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Rural Health
News by Topic: Health insurance

Apr 23, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of the Medicaid and CHIP Program (MACPro) generic clearance process umbrella and the individual generic collection of information requests that fall under the MACPro umbrella. Comments are due by May 23, 2024.
Source: Federal Register
Apr 23, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) revising regulations for Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE). Revisions include Star Ratings, marketing and communications, agent/broker compensation, health equity, dual-eligible special needs plans (D-SNPs), utilization management, network adequacy, and other programmatic areas. These regulations are effective June 3, 2024.
Source: Federal Register
Apr 23, 2024 - Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) implementing improvements to increase transparency and accountability, standardize data and monitoring, and create opportunities for States to promote active beneficiary engagement in their Medicaid programs, with the goal of improving access to care. These regulations are effective 60 days after the publication of this notice, which is scheduled for May 10, 2024.
Source: Federal Register
Apr 23, 2024 - Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) advancing CMS' efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. This rule specifically addresses standards for timely access to care and States' monitoring and enforcement efforts, reduces burden for some State directed payments and certain quality reporting requirements, adds new standards that will apply when States use in lieu of services and settings (ILOSs) to promote effective utilization and specify the scope and nature of ILOS, specifies medical loss ratio (MLR) requirements, and establishes a quality rating system for Medicaid and CHIP managed care plans. These regulations are effective July 9, 2024.
Source: Federal Register
Apr 23, 2024 - Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) establishing minimum staffing standards for long-term care facilities. This rule also requires states to report the percentage of Medicaid payments for certain Medicaid-covered institutional services that are spent on compensation for direct care workers and support staff. These regulations are effective on June 21, 2024, except for § 483.71, § 483.35(b)(1) and (c)(1), § 483.35(b)(1)(i) and (ii), and §§ 438.72(a) and 442.43 as indicated.
Source: Federal Register
Apr 22, 2024 - Offers review of a new rule from the Centers for Medicare & Medicaid Services regarding staffing minimums in nursing homes. The new standard is expected to require most nursing homes to increase staff. Discusses the rural-specific timeline for meeting the standard in addition to the impact on wages, workforce shortages, and Medicaid reimbursement.
Source: KFF Health News
Apr 22, 2024 - Announces three rules from the Centers for Medicare & Medicaid Services establishing national standards and increasing access to care. "Minimum Staffing Standards for Nursing Homes" aims to improve healthcare quality by setting minimum staffing standards for nursing staff, collecting and reporting on workforce compensation data, and offering incentives for the nurse workforce to work in nursing homes. The 2 remaining rules work together to establish national appointment wait time standards, address payment transparency, and create payment standards for workers providing home and community based services.
Source: Centers for Medicare & Medicaid Services
Apr 22, 2024 - The Centers for Medicare and Medicaid Services (CMS) will hold a virtual public meeting on May 28-30, 2024, to discuss the preliminary coding, Medicare benefit category, and payment determinations for new revisions to the Healthcare Common Procedure Coding System (HCPCS) Level II code set. The agenda and information on how to join the meeting will be posted on the CMS website. Registration is required.
Source: Federal Register
Apr 16, 2024 - The Centers for Medicare & Medicaid Services (CMS) seeks comments on revisions to an information collection titled "Reform of Requirements for Long-Term Care Facilities." The information collected will be used by CMS, state survey agencies, and long-term care (LTC) facilities to ensure compliance with Medicare and Medicaid requirements and quality of care provided to LTC residents. Revisions include new requirements proposed at 42 CFR 483.35 and new section 483.71, which were discussed in the September 6, 2023, proposed rule on page 61391. Comments are due by June 17, 2024.
Source: Federal Register
Apr 16, 2024 - The Centers for Medicare & Medicaid Services (CMS) announces a virtual public meeting on June 25, 2024, to receive recommendations and comments regarding payment amounts for new or substantially revised test codes Medicare is considering under the Clinical Laboratory Fee Schedule (CLFS) for calendar year 2025. Written comments are due by May 30, 2024.
Source: Federal Register