{"description":"Documents matching 'Care Coordination requirements'","count":10000,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=Care+Coordination+requirements&format=json&page=2","results":[{"title":"Grants for the Rural Veterans Coordination Pilot; Rescission","type":"Rule","abstract":"The Department of Veterans Affairs (VA) is rescinding its regulations that govern the Rural Veterans Coordination Pilot (RVCP) grant program because the statutory authority for this program has expired. Removing these provisions will ensure that VA's regulations accurately reflect current law and programs, eliminate potential confusion regarding the availability of the RVCP grant program, and promote regulatory clarity and transparency. This is a deregulatory action in furtherance of Executive Order 14219, which requires that Federal regulations reflect the best reading of underlying statutory authority.","document_number":"2026-11752","html_url":"https://www.federalregister.gov/documents/2026/06/11/2026-11752/grants-for-the-rural-veterans-coordination-pilot-rescission","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-11/pdf/2026-11752.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-11752.pdf?1781095522","publication_date":"2026-06-11","agencies":[{"raw_name":"DEPARTMENT OF VETERANS AFFAIRS","name":"Veterans Affairs Department","id":520,"url":"https://www.federalregister.gov/agencies/veterans-affairs-department","json_url":"https://www.federalregister.gov/api/v1/agencies/520","parent_id":null,"slug":"veterans-affairs-department"}],"excerpts":"Assistance Listing \n The Assistance Listing number and title for the program affected by this document is 64.038, Grants for the Rural Veterans <span class=\"match\">Coordination</span> Pilot. \n \n List of Subjects in 38 CFR Part 64 \n Administrative practice and procedure, Claims, Disability benefits, Government contracts, Grant programs—health, Grant programs—veterans, Health <span class=\"match\">care</span>, Health records, Reporting and recordkeeping <span class=\"match\">requirements</span>, Veterans. \n \n Signing Authority \n Douglas A. Collins, Secretary of Veterans Affairs, approved this document on June 5, 2026, and authorized"},{"title":"Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures","type":"Rule","abstract":"This final rule implements requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, enacted on March 30, 2010--collectively, the Affordable Care Act. Specifically, this final rule adopts standards for health care claims attachments transactions, which will support health care claims transactions, and a standard for electronic signatures to be used in conjunction with health care claims attachments transactions.","document_number":"2026-05676","html_url":"https://www.federalregister.gov/documents/2026/03/24/2026-05676/administrative-simplification-adoption-of-standards-for-health-care-claims-attachments-transactions","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-24/pdf/2026-05676.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-05676.pdf?1774037709","publication_date":"2026-03-24","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"rule. \n \n \n SUMMARY: \n This final rule implements <span class=\"match\">requirements</span> of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the Patient Protection and Affordable <span class=\"match\">Care</span> Act, as amended by the Health <span class=\"match\">Care</span> and Education Reconciliation Act of 2010, enacted on March 30, 2010—collectively, the Affordable <span class=\"match\">Care</span> Act. Specifically, this final rule adopts standards for health <span class=\"match\">care</span> claims attachments transactions, which will support health <span class=\"match\">care</span> claims transactions, and a standard for electronic"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); update and make changes to requirements for certain quality programs; and make other policy-related changes.","document_number":"2026-07203","html_url":"https://www.federalregister.gov/documents/2026/04/14/2026-07203/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-14/pdf/2026-07203.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07203.pdf?1775852113","publication_date":"2026-04-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"Providers and Suppliers \n In section IX. of the preamble of the proposed rule, we addressed the following: \n • Proposed changes to the <span class=\"match\">requirements</span> for the Hospital Inpatient Quality Reporting Program. \n \n • Proposed changes to the <span class=\"match\">requirements</span> for the PCH Quality Reporting Program.\n \n \n • Proposed changes to the <span class=\"match\">requirements</span> for the Long-Term <span class=\"match\">Care</span> Hospital Quality Reporting Program. \n • Proposed changes to <span class=\"match\">requirements</span> pertaining to eligible hospitals and CAHs participating in the Medicare Promoting Interoperability Program. \n 9. Other Proposals and"},{"title":"State Home Care Agreements for State Home Medical Model Adult Day Health Care","type":"Proposed Rule","abstract":"The Department of Veterans Affairs (VA) proposes to amend two of its State Veterans Home (State home) regulations. One amendment would define medical model adult day health care (MMADHC). The other would codify into regulation VA's ability to enter into State Home Care Agreements (SHCA) for MMADHC and pay for services rendered. Additionally, this rulemaking proposes the methodology for the payment rate.","document_number":"2026-03427","html_url":"https://www.federalregister.gov/documents/2026/02/20/2026-03427/state-home-care-agreements-for-state-home-medical-model-adult-day-health-care","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-20/pdf/2026-03427.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03427.pdf?1771508721","publication_date":"2026-02-20","agencies":[{"raw_name":"DEPARTMENT OF VETERANS AFFAIRS","name":"Veterans Affairs Department","id":520,"url":"https://www.federalregister.gov/agencies/veterans-affairs-department","json_url":"https://www.federalregister.gov/api/v1/agencies/520","parent_id":null,"slug":"veterans-affairs-department"}],"excerpts":"request payment under the State home <span class=\"match\">care</span> agreement for nursing home <span class=\"match\">care</span> or for medical model adult day health <span class=\"match\">care</span> back to the retroactive effective date of the rating or February 2, 2013, whichever is later. For <span class=\"match\">care</span> provided after the effective date but before February 2, 2013, the State home may request payment at the special per diem rate that was in effect at the time that the <span class=\"match\">care</span> was rendered. \n \n (d) \n Payments for medical model adult day health <span class=\"match\">care</span> under State home <span class=\"match\">care</span> agreements. \n A State home <span class=\"match\">care</span> agreement for MMADHC will provide for"},{"title":"Restoring Flexibility in the Child Care and Development Fund (CCDF)","type":"Proposed Rule","abstract":"The Department of Health and Human Services, Administration for Children and Families proposes to amend the Child Care and Development Fund (CCDF) regulations (45 CFR part 98) to reduce costs and burden for states and territories administering the CCDF program. It proposes rescinding the requirements to limit family co-payments to 7 percent of family income, to provide some direct services through grants or contracts, to pay providers based on child's enrollment, and to pay providers prospectively that were added to the CCDF regulations in the March 2024 final rule, Improving Child Care Access, Affordability, and Stability in the Child Care and Development Fund (CCDF) (89 FR 15366). The docket on https://www.regulations.gov will include a plain language summary of the NPRM as required by 5 U.S.C. 553(b)(4).","document_number":"2025-24272","html_url":"https://www.federalregister.gov/documents/2026/01/05/2025-24272/restoring-flexibility-in-the-child-care-and-development-fund-ccdf","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-05/pdf/2025-24272.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-24272.pdf?1767361516","publication_date":"2026-01-05","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"each month.\n 1 \n \n CCDF also promotes the quality of child <span class=\"match\">care</span> by requiring CCDF Lead Agencies to spend at least 12 percent of their CCDF funding each year on activities to improve child <span class=\"match\">care</span> quality for all children in <span class=\"match\">care</span>. In FFY 2021, states spent $3 billion on activities to improve \n \n the quality of child <span class=\"match\">care</span> and an additional $570 million on improving the quality and supply of infant and toddler <span class=\"match\">care</span>.\n \n \n \n 1 \n  \n https://acf.gov/occ/data/fy-2022-preliminary-data-table-1. \n \n \n Congress last reauthorized the CCDBG Act in 2014 (Pub. L. 113-186)"},{"title":"Restoring Flexibility in the Child Care and Development Fund (CCDF)","type":"Rule","abstract":"This final rule amends the Child Care and Development Fund (CCDF) regulations to reduce costs and burden for States and Territories administering the CCDF program. It rescinds the requirements to limit family co-payments to 7 percent of family income, to provide some direct services through grants or contracts, to pay providers prospectively, and to pay providers based on enrollment. A plain language summary of this final rule is posted at https:// www.regulations.gov/document/ACF-2026-0001-0002.","document_number":"2026-09382","html_url":"https://www.federalregister.gov/documents/2026/05/12/2026-09382/restoring-flexibility-in-the-child-care-and-development-fund-ccdf","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-12/pdf/2026-09382.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09382.pdf?1778503533","publication_date":"2026-05-12","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"impact parental choice, noting that child <span class=\"match\">care</span> vouchers or certificates provide the greatest amount of flexibility for families to locate and enroll their child with a child <span class=\"match\">care</span> provider that aligns with their child and family's needs. Those opposing the proposed changes raised concerns that the recission of the <span class=\"match\">requirement</span> would limit parental choice to locate and enroll their child in a child <span class=\"match\">care</span> provider of their choosing due to child <span class=\"match\">care</span> supply constraints.\n \n \n Response: \n HHS rescinds the <span class=\"match\">requirement</span> to use some grants or contracts for direct"},{"title":"Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Rural Health Care Coordination Program Performance Improvement Measures, OMB No. 0906-0024-Revision","type":"Notice","abstract":"In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR.","document_number":"2026-05663","html_url":"https://www.federalregister.gov/documents/2026/03/24/2026-05663/agency-information-collection-activities-proposed-collection-public-comment-request-information","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-24/pdf/2026-05663.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-05663.pdf?1774269907","publication_date":"2026-03-24","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Resources and Services Administration","name":"Health Resources and Services Administration","id":222,"url":"https://www.federalregister.gov/agencies/health-resources-and-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/222","parent_id":221,"slug":"health-resources-and-services-administration"}],"excerpts":"for reference. \n \n Information Collection Request Title: \n Rural Health <span class=\"match\">Care</span> <span class=\"match\">Coordination</span> Program Performance Improvement Measures, OMB No. 0906-0024—Revision.\n \n \n Abstract: \n The Rural Health <span class=\"match\">Care</span> <span class=\"match\">Coordination</span> (<span class=\"match\">Care</span> <span class=\"match\">Coordination</span>) Program is authorized under 42 U.S.C. 254c(e) (section 330A(e) of the Public Health Service Act) to promote rural health <span class=\"match\">care</span> services outreach by improving and expanding the delivery of health <span class=\"match\">care</span> services through comprehensive <span class=\"match\">care</span> <span class=\"match\">coordination</span> strategies addressing a primary focus area: (1) heart disease, (2) cancer"},{"title":"Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for the Kewa Pueblo","type":"Notice","abstract":"This Notice advises the public that the Indian Health Service (IHS) proposes to expand the geographic boundaries of the Purchased/ Referred Care Delivery Area (PRCDA) for the Kewa Pueblo (\"Kewa Pueblo\" or \"Tribe\") to include the New Mexico county of Bernalillo. The current PRCDA for the Kewa Pueblo includes the New Mexico counties of Sandoval and Santa Fe. The Kewa Pueblo's Tribal members who reside outside of the PRCDA are eligible for direct care services; however, they are not eligible for Purchased/Referred Care (PRC) services. The sole purpose of this expansion would be to authorize additional Kewa Pueblo Tribal members and beneficiaries to receive PRC services.","document_number":"2026-12791","html_url":"https://www.federalregister.gov/documents/2026/06/25/2026-12791/notice-of-proposed-purchasedreferred-care-delivery-area-redesignation-for-the-kewa-pueblo","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-25/pdf/2026-12791.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12791.pdf?1782305112","publication_date":"2026-06-25","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Indian Health Service","name":"Indian Health Service","id":237,"url":"https://www.federalregister.gov/agencies/indian-health-service","json_url":"https://www.federalregister.gov/api/v1/agencies/237","parent_id":221,"slug":"indian-health-service"}],"excerpts":"Service (IHS) proposes to expand the geographic boundaries of the Purchased/Referred <span class=\"match\">Care</span> Delivery Area (PRCDA) for the Kewa Pueblo (“Kewa Pueblo” or “Tribe”) to include the New Mexico county of Bernalillo. The current PRCDA for the Kewa Pueblo includes the New Mexico counties of Sandoval and Santa Fe. The Kewa Pueblo's Tribal members who reside outside of the PRCDA are eligible for direct <span class=\"match\">care</span> services; however, they are not eligible for Purchased/Referred <span class=\"match\">Care</span> (PRC) services. The sole purpose of this expansion would be to authorize additional Kewa"},{"title":"Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges","type":"Proposed Rule","abstract":"These proposals are intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry. We are proposing new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs), including issuers that offer small group market QHPs on the Federally-facilitated Small Business Health Options Program (FF- SHOP) Exchanges (hereinafter referred to as \"small group market QHP issuers on the FF-SHOPs\") (collectively \"impacted payers\"), to make available electronic prior authorization for drugs. We are also proposing to extend many existing interoperability requirements for the prior authorization of non-drug items and services to include prior authorizations for drugs to further reduce patient and provider burden. We are also proposing to require impacted payers to report their application programming interfaces (API) endpoints and related information for the Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS. To help assess the impact of our policies, we are proposing to collect API usage metrics. In addition, we are proposing to apply the existing interoperability requirements to small group market QHP issuers on the FF-SHOPs as impacted payers. To improve impacted payers' ability to exchange health information while continuing CMS's drive toward interoperability, we are proposing to require certain Health Level Seven (HL7[supreg]) Fast Healthcare Interoperability Resources (FHIR[supreg]) implementation guides (IGs) that are currently recommended. In addition, HHS is proposing to adopt the HL7 FHIR base standard and certain associated specifications and IGs as the Health Insurance Portability and Accountability Act of 1996 (hereinafter referred to as \"HIPAA\") (Pub. L. 104-191, enacted Aug. 21, 1996) standards for dental, professional, and institutional \"referral certification and authorization\" transactions and \"eligibility for a health plan\" transactions associated with prior authorization. We are proposing to add a definition for \"failure to report,\" which would allow CMS to impose a civil monetary penalty (CMP) on applicable manufacturers or applicable group purchasing organizations (GPOs) if those entities fail to grant CMS timely access to documents for the purposes of an audit. Finally, ONC is using this rulemaking to propose to adopt updated versions of certain health information technology (health IT) standards and specifications for HHS use, such as CMS's interoperability requirements, to support a more robust health IT infrastructure.","document_number":"2026-07205","html_url":"https://www.federalregister.gov/documents/2026/04/14/2026-07205/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-standards","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-14/pdf/2026-07205.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07205.pdf?1775852111","publication_date":"2026-04-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"notifications for value-based <span class=\"match\">care</span> and <span class=\"match\">care</span> <span class=\"match\">coordination</span>, health <span class=\"match\">care</span> resiliency and securing health <span class=\"match\">care</span> operations in a modern health <span class=\"match\">care</span> ecosystem, improving the implementation of payer API technology through testing and \n \n certification, using technology to manage step therapy, and prior authorization <span class=\"match\">requirements</span> for laboratory tests and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items.\n \n Electronic event notifications are valuable tools for coordinating <span class=\"match\">care</span> in the modern health <span class=\"match\">care</span> environment, and we are seeking"},{"title":"Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for Ysleta Del Sur Pueblo","type":"Notice","abstract":"This notice advises the public that the Indian Health Service (IHS) proposes to expand the geographic boundaries of the Purchased/ Referred Care Delivery Area (PRCDA) for Ysleta Del Sur Pueblo (\"YDSP\" or \"Tribe\") to include the Dona Ana County of New Mexico. The current PRCDA for YDSP includes the Texas counties of El Paso and Hudspeth. While recent PRCDA listings have not included Hudspeth County, this was a clerical error and unintentional omission that the IHS has corrected. YDSP Tribal members who reside outside of the PRCDA are eligible for direct care services; however, they are not eligible for Purchased/ Referred Care (PRC) services. The sole purpose of this expansion would be to authorize additional YDSP Tribal members and beneficiaries to receive PRC services.","document_number":"2026-13288","html_url":"https://www.federalregister.gov/documents/2026/07/01/2026-13288/notice-of-proposed-purchasedreferred-care-delivery-area-redesignation-for-ysleta-del-sur-pueblo","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-01/pdf/2026-13288.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13288.pdf?1782823517","publication_date":"2026-07-01","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Indian Health Service","name":"Indian Health Service","id":237,"url":"https://www.federalregister.gov/agencies/indian-health-service","json_url":"https://www.federalregister.gov/api/v1/agencies/237","parent_id":221,"slug":"indian-health-service"}],"excerpts":"boundaries of the Purchased/Referred <span class=\"match\">Care</span> Delivery Area (PRCDA) for Ysleta Del Sur Pueblo (“YDSP” or “Tribe”) to include the Dona Ana County of New Mexico. The current PRCDA for YDSP includes the Texas counties of El Paso and Hudspeth. While recent PRCDA listings have not included Hudspeth County, this was a clerical error and unintentional omission that the IHS has corrected. \n YDSP Tribal members who reside outside of the PRCDA are eligible for direct <span class=\"match\">care</span> services; however, they are not eligible for Purchased/Referred <span class=\"match\">Care</span> (PRC) services. The sole purpose"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); update and make changes to requirements for certain quality programs; and make other policy-related changes.","document_number":"2025-06271","html_url":"https://www.federalregister.gov/documents/2025/04/30/2025-06271/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-30/pdf/2025-06271.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-06271.pdf?1744402510","publication_date":"2025-04-30","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"more forms of unplanned post-acute <span class=\"match\">care</span> and encourage hospitals to improve discharge processes. \n • Proposed changes to the <span class=\"match\">requirements</span> for the Hospital IQR Program. \n • Proposed changes to the <span class=\"match\">requirements</span> for the PCHQR Program. \n • Proposed changes to the <span class=\"match\">requirements</span> for the LTCH QRP, and requests for information on future measure concepts, revisions to the data submission deadlines for assessment data collection, and advancing digital quality measurement (dQM) in the LTCH QRP. \n • Proposed changes to <span class=\"match\">requirements</span> pertaining to eligible hospitals"},{"title":"Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments","type":"Proposed Rule","abstract":"This proposed rule describes alternatives to modify the limit on the total payment rate and other requirements for State directed payments in Medicaid managed care. We propose these changes based on our authority to interpret and implement section 1902(a)(4) of the Social Security Act (the Act) with respect to prepaid inpatient health plans and prepaid ambulatory health plans, and section 1903(m)(2)(A)(iii) of the Act, which require that contracts between States and managed care organizations to provide payments under a risk- based contract for services and associated administrative costs that are actuarially sound. This rule also proposes to set a limit for certain targeted Medicaid payments in Medicaid fee-for-service. We propose this change based on our authority to interpret and implement section 1902(a)(30)(A) of the Act with respect to certain targeted Medicaid payments which require that payments be consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area.","document_number":"2026-10292","html_url":"https://www.federalregister.gov/documents/2026/05/22/2026-10292/medicaid-program-medicaid-managed-care-state-directed-payments-and-medicaid-fee-for-service-targeted","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-22/pdf/2026-10292.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10292.pdf?1779308109","publication_date":"2026-05-22","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"services only from a managed <span class=\"match\">care</span> plan's network of providers or primary <span class=\"match\">care</span> provider, including through PCCMs and PCCM entities.\n \n B. Relevant Medicaid Managed <span class=\"match\">Care</span> Rules \n \n In the May 6, 2016 \n Federal Register \n (81 FR 27498), we published the “Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed <span class=\"match\">Care</span>, CHIP Delivered in Managed <span class=\"match\">Care</span>, and Revisions Related to Third Party Liability” final rule (hereinafter referred to as “the 2016 final rule”) that modernized the Medicaid and CHIP managed <span class=\"match\">care</span> regulations to reflect changes"},{"title":"PDHP 68949; Exemption From the Requirement of a Tolerance","type":"Rule","abstract":"This regulation establishes an exemption from the requirement of a tolerance for residues of PDHP 68949 in or on all food commodities if used according to the label and good agricultural practices. Plant Health Care, Inc. submitted a petition to the EPA under the Federal Food, Drug, and Cosmetic Act (FFDCA), requesting an exemption from the requirement of a tolerance. This regulation eliminates the need to establish a maximum permissible level for residues of PDHP 68949 under FFDCA when used in accordance with this exemption.","document_number":"2026-01901","html_url":"https://www.federalregister.gov/documents/2026/01/30/2026-01901/pdhp-68949-exemption-from-the-requirement-of-a-tolerance","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-30/pdf/2026-01901.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-01901.pdf?1769694319","publication_date":"2026-01-30","agencies":[{"raw_name":"ENVIRONMENTAL PROTECTION AGENCY","name":"Environmental Protection Agency","id":145,"url":"https://www.federalregister.gov/agencies/environmental-protection-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/145","parent_id":null,"slug":"environmental-protection-agency"}],"excerpts":"ACTION: \n Final rule. \n \n \n SUMMARY: \n \n This regulation establishes an exemption from the <span class=\"match\">requirement</span> of a \n \n tolerance for residues of PDHP 68949 in or on all food commodities if used according to the label and good agricultural practices. Plant Health <span class=\"match\">Care</span>, Inc. submitted a petition to the EPA under the Federal Food, Drug, and Cosmetic Act (FFDCA), requesting an exemption from the <span class=\"match\">requirement</span> of a tolerance. This regulation eliminates the need to establish a maximum permissible level for residues of PDHP 68949 under FFDCA when used in accordance"},{"title":"Announcement of Requirements and Registration for “EHIgnite Challenge”","type":"Notice","abstract":"The EHIgnite Challenge addresses data usability challenges in single patient electronic health information (EHI) exports. This challenge seeks to incentivize the development of tools, platforms, and workflows that transform single patient EHI exports into usable, readable, and actionable information that supports clinical care, patient engagement, and informed decision-making.","document_number":"2026-10068","html_url":"https://www.federalregister.gov/documents/2026/05/20/2026-10068/announcement-of-requirements-and-registration-for-ehignite-challenge","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-20/pdf/2026-10068.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10068.pdf?1779117307","publication_date":"2026-05-20","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"summary of relevant health information based on the user and/or a particular scenario. For example, if a patient is being transferred to a rehab or acute <span class=\"match\">care</span> facility after a complex surgery, what information does the place of <span class=\"match\">care</span> and <span class=\"match\">care</span> team need to know to provide the best possible <span class=\"match\">care</span> to this patient? If an individual is moving out of state, what information does their new primary <span class=\"match\">care</span> provider need before their first visit? \n Submissions must additionally address at least one of the following five scenarios: \n \n 1. \n Interactive Patient"},{"title":"Determining Eligibility for Domiciliary Care","type":"Rule","abstract":"The Department of Veterans Affairs (VA) adopts as final, with minor changes, a proposed rule amending its medical and State Veterans Home (State home) regulations to update the criteria used by VA in determining eligibility for domiciliary care and to implement VA's authority to waive certain eligibility requirements for receipt of State home domiciliary care per diem.","document_number":"2024-24912","html_url":"https://www.federalregister.gov/documents/2024/10/30/2024-24912/determining-eligibility-for-domiciliary-care","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-30/pdf/2024-24912.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-24912.pdf?1730205920","publication_date":"2024-10-30","agencies":[{"raw_name":"DEPARTMENT OF VETERANS AFFAIRS","name":"Veterans Affairs Department","id":520,"url":"https://www.federalregister.gov/agencies/veterans-affairs-department","json_url":"https://www.federalregister.gov/api/v1/agencies/520","parent_id":null,"slug":"veterans-affairs-department"}],"excerpts":"capability to provide domiciliary <span class=\"match\">care</span> for purposes of § 51.51(b)(2) without ever having observed the State home facility.\n \n III. Definition, Purpose and Scope, and Duration of Domiciliary <span class=\"match\">Care</span> \n Another commenter requested VA amend the rule to provide a more detailed description of domiciliary <span class=\"match\">care</span> and how it differs from other types of residential <span class=\"match\">care</span>. In particular, the commenter requested specificity on what factors are considered to determine eligibility for domiciliary <span class=\"match\">care</span>, how long a veteran can stay in domiciliary <span class=\"match\">care</span>, what factors are considered"},{"title":"Proposed Collection; 60-Day Comment Request; NIMH Office of National Autism Coordination (ONAC) Portfolio Analysis","type":"Notice","abstract":"In compliance with the requirement of the Paperwork Reduction Act of 1995 to provide opportunity for public comment on proposed data collection projects, the National Institutes of Health (NIH) will publish periodic summaries of proposed projects to be submitted to the Office of Management and Budget (OMB) for review and approval.","document_number":"2025-20593","html_url":"https://www.federalregister.gov/documents/2025/11/21/2025-20593/proposed-collection-60-day-comment-request-nimh-office-of-national-autism-coordination-onac","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-11-21/pdf/2025-20593.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-20593.pdf?1763646321","publication_date":"2025-11-21","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"National Institutes of Health","name":"National Institutes of Health","id":353,"url":"https://www.federalregister.gov/agencies/national-institutes-of-health","json_url":"https://www.federalregister.gov/api/v1/agencies/353","parent_id":221,"slug":"national-institutes-of-health"}],"excerpts":"to highlight annual research activities and progress.\n \n This revision request includes the following actions: updating all previous references to the “Office of Autism Research <span class=\"match\">Coordination</span> (OARC)” to instead refer to the “Office of National Autism <span class=\"match\">Coordination</span> (ONAC)”; updating all previous references to the “Autism <span class=\"match\">CARES</span> Act of 2019” to instead refer to the “Autism <span class=\"match\">CARES</span> Act of 2024”, which was signed into law in December 2024 and reauthorizes the IACC through September 2029; updating all previous references to IACC Strategic Plan “Objectives”"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2026 Rates; Changes to the FY 2025 IPPS Rates Due to Court Decision; Requirements for Quality Programs; and Other Policy Changes; Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization","type":"Rule","abstract":"This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; updates the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); updates and makes changes to requirements for certain quality programs; and makes other policy- related changes. We are also finalizing the provisions of the interim final action with comment period regarding the changes to the FY 2025 IPPS rates due to the court decision in Bridgeport Hosp. v. Becerra. Lastly, it finalizes certain updates to the ONC Health Information Technology (IT) Certification Program.","document_number":"2025-14681","html_url":"https://www.federalregister.gov/documents/2025/08/04/2025-14681/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-04/pdf/2025-14681.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14681.pdf?1753992911","publication_date":"2025-08-04","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"forms of unplanned post-acute <span class=\"match\">care</span> and encourage hospitals to improve discharge processes. \n • Proposed changes to the <span class=\"match\">requirements</span> for the Hospital IQR Program. \n • Proposed changes to the <span class=\"match\">requirements</span> for the PCHQR Program. \n \n • Proposed changes to the <span class=\"match\">requirements</span> for the LTCH QRP, and requests for information on future measure concepts, revisions to the data \n \n submission deadlines for assessment data collection, and advancing digital quality measurement (dQM) in the LTCH QRP.\n \n • Proposed changes to <span class=\"match\">requirements</span> pertaining to eligible hospitals"},{"title":"Designated Placement Requirements Under Titles IV-E and IV-B for LGBTQI+ Children; Rescission","type":"Rule","abstract":"This rule finalizes the removal of the requirements issued in the Designated Placement Requirements Under Titles IV-E and IV-B for LGBTQI+ Children final rule that was published on April 30, 2024 (hereafter referred to as the 2024 final rule). The 2024 final rule required title IV-E/IV-B agencies to ensure that a Designated Placement is available for all children who self-identify with an alternative sexual orientation or self-identify as something other than their sex in foster care who request or would benefit from such a placement. Those requirements were never implemented as a result of the decision from the U.S. District Court for the Eastern District of Texas that vacated the 2024 final rule in its entirety. To ensure clarity for the public and regulated entities, ACF is removing the provisions from the Code of Federal Regulations (CFR).","document_number":"2026-14131","html_url":"https://www.federalregister.gov/documents/2026/07/14/2026-14131/designated-placement-requirements-under-titles-iv-e-and-iv-b-for-lgbtqi-children-rescission","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-14/pdf/2026-14131.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-14131.pdf?1783946713","publication_date":"2026-07-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"removal of the <span class=\"match\">requirements</span> issued in the \n Designated Placement <span class=\"match\">Requirements</span> Under Titles IV-E and IV-B for LGBTQI+ Children \n final rule that was published on April 30, 2024 (hereafter referred to as the 2024 final rule). The 2024 final rule required title IV-E/IV-B agencies to ensure that a Designated Placement is available for all children who self-identify with an alternative sexual orientation or self-identify as something other than their sex in foster <span class=\"match\">care</span> who request or would benefit from such a placement. Those <span class=\"match\">requirements</span> were never implemented"},{"title":"Rescinding 30-Day Notification Requirements Related to Eviction Based on Nonpayment of Rent in Multi-Family Housing Direct Properties","type":"Rule","abstract":"The Rural Housing Service (RHS or the Agency), an agency of the Rural Development (RD) mission area within the U.S. Department of Agriculture (USDA), is issuing this final rule to rescind the regulatory requirement of the minimum 30-day notice for nonpayment of rent before the start of eviction proceedings in Rural Housing Service (RHS) Section 515 and 514 Multi-Family Housing (MFH) properties, and the requirement for borrowers to provide Federal emergency funding information during a Presidentially declared national emergency. The final rule, \"30-Day Notification of Nonpayment of Rent in Multi-Family Housing Direct Loan Programs\" (30-Day Notice Final Rule), effective on April 24, 2024, introduced additional regulatory oversight for RHS MFH properties that proved unnecessary because compliance with the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) 30 day notice is generally captured by MFH project management requirements. Additionally, the requirement for the borrower to disseminate information on Federal funding available during a Presidentially declared national emergency will be rescinded, as RHS will distribute the associated information during such circumstances.","document_number":"2026-03716","html_url":"https://www.federalregister.gov/documents/2026/02/25/2026-03716/rescinding-30-day-notification-requirements-related-to-eviction-based-on-nonpayment-of-rent-in","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-25/pdf/2026-03716.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03716.pdf?1771940709","publication_date":"2026-02-25","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Rural Housing Service","name":"Rural Housing Service","id":458,"url":"https://www.federalregister.gov/agencies/rural-housing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/458","parent_id":12,"slug":"rural-housing-service"}],"excerpts":"The <span class=\"match\">CARES</span> Act 30-day notice <span class=\"match\">requirement</span> for nonpayment of rent is still in effect for MFH properties regardless of whether the <span class=\"match\">CARES</span> Act wording is specifically included in the MFH's regulation. \n RHS is also confident the longstanding guidelines and regulations in Section 515 and Section 514 MFH tenant recertification process, which predate the 30-Day Notice Final Rule and the <span class=\"match\">CARES</span> Act, protect its tenants from being evicted less than 30 days from receiving notice of non-payment. These programs have effective tools to prevent eviction based solely"},{"title":"Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly","type":"Rule","abstract":"This final rule revises the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to prescription drug coverage, the Medicare Prescription Payment Plan, dual eligible special needs plans (D-SNPs), Part C and D Star Ratings, and other programmatic areas, including the Medicare Drug Price Negotiation Program. This final rule also codifies existing sub-regulatory guidance in the Part C and Part D programs.","document_number":"2025-06008","html_url":"https://www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-15/pdf/2025-06008.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-06008.pdf?1743797708","publication_date":"2025-04-15","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"unsettled balances for 2026 and subsequent years.\n \n We are finalizing all <span class=\"match\">requirements</span> for 2026 and future years as proposed with a few exceptions: \n • Modified the timing and content <span class=\"match\">requirements</span> for the renewal notice at §  423.137(d)(10)(iv). \n • Modified the <span class=\"match\">requirements</span> for the telephonic notice of election approval at §  423.137(d)(10)(ii). \n \n • Modified the <span class=\"match\">requirements</span> for voluntary termination effective date at § 423.137(f)(2)(i)(A)(\n 1 \n ).\n \n \n • Modified timing <span class=\"match\">requirements</span> for the involuntary termination notice at § 423.137(f)(2)(ii)(D)(\n"}]}