CMS Rules & Proposed Rules

Medicare and Medicaid CY 2026 Payment Policies Correction

The Centers for Medicare & Medicaid Services (CMS) issued a correction to the Calendar Year 2026 payment policies under the Physician Fee Schedule and other changes to Part B payment and coverage policies. This correction addresses specific aspects of the previously published rule concerning Medicare and Medicaid programs.

Medicare and Medicaid Programs; Organ Procurement Organizations Conditions for Coverage Revisions

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule to revise the Conditions for Coverage for Organ Procurement Organizations. This proposal aims to update requirements for OPOs participating in Medicare and Medicaid. Public comments are due by March 31, 2026.

HHS Notice of Benefit and Payment Parameters for 2027 Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule detailing benefit and payment parameters for 2027 under the Patient Protection and Affordable Care Act. The rule also addresses the Basic Health Program. Public comments are due by March 13, 2026.

Medicare OPPS/ASC Payment Systems and Quality Reporting Correction

The Centers for Medicare & Medicaid Services (CMS) issued a correction to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems final rule. This correction addresses specific aspects of payment systems, quality reporting programs, and hospital quality star ratings.

CMS Managed Care Rule on Medicare, Medicaid Reimbursement

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule concerning managed care reimbursement for Medicare and Medicaid programs. This rule, published in the Federal Register, outlines updated policies and requirements for managed care plans.