The Centers for Medicare and Medicaid Services (CMS) has deferred taking immediate action on its low wage index hospital policy in light of the US Court of Appeals for the DC Circuit’s decision in Bridgeport Hospital v. Becerra. While the CMS’s final rule ...
2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE organizations’ initial and service area expansion applications, imposes immunization require...
CMS hasfinalizedpolicies to increase access to marketplace coverage and expand essential health benefits (EHBs) in the HHS 2025 Notice of Benefit and Payment Parameters final rule. “Access to affordable, quality health care options remain a concern across the country and ...
The Centers for Medicare & Medicaid Services (CMS) issued its final rule updating the Home Health Agencies (HHA) payment rates and policies for the calendar year (CY) 2025 Home Health prospective payment system (PPS). CMS estimates a 2.7% increase, but when combined with the behavioral offset...
CMS announced itsfinalCY 2025 OPPS and ASC payment rule, which includes policies aimed atsafeguarding maternal careand removing barriers to care for underserved communities. The final rule will also increase Medicare hospital outpatient facility and ambulatory surgical center payment rates ...
Eligibility and Enrollment Final Rule March 27, 2024 Simplifies Medicaid and CHIP processes by removing barriers, such as in-person interviews for certain populations, and allows medical expenses to be deducted from income when determining eligibility. ...
2025. The proposed estimation methodology was intended to fulfill the IRA requirement to remove 340B units from rebate calculations for Part D inflation rebate calculations beginning on January 1, 2026. Instead, CMS notes in the Final Rule that it will explore est...
While this has no direct impact on HOPDs and ASCs for the time being, the final rule suggests CMS will pursue such measures in outpatient settings in the future: “We are aware that elective primary THA/TKA procedures are increasingly occurring in ...
CMS final rule places unprecedented staffing burden on nursing facilities Waivers and exemptions available, but ability to obtain them unclear Compliance with facility assessment changes required by August 8, 2024 In a long-anticipated rulesubmitted for public inspectionon April 22, 2024, ...
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule.