{"description":"Documents matching 'Care Coordination rulemaking'","count":5950,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=Care+Coordination+rulemaking&format=json&page=2","results":[{"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":"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":"prior public comment.\n \n Executive Orders 12866, 13563, and 14192 \n VA examined the impact of this <span class=\"match\">rulemaking</span> as required by Executive Orders 12866 (Sept. 30, 1993) and 13563 (Jan. 18, 2011), which direct agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits. The Office of Information and Regulatory Affairs has determined that this <span class=\"match\">rulemaking</span> is not a significant regulatory action under Executive Order 12866, as supplemented by Executive"},{"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":"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 signatures to be used in conjunction with health <span class=\"match\">care</span> claims attachments transactions. \n \n \n DATES: \n \n \n Effective Date: \n This final rule"},{"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":"rule.\n \n \n \n 8 \n  Office of Child <span class=\"match\">Care</span>, Administration for Children and Families, Department of Health and Human Services. July 13, 2023. “Improving Child <span class=\"match\">Care</span> Access, Affordability, and Stability in the Child <span class=\"match\">Care</span> and Development Fund (CCDF)” notice of proposed <span class=\"match\">rulemaking</span>. \n Federal Register \n . 88 FR 45022.\n \n \n \n \n 9 \n  Office of Child <span class=\"match\">Care</span>, Administration for Children and Families, Department of Health and Human Services. March 1, 2024. “Improving Child <span class=\"match\">Care</span> Access, Affordability, and Stability in the Child <span class=\"match\">Care</span> and Development Fund (CCDF)” final"},{"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":"all references in this document are now noted as ONC.\n \n \n \n Finally, we are publishing five requests for information (RFIs) to gather information that may support future <span class=\"match\">rulemaking</span> or other initiatives. The RFIs are related to electronic event 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"},{"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":"rule.\n \n \n \n 7 \n  Office of Child <span class=\"match\">Care</span>, Administration for Children and Families, Department of Health and Human Services. July 13, 2023. “Improving Child <span class=\"match\">Care</span> Access, Affordability, and Stability in the Child <span class=\"match\">Care</span> and Development Fund (CCDF)” notice of proposed <span class=\"match\">rulemaking</span>. \n Federal Register \n . 88 FR 45022.\n \n \n \n \n 8 \n  Office of Child <span class=\"match\">Care</span>, Administration for Children and Families, Department of Health and Human Services. March 1, 2024. “Improving Child <span class=\"match\">Care</span> Access, Affordability, and Stability in the Child <span class=\"match\">Care</span> and Development Fund (CCDF)” final"},{"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":"for spending and quality of <span class=\"match\">care</span> during an inpatient stay or hospital outpatient procedure and for the 90 days following hospital discharge. If finalized, the CJR-X Model would be mandatory for acute <span class=\"match\">care</span> hospitals, except for those participating in TEAM, and acute <span class=\"match\">care</span> hospitals located in Maryland. CJR-X would include some modifications to the CJR Model. Some quality measures and payment methodology policies have been updated in response to CJR Model evaluation results, stakeholder feedback, and changes to national <span class=\"match\">care</span> delivery patterns among both"},{"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":"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":"21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking","type":"Rule","abstract":"This final rule implements the provision of the 21st Century Cures Act specifying that a health care provider determined by the HHS Inspector General to have committed information blocking shall be referred to the appropriate agency to be subject to appropriate disincentives set forth through notice and comment rulemaking. This rulemaking establishes, for certain health care providers, a set of appropriate disincentives using authorities under applicable Federal law.","document_number":"2024-13793","html_url":"https://www.federalregister.gov/documents/2024/07/01/2024-13793/21st-century-cures-act-establishment-of-disincentives-for-health-care-providers-that-have-committed","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-01/pdf/2024-13793.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-13793.pdf?1719432919","publication_date":"2024-07-01","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":"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":"all health <span class=\"match\">care</span> providers that fall within the definition of health <span class=\"match\">care</span> provider at 45 CFR 171.102. While effective deterrence of information blocking can benefit patients by reducing the degree to which health <span class=\"match\">care</span> providers engage in this practice, fewer patients will benefit from these deterrent effects if disincentives have not been established for all health <span class=\"match\">care</span> providers within the definition of health <span class=\"match\">care</span> provider at 45 CFR 171.102. In section IV of the 21st Century Cures Act: Establishment of Disincentives for Health <span class=\"match\">Care</span> Providers That"},{"title":"Adoption and Foster Care Analysis and Reporting System","type":"Rule","abstract":"This rule finalizes revisions to the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations proposed on February 23, 2024. This final rule requires state title IV-E agencies to collect and report to ACF additional data related to the Indian Child Welfare Act of 1978 (ICWA) for children in the AFCARS Out-of-Home Care Reporting Population.","document_number":"2024-28072","html_url":"https://www.federalregister.gov/documents/2024/12/05/2024-28072/adoption-and-foster-care-analysis-and-reporting-system","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-05/pdf/2024-28072.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-28072.pdf?1733233519","publication_date":"2024-12-05","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"},{"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":"information must to be reported to AFCARS only when a child enters the Out-of-Home <span class=\"match\">Care</span> Reporting Population. Per § 1355.42, a child must be in “foster <span class=\"match\">care</span>” as defined in § 1355.20 and in § 1355.44(d)(1) the state reports the removal date when a child enters the placement and <span class=\"match\">care</span> responsibility of the title IV-E agency. Thus, children with only a removal petition filed and who are not in the placement and <span class=\"match\">care</span> responsibility of the state are not included in the Out-of-Home <span class=\"match\">Care</span> Reporting Population.\n \n \n Comment: \n One commenter requested adding data elements"},{"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":"multiple different comorbid conditions. \n • Reflects systemic impact. \n • Post-operative/post-procedure condition/complication impacting recovery. \n • Typically requires higher level of <span class=\"match\">care</span> (that is, intensive monitoring, greater number of caregivers, additional testing, intensive <span class=\"match\">care</span> unit <span class=\"match\">care</span>, extended length of stay). \n • Impedes patient cooperation or management of <span class=\"match\">care</span> or both. \n • Recent (last 10 years) change in best practice, or in practice guidelines and review of the extent to which these changes have led to concomitant changes in expected"},{"title":"Request for Information: Diagnostic Imaging Interoperability Standards and Certification","type":"Proposed Rule","abstract":"This request for information (RFI) seeks input from the public regarding the potential adoption of diagnostic imaging technical standards and certification criteria for health information technology (IT) under the ONC Health IT Certification Program (Certification Program) to better enable the access, exchange, and use of diagnostic images by health care providers and patients. Responses to this RFI will be used to inform potential future rulemaking.","document_number":"2026-01866","html_url":"https://www.federalregister.gov/documents/2026/01/30/2026-01866/request-for-information-diagnostic-imaging-interoperability-standards-and-certification","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-30/pdf/2026-01866.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-01866.pdf?1769694315","publication_date":"2026-01-30","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":"Office of the Secretary"}],"excerpts":"lack of provider hardware to view the images stored on CDs and DVDs.\n \n \n \n 1 \n  For purposes of this RFI, “treatment” generally means the provision, <span class=\"match\">coordination</span>, or management of health <span class=\"match\">care</span> and related services among health <span class=\"match\">care</span> providers or by a health <span class=\"match\">care</span> provider with a third party, consultation between health <span class=\"match\">care</span> providers regarding a patient, or the referral of a patient from one health <span class=\"match\">care</span> provider to another. See 45 CFR 164.501.\n \n \n \n \n 2 \n  For purposes of this RFI, an electronic health record (EHR) generally means health IT certified"},{"title":"Increase Flexibility for Tribes in Child Care and Development Fund (CCDF) Eligibility","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 through this notice of proposed rulemaking (NPRM) to allow all Indian Tribes and Tribal Organizations operating CCDF programs, at their discretion, to establish and use eligibility criteria regardless of family income.","document_number":"2024-15244","html_url":"https://www.federalregister.gov/documents/2024/07/16/2024-15244/increase-flexibility-for-tribes-in-child-care-and-development-fund-ccdf-eligibility","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-16/pdf/2024-15244.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-15244.pdf?1720788323","publication_date":"2024-07-16","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":"22, 2024. \n \n (Catalog of Federal Domestic Assistance Program Number 93.575, Child <span class=\"match\">Care</span> and Development Block Grant; 93.596, Child <span class=\"match\">Care</span> Mandatory and Matching Funds) \n \n \n List of Subjects in 45 CFR Part 98 \n Child <span class=\"match\">care</span>, Grant programs—social programs. \n \n \n Dated: July 8, 2024. \n Xavier Becerra, \n Secretary, Department of Health and Human Services. \n \n For the reasons set forth in the preamble, we propose to amend 45 CFR part 98 as follows: \n \n PART 98—CHILD <span class=\"match\">CARE</span> AND DEVELOPMENT FUND \n \n 1. The authority for part 98 continues to read as follows:"},{"title":"Increase Flexibility for Tribes in Child Care and Development Fund (CCDF) Eligibility","type":"Rule","abstract":"This final rule amends the Child Care and Development Fund (CCDF) regulations to provide all Indian Tribes and Tribal Organizations operating CCDF programs the flexibility, at their discretion, to establish and use eligibility criteria regardless of family income or assets.","document_number":"2024-26909","html_url":"https://www.federalregister.gov/documents/2024/11/18/2024-26909/increase-flexibility-for-tribes-in-child-care-and-development-fund-ccdf-eligibility","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-18/pdf/2024-26909.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-26909.pdf?1731678346","publication_date":"2024-11-18","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":"final rule. \n \n (Catalog of Federal Domestic Assistance Program Number 93.575, Child <span class=\"match\">Care</span> and Development Block Grant; 93.596, Child <span class=\"match\">Care</span> Mandatory and Matching Funds) \n \n \n Dated: November 14, 2024. \n Xavier Becerra, \n Secretary, Department of Health and Human Services. \n \n \n List of Subjects in 45 CFR Part 98 \n Child <span class=\"match\">care</span>, Grant programs-social programs. \n \n For the reasons set forth in the preamble, we amend 45 CFR part 98 as follows: \n \n PART 98—CHILD <span class=\"match\">CARE</span> AND DEVELOPMENT FUND \n \n \n 1. The authority citation for part 98 continues to read as"},{"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":"multiple different comorbid conditions. \n • Reflects systemic impact. \n • Post-operative/post-procedure condition/complication impacting recovery. \n • Typically requires higher level of <span class=\"match\">care</span> (that is, intensive monitoring, greater number of caregivers, additional testing, intensive <span class=\"match\">care</span> unit <span class=\"match\">care</span>, extended length of stay). \n • Impedes patient cooperation or management of <span class=\"match\">care</span> or both. \n • Recent (last 10 years) change in best practice, or in practice guidelines and review of the extent to which these changes have led to concomitant changes in expected"},{"title":"Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program","type":"Rule","abstract":"This final rule contains provisions to improve implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This final rule also includes provisions related to civil money penalties (CMPs) for noncompliant issuers and other responsible entities; standards governing agents, brokers, and web-brokers; the expansion and codification of hardship exemption eligibility; implementation of the State Exchange Improper Payment Measurement (SEIPM); provider access standards and essential community provider standards for QHP certification; QHP certification of non-network plans; a prohibition on issuers from including routine non-pediatric dental services as an Essential Health Benefit (EHB); requirements related to defrayal for the cost of any State-required benefits in addition to the EHB; cost- sharing flexibilities for catastrophic and individual market bronze plans; establishment of catastrophic plans with plan terms of up to 10 consecutive plan years; QHP issuer quality improvement strategies (QISs); and revisions affecting which enrollees are included in Federal Basic Health Program (BHP) payment calculations to States. This final rule also includes amendments to implement certain provisions of the Working Families Tax Cut (WFTC) legislation.","document_number":"2026-10050","html_url":"https://www.federalregister.gov/documents/2026/05/20/2026-10050/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2027-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-20/pdf/2026-10050.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10050.pdf?1779135308","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"},{"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":"Protection and Affordable <span class=\"match\">Care</span> Act (Pub. L. 111-148) was enacted on March 23, 2010. The Healthcare and Education Reconciliation Act of 2010 (Pub. L. 111-152), which amended and revised several provisions of the Patient Protection and Affordable <span class=\"match\">Care</span> Act, was enacted on March 30, 2010. In this <span class=\"match\">rulemaking</span>, the two statutes are referred to collectively as the “Patient Protection and Affordable <span class=\"match\">Care</span> Act” or “Affordable <span class=\"match\">Care</span> Act.”\n \n \n \n \n 2 \n  \n See \n sections 1301, 1302, 1311, 1312, 1313, 1321, 1331, and 1343 of the Affordable <span class=\"match\">Care</span> Act and section 2792"},{"title":"Tribal Consultation on Proposed Modifications to the HIPAA Privacy Rule","type":"Proposed Rule","abstract":"The U.S. Department of Health and Human Services will conduct a virtual Tribal consultation on the proposed rule \"Modifications to the HIPAA Privacy Rule to Support, and Remove Barriers to, Coordinated Care and Individual Engagement.\"","document_number":"2026-00561","html_url":"https://www.federalregister.gov/documents/2026/01/14/2026-00561/tribal-consultation-on-proposed-modifications-to-the-hipaa-privacy-rule","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-14/pdf/2026-00561.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-00561.pdf?1768252509","publication_date":"2026-01-14","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"}],"excerpts":"Department published a notice of proposed <span class=\"match\">rulemaking</span> (NPRM) to revise the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to strengthen individuals' rights to access their own protected health information, improve <span class=\"match\">care</span> <span class=\"match\">coordination</span>, and reduce administrative burdens on HIPAA covered health <span class=\"match\">care</span> providers and health plans, while continuing to protect individuals' health information privacy interests. \n Pursuant to Executive Order 13175 (65 FR 67249), Consultation and <span class=\"match\">Coordination</span> with Indian Tribal Governments, and the"},{"title":"Health Data, Technology, and Interoperability: Protecting Care Access","type":"Rule","abstract":"This final rule has finalized certain proposals from the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability Proposed Rule (HTI-2 Proposed Rule) and in doing so supports the access, exchange, and use of electronic health information. Specifically, this final rule amends the information blocking regulations to revise two existing information blocking exceptions and establish an additional reasonable and necessary activity that does not constitute information blocking referred to as the Protecting Care Access Exception.","document_number":"2024-29683","html_url":"https://www.federalregister.gov/documents/2024/12/17/2024-29683/health-data-technology-and-interoperability-protecting-care-access","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-17/pdf/2024-29683.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-29683.pdf?1734356733","publication_date":"2024-12-17","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":"their health <span class=\"match\">care</span> providers.\n \n As noted in the HTI-2 Proposed Rule (89 FR 63627), a person's ability to access <span class=\"match\">care</span> of any kind depends on a variety of factors including whether the <span class=\"match\">care</span> is available. For health <span class=\"match\">care</span> to be available, licensed health <span class=\"match\">care</span> professionals and health <span class=\"match\">care</span> facilities must be willing to provide it—and people other than the licensed health <span class=\"match\">care</span> professionals must be willing to take on various roles essential to delivering <span class=\"match\">care</span> in this modern, technology-enabled environment. Also, patients' access to <span class=\"match\">care</span> may rely in part"},{"title":"Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program","type":"Proposed Rule","abstract":"This proposed rule contains provisions to improve implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This proposed rule also includes provisions related to civil money penalties (CMPs) for noncompliant issuers and other responsible entities; standards governing agents, brokers, and web-brokers; the expansion and codification of hardship exemption eligibility; implementation of the State Exchange Improper Payment Measurement (SEIPM); provider access standards and essential community provider standards for QHP certification; QHP certification of non-network plans; a prohibition on issuers from including routine non-pediatric dental services as an Essential Health Benefit (EHB); cost-sharing flexibilities for catastrophic and individual market bronze plans; establishment of catastrophic plans with plan terms of up to 10 consecutive years; QHP issuer quality improvement strategies (QISs); revisions affecting which enrollees are included in Federal Basic Health Program (BHP) payment calculations to States; and seeks comment on potential adjustments to other Federal standards, including the Federal medical loss ratio (MLR) standard in the individual market. This proposed rule also includes amendments to implement certain provisions of the Working Families Tax Cut (WFTC) legislation.","document_number":"2026-02769","html_url":"https://www.federalregister.gov/documents/2026/02/11/2026-02769/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2027-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-11/pdf/2026-02769.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-02769.pdf?1770671709","publication_date":"2026-02-11","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":"Protection and Affordable <span class=\"match\">Care</span> Act (Pub. L. 111-148) was enacted on March 23, 2010. The Healthcare and Education Reconciliation Act of 2010 (Pub. L. 111-152), which amended and revised several provisions of the Patient Protection and Affordable <span class=\"match\">Care</span> Act, was enacted on March 30, 2010. In this <span class=\"match\">rulemaking</span>, the two statutes are referred to collectively as the “Patient Protection and Affordable <span class=\"match\">Care</span> Act” or “Affordable <span class=\"match\">Care</span> Act.”\n \n \n \n \n 2 \n  \n See \n sections 1301, 1302, 1311, 1312, 1313, 1321, 1331, and 1343 of the Affordable <span class=\"match\">Care</span> Act and section 2792"}]}