CMS

Medicare Advantage Deeming Authority Renewal for NCQA

The Centers for Medicare & Medicaid Services (CMS) is considering the renewal of the National Committee for Quality Assurance's (NCQA) Medicare Advantage deeming authority. This notice requests public comments on whether to approve NCQA's application to continue deeming Health Maintenance Organizations and Preferred Provider Organizations compliant with certain Medicare requirements.

CMS Medicare Part C/D Reporting Requirements Notice Comment Period

The Centers for Medicare & Medicaid Services (CMS) is seeking public comment on its intention to collect information related to Medicare Part C and D reporting requirements. This notice provides a 60-day comment period for interested parties to submit feedback on the proposed information collection.

Medicare/Medicaid CY 2026 Payment Policies Correction Notice

The Centers for Medicare & Medicaid Services (CMS) issued a correction notice for the CY 2026 Physician Fee Schedule final rule. This notice corrects typographical and technical errors in the original rule, which finalized payment policies for Medicare and Medicaid programs for calendar year 2026.

CMS Seeks Public Comment on Information Collection Activities

The Centers for Medicare & Medicaid Services (CMS) is seeking public comment on its intention to collect information from the public under the Paperwork Reduction Act. This notice provides an opportunity for interested parties to submit comments on the proposed information collection activities.

Medicare Drug Price Negotiation: Manufacturer Participation in Third Cycle

CMS announced that 15 drug manufacturers have chosen to participate in the third cycle of Medicare drug price negotiations. These negotiations, part of the Inflation Reduction Act, will determine prices for selected high-expenditure drugs, with negotiated prices effective beginning in 2028.

Arizona Medicaid SPA AZ-25-0029 Updates Nursing Facility Rates

The Centers for Medicare & Medicaid Services (CMS) approved Arizona State Plan Amendment AZ-25-0029, updating fee-for-service payment rates for nursing facility services. These updated rates are effective January 1, 2026.

Minnesota Medicaid SPA 25-0036: MAT Services Recovery Peers

The Centers for Medicare & Medicaid Services (CMS) approved Minnesota's State Plan Amendment (SPA) 25-0036, effective October 1, 2025. This amendment removes the end date for Medication Assisted Treatment (MAT) services and adds recovery peers and treatment coordinators as qualified providers.

South Dakota Medicaid SUD/IMD Template and Provider List Updates

The Centers for Medicare & Medicaid Services (CMS) approved South Dakota's Medicaid State Plan Amendment (SPA) 25-0015. This amendment updates the Substance Use Disorders/Institutions for Mental Diseases template and revises the provider list for school-based direct services and administrative claiming.

North Dakota Medicaid State Plan Amendment Approval

The Centers for Medicare & Medicaid Services (CMS) approved North Dakota's State Plan Amendment (SPA) 26-0008 on March 10, 2026. This amendment updates the designee responsible for State Plan submissions. The SPA was effective January 5, 2026.

2025 Medicare Transmittals and Implementation Dates

The Centers for Medicare & Medicaid Services (CMS) has released its 2025 transmittals, detailing updates and implementation dates for various Medicare programs. These documents outline changes to payment systems, data reporting, and operational procedures for healthcare providers.