, 05/2018, view details
• Examining Rural Hospital Bypass for Inpatient Services, 12/2020, view details
• Examining Rural Hospital Bypass for Outpatient Services, 11/2021, view details
• Examining Rural Telehealth During the Public Health Emergency, 01/2023, view details
• Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021, 06/2023, view details
• Fifth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation, 11/2022, view details
• Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report, 09/2019, view details
• First Annual Report: Next Generation Accountable Care Organization (NGACO) Model Evaluation, 08/2018, view details
• Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation, 10/2021, view details
• FQHC and RHC Supplemental Payment Requirements and FQHC, RHC, and FBC Network Sufficiency under Medicaid and CHIP Managed Care, 04/2016, view details
• Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency, 05/2023, view details
• Frontier Community Health Integration Project Demonstration (FCHIP), view details
• Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report, 11/2020, view details
• Frontier Community Health Integration Project (FCHIP) Demonstration Extension Fact Sheet, 10/2024, view details
• Frontier Extended Stay Clinics (FESC) Demonstration, view details
• Further Extension of Grace Period Related to the "Four Walls" Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities to February 11, 2025, 09/2023, view details
• FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet, 08/2023, view details
• FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F, 08/2024, view details
• Getting Started with the Quality Payment Program: An Overview of MIPS for Small, Rural, and Underserved Practices, 02/2017, view details
• Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies, 12/2015, view details
• Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit, 04/2024, view details
• Ground Ambulance Industry Trends, 2017–2022: Analysis of Medicare Fee-for-Service Claims, 04/2024, view details
• Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE), 05/2023, view details
• Guidance to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools, 07/2019, view details
• HCIA Complex/High-Risk Patient Targeting: First Annual Report, 11/2014, view details
• HCIA Complex/High-Risk Patient Targeting: Second Annual Report, 03/2016, view details
• HCIA Complex/High-Risk Patient Targeting: Third Annual Report, 02/2017, view details
• Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1, 11/2015, view details
• Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 2, 03/2017, view details
• Health Coverage Options for American Indians and Alaska Natives, 05/2024, view details
• Health Insurance Marketplace: Information for Partners, view details
• Health Services Research Special Issue - Putting Patients First: Today's Disparity Research Leading to Health Equity Tomorrow, 02/2019, view details
• HealthCare.gov: Health Coverage for American Indians & Alaska Natives, view details
• Home- and Community-Based Services, view details
• Home Health Agencies: CMS Flexibilities to Fight COVID-19, 05/2023, view details
• Home Health Prospective Payment System Regulations and Notices, view details
• Home Health Study Report: Literature Review, 01/2011, view details
• Hospice Care Index Technical Report, 07/2022, view details
• Hospice: CMS Flexibilities to Fight COVID-19, 05/2023, view details
• Hospice Regulations and Notices, view details
• Hospital Cyber Resiliency Initiative: Landscape Analysis, 2023, view details
• Hospital Outpatient Prospective Payment System (OPPS): Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 Final Rule (CMS 1793-F), 11/2023, view details
• Hospital Outpatient Regulations and Notices, view details
• Hospital Price Transparency, view details
• Hospital Price Transparency Requirements Quick Reference Checklists, view details
• How Can My Organization Connect Children to Coverage? A Guide to Fundamentals and Promising Practices, 2018, view details
• The ICD-10 Transition: An Introduction, 08/2014, view details
• Improving Access to Health Care Coverage in Rural Communities with Medicaid and CHIP, 12/2023, view details
• Improving Access to Maternal Health Care in Rural Communities, 09/2019, view details
• Improving Health in Rural Communities: FY 2021 Year in Review, 11/2021, view details
• Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report, 12/2023, view details
• Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report, 04/2019, view details
• Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Fourth Annual Report, 05/2022, view details
• Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report, 07/2020, view details
• Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Third Annual Report, 01/2021, view details
• Influenza, Updated COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2023, 12/2023, view details
• Information on Medicare Telehealth, 11/2018, view details
• Innovation Center State-Based Initiatives: A Systematic Review of Lessons Learned, 08/2018, view details
• Innovation in Behavioral Health (IBH) Model, view details
• Innovators' Guide to Navigating Medicare, 2015, view details
• InsureKidsNow.gov, view details
• Integrated Care for Kids (InCK) Model Evaluation: Report 1, 08/2022, view details
• Integrated Care for Kids (InCK) Model: Evaluation Report 2, 02/2024, view details
• Integrated Care Resource Center, view details
• Interim CMS Rural Health Clinic (RHC) Rural Location Determinations Due to Census Bureau (CB) Regulatory Changes, 07/2023, view details
• January 2025 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount, 11/2024, view details
• Leading the Way on the Journey to Health Equity and Wellness for American Indians/Alaska Natives, 05/2024, view details
• List of Skilled Nursing Facility (SNF) Federal Regulations, view details
• Living at Home in Rural America: Improving Accessibility for Older Adults and People with a Disability, 08/2020, view details
• Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Regulations and Notices, view details
• Long-Term Services and Supports Newsletter, view details
• Long-Term Services and Supports Program Examples, view details
• Long-Term Services and Supports Technical Assistance Center, view details
• Long-Term Services and Supports Webinars, view details
• LTSS Research: Annotated Literature Review: Elder Abuse in Indian Country, 05/2015, view details
• LTSS Research: Dementia Assessment Tools in Indian Country, 08/2017, view details
• LTSS Research: Hospice in Indian Country, 04/2017, view details
• LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field, 12/2018, view details
• LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Literature, 12/2018, view details
• LTSS Research: LTSS for Native Veterans - Annotated Literature Review, 12/2016, view details
• LTSS Videos, view details
• MAC Websites, Secure Internet Portals, & Electronic Mailing Lists, view details
• Making Care Primary (MCP) Model, view details
• Mapping Medicare Disparities, view details
• Market Saturation and Utilization State-County, view details
• Maternal Opioid Misuse (MOM) Model, view details
• Medicaid and CHIP Enrollees Who Received a Well-Child Visit in 2020, 12/2023, view details
• Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020, 12/2023, view details
• Medicaid and CHIP Renewal and Transition Resources for Partners, 2024, view details
• Medicaid and CHIP Renewals Webinar Focused on Reaching Special Populations: Reaching American Indian and Alaska Native Populations, 09/2023, view details
• Medicaid and CHIP Renewals Webinar Focused on Reaching Special Populations: Reaching Out to People Who Live in Rural Areas, 08/2023, view details
• Medicare Advantage Rates & Statistics, view details
• Medicare Advantage Value-Based Insurance Design Model Phase II: Second Annual Evaluation Report, 09/2023, view details
• Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F), 04/2024, view details
• Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services, 09/2024, view details
• Medicare Benefit Policy Manual: Chapter 7 - Home Health Services, view details
• Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS), 06/2024, view details
• Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers, 06/2023, view details
• Medicare Clarifies Recognition of Interstate License Compact Pathways, view details
• Medicare COVID-19 Hospitalization Trends Report, 01/2024, view details
• Medicare Fee-For-Service Beneficiaries with Disabilities, by End Stage Renal Disease Status, 2014, 07/2017, view details
• Medicare Fee-For-Service Beneficiaries with Opioid Use Disorder in 2018: Disparities in Prevalence by Beneficiary Characteristics, 12/2020, view details
• Medicare Geographic Comparisons, view details
• Medicare Ground Ambulance Data Collection System (GADCS): Rural and Super Rural Organizations Tip Sheet, 02/2024, view details
• Medicare Learning Network: Acute Care Hospital Inpatient Prospective Payment System, view details
• Medicare Learning Network: Chronic Care Management Services, view details
• Medicare Learning Network: Federally Qualified Health Center, view details
• Medicare Learning Network: Health Professional Shortage Area Physician Bonus Program, view details
• Medicare Learning Network: Home Health Prospective Payment System & Coverage, view details
• Medicare Learning Network: Hospice Payment System & Coverage, view details
• Medicare Learning Network: Hospital Outpatient Prospective Payment System, view details
• Medicare Learning Network: Information for Critical Access Hospitals, view details
• Medicare Learning Network: Information for Rural Health Clinics, view details
• Medicare Learning Network: Long-Term Care Hospital Prospective Payment System, view details
• Medicare Learning Network: Medicare Disproportionate Share Hospital, view details
• Medicare Learning Network: Medicare Payment Systems, view details
• Medicare Learning Network: Rural Emergency Hospitals, 11/2024, view details
• Medicare Learning Network: Rural Providers & Suppliers Billing, view details
• Medicare Learning Network: Skilled Nursing Facility Prospective Payment System, view details
• Medicare Learning Network: Swing Bed Services, view details
• Medicare Learning Network: Telehealth Services, view details
• Medicare Part D Opioid Prescribing Mapping Tool, view details
• Medicare Program: Changes to the Hospital Outpatient Prospective Payment System, Ambulatory Surgical Center System, Graduate Medical Education and Critical Access Hospital; Interim and Final Rule with Comment Period, 11/2007, view details
• Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19, 11/2022, view details
• Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral, 05/2014, view details
• Medicare Promoting Interoperability Program Hardship Exception Fact Sheet, view details
• Medicare Shared Savings Program, view details
• Medicare Telehealth Trends Report, 11/2024, view details
• Medicare Telemedicine Snapshot, 12/2021, view details
• Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers, 05/2023, view details
• Merit-Based Incentive Payment System (MIPS): 2023 Opt-in and Voluntary Reporting Election Process Guide, 09/2024, view details
• Merit-based Incentive Payment System (MIPS): 2024 Eligibility and Participation Quick Start Guide, 01/2024, view details
• Merit-Based Incentive Payment System (MIPS): 2024 Improvement Activities Performance Category Quick Start Guide, 09/2024, view details
• Merit-Based Incentive Payment System (MIPS): 2024 Merit-Based Incentive Payment (MIPS) Value Pathways (MVPs) Implementation Guide, 05/2024, view details
• Merit-based Incentive Payment System (MIPS): 2024 MIPS Promoting Interoperability Performance Category Hardship Exception Application Guide, 08/2024, view details
• Merit-based Incentive Payment System (MIPS): 2024 MIPS Quick Start Guide for Small Practices, 09/2024, view details
• Merit-Based Incentive Payment System (MIPS): 2024 Payment Year - Payment Adjustment User Guide, 08/2023, view details
• Merit-Based Incentive Payment System (MIPS): 2024 Reporting MIPS Quality Measures through Medicare Part B Claims Quick Start Guide for Small Practices, 12/2023, view details
• Merit-Based Incentive Payment System (MIPS): 2024 Reporting Options Comparison Resource, 10/2024, view details
• Merit-based Incentive Payment System (MIPS) 2024 Small Practice Eligibility and Participation Frequently Asked Questions, 03/2024, view details
• Merit-based Incentive Payment System (MIPS): 2024 What's New for Small Practices, 09/2024, view details
• Merit-Based Incentive Payment System (MIPS): 2025 MIPS Payment Year (2023 Performance Year) - Payment Adjustment User Guide, 10/2024, view details
• Merit-Based Incentive Payment System (MIPS): Participating in the Improvement Activities Performance Category in the 2023 Performance Year - Traditional MIPS, 03/2023, view details
• Merit-Based Incentive Payment System (MIPS): Small Practice Countdown to Performance Year 2023 Data Submission Checklist, 09/2023, view details
• Merit-Based Incentive Payment System (MIPS): Traditional MIPS Scoring Guide for the 2024 Performance Year, 06/2024, view details
• National Rural Health Day Webinar: CMS Framework for Advancing Health Care, 11/2022, view details
• New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), 05/2023, view details
• Nursing Home Staffing Study: Comprehensive Report, 06/2023, view details
• On the Front Lines of Health Equity: Community Health Workers, 04/2021, view details
• Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH), 01/2021, view details
• Oral Health Disparities Through the Lifespan: Challenges and Opportunities, 06/2023, view details
• Partnering for Impact: Early Insights from the Accountable Health Communities Model, 05/2020, view details
• Paving the Way to Equity: A Progress Report (2015-2021), 01/2021, view details
• Pennsylvania Rural Health Model, view details
• The Pennsylvania Rural Health Model (PARHM): First Annual Report, 08/2021, view details
• The Pennsylvania Rural Health Model (PARHM): Fourth Annual Evaluation Report, 12/2024, view details
• The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report, 06/2022, view details
• The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report, 09/2023, view details
• Person-Centered Innovation – An Update on the Implementation of the CMS Innovation Center's Strategy, 11/2022, view details
• Physician Fee Schedule (PFS) Federal Regulation Notices, view details
• Program of All-Inclusive Care for the Elderly, view details
• Promoting Health Literacy through Culturally and Linguistically Appropriate Services (CLAS), 06/2023, view details
• QPP 2021: Participation Results At-a-Glance, 06/2023, view details
• Quality in Motion: Acting on the CMS National Quality Strategy, 04/2024, view details
• Quality Payment Program Participation in 2020: Results At-a-Glance, 02/2022, view details
• Quality Payment Program (QPP) 2022: Participation and Payment Results At-a-Glance, 05/2024, view details
• Quality Payment Program (QPP) Small Practices, view details
• Quality Payment Program Webinar Library, view details
• Quality, Safety & Oversight - Certification & Compliance: Critical Access Hospitals, view details
• Quality, Safety & Oversight - Certification & Compliance: Rural Health Clinics, view details
• Quality, Safety & Oversight - Guidance to Laws & Regulations: Critical Access Hospitals, view details
• Quality, Safety & Oversight - Guidance to Laws & Regulations: Rural Health Clinics, view details
• QualityNet, view details
• Re-Imagining Rural Health: Themes, Concepts, and Next Steps from the CMS Innovation Center "Hackathon" Series, 11/2024, view details
• Reaching Out to American Indian and Alaska Native People about Medicaid and CHIP Renewals, 09/2023, view details
• Reaching Out to People Who Live in Rural Areas about Medicaid and CHIP Renewals, 08/2023, view details
• Reaching Rural Communities, view details
• Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report, 05/2020, view details
• Report to Congress: Rural Community Hospital Demonstration, 10/2018, view details
• Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care, 07/2022, view details
• Resource of Health Equity-Related Data Definitions, Standards, & Stratification Practices, 05/2024, view details
• Rethinking Rural Health: FY 2020 Year in Review, 11/2020, view details
• Revised: Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation, 09/2024, view details
• Rural Community Hospital Demonstration, view details
• Rural Emergency Hospitals, view details
• Rural Emergency Hospitals Fact Sheet, 09/2024, view details
• Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth, 04/2020, view details
• Rural Health Clinic All-Inclusive Rate: CY 2023 Update, 11/2022, view details
• Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): CMS Flexibilities to Fight COVID-19, 05/2023, view details
• Rural Health Quality: How CMS Initiatives Improve How We Measure and Address Gaps in Care, 04/2022, view details
• Rural Medicaid and CHIP Enrollees in 2020, 07/2023, view details
• Safety Assurance Factors for EHR Resilience (SAFER) Guides Requirements, 10/2022, view details
• Second Annual Report: HCIA Disease-Specific Evaluation, 03/2016, view details
• Second Evaluation Report: Next Generation Accountable Care Organization Model Evaluation, 01/2020, view details
• Section 127 of the Consolidated Appropriations Act: Graduate Medical Education (GME) Payment for Rural Track Programs (RTPs), 04/2022, view details
• Section 1915(c) Waiver Program Participants in 2020, 12/2023, view details
• Separate Payment for Essential Medicines – New Biweekly Interim Payments for the Inpatient Prospective Payment System, 10/2024, view details
• Shared Savings Program Fast Facts, 01/2024, view details
• Small Practice After-Action Review: 2022 Performance Year Final Score, 08/2024, view details
• Standing Technical Expert Panel for the Development, Evaluation, and Maintenance of Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) Measurement Sets: Summary Report, 07/2024, view details
• State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report, 07/2014, view details
• State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report, 11/2014, view details
• State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report, 12/2018, view details
• State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report, 03/2018, view details
• State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report, 09/2017, view details
• State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report, 08/2016, view details
• State Innovation Models (SIM) Round 2: Model Design Final Report, 08/2017, view details
• State Innovation Models (SIM) Round 2: Model Test Annual Report One, 12/2017, view details
• State Innovation Models (SIM) Round 2: Model Test Annual Report Three, 2019, view details
• State Innovation Models (SIM) Round 2: Model Test Annual Report Two, 2018, view details
• State Medicaid & CHIP Telehealth Toolkit, 02/2024, view details
• State Medicaid Links, view details
• State Operations Manual Appendix B - Guidance for Surveyors: Home Health Agencies, view details
• State Operations Manual Appendix G - Guidance for Surveyors: Rural Health Clinics (RHCs), view details
• State Operations Manual Appendix M - Guidance for Surveyors: Hospice, view details
• State Operations Manual Appendix W - Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs, view details
• State Operations Manual Appendix Z - Emergency Preparedness for All Provider and Certified Supplier Types Interpretive Guidance, view details
• State Survey Agency Directory, view details
• States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, view details
• Strengthening the Direct Service Workforce in Rural Areas, 01/2023, view details
• Synthesis of Evaluation Results across 21 Medicare Models, 2012-2020, 07/2022, view details
• Third Annual Report: HCIA Disease-Specific Evaluation, 02/2017, view details
• Third Evaluation Report: Next Generation Accountable Care Organization Model Evaluation, 09/2020, view details
• Transforming Episode Accountability Model (TEAM), view details
• Transforming Maternal Health (TMaH) Model, view details
• Transforming Tribal Health: Addressing American Indians and Alaska Natives Health Disparities, 06/2023, view details
• Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018, 12/2021, view details
• Tribal Nursing Home & Assisted Living Facility Directory, 03/2024, view details
• Tribal Nursing Home Best Practices: Cultural Sensitivity, 03/2018, view details
• Tribal Nursing Home Best Practices: Emergency Preparedness, 12/2017, view details
• Tribal Nursing Home Best Practices: Traditional Foods, 12/2016, view details
• Tribal Nursing Home Best Practices: Trauma and Person-Centered Care, view details
• Tribal Nursing Homes: Best Practices for Patients with Dementia and Alzheimer's Disease, 03/2017, view details
• Tribal Nursing Homes: Principles of Trauma-informed Care, 09/2019, view details
• Tribal Nursing Homes: Review of Resources: Caring for Adults with Disabilities, view details
• Understanding Rural Hospital Bypass Among Medicare Fee-for-Service (FFS) Beneficiaries in 2018, 09/2020, view details
• Update to Rural Health Clinic (RHC) Payment Limits, 03/2021, view details
• Utilization of Z Codes for Social Determinants of Health among a Sample of Medicare Advantage Enrollees, 2017 and 2019, 04/2022, view details
• Utilization of Z Codes for Social Determinants of Health among Medicare Fee-for-Service Beneficiaries, 2019, 09/2021, view details
• Virtual Communication Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), 11/2022, view details