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Fact Sheet: Medicaid Fiscal Accountability Rule (MFAR)
The Centers for Medicare & Medicaid Services in November 2019 issued the Medicaid Fiscal Accountability Regulation (MFAR) that would significantly change state Medicaid program financing and supplemental payments for providers.
Special Bulletin: CMS Issues Proposed Notice of Benefit and Payment Parameters for 2021
The CMS Jan. 31 issued a proposed rule that would implement the standards governing health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for 2021.
Special Bulletin: CMS Issues Proposed Rule for Medicare Advantage, Part D for 2021
The Centers for Medicare & Medicaid Services (CMS) Feb. 5 issued a proposed rule and the second part of the Advanced Notice, which would make policy and technical changes to the Medicare Part C and D programs, including the Medicare Advantage (MA) Program, the Medicare Prescription Drug Benefit Program, the Medicaid Program, the Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.
House and Senate Leaders Announce Compromise ‘Surprise Billing’ Legislation
Senate Health, Education, Labor and Pensions (HELP) Committee Chairman Lamar Alexander (R-Tenn.) and House Energy and Commerce Committee Chairman Frank Pallone Jr.
Special Bulletin: Summary of HHS Proposals to Modernize Stark, Anti-kickback Regulations
The Department of Health and Human Services (HHS) yesterday released two proposed rules that would modernize and make major changes to the physician self-referral (Stark) and federal anti-kickback
Regulatory Advisory: Skilled Nursing Facility PPS: Final Rule for FY 2020
The Centers for Medicare & Medicaid Services July 30 issued its fiscal year 2020 final rule for the skilled nursing facility prospective payment system. The rule takes effect Oct. 1.
Special Bulletin: CMS Issues CY 2020 Proposed Rule for Home Health Payment System
The Centers for Medicare & Medicaid Services (CMS) July 11 issued a proposed rule that would update the home health (HH) prospective payment system (PPS) for calendar year (CY) 2020.
AHA Special Bulletin on CMS’s OPPS Proposed Rule for CY 2020
The Centers for Medicare & Medicaid Services July 29 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
Special Bulletin: CMS Releases CY 2020 Proposed Rule for Physician Fee Schedule
The Centers for Medicare & Medicaid Services July 29 issued a proposed rule that would update physician fee schedule payments for calendar year 2020.