federal register • 01 february 2023

CMS has published in the federal register:

  • Final Rules for the Medicare and Medicaid Programs: Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021 
  • A Notice of Agency Information Collection Activities: Emergency Ambulance Transports and Beneficiary Signature. 
  • A Notice for the Medicare and Medicaid Programs: Quarterly Listing of Program Issuances—October through December 2022

federal register • 27 december 2022

CMS has published in the federal register:

  • Proposed Rules for the Medicare Program:
    1. Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, Medicare Parts A, B, C, and D Overpayment Provisions of the Affordable Care Act and Programs of All-Inclusive Care for the Elderly;
    2. Health Information Technology Standards and Implementation Specifications
  • A notice of Agency Information Collection Activities: Basic Health Program (BHP) Supporting Regulations

federal register • 13 december 2022

CMS has published in the federal register:

  • A correction to final rules for the Medicare Program published on August 10, 2022, as corrected on November 2, 2022:
    1. Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2023 Rates;
    2. Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals;
    3. Costs Incurred for Qualified and Non-Qualified Deferred Compensation Plans; and
    4. Changes to Hospital and Critical Access Hospital Conditions of Participation
  • Proposed Rules for the Medicare and Medicaid Programs and under the Patient Protection and Affordable Care Act: Advancing Interoperability and Improving Prior Authorization Processes for:
    1. Medicare Advantage Organizations,
    2. Medicaid Managed Care Plans,
    3. State Medicaid Agencies,
    4. Children’s Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities,
    5. Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges,
    6. Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and
    7. Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program

federal register • 23 november 2022

CMS has published in the federal register:

  • Final Rules for the Medicare Program:
    1. Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
    2. Organ Acquisition;
    3. Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral;
    4. New Service Category for Hospital Outpatient Department Prior Authorization Process;
    5. Overall Hospital Quality Star Rating;
    6. COVID-19

federal register • 19 november 2022

CMS has published in the federal register:

  • Final Rules for the Medicaid Program:
    1. Delay of Effective Date for Provision Relating to Manufacturer Reporting of Multiple Best Prices Connected to a Value Based Purchasing Arrangement;
    2. Delay of Inclusion of Territories in Definition of States and United States 
  • Final Rules for the Medicare Program:
    1. CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Provider Enrollment Regulation Updates; and
    4. Provider and Supplier Prepayment and Post-Payment Medical Review Requirements
  • Final Rules for the Medicare Program Opioid Treatment Programs: CY 2022 Methadone Payment Exception
  • A Notice of Agency Information Collection Activities: The HIPAA Eligibility Transaction System (HETS)
  • A Notice of Agency Information Collection Activities:
    1. Section 1115 Demonstration Projects Regulations at 42 CFR 431.408, 431.412, 431.420, 431.424, and 431.428
    2. Coverage of Certain Preventive Services Under the Affordable Care Act

federal register • 18 november 2022

CMS has published in the federal register:

  • Rules for the Medicare and Medicaid Programs:
    1. CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Implementing Requirements for Manufacturers of Certain Single-dose Container or Single-use Package Drugs To Provide Refunds With Respect to Discarded Amounts; and
    4. COVID-19 Interim Final Rules
  • Notice of Agency Information Collection Activities: PACE State Plan Amendment Preprint

federal register • 07 november 2022

CMS has published in the federal register:

  • Final Rules for the Medicare Program:
    1. End-Stage Renal Disease Prospective Payment System,
    2. Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury,
    3. End-Stage Renal Disease Quality Incentive Program, and
    4. End-Stage Renal Disease Treatment Choices Model
  • A Notice of Agency Information Collection Activities: Home Health Agency Survey and Deficiencies Report

federal register • 04 november 2022

CMS has published in the federal register:

  • Final Rules for the Medicare Program:
    1. Calendar Year (CY) 2023 Home Health Prospective Payment System Rate Update;
    2. Home Health Quality Reporting Program Requirements;
    3. Home Health Value-Based Purchasing Expanded Model Requirements; and
    4. Home Infusion Therapy Services Requirements
  • A Correction and correcting amendment to Final Rules for the Medicare Program:
    1. Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2023 Rates;
    2. Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals;
    3. Costs Incurred for Qualified and Non-Qualified Deferred Compensation Plans; and
    4. Changes to Hospital and Critical Access Hospital Conditions of Participation
  • A Notice of Agency Information Collection Activities: Medicare Advantage Appeals and Grievance Data Form
  • A Notice of Agency Information Collection Activities:
    1. Notice of Denial of Medical Coverage (or Payment)
    2. Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103
    3. Customer Satisfaction Survey for Enterprise Portal Services (EPS)
    4. Rate Increase Disclosure and Review Reporting Requirements