Showing 21 - 30 of 232 results

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.
Policy Snapshot

September 16, 2025

PALTmed Submits Comments on CMS’ Proposed 2026 Physician Fee Schedule

On September 12, PALTmed submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the CY 2026 Medicare Physician Fee Schedule (PFS) proposed rule. PALTmed emphasized how CMS’ proposals could directly impact access to high-quality care for frail, older adults in nursing homes and othe...
Policy Snapshot

September 8, 2025

Expired Memos and New Training Resources from CMS

CMS has announced updates to its Policy & Memos to States and CMS Locations page. As part of this update, several previously issued memos have officially expired and are no longer in effect.
Policy Snapshot

September 8, 2025

CMS Introduces SNF 3-Day Rule Waiver Under New TEAM Model

The Centers for Medicare & Medicaid Services (CMS) has released new details about the Transforming Episode Accountability Model (TEAM), which will run from January 1, 2026, through December 31, 2030. One key feature of this initiative is a waiver of the traditional Skilled Nursing Facility (SNF) Three-...
Policy Snapshot

August 29, 2025

CMS Updates Prescriber’s Guide to Part D Opioid Policies

CMS has revised its Prescriber’s Guide to Medicare Part D Opioid Policies to help prescribers stay current with opioid-related coverage rules. The update clarifies that Part D plans have 3 days to send a second notice when implementing a coverage limitation, standardizes terminology by referring to medicat...
Policy Snapshot

August 29, 2025

2024 MIPS Final Scores and Targeted Review Available Mid-September

The Centers for Medicare & Medicaid Services (CMS) previously announced that there was a delay with receiving some of the final Medicare claims data needed to calculate cost measures, which is delaying the release of Merit-based Incentive Payment System (MIPS) final scores for the 2024 performance yea...