Showing 1 - 10 of 217 results

Policy Snapshot

October 24, 2025

CMS Revises Memo on State Survey & Certification Activities

The Centers for Medicare & Medicaid Services (CMS) last week revised its position on allowed survey activities during a federal government shutdown. States can continue to do some survey work, but contractors or others cannot complete many nursing home inspection functions.
Policy Snapshot

October 24, 2025

CMS Claims Hold Update

CMS has instructed all Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with service dates of October 1, 2025, and later for certain services impacted by select expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Exte...
Policy Snapshot

October 20, 2025

2026 MIPS Payment Adjustment Information Released by CMS

The Centers for Medicare & Medicaid Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year.
Policy Snapshot

October 14, 2025

CMMI to Engage Stakeholders on New WISeR Model

On October 22 at 8:00 PM ET, the American Medical Association (AMA) is bringing together leaders from the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare & Medicaid Innovation (CMMI) for a webinar that provides details about the Wasteful and Inappropriate Service Reduction (WISe...
Policy Snapshot

October 6, 2025

Telehealth Coverage Lapses as Congress Fails to Extend COVID-Era Flexibilities

As of October 1, 2025, Congress had not yet passed an extension of the COVID-era telehealth flexibilities that expired on the last day of September. Due to the current impasse in Congress, these critical provisions have lapsed, and until a budget solution is passed, Medicare reimbursement for several types...
Policy Snapshot

October 6, 2025

CMS Issues Guidance for State Survey and Certification During a Federal Shutdown

On October 1, 2025, the Centers for Medicare & Medicaid Services (CMS) released QSO-26-01-ALL, a memorandum outlining how state survey and certification (S&C) operations must adapt in the event of a federal government shutdown. In the memo, CMS covers functions that are not affected by the shutdown...
Policy Snapshot

September 30, 2025

CMS Updates CMPRP Program

The Centers for Medicare & Medicaid Services’ (CMS) Division of Nursing Homes has released memo QSO-25-26-NH, announcing updates to the Civil Money Penalty Reinvestment Program (CMPRP). The changes aim to improve efficiency, expand funding, and increase transparency.