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ASP Data Submission Notice for Medicare Part B Drugs - Comments Closed May 7

CMS published a 30-day Paperwork Reduction Act notice announcing revision of an existing collection for manufacturer submission of Average Sales Price (ASP) data for Medicare Part B drugs and biologicals. The notice revises the Bona Fide Service Fee Certification form and updates burden estimates. Comments on the information collection must be received by the OMB desk officer by May 7, 2026.

CMS Proposes Skilled Nursing Facilities Payment Updates for FY 2027

CMS has published a proposed rule (CMS-1843-P) updating the Skilled Nursing Facility Prospective Payment System rates and policies for fiscal year 2027. The rule also proposes updates to the SNF Quality Reporting Program and SNF Value-Based Purchasing Program requirements. Comments must be submitted by June 1, 2026.

Medicare Prior Authorization WISeR Model Correction Notice

CMS issued a correction notice to fix typographical and technical errors in the July 1, 2025 Federal Register notice about the WISeR (Wasteful and Inappropriate Services Reduction) Model for Medicare prior authorization. The corrections update specific lists of procedure codes for epidural steroid injections, vertebral compression fracture procedures, fusion procedures, and apnea treatments, while also clarifying applicability language for skin and tissue substitutes. The corrections are effective April 6, 2026, with applicability to January 1, 2026.

CMS FY 2027 IPF proposed rule, comment deadline June 1

CMS FY 2027 IPF proposed rule, comment deadline June 1

CMS Finalizes 2027 Medicare Advantage and Part D Payment Policies

CMS released the Calendar Year 2027 Medicare Advantage and Part D Rate Announcement, finalizing payment policies projected to result in a net average increase of 2.48%, representing over $13 billion in additional MA payments. The finalized policies address coding differentials between MA and Original Medicare and establish three guiding principles for risk adjustment: simplicity, competition, and payment accuracy.

2027 Medicare Advantage and Part D Rate Announcement

CMS released the CY 2027 Medicare Advantage and Part D Rate Announcement, finalizing capitation rates and payment policies. The final policies result in a 2.48% average payment increase, representing over $13 billion in additional payments to Medicare Advantage plans. The announcement includes risk model revisions, Star Ratings changes, and updated normalization factors affecting plan payment calculations.

CDC NNDSS Surveillance Update, Comment Deadline June 8

The CDC published a surveillance update to the National Notifiable Diseases Surveillance System (NNDSS), with public comments requested by June 8. The NNDSS is a nationwide system for tracking notifiable diseases reported by state and territorial health departments. Healthcare providers, laboratories, and public health authorities submitting disease data to CDC should review the proposed changes and submit feedback.

CDC Drug Overdose Data Collection - Comment Request

The CDC has issued a consultation document requesting public comments on drug overdose data collection methods and reporting requirements. The document seeks input on proposed data collection standards that state and local health departments would use to report overdose surveillance data to the CDC. Comments are due by June 8th.

Annual EPSDT Participation Report Information Collection

CMS published a 30-day notice under the Paperwork Reduction Act announcing revisions to Form CMS-416, the Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report. The collection assesses state effectiveness in providing early health screening, diagnostic, and treatment services to eligible Medicaid children. Public comments on the burden estimate are due May 6, 2026.

Physician Certifications/Recertifications in Skilled Nursing Facilities

CMS published a notice announcing a 60-day public comment period for an extension of an existing information collection regarding physician certifications and recertifications in skilled nursing facilities. The collection is required under Section 1814(a) of the Social Security Act for Medicare payment certifications. Comments on burden estimates are due June 5, 2026.