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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 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.

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.

Medicare Transmittals: Policy Changes and Coverage Updates

The Centers for Medicare & Medicaid Services (CMS) has issued several transmittals in late 2024 detailing policy changes and coverage updates for Medicare. These updates affect various aspects of Medicare benefits, billing, and claims processing, with implementation dates extending into 2025.

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.

Medicare Policy Updates and Coding Changes

The Centers for Medicare & Medicaid Services (CMS) has issued several transmittals detailing policy updates and coding changes for Medicare in 2026. These updates cover various areas including the Review Choice Demonstration, SSI/Medicare beneficiary data, preventive services, error rate testing, and specific payment systems. The implementation dates for these changes range from April to May 2026.

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.

CMS Extends GENEROUS Model Application Deadline

The Centers for Medicare & Medicaid Services (CMS) has extended the application deadline for the GENEROUS Model, a drug pricing initiative for Medicaid, from March 31, 2026, to April 30, 2026. This extension provides additional time for prescription drug manufacturers to apply to participate in the model, which aims to lower drug spending and improve health outcomes.