Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022; and Technical Correction to Long-Term Care Facilities Physical Environment Requirements
Pre-publication notice of final rule Centers for Medicare and Medicaid Services (CMS) updating the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year 2022. Among other things, this rule rebases and revises the SNF market basket, updates the diagnosis code mappings used under the Patient-Driven Payment Model (PDPM), and finalizes a technical correction to the physical environment requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs. This rule also includes updates the SNF Quality Reporting Program (QRP). Includes rural considerations t...
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and cap amount for fiscal year 2022. Includes changes to the labor shares of hospice payment rates, updates to the Hospice Quality Reporting Program, and finalizes clarifying changes to the election statement addendum that was implemented on October 1, 2020. Among other things, this rule also makes permanent selected regulatory blanket waivers issued to Medicare-participating hospice agencies during the COVID-19 public health emergency public and finalizes changes to public reportin...
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022)
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2022 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. This rule also updates and clarifies the IPF teaching policy with respect to IPF hospital closures and displaced residents, finalizes a technical change to the 2016-based IPF market basket price proxies, and updates quality measures and repor...
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program; Payment for Complex Rehabilitative Wheelchairs and Related Accessories (Including Seating Systems) and Seat and Back Cushions Furnished in Connection with Such Wheelchairs
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2022. Among other things, this rule updates the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2022 and updates quality measures and reporting requirements under the IRF quality reporting program. These regulations are effective on October 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) Medicare Beneficiary Experiences with Care Survey (MBECS) System and 2) CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting. Comments are due by August 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 29, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on a revision to the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey. Data collected from OAS CAHPS can enable consumers to make more informed decisions when choosing an outpatient surgery facility, aid facilities in their quality improvement efforts, and help CMS monitor and report on the performance of outpatient surgery facilities. Comments are due by August 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 29, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) Outcome and Assessment Information Set (OASIS) OASIS-D and 2) Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory Programs. Comments are due by August 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 29, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment Meeting
The Centers for Medicare and Medicaid Services (CMS) will hold a virtual meeting of the Advisory Panel on Hospital Outpatient Payment for 2021 on August 23, 2021. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of CMS concerning the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, as well as supervision of hospital outpatient therapeutic services. The agenda and information on how to join the meeting will be posted on thePanel's website one week before the meeting. Comment and presentation submissions to...
Source: Federal Register updates via the Rural Assistance Center - July 23, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-Payment Medical Review Requirements
Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) making changes to the following: 1) Physician Fee Schedule and Medicare Part B payment policies; 2) Medicare Shared Savings Program requirements; 3) updates to the Quality Payment Program; 4) Medicare coverage of opioid use disorder services furnished by opioid treatment programs; 5) updates to certain Medicare provider enrollment policies; 6) requirements for prepayment and post-payment medical review activities; 7) requirements for electronic prescribing for controlled substances for a covered Part D drug under a prescription dru...
Source: Federal Register updates via the Rural Assistance Center - July 23, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Meetings: Medicare Program: Advisory Panel on Hospital Outpatient Payment
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing a virtual meeting of the Advisory Panel on Hospital Outpatient Payment for 2021 on August 23, 2021. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of CMS concerning the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, as well as supervision of hospital outpatient therapeutic services. The agenda and information on how to join the meeting will be posted on thePanel's website one week before the meeting. Comment an...
Source: Federal Register updates via the Rural Assistance Center - July 22, 2021 Category: Rural Health Source Type: news

Insurers must now cover cost of PrEP pill that prevents HIV-negative people from getting virus
In new guidance released on Monday, the Centers for Medicare and Medicaid Services said health insurers must cover the cost of daily PrEP pills, including copays and deductibles. (Source: the Mail online | Health)
Source: the Mail online | Health - July 21, 2021 Category: Consumer Health News Source Type: news

CMS changes to RO Model draw ASTRO's ire
A proposal by the U.S. Centers for Medicare and Medicaid Services (CMS) to mak...Read more on AuntMinnie.comRelated Reading: ASTRO commits to October in-person annual meeting in Chicago ASTRO survey finds rise in advanced-stage cancer ASTRO lauds Biden's CMS administrator nomination CMS to delay start of RO Model for radiation therapy CMS releases new payment model for radiation oncology (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 21, 2021 Category: Radiology Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS); 2) Transitional Pass-through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System; and 3) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for Merit-based Incentive Payment Systems (MIPS). Comments are due by August 20, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 21, 2021 Category: Rural Health Source Type: news

Proposed 2022 MPFS includes radiology payment cuts
The U.S. Centers for Medicare and Medicaid Services on July 13 released a propose...Read more on AuntMinnie.comRelated Reading: ACR urges Congress to boost MPFS payments by $3B for 2022 How will MPFS changes affect your radiology practice? Congressional spending bill eases 2021 MPFS cuts Lawmakers seek to offset MPFS cuts with $3B injection ACR urges Congress to stop Medicare cuts (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 14, 2021 Category: Radiology Source Type: news

Wisconsin Submits Plan to Enhance and Improve Medicaid Home and Community-Based Services
The Wisconsin Department of Health Services (DHS) hassubmitted a plan to the federal Centers for Medicare and Medicaid Services (CMS) to use American Rescue Plan Act (ARPA) funds to improve and enhance Wisconsin ’s home and community-based services under Medicaid. DHS estimates it will receive approximately $350 million under this part of ARPA. Key components of the plan that support Wisconsin’s caregiving workforce include increasing rates for home and...(see release) (Source: Wisconsin DHFS Press Releases)
Source: Wisconsin DHFS Press Releases - July 14, 2021 Category: Hospital Management Authors: goodsesjfs Source Type: news

CMS to analyze coverage of monoclonal antibody Alzheimer's drug
The U.S. Centers for Medicare and Medicaid Services (CMS) will conduct a nationa...Read more on AuntMinnie.comRelated Reading: fMRI shows dementia patients' brain response to music New Alzheimer's definition relies on imaging biomarkers DTI-MRI ties lack of fitness to cognitive decline Flortaucipir-PET could lead in early Alzheimer's detection ACR revises Appropriateness Criteria (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 14, 2021 Category: Radiology Source Type: news

Public Inspection: CMS: Medicare Program: CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-payment Medical Review Requirements
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) making changes to the following: 1) Physician Fee Schedule and Medicare Part B payment policies; 2) Medicare Shared Savings Program requirements; 3) updates to the Quality Payment Program; 4) Medicare coverage of opioid use disorder services furnished by opioid treatment programs; 5) updates to certain Medicare provider enrollment policies; 6) requirements for prepayment and post-payment medical review activities; 7) requirements for electronic prescribing for controlled substances for a covered Part D drug under a p...
Source: Federal Register updates via the Rural Assistance Center - July 14, 2021 Category: Rural Health Source Type: news

CMS: Announcement of the Advisory Panel on Outreach and Education (APOE) July 28, 2021 Virtual Meeting
The Centers for Medicare and Medicaid Services (CMS) Advisory Panel on Outreach and Education (APOE) will hold a virtual public meeting on July 28, 2021, from 12:00 p.m. – 5:00 p.m. Eastern. Presentations and written comments much be submitted to thedesignated federal official by July 14, 2021. Agenda items include a listening session with CMS leadership; recap of the May 2021 meeting; discussion of CMS programs, initiatives, and priorities; and more.Registration is required by July 14, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 13, 2021 Category: Rural Health Source Type: news

CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access
The Centers for Medicare and Medicaid Services (CMS) proposed a rule in CMS's annual Physician Fee Schedule (PFS) that recommends steps to build upon Medicare and improve health equity gaps worsened by the COVID-19 pandemic. Recommendations include expanding access to behavioral healthcare via telehealth; enhancing diabetes prevention programs; and improving the Quality Payment Program (QPP). (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - July 13, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program: Comprehensive Care for Joint Replacement Model Three Year Extension and Changes to Episode Definition and Pricing; Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
Notice from the Centers for Medicare and Medicaid Services (CMS) making technical corrections to theMay 3, 2021, final rule. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 9, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) payments for calendar year 2022 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Also includes proposed updated requirements for the Quality Incentive Program (QIP), among other things. Comments on the proposed rule are due August 31, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 9, 2021 Category: Rural Health Source Type: news

HHS: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards; Correction
Notice from the Centers for Medicare and Medicaid Services (CMS) and Department of Health and Human Services (HHS) making technical corrections to theMay 5, 2021, final rule. Corrections are effective July 6, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 8, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Comprehensive Care for Joint Replacement Model Three Year Extension and Changes to Episode Definition and Pricing; Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) making technical corrections to theMay 3, 2021, final rule. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 8, 2021 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; Survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-Term Care Hospital Quality Reporting Program Requirements
Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the home health and home infusion therapy services payment rates for calendar year (CY) 2022. This rule also proposes changes to the Home Health Quality Reporting Program (QRP), making permanent selected regulatory waivers related to home health aide supervision implemented during the COVID-19 pandemic, and expanding the Home Health Value-Based Purchasing (HHVBP) Model. Also discusses survey and enforcement requirements for hospice programs and quality reporting program requirements for inpatient rehabilitation facilities and long-te...
Source: Federal Register updates via the Rural Assistance Center - July 7, 2021 Category: Rural Health Source Type: news

CMS: Basic Health Program; Federal Funding Methodology for Program Year 2022
Notice from the Centers for Medicare and Medicaid Services (CMS) finalizing the federal payment methodology for states establishing a Basic Health Program offering health benefits to low-income individuals that would be eligible to purchase insurance through the Affordable Insurance Exchanges. This methodology is effective January 1, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 7, 2021 Category: Rural Health Source Type: news

Public Inspection: HHS: Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards; Correction
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) and Department of Health and Human Services (HHS) making technical corrections to theMay 5, 2021, final rule. Corrections are effective July 6, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 6, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Basic Health Program: Federal Funding Methodology for Program Year 2022
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) finalizing the federal payment methodology for states establishing a Basic Health Program offering health benefits to low-income individuals that would be eligible to purchase insurance through the Affordable Insurance Exchanges. This methodology is effective January 1, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 6, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) payments for calendar year 2022 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Also includes proposed updated requirements for the Quality Incentive Program (QIP), among other things. Comments on the proposed rule are due August 31, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 2, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment regarding an information collection to inform an evaluation of the Network of Quality Improvement and Innovation Contractors (NQIIC). The purpose of NQIIC is to support quality improvement efforts across settings and programs for maximum impact to healthcare and value to taxpayers. Comments are due by August 2, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 2, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: CY 2022 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; Survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-term Care Hospital Quality Reporting Program Requirements
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the home health and home infusion therapy services payment rates for calendar year (CY) 2022. This rule also proposes changes to the Home Health Quality Reporting Program (QRP), making permanent selected regulatory waivers related to home health aide supervision implemented during the COVID-19 pandemic, and expanding the Home Health Value-Based Purchasing (HHVBP) Model. Also discusses survey and enforcement requirements for hospice programs and quality reporting program requirements for inpatient rehabilitation facili...
Source: Federal Register updates via the Rural Assistance Center - June 29, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; Physician-Owned Hospitals; Notice of Closure of Two Teaching Hospitals and Opportunity To Apply for Available Slots, Radiation Oncology Model; and Reporting Requirements for Hospitals and Critical Access Hospitals (CAHs) To Report COVID-19 Therapeutic Inventory and Usage and To Report Acute Respiratory Illness During the Public Health Emergency (PHE) for Coronavirus Disease 2019 (COVID-19)
Notice from the Centers for Medicare and Medicaid Services (CMS) making corrections to dates in theDecember 29, 2020, final rule and interim final rule. This notice is effective June 28, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 28, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System, etc.; Correction
Notice from the Centers for Medicare and Medicaid Services (CMS) making technical and typographical corrections to theMay 10, 2021, proposed rule. Corrections are effective June 24, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 24, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System, etc.; Correction
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) making technical and typographical corrections to theMay 10, 2021, proposed rule. Corrections are effective June 24, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 23, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) Medicare Advantage Chronic Care Improvement Program (CCIP) Attestations and 2) National Implementation of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Comments are due by July 19, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 17, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the following information collections: 1) Hospice Request for Certification and Supporting Regulations and 2) Laboratory Personnel Report (CLIA) and Supporting Regulations. Comments are due by July 19, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 17, 2021 Category: Rural Health Source Type: news

Teletherapy Aimed to Make Mental Health Care More Inclusive. The Data Show a Different Story
For years, teletherapy has been pitched as the next frontier in mental-health care. Unlike medical disciplines requiring a more hands-on approach—say, physical therapy or surgery—talk therapy has long seemed a natural and effective fit for telehealth. And by taking appointments off the therapist’s couch and into patients’ homes via their devices, advocates argued, telehealth could make counseling more accessible and convenient for everyone, with particular benefits for those who lived in health care deserts or who couldn’t regularly drive back and forth to see a clinician. The hope was that vi...
Source: TIME: Health - June 14, 2021 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized COVID-19 feature Magazine Mental Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the reinstatement of the Hospice Facility Cost Report Form without change. CMS uses this form to determine a hospice's reasonable costs incurred in furnishing medical services to Medicare beneficiaries, among other uses. Comments are due by July 9, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 9, 2021 Category: Rural Health Source Type: news

Wide variation in cost and transparency of payer-negotiated prices for thyroid cancer care
(Brigham and Women's Hospital) Since Jan. 1, 2021, hospitals in the US have been required by The Centers for Medicare and Medicaid Services (CMS) to provide pricing information online about items and services. A team of researchers from Brigham and Women's Hospital and Massachusetts Eye and Ear leveraged the newly available data to analyze price transparency and price variation for the treatment of thyroid cancer. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - June 4, 2021 Category: International Medicine & Public Health Source Type: news

CMS: Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All Inclusive Care for the Elderly; Corrections
Notice from the Centers for Medicare and Medicaid Services (CMS) making technical and typographical corrections to theJanuary 19, 2021, final rule. This notice is effective June 2, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 2, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) Verification of Clinic Data —Rural Health Clinic Form and Supporting Regulations; 2) Psychiatric Unit Criteria Work Sheet; and 3) CMS Identity Management (IDM) System. Comments are due by July 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 1, 2021 Category: Rural Health Source Type: news

CMS: Medicaid Program; Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements: Delay of Effective Date for Provision Relating to Manufacturer Reporting of Multiple Best Prices Connected to a Value Based Purchasing Arrangement; Delay of Inclusion of Territories in Definition of States and United States
Notice of proposed rule from the Centers for Medicare and Medicaid Services that will delay the effective date for amendatory instruction 10.a. of the December 31, 2021, final rule, which addresses manufacturers' reporting of multiple best prices connected to a value-based purchasing arrangement, for 6 months. This proposed rule also proposes delaying for two years the inclusion of U.S. Territories in the definition of "States" and "United States" that was originally announced in the Medicaid Covered Outpatient Drug final rule until April 1, 2024. Comments on these proposals are due within 30 days of th...
Source: Federal Register updates via the Rural Assistance Center - May 28, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicaid Program: Establishing Minimum Standards in Medicaid State Drug Utilization Review and Supporting Value-Based Purchasing for Drugs Covered in Medicaid, etc.; Delays of Effective and Inclusion Dates
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services that will delay the effective date for amendatory instruction 10.a of the December 31, 2021, final rule, which addresses manufacturers' reporting of multiple best prices connected to a value-based purchasing arrangement, for 6 months. This proposed rule also proposes delaying for two years the inclusion of U.S. Territories in the definition of "States" and "United States" that was originally announced in the Medicaid Covered Outpatient Drug final rule until April 1, 2024. Comments on these proposals are due withi...
Source: Federal Register updates via the Rural Assistance Center - May 27, 2021 Category: Rural Health Source Type: news

Health Highlights: May 26, 2021
Brooks-LaSure Confirmed as CMS Head Chiquita Brooks-LaSure was confirmed by the U.S. Senate on Tuesday as the new head of the U.S. Centers for Medicare and Medicaid Services (CMS). Brooks-LaSure, an Obama-era policy adviser, will be the first Black... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - May 26, 2021 Category: General Medicine Source Type: news

Why physician group practices should prepare now for changes to productivity bonuses and profit sharing under Stark Law
Beginning Jan. 1, 2022, the Centers for Medicare and Medicaid Services (CMS) will enforce new Stark Law [1] requirements for physician compensation models in group practices. Group practices that rely on generating revenues through intra-group referrals of “Designated Health Services” (e.g., clinical laboratory services, therapy services, imaging services, outpatient prescription drugs, durable medical equipment, etc.), including for ancillary services billed under the in-office ancillary services… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 26, 2021 Category: American Health Authors: Jim Miles, Julie A. Sullivan, and Loreli Wright Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Survey of Retail Prices and 2) Outcome and Assessment Information Set (OASIS) OASIS-D. Comments are due by July 20, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 21, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory; 2) Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children's Health Insurance Program; 3) Medicaid and Children's Health Insurance (CHIP) Managed Care Payments and Related Information; 4) Payment Error Rate Measurement —State Medicaid and CHIP Eligibility; 5) Medicare Fee-for-Service Prepayment Review of Medical Records; and 6) Annual Report on Home ...
Source: Federal Register updates via the Rural Assistance Center - May 18, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of "Reasonable and Necessary"; Delay of Effective Date
Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) announcing the further delay of the effective date of theJanuary 14, 2021, final rule. The final rule is now effective December 15, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 18, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Medicare Coverage of Innovative Technology and Definition of Reasonable and Necessary; Delay of Effective Date
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) announcing the further delay of the effective date of theJanuary 14, 2021, final rule. The final rule is now effective December 15, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 17, 2021 Category: Rural Health Source Type: news

Centers for Medicare and Medicaid Services (CMS) Issues Permanent J-Code for Tolmar's FENSOLVI(R) Effective July 1, 2021
BUFFALO GROVE, Ill., May 12, 2021 -- (Healthcare Sales & Marketing Network) -- Tolmar Pharmaceuticals, Inc., a specialty pharmaceutical company, today announced that the Centers for Medicare and Medicaid Services (CMS) has assigned a new product-specific ... Biopharmaceuticals, Reimbursement Tolmar Pharmaceuticals, FENSOLVI, leuprolide, Central Precocious Puberty (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - May 12, 2021 Category: Pharmaceuticals Source Type: news

CMS: Request for Nominations and Announcement of the Advisory Panel on Outreach and Education (APOE) May 26, 2021 Virtual Meeting
Notice from the Centers for Medicare and Medicaid Services (CMS) requesting nominations for the Advisory Panel on Outreach and Education (APOE). APOE advises and makes recommendations to the Secretary of the U.S. Department of Health and Human Services (HHS) (the Secretary) and the CMS Administrator on opportunities to enhance the effectiveness of consumer education strategies concerning the Health Insurance Marketplace, Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Nominations are due by June 11, 2021. In addition, APOE will hold a virtual public meeting on May 26, 2021, from 12:00 – 5:00 p...
Source: Federal Register updates via the Rural Assistance Center - May 12, 2021 Category: Rural Health Source Type: news