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The Centers for Medicare & Medicaid Services (CMS) is requesting public comments on proposed information collection activities related to Medicaid and CHIP. They are seeking feedback on the burden estimates and other aspects of these collections. Part of the collection involves using a new Managed Care Plan (MCP) Medical Loss Ratio (MLR) reporting template to assess financial performance, a grant program promoting continuity of care for incarcerated individuals, and a state plan amendment template for Medicaid clinic benefits. Comments must be submitted by January 30, 2025.

The Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services has decided to continue recognizing the Accreditation Commission for Health Care (ACHC) as a national accrediting organization for home health agencies (HHAs) that participate in Medicare or Medicaid programs. This recognition is valid from February 24, 2021 to February 24, 2025. ACHC had to ensure their standards met or exceeded Medicare requirements. No public comments were received during the proposal stage, and ACHC made adjustments to align its procedures with Medicare standards.

The Centers for Medicare & Medicaid Services (CMS) has approved the American Association for Accreditation of Ambulatory Surgery Facilities, known as QUAD A, to continue as a national accrediting organization for Outpatient Physical Therapy (OPT) programs involved in Medicare or Medicaid. QUAD A revised its standards and processes to ensure compliance with Medicare requirements, such as conducting thorough surveys and ensuring facilities meet necessary regulations. This approval is effective from April 4, 2025, to April 4, 2030. The notice confirms that QUAD A’s standards meet or exceed Medicare’s conditions, allowing accredited facilities to be deemed compliant.

The Centers for Medicare & Medicaid Services (CMS), part of the Department of Health and Human Services (HHS), issued a notice about a new information collection related to PACE Medicaid Capitation Rate Setting. The notice is looking for public comments on the proposed collection methods, which aim to assist states in setting PACE rates for elderly care programs integrating Medicare and Medicaid services. This process involves obtaining feedback on minimizing the burden of information collection and improving the clarity and utility of the collected data. Comments must be submitted by December 20, 2024, through options like electronic submission at regulations.gov or via mail.

The executive order signed by the President aims to strengthen Medicaid and the Affordable Care Act (ACA) by making healthcare more accessible and affordable. It directs health officials to review existing policies and remove barriers that make it difficult for people to get health coverage. The order also revokes previous executive orders that minimized the ACA's impact and promotes a special enrollment period due to the COVID-19 pandemic. Additionally, it requires agencies to consider revising or canceling actions that do not align with this new healthcare policy.

The Centers for Medicare & Medicaid Services (CMS) is inviting public comments on its plan to collect information as required by the Paperwork Reduction Act of 1995. CMS aims to enhance the quality and utility of the information collected and reduce the burden on participants using technology. Two key projects are included in this request: the Monitoring and Audit Process for PACE Organizations to ensure compliance, and the Part B Immunosuppressive Drug Coverage application process to determine eligibility for beneficiaries after a kidney transplant. Public comments are welcomed until February 21, 2025.

The Indian Health Service (IHS), under the Health and Human Services Department, has announced the approved rates for medical care at IHS facilities for 2025. These rates cover both inpatient and outpatient services and are applicable to Medicare and Medicaid beneficiaries, as well as other federal program recipients. Notably, there are different rates for services in the Lower 48 States and Alaska. The new rates will take effect from January 1, 2025, aligning with consistent annual updates.

The Centers for Medicare & Medicaid Services (CMS) is inviting public comments on its plan to collect information from the public under the Paperwork Reduction Act of 1995. This notice is published as part of a required procedure before seeking approval from the Office of Management and Budget for each information collection. Among the items addressed are Medicare Health Outcomes Survey, Community Mental Health Center Cost Report, the Request For Termination of Premium-Hospital and/or Supplementary Medical Insurance, and the Appointment of Representative form. CMS seeks feedback on the necessity and utility of these information collections, as well as suggestions for improving their quality and minimizing the burden they impose. Public comments are due by April 6, 2021, and can be submitted electronically or via regular mail.

The Centers for Medicare & Medicaid Services (CMS) announced an application fee of $730 for the calendar year 2025. This fee applies to institutional providers who are enrolling in or revalidating their enrollment in Medicare, Medicaid, or the Children's Health Insurance Program (CHIP) and adding a new Medicare practice location. The fee is effective from January 1, 2025, to December 31, 2025. The increase in cost was determined by adjusting the previous year's fee of $709 by 3% based on inflation data.

The Health and Human Services Department's Centers for Medicare & Medicaid Services decided to withdraw a proposed rule published in 2019 aiming to create new Medicaid reporting and financing requirements. The withdrawal followed approximately 10,188 public comments pointing out potential negative impacts on state budgets and Medicaid services, as well as concerns over CMS's legal authority and clarity of the rule. The agency acknowledges the need for increased Medicaid accountability and transparency and may explore alternative approaches in the future that align with new Congressional Medicaid payment reporting requirements. Existing legal and policy requirements remain unaffected by this withdrawal.