A Collaboration with the University of Pittsburgh
Issued by Centers for Medicare & Medicaid Services

Start Preamble Start Printed Page 39310 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule proposes to cancel the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) incentive payment model and to rescind the regulations governing these models. It also proposes to … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: The Affordable Care Act requires aggregate reductions to state Medicaid Disproportionate Share Hospital (DSH) allotments annually beginning with fiscal year (FY) 2018. This proposed rule delineates a methodology to implement the annual allotment reductions. … [read more]

Start Preamble Start Printed Page 35270 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical … [read more]

Start Preamble Start Printed Page 33950 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This major proposed rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies. DATES: To be assured consideration, comments must be received at … [read more]

Start Preamble Start Printed Page 33558 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from … [read more]

Start Preamble Start Printed Page 31190 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This rule proposes to update and make revisions to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year (CY) 2018, as well as to update the payment … [read more]

Start Preamble Start Printed Page 30010 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Quality Payment Program for eligible clinicians. Under the Quality Payment Program, eligible clinicians can participate via one of … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Request for information; correction. SUMMARY: This document corrects an error that appeared in the request for information notice published in the Federal Register on June 12, 2017 entitled “Reducing Regulatory Burdens Imposed by the Patient Protection and … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Advance notice of proposed rulemaking with comment; extension of comment period. SUMMARY: This document extends the comment period for the advance notice of proposed rulemaking with comment entitled “Medicare Program; Prospective Payment System and Consolidated Billing for … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Request for information. SUMMARY: The Department of Health and Human Services (HHS) is actively working to reduce regulatory burdens and improve health insurance options under Title I of the Patient Protection and Affordable Care Act. Executive Order … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would revise the requirements that Long-Term Care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. Specifically, it would remove provisions prohibiting binding pre-dispute arbitration and strengthen requirements … [read more]

Start Preamble Correction In proposed rule document 2017-08428 beginning on page 20690 in the issue of Wednesday, make the following correction: On page 20705, in table 6, the heading for columns two and three, should respectively read “Rural Facility A (Spencer Co., IN)” and “Urban Facility B (Harrison Co., … [read more]

Start Preamble Start Printed Page 20980 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Advance notice of proposed rulemaking with comment. SUMMARY: We are issuing this advance notice of proposed rulemaking (ANPRM) to solicit public comments on potential options we may consider for revising certain aspects of … [read more]

Start Preamble Start Printed Page 21014 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also proposes to revise … [read more]

Start Preamble Start Printed Page 20690 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 as required by the statute. As required by section 1886(j)(5) … [read more]

Start Preamble Start Printed Page 20750 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018. Additionally, this rule proposes changes to the hospice quality reporting program, … [read more]

Start Preamble Start Printed Page 16150 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would delay the effective date for the final rule entitled “Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies” published in the Federal Register on … [read more]

Start Preamble Correction In proposed rule document 2016-27848, appearing on pages 86467-86488 in the issue of Wednesday, November 30, 2016, make the following corrections: On page 86467, in the first column, in the DATES section, and on page 86481 in the third column, in the fourth full paragraph following … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would specify the qualifications needed for qualified practitioners to furnish and fabricate, and qualified suppliers to fabricate prosthetics and custom-fabricated orthotics; accreditation requirements that qualified suppliers must meet in order to … [read more]

Start Preamble Start Printed Page 86467 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule proposes to implement provisions of the Medicaid statute pertaining to Medicaid eligibility and appeals. This proposed rule continues our efforts to assist states in implementing Medicaid and … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule addresses changes, consistent with the CMCS Informational Bulletin (CIB) concerning “The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems,” published on July 29, 2016, to the … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Request for information. SUMMARY: This request for information seeks information and data on additional reforms and policy options that we can consider to accelerate the provision of home and community-based services (HCBS) to Medicaid beneficiaries taking into … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would update fire safety standards for Medicare and Medicaid participating ESRD facilities, adopt the 2012 edition of the Life Safety Code and eliminate references in our regulations to all earlier editions … [read more]

Start Preamble AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of meeting. SUMMARY: This document announces a listening session to solicit input from stakeholders regarding our implementation of section 704 of the Comprehensive Addiction and Recovery Act of 2016 (CARA), which includes provisions to permit Part … [read more]

Start Preamble AGENCIES: Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would amend the regulation governing State Medicaid Fraud Control Units (MFCUs or Units). The proposed rule would incorporate statutory changes affecting the MFCUs as well … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Solicitation of Comments III. Collection of Information Requirements Footnotes DATES: Back to Top To be assured consideration, comments must be received at one of the addresses provided below, no later than … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Executive Summary A. Purpose B. Summary of Key Economic Provisions 1. Compliance Oversight Requirements 2. Monitoring and Oversight of PACE Organizations C. Summary of Costs and Benefits II. Background … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background A. Legislative History B. Hospital-Specific DSH Limit C. The 2008 DSH Final Rule and Subsequent Policy Guidance II. Specific Proposed Regulatory Changes A. Treatment of Payments Associated With Dual Eligibles and Medicaid … [read more]

  Table of Contents Back to Top DATES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Summary of Errors in the Preamble III. Waiver of Proposed Rulemaking and Delay in Effective Date IV. Correction of Errors DATES: Back to Top The proposed rule published July 15, 2016 (81 … [read more]

  Correction In proposed rule document 2016-15188 beginning on page 42802 in the issue of Thursday, June 30, 2016, make the following corrections: 1. On page 42851, in the third column, in the ninth line from the bottom, “2035” should read “2015”. 2. On page 42852, in the table, … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Alphabetical List of Acronyms Table of Contents I. Executive Summary A. Purpose B. Summary of the Major Provisions 1. Model Overview—EPM Episodes of Care 2. Model Scope 3. Payment 4. Similar, Previous, … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Regulations Text Acronyms Addenda Available Only Through the Internet on the CMS Web Site CPT (Current Procedural Terminology) Copyright Notice I. Executive Summary and Background A. Executive Summary 1. Purpose 2. … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Addenda Available Only Through the Internet on the CMS Web Site Alphabetical List of Acronyms Appearing in This Federal Register Document Table of Contents Regulation Text I. Summary and Background A. Executive … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Abbreviations Section 1557 of the Affordable Care Act Table of Contents I. Background II. General Provisions of the Proposed Regulations A. Precedential Final Decisions of the Secretary B. Attorney Adjudicators C. Application of 405 … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Executive Summary A. Purpose B. Summary of the Major Provisions C. Summary of Costs and Transfers II. Background A. Statutory Background B. System for Payment of Home Health Services … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Table of Contents Acronyms I. Executive Summary A. Purpose 1. End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2. Coverage and Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms I. Background A. Introduction B. Regulatory History 1. Medicaid Eligibility Quality Control (MEQC) Program 2. Payment Error Rate Measurement (PERM) Program 3. 2010 Final Rule: Revisions to MEQC and PERM To Meet the … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms Table of Contents I. Background A. Executive Summary B. Statutory Basis and Purpose of the Conditions of Participation for Hospitals and Critical Access Hospitals C. Why revise the conditions of participation? II. Provisions … [read more]

  Table of Contents Back to Top FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Summary of Errors A. Summary of Errors in the Preamble B. Summary of Errors in the Addendum IV. Correction of Errors A. Corrections of Errors in the Preamble B. Corrections of Errors in … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms Table of Contents Executive Summary 1. Purpose 2. Summary of the Major Provisions (a) MIPS (b) APMs 3. Summary of Costs & Benefits I. Background A. Physician and Practitioner Payment Under Medicare 1. … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Executive Summary for this Proposed Rule A. Purpose B. Summary of the Major Provisions C. Summary of Impacts II. Background A. Hospice Care B. History of the Medicare Hospice … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Electronic Access Tables Available Only Through the Internet on the CMS Web Site Acronyms Table of Contents I. Executive Summary and Background A. Executive Summary 1. Purpose and Legal Authority 2. Summary … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Executive Summary A. Purpose B. Summary of Major Provisions C. Summary of Impacts Table of Contents Acronyms, Abbreviations, and Short Forms I. Background A. Historical Overview of the IRF PPS B. Provisions of the … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Availability of Certain Tables Exclusively Through the Internet on the CMS Web Site Table of Contents Acronyms I. Executive Summary A. Purpose B. Summary of Major Provisions C. Summary of Cost and Benefits II. … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Executive Summary A. Purpose B. Summary of Major Provisions 1. Model Overview 2. Model Scope 3. Model Payment 4. Overlap With Ongoing CMS Efforts C. Economic Effects II. Participation … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Executive Summary and Background A. Executive Summary 1. Purpose and Need for Regulatory Action 2. Summary of the Major Provisions 3. Summary of Costs and Benefits B. General Overview 1. Medicare 2. Medicaid … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms I. Executive Summary and Background A. Executive Summary 1. Purpose 2. Summary of the Major Provisions 3. Summary of Costs and Benefits B. Background II. Provisions of the Proposed Regulations A. Integrating Regional … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Provisions of the Proposed Regulations A. Non-Public Analyses 1. Additional Analyses 2. Limitations on the Qualified Entities With Respect to the Sale and Provision of Non-Public Analyses 3. Limitations on the … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms Table of Contents I. Background A. Overview B. Legislative History II. Provisions of the Proposed Regulations A. Hospital Discharge Planning 1. Design (Proposed § 482.43(a)) 2. Applicability (Proposed § 482.43(b)) 3. Discharge Planning … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Provisions of the Request for Information A. Access to Care Data Collection and Methodology B. Access to Care Thresholds/Goals C. Alternative Processes for Access Concerns D. Access to Care Measures 1. … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents I. Background II. Provisions of the Proposed Methodology A. Overview of the Funding Methodology and Calculation of the Payment Amount Equation 1: Estimated PTC by Rate Cell Equation 2: Estimated CSR … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: DATES: Back to Top The comment period for the October 1, 2015 RFI (80 FR 59102) is extended to November 17, 2015. To be assured consideration, written or electronic comments on the October 1, … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background A. The Merit-Based Incentive Payment System (MIPS) B. Alternative Payment Models C. Technical Assistance to Small Practices and Practices in Health Professional Shortage Areas II. Solicitation of Comments A. The Merit-Based Incentive … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Executive Summary and Background A. Executive Summary 1. Purpose and Legal Authority 2. Summary of the Major Provisions of This Proposed Rule 3. Summary of Costs and Benefits B. … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: DATES: Back to Top The comment period for the proposed rule published on July 16, 2015 (80 FR 42168), is reopened and ends on October 14, 2015. ADDRESSES: Back to Top In commenting, please … [read more]

  Table of Contents Back to Top DATES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Summary of Errors III. Waiver of 60-Day Comment Period IV. Correction of Errors DATES: Back to Top This correction is effective on September 2, 2015. FOR FURTHER INFORMATION CONTACT: Back to Top … [read more]

  Table of Contents Back to Top DATES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Summary of Errors III. Correction of Errors Tables Back to Top Table 16—Example of Potential Performance Periods for Pre- and Post-Operative THA/TKA Voluntary Data Submission DATES: Back to Top The comment due … [read more]

  Table of Contents Back to Top DATES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Summary of Errors III. Correction of Errors DATES: Back to Top The comment due date for the proposed rule published in the Federal Register on July 10, 2015 (80 FR 39839) remains … [read more]

  Table of Contents Back to Top DATES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Summary of Errors III. Correction of Errors Tables Back to Top Table 9—CY 2016 Case-Mix Payment Weights DATES: Back to Top Comments on the proposed rule published on July 10, 2015 (80 … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms Table of Contents I. Background A. Executive Summary 1. Purpose 2. Summary of the Major Provisions Basis and Scope (§ 483.1) Definitions (§ 483.5) Resident Rights (§ 483.10) Facility Responsibilities (§ 483.11) *New … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms Addenda Available Only Through the Internet on the CMS Web Site CPT (Current Procedural Terminology) Copyright Notice I. Executive Summary and Background A. Executive Summary 1. Purpose 2. Summary of … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Alphabetical List of Acronyms Table of Contents I. Executive Summary A. Purpose B. Summary of the Major Provisions 1. Model Overview: LEJR Episodes of Care 2. Model Scope 3. Payment 4. Similar … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Regulations Text Acronyms I. Executive Summary A. Purpose B. Summary of the Major Provisions C. Summary of Costs and Transfers II. Background A. Statutory Background B. System for Payment of Home … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Addenda Available Only Through the Internet on the CMS Web site Alphabetical List of Acronyms Appearing in This Federal Register Document Table of Contents I. Summary and Background A. Executive Summary of … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Addenda Are Only Available Through the Internet on the CMS Web site Table of Contents Acronyms I. Executive Summary A. Purpose 1. End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2. End-Stage … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Medicaid Managed Care A. Background B. Provisions of the Proposed Regulations 1. Alignment With Other Health Coverage Programs a. Marketing (§ 438.104) b. Appeals and Grievances (§ 438.400, § … [read more]

  Correction In proposed rule document 2015-09245 beginning on page 24324 in the issue of Thursday, April 30, 2015 make the following correction(s): On page 24324, in the second column, in the DATES section, “June 29, 2015” should read “June 16, 2015”. [FR Doc. C1-2015-09245 Filed 5-4-15; 8:45 am] … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Acronyms I. Executive Summary for This Proposed Rule A. Purpose B. Summary of the Major Provisions C. Summary of Impacts II. Background A. Hospice Care B. History of the Medicare Hospice … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Availability of Certain Tables Exclusively Through the Internet on the CMS Web Site Acronyms I. Executive Summary A. Purpose B. Summary of the Major Provisions C. Summary of Impacts II. Background A. Overview of … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Electronic Access Tables Available Only Through the Internet on the CMS Web site Acronyms Table of Contents I. Executive Summary and Background A. Executive Summary 1. Purpose and Legal Authority 2. Summary of the … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Executive Summary A. Purpose B. Summary of Major Provisions C. Summary of Impacts Table of Contents Acronyms, Abbreviations, and Short Forms I. Background A. Historical Overview of the IRF PPS B. Provisions of the … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Availability of Certain Tables Exclusively Through the Internet on the CMS Web Site Table of Contents Acronyms I. Executive Summary A. Purpose B. Summary of Major Provisions C. Summary of Cost and Benefits II. … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Executive Summary A. Purpose B. Summary of the Major Provisions C. Summary of Costs and Benefits II. Background A. Legislative History and Statutory Authority B. Program Affected III. Provisions of the Proposed Regulations … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms I. Executive Summary and Background A. Executive Summary 1. Purpose of Regulatory Action a. Need for Regulatory Action b. Legal Authority for the Regulatory Action 2. Summary of Major Provisions a. Aligning Meaningful … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms, Abbreviations, and Short Forms Table of Contents I. Executive Summary II. Background A. Introduction III. Provisions of the Proposed Rule A. Meaning of Terms (§ 438.900, § 440.395, § 457.496) B. Parity Requirements … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Acronyms I. Executive Summary and Background A. Executive Summary 1. Purpose of Regulatory Action a. Need for Regulatory Action b. Legal Authority for the Regulatory Action 2. Summary of Major Provisions a. Meaningful Use … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents I. Background A. United States v. Windsor Decision B. Statutory and Regulatory Authority II. Provisions of the Proposed Regulations A. Ambulatory Surgical Centers Condition for Coverage—Patient Rights (§ 416.50) B. Hospice … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents Regulations Text Acronyms CPT (Current Procedural Terminology) Copyright Notice I. Executive Summary and Background A. Executive Summary 1. Purpose 2. Summary of the Major Provisions 3. Summary of Costs and Benefits … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: DATES: Back to Top The comment period is extended to 5 p.m. Eastern Standard Time on January 7, 2015. ADDRESSES: Back to Top In commenting, please refer to file code CMS-3819-P. Because of staff … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Submission of Comments Statutory Authority Background Effective Date and Potential Impact on State Law Tribal Impact Statement Section-by-Section Discussion of the Provisions of This Proposed Rule Topic 1: Procedures To Promote Program Flexibility, Efficiency … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Background II. Provisions of the Proposed Regulations III. Collection of Information Requirements IV. Response to Comments V. Regulatory Impact Statement List of Subjects in 42 CFR Part 493 PART 493—LABORATORY REQUIREMENTS DATES: Back … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Table of Contents I. Background II. Provisions of the Proposed Methodology A. Overview of the Funding Methodology and Calculation of the Payment Amount 1. Equation 1: Estimated PTC by Rate Cell 2. Equation 2: … [read more]

  Table of Contents Back to Top DATES: ADDRESSES: FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: I. Introduction Health Disparities II. Background A. The Home Health Benefit B. Previous HHA Conditions of Participation Rules C. Transforming the HHA Conditions of Participation III. Provisions of the Proposed Rule A. Overview B. … [read more]

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