📋CMS Notice on Proposed Information Collection and Public Comment
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
Learn More🏥Medicare and Medicaid Home Health Payment System Updates
The Department of Health and Human Services has proposed updates to the Home Health Prospective Payment System (HH PPS), which includes rate adjustments and new requirements for quality reporting and value-based purchasing. Additional updates pertain to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program, influencing provider enrollment and compliance with new Medicare and Medicaid policies.
Learn More💊Medicare and Medicaid Updates for Home Health Payment Systems
This regulatory document addresses updates to the Medicare and Medicaid Programs, specifically focusing on the Home Health Prospective Payment System for 2026. It includes details on quality reporting requirements, value-based purchasing models, accreditation requirements for durable medical equipment, and other related policies essential for healthcare providers to understand for compliance and operational adjustments.
Learn More📄Notice of Correction for Medicare Information Collection Request
On June 12, 2025, CMS published a notice in the Federal Register seeking comment on a collection of information concerning CMS- 10106 (OMB control number 0938-0930) titled "Medicare Authorization to Disclose Personal Health Information." The number of total annual responses is incorrectly listed. This document corrects the error.
Learn More🏥CMS Corrects Information Collection Notice for IRF Services
On June 27, 2025, CMS published a notice in the Federal Register that sought comment on a collection of information concerning CMS-10765 (OMB control number 0938-1420) entitled "Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services." The type of information collection request listed in the notice is incorrect. This document corrects the error.
Learn More📋CMS Notice on Information Collection and Medicare Agreement
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
Learn More🏥Medicare and Medicaid Proposed Rule on Home Health Payment Updates
This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule proposes permanent and temporary behavior adjustments and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. Lastly, this proposed rule proposes policy changes to the face-to-face encounter policy. It also proposes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it would update the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it proposes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.
Learn More💰Proposed Updates to ESRD Payment System Impacting Business
This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2026. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule proposes to update requirements for the ESRD Quality Incentive Program and to terminate and modify requirements for the ESRD Treatment Choices Model.
Learn More💵Impact of Medicare Prior Authorization Regulations on Businesses
This notice announces a 6-year model focused on reducing fraud, waste (including low-value care), and abuse in Medicare fee-for- service (FFS) via the implementation of technology-enabled prior authorization processes for select services.
Learn More🏥DHA Terminates Home Health Value-Based Purchasing Demonstration
This notice is to advise interested parties of the termination of the DHA's Home Health Value-Based Purchasing (HHVBP) Demonstration. On November 9, 2021, the Centers for Medicare and Medicaid Services (CMS) published a final rule announcing the termination of the original Medicare HHVBP Model one year early for home health agencies (HHAs) in the nine original model states. This serves as formal notice that DHA also terminated the HHVBP demonstration applicable in the original nine model states. Due to the limited time this demonstration was active, there was insufficient data to draft a report detailing findings.
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