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Policy Snapshot

January 16, 2026

CMS to Host LEAD (Long-term Enhancing ACO Design) Model Overview Webinar

The Centers for Medicare & Medicaid Services (CMS) will host a webinar on Thursday, January 29, 2026, 2:00-3:00 PM ET, about the LEAD Model, including model goals, participation options, eligibility, and payment methodology. The LEAD Model team will also provide more information on the application proc...
Policy Snapshot

January 20, 2023

CMS to Increase Oversight of Antipsychotics Use

Last week, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced new actions to reduce the inappropriate use of antipsychotic medications and to bring greater transparency about nursing home citations to families.
Policy Snapshot

May 20, 2022

CMS Updates Chronic Care Management Services Resource Guide

Recent updates and changes include: In 2021, CMS added 5 codes to report principal care management services provided by staff under physician supervision; Starting in 2022, Rural Health Clinics and Federally Qualified Health Centers can bill chronic care management and transitional care management services...
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

January 12, 2026

CMS Updates Nursing Home Care Compare Following iQIES Transition

The Centers for Medicare & Medicaid Services (CMS) has released Quality & Safety Special Alert Memo QSSAM-26-01-NH to explain recent changes to Nursing Home Care Compare related to the transition to the Internet Quality Improvement and Evaluation System (iQIES). This modernization effort aims to en...
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...