{"description":"Documents matching 'provider enrollment'","count":4943,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=provider+enrollment&format=json&page=2","results":[{"title":"Proposed Revision of a Currently Approved Information Collection: OWCP 1168 Provider Enrollment Form.","type":"Notice","abstract":"The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request helps to ensure that: requested data can be provided in the desired format; reporting burden (time and financial resources) is minimized; collection instruments are clearly understood; and the impact of collection requirements on respondents can be properly assessed. Currently, the Office of Workers' Compensation Programs, Department of Labor, (OWCP) is soliciting comments on the information collection for 1240-0021, OWCP 1168 Provider Enrollment Form.","document_number":"2026-05321","html_url":"https://www.federalregister.gov/documents/2026/03/18/2026-05321/proposed-revision-of-a-currently-approved-information-collection-owcp-1168-provider-enrollment-form","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-18/pdf/2026-05321.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-05321.pdf?1773751519","publication_date":"2026-03-18","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Office of Workers' Compensation Programs","name":"Workers' Compensation Programs Office","id":530,"url":"https://www.federalregister.gov/agencies/workers-compensation-programs-office","json_url":"https://www.federalregister.gov/api/v1/agencies/530","parent_id":271,"slug":"workers-compensation-programs-office"}],"excerpts":"beneficiaries. In order for OWCP's billing contractor to pay <span class=\"match\">providers</span> for these services with its bill processing system, <span class=\"match\">providers</span> must enroll with one or more of the OWCP programs that administer the statutes by submitting certain profile information, including identifying information, tax I.D. information, and whether they possess specialty or sub-specialty training. Form OWCP-1168 is used to obtain this information from each <span class=\"match\">provider</span>.\n \n \n If this information is not obtained before the <span class=\"match\">provider</span> submits his or her first bill for payment, the bill payment"},{"title":"Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee Amount for Calendar Year 2026","type":"Notice","abstract":"This notice announces a $750.00 calendar year (CY) 2026 application fee for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. This fee is required with any enrollment application submitted on or after January 1, 2026, and on or before December 31, 2026.","document_number":"2025-21877","html_url":"https://www.federalregister.gov/documents/2025/12/03/2025-21877/medicare-medicaid-and-childrens-health-insurance-programs-provider-enrollment-application-fee-amount","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-03/pdf/2025-21877.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-21877.pdf?1764683120","publication_date":"2025-12-03","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":"Application Fees, Temporary <span class=\"match\">Enrollment</span> Moratoria, Payment Suspensions and Compliance Plans for <span class=\"match\">Providers</span> and Suppliers.” This rule finalized, among other things, provisions related to the submission of application fees as part of the Medicare, Medicaid, and CHIP <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> processes.\n \n As provided in section 1866(j)(2)(C)(i) of the Social Security Act (the Act) and in 42 CFR 424.514, “institutional <span class=\"match\">providers</span>” that are initially enrolling in the Medicare or Medicaid programs or CHIP, revalidating their <span class=\"match\">enrollment</span>, or adding a new Medicare"},{"title":"Agency Information Collection Activities; Submission for OMB Review; Comment Request; Provider Enrollment Form","type":"Notice","abstract":"The Department of Labor (DOL) is submitting this Office of Workers' Compensation Programs (OWCP)-sponsored information collection request (ICR) to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995 (PRA). Public comments on the ICR are invited.","document_number":"2026-13000","html_url":"https://www.federalregister.gov/documents/2026/06/29/2026-13000/agency-information-collection-activities-submission-for-omb-review-comment-request-provider","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-29/pdf/2026-13000.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13000.pdf?1782477908","publication_date":"2026-06-29","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"}],"excerpts":"CONTACT: \n \n Nicole Bouchet by telephone at 202-693-0213, or by email at \n DOL_PRA_PUBLIC@dol.gov. \n \n \n \n \n SUPPLEMENTARY INFORMATION: \n \n The information provided on this form will be used by all OWCP programs to identify the <span class=\"match\">providers</span> of medical and vocational rehabilitation services, and to direct payments to these <span class=\"match\">providers</span> accurately and in a timely manner. For additional substantive information about this ICR, see the related notice published in the \n Federal Register \n on March 18, 2026 (91 FR 13069).\n \n This information collection is subject"},{"title":"Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies","type":"Proposed Rule","abstract":"This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule discusses the behavior adjustment and proposes a temporary behavior adjustment and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low- utilization payment adjustment (LUPA) thresholds for CY 2027. Additionally, this proposed rule discusses the provision of home health palliative care services and includes a request for information (RFI) on a home health specific wage index. This rule would also propose changes to the Home Health Quality Reporting Program (HH QRP) and summarizes potential initiatives to improve alignment between the HH QRP and expanded Home Health Value Based Purchasing (HHVBP) Model. Lastly, the rule would--clarify the application of the DMEPOS face-to- face encounter requirements for the replacement of DMEPOS items; make changes to the provider and supplier enrollment requirements; make changes regarding DME benefit expansion for infusion pumps and drugs; and discuss collection of information requirement changes regarding the DMEPOS Competitive Bidding Program (CBP) country of origin.","document_number":"2026-13602","html_url":"https://www.federalregister.gov/documents/2026/07/06/2026-13602/calendar-year-2027-home-health-prospective-payment-system-hh-pps-rate-update-requirements-for-the-hh","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-06/pdf/2026-13602.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13602.pdf?1782936912","publication_date":"2026-07-06","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":"\n 5. <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> and DMEPOS Accreditation \n We are proposing a number of Medicare <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> provisions to strengthen and clarify certain aspects of the <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> process. These include, but are not limited to, the following: \n • Adding grounds for denying or revoking a <span class=\"match\">provider's</span> or supplier's Medicare <span class=\"match\">enrollment</span>. \n • Expanding the reasons for which CMS can apply a retroactive effective date for <span class=\"match\">provider</span> and supplier revocations. \n • CMS can currently impose a reapplication bar of up to 10 years if the <span class=\"match\">provider</span> or supplier"},{"title":"Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee Amount for Calendar Year 2025","type":"Notice","abstract":"This notice announces a $730.00 calendar year (CY) 2025 application fee for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. This fee is required with any enrollment application submitted on or after January 1, 2025, and on or before December 31, 2025.","document_number":"2024-28127","html_url":"https://www.federalregister.gov/documents/2024/12/02/2024-28127/medicare-medicaid-and-childrens-health-insurance-programs-provider-enrollment-application-fee-amount","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-02/pdf/2024-28127.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-28127.pdf?1732887934","publication_date":"2024-12-02","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":"Application Fees, Temporary <span class=\"match\">Enrollment</span> Moratoria, Payment Suspensions and Compliance Plans for <span class=\"match\">Providers</span> and Suppliers.” This rule finalized, among other things, provisions related to the submission of application fees as part of the Medicare, Medicaid, and CHIP <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> processes.\n \n As provided in section 1866(j)(2)(C)(i) of the Social Security Act (the Act) and in 42 CFR 424.514, “institutional <span class=\"match\">providers</span>” that are initially enrolling in the Medicare or Medicaid programs or CHIP, revalidating their <span class=\"match\">enrollment</span>, or adding a new Medicare"},{"title":"Notice of Public Data Asset Release Under the Open, Public, Electronic, and Necessary (OPEN) Government Data Act","type":"Notice","abstract":"In accordance with Title II of the Foundations for Evidence- Based Policymaking Act of 2018, known as the Open, Public, Electronic, and Necessary (OPEN) Government Data Act, CMS announces the forthcoming release of public data assets in open, machine-readable formats under an open license. These data are intended to support public engagement in identifying and preventing fraud, waste, and abuse, and to promote transparency and accountability. CMS has taken steps to ensure that the release of these data appropriately furthers transparency objectives consistent with the protection of sensitive information.","document_number":"2026-14947","html_url":"https://www.federalregister.gov/documents/2026/07/23/2026-14947/notice-of-public-data-asset-release-under-the-open-public-electronic-and-necessary-open-government","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-23/pdf/2026-14947.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-14947.pdf?1784664909","publication_date":"2026-07-23","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":"information: Medicaid <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> Segments. This data asset contains <span class=\"match\">provider</span>-level Medicaid <span class=\"match\">enrollment</span> data from T-MSIS covering January 2018 through December 2024. It shows when a <span class=\"match\">provider</span> was enrolled in Medicaid in a State, the District of Columbia, or a Territory, along with the <span class=\"match\">provider's</span> <span class=\"match\">enrollment</span> status, <span class=\"match\">enrollment</span> plan (Medicaid, CHIP, or both), and <span class=\"match\">provider</span> type during that time period. \n \n The new data assets will be posted at \n https://opendata.hhs.gov/. \n To provide feedback on HHS Open Data, please send an email to \n cdo@hhs.gov. \n The"},{"title":"Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of Nationwide Temporary Moratoria on Enrollment of Home Health Agencies (HHAs)","type":"Notice","abstract":"This notice announces the imposition of a 6-month nationwide moratorium on the Medicare enrollment of home health agencies (HHAs).","document_number":"2026-09717","html_url":"https://www.federalregister.gov/documents/2026/05/15/2026-09717/medicare-medicaid-and-childrens-health-insurance-programs-announcement-of-nationwide-temporary","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-15/pdf/2026-09717.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09717.pdf?1778676329","publication_date":"2026-05-15","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":"of its initial <span class=\"match\">enrollment</span> (or within 36 months of its most recent CIMO) to enroll in Medicare as a brand new HHA and undergo a State survey or accreditation. The HHA's current <span class=\"match\">enrollment</span> and <span class=\"match\">provider</span> agreement are terminated in these situations. This means that the HHA's new <span class=\"match\">enrollment</span> is an initial <span class=\"match\">enrollment</span> no less than if the HHA had never enrolled in Medicare before. Hence, our moratorium would prohibit an HHA undergoing a non-exempt CIMO from reenrolling in Medicare because, again, it would constitute an initial <span class=\"match\">enrollment</span>; the HHA is “new”"},{"title":"Notice of Opportunity for Hearing on Compliance of Minnesota State Plan Provisions Concerning Program Integrity and Fraud, Waste, and Abuse With Title XIX (Medicaid) of the Social Security Act","type":"Notice","abstract":null,"document_number":"2026-00512","html_url":"https://www.federalregister.gov/documents/2026/01/14/2026-00512/notice-of-opportunity-for-hearing-on-compliance-of-minnesota-state-plan-provisions-concerning","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-14/pdf/2026-00512.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-00512.pdf?1767993309","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"},{"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":"Prior Authorization Program: \n Please provide additional details on Minnesota's assessment of its prior authorization program and enhancements that are needed.\n \n \n • \n <span class=\"match\">Provider</span> Training and Education: \n Please specify what enhancements or changes Minnesota proposes to make its <span class=\"match\">provider</span> training and education efforts more effective, such as pre-<span class=\"match\">enrollment</span> training; post-<span class=\"match\">enrollment</span> training; billing and documentation training; fraud, waste, and abuse training; and compliance and legal obligations training, among any others identified by the state"},{"title":"Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies","type":"Rule","abstract":"This final rule sets forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this final rule finalizes permanent and temporary behavior adjustments and recalibrates the case- mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. This final rule also finalizes changes to the face-to-face encounter policy and changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it finalizes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.","document_number":"2025-21767","html_url":"https://www.federalregister.gov/documents/2025/12/02/2025-21767/medicare-and-medicaid-programs-calendar-year-2026-home-health-prospective-payment-system-hh-pps-rate","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-02/pdf/2025-21767.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-21767.pdf?1764364516","publication_date":"2025-12-02","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":"Medicaid <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> \n We finalized several Medicare <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> provisions to strengthen and clarify certain aspects of the <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> process. These include, but are not limited to, the following: \n • Modifying grounds for denying, revoking, or deactivating a <span class=\"match\">provider's</span> or supplier's Medicare <span class=\"match\">enrollment</span>. \n • Expanding the reasons for which CMS can apply a retroactive effective date for <span class=\"match\">provider</span> and supplier revocations. \n • Expanding the reasons for which CMS can apply a stay of <span class=\"match\">enrollment</span>. \n • Requiring <span class=\"match\">providers</span> and suppliers"},{"title":"Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of Nationwide Temporary Moratorium on Enrollment of Hospices","type":"Notice","abstract":"This notice announces the imposition of a 6-month nationwide moratorium on the Medicare enrollment of hospices.","document_number":"2026-09718","html_url":"https://www.federalregister.gov/documents/2026/05/15/2026-09718/medicare-medicaid-and-childrens-health-insurance-programs-announcement-of-nationwide-temporary","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-15/pdf/2026-09718.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09718.pdf?1778676329","publication_date":"2026-05-15","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":"to 3 percent. (That is—and though it varies depending on, for example, the <span class=\"match\">provider</span>/supplier type in question and the geographic region involved—1 to 3 percent of <span class=\"match\">providers</span>/suppliers are revoked at least once during their <span class=\"match\">enrollment</span>). The much higher percentage of hospices revoked during this initiative compared to general <span class=\"match\">provider</span>/supplier revocation rates helps demonstrate the extent of the hospice program integrity problem. \n \n Fifth, we revised our <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> regulations to clarify that hospice medical directors and administrators qualify"},{"title":"Request for Information (RFI) Related to Comprehensive Regulations To Uncover Suspicious Healthcare (CRUSH)","type":"Proposed Rule","abstract":"This request for information (RFI) solicits stakeholder feedback on potential regulatory changes that might be included in a potential upcoming CRUSH proposed rule, as well as other programmatic changes that could be implemented to make CMS more effective in crushing fraud to protect taxpayer dollars and the Americans we serve.","document_number":"2026-03968","html_url":"https://www.federalregister.gov/documents/2026/02/27/2026-03968/request-for-information-rfi-related-to-comprehensive-regulations-to-uncover-suspicious-healthcare","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-27/pdf/2026-03968.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03968.pdf?1772054108","publication_date":"2026-02-27","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":"preclusion list and whether requiring <span class=\"match\">enrollment</span> in Traditional Medicare could enhance program integrity. \n • What changes could CMS make to better effectuate the preclusion list to prevent Traditional Medicare-revoked <span class=\"match\">providers</span> and suppliers from continuing to bill MA plans? \n • Does the current preclusion list adequately serve the needs of MA organizations in identifying and preventing payments to <span class=\"match\">providers</span> and suppliers that pose fraud, waste, or abuse risks? \n • Would MA plans support a requirement for all <span class=\"match\">providers</span> and suppliers to enroll in the Traditional"},{"title":"Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies","type":"Proposed Rule","abstract":"This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule proposes permanent and temporary behavior adjustments and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. Lastly, this proposed rule proposes policy changes to the face-to-face encounter policy. It also proposes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it would update the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it proposes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.","document_number":"2025-12347","html_url":"https://www.federalregister.gov/documents/2025/07/02/2025-12347/medicare-and-medicaid-programs-calendar-year-2026-home-health-prospective-payment-system-hh-pps-rate","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-07-02/pdf/2025-12347.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-12347.pdf?1751314517","publication_date":"2025-07-02","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":"Medicaid <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> \n We are proposing several Medicare <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> provisions to strengthen and clarify certain aspects of the <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> process. These include, but are not limited to, the following: \n • Modifying grounds for denying, revoking, or deactivating a <span class=\"match\">provider's</span> or supplier's Medicare <span class=\"match\">enrollment</span>. \n • Expanding the reasons for which CMS can apply a retroactive effective date for <span class=\"match\">provider</span> and supplier revocations. \n • Expanding the reasons for which CMS can apply a stay of <span class=\"match\">enrollment</span>. \n • Requiring <span class=\"match\">providers</span> and suppliers"},{"title":"Privacy Act of 1974; System of Records","type":"Notice","abstract":"The Federal Communications Commission (FCC or Commission or Agency) is modifying a system of records, FCC/WCB-3, Affordable Connectivity Program, subject to the Privacy Act of 1974, as amended. This action is necessary to meet the requirements of the Privacy Act to publish in the Federal Register notice of the existence and character of records maintained by the agency. The Affordable Connectivity Program (ACP), the successor to the Commission's Emergency Broadband Benefit Program, provides discounts for broadband internet access service (BIAS) to qualifying households. A household may qualify for the ACP if an individual in the household has applied for and has been approved to receive benefits under the free and reduced price lunch program, receives assistance through the special supplemental nutritional program for women, infants, and children (WIC), receives a Pell Grant, qualifies for the Lifeline program, meets certain income requirements, or qualifies for a low-income program offered by internet service providers. The ACP is administered by the Universal Service Administrative Company (USAC) under the direction of the Commission and, by delegation, of the Commission's Wireline Competition Bureau (WCB). This system of records contains information about individual ACP applicants and participants, providers' claims and certifying officers, and providers' enrollment representatives. This modification adds one new routine use.","document_number":"2026-03737","html_url":"https://www.federalregister.gov/documents/2026/02/25/2026-03737/privacy-act-of-1974-system-of-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-25/pdf/2026-03737.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03737.pdf?1771940711","publication_date":"2026-02-25","agencies":[{"raw_name":"FEDERAL COMMUNICATIONS COMMISSION","name":"Federal Communications Commission","id":161,"url":"https://www.federalregister.gov/agencies/federal-communications-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/161","parent_id":null,"slug":"federal-communications-commission"}],"excerpts":"and recertifying for the ACP. \n 7. Service <span class=\"match\">Providers</span>—Records may be disclosed to broadband <span class=\"match\">providers</span>, and their registered representatives, in order to confirm an individual's eligibility, complete benefit transfer requests, facilitate the provision of service, complete de-<span class=\"match\">enrollments</span>, allow for the <span class=\"match\">provider</span> to receive reimbursement through the ACP, to provide information to the relevant <span class=\"match\">provider</span> about a registered <span class=\"match\">enrollment</span> representative whose account has been disabled for cause, and provide <span class=\"match\">enrollment</span> and other selected reports. \n 8. Other Federal"},{"title":"Proposed Information Collection; OWCP Provider ACH Form (OWCP-3881)","type":"Notice","abstract":"The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request helps to ensure that: requested data can be provided in the desired format; reporting burden (time and financial resources) is minimized; collection instruments are clearly understood; and the impact of collection requirements on respondents can be properly assessed. Currently, the Office of Workers' Compensation Programs (OWCP) is soliciting comments on the information collection for OWCP Provider ACH Form (SF-3881).","document_number":"2024-25236","html_url":"https://www.federalregister.gov/documents/2024/10/31/2024-25236/proposed-information-collection-owcp-provider-ach-form-owcp-3881","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-31/pdf/2024-25236.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25236.pdf?1730292333","publication_date":"2024-10-31","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Office of Workers' Compensation Programs","name":"Workers' Compensation Programs Office","id":530,"url":"https://www.federalregister.gov/agencies/workers-compensation-programs-office","json_url":"https://www.federalregister.gov/api/v1/agencies/530","parent_id":271,"slug":"workers-compensation-programs-office"}],"excerpts":"bill processing contractor to pay <span class=\"match\">providers</span> for these services with its bill processing system, <span class=\"match\">providers</span> must complete and submit an ACH Vendor payment system form. This form is required under the provision of 31 U.S.C. 3322 and 31 CFR 210. The information reported on the form will be used by the Treasury Department to transmit payment data by electronic means to a vendor's financial institution for payment of medical services rendered to OWCP's claimants.\n \n If this information is not obtained, when a <span class=\"match\">provider</span> submits their bill for payment, the"},{"title":"Privacy Act of 1974; Matching Program","type":"Notice","abstract":"In accordance with the Privacy Act of 1974, as amended, VA is providing notice of a new matching program between VA and the Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) entitled \"Disclosure of Information to Support the Veterans Affairs' \"Seek to Prevent Fraud, Waste, and Abuse Initiative.\"","document_number":"2024-23225","html_url":"https://www.federalregister.gov/documents/2024/10/08/2024-23225/privacy-act-of-1974-matching-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-08/pdf/2024-23225.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-23225.pdf?1728305132","publication_date":"2024-10-08","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":"enrolled Medicare <span class=\"match\">providers</span> and suppliers (System of Records Notice [SORN] No. 09-70-0532, \n <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span>, Chain, and Ownership System [PECOS] \n ). Using PECOS data in a matching program for this purpose will provide VA prompt access to extant information, using an efficient process that both eliminates the need to manually compare substantial numbers of data-intensive files and enables VA to leverage, instead of duplicating, the costly Advance <span class=\"match\">Provider</span> Screening process that CMS uses to check suitability of Medicare <span class=\"match\">providers</span> and generate the"},{"title":"Statement of Organization, Functions, and Delegations of Authority","type":"Notice","abstract":"The Centers for Medicare and Medicaid Services (CMS), Office of Health Technology and Products (OHTP), has been established. This new organizational component will provide enterprise leadership and oversight for CMS healthcare technology modernization, digital products, and transformation of platforms and services supporting Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and other CMS-administered programs, in close coordination with the CMS Chief Information Officer (CIO) and subject to CIO-led enterprise information technology (IT) governance, cybersecurity, enterprise architecture, and capital planning and investment control responsibilities, as well as CIO-led digital service delivery, customer experience, and public digital experience responsibilities under applicable law.","document_number":"2026-11743","html_url":"https://www.federalregister.gov/documents/2026/06/11/2026-11743/statement-of-organization-functions-and-delegations-of-authority","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-11/pdf/2026-11743.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-11743.pdf?1781095520","publication_date":"2026-06-11","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"}],"excerpts":"and platforms, including beneficiary-, <span class=\"match\">provider</span>-, and state-facing systems. \n \n • Leads beneficiary engagement and experience platforms, including \n Medicare.gov \n and related tools, to ensure accessible, user-centered, and secure digital services.\n \n • Leads modernization strategy and product strategy for national healthcare infrastructure services, including the National <span class=\"match\">Provider</span> Directory and associated systems such as the National Plan and <span class=\"match\">Provider</span> Enumeration System (NPPES) and the <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span>, Chain, and Ownership System (PECOS), in"},{"title":"Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of Nationwide Temporary Moratoria on Enrollment of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Medical Supply Companies","type":"Notice","abstract":"This notice announces the imposition of a 6-month nationwide moratorium on the Medicare enrollment of DMEPOS supplier medical supply companies.","document_number":"2026-03971","html_url":"https://www.federalregister.gov/documents/2026/02/27/2026-03971/medicare-medicaid-and-childrens-health-insurance-programs-announcement-of-nationwide-temporary","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-27/pdf/2026-03971.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03971.pdf?1772054108","publication_date":"2026-02-27","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":"visits and online research of the business. We also note that under § 424.530(a)(4) and (f), we have the authority to deny <span class=\"match\">enrollment</span> and impose a reapplication bar of up to 10 years for a <span class=\"match\">provider's</span> or supplier's submission of false or misleading information on (or omission of information from) the <span class=\"match\">enrollment</span> application in order to gain <span class=\"match\">enrollment</span> in the Medicare program. We have similar grounds for revoking a <span class=\"match\">provider's</span> <span class=\"match\">enrollment</span> for the submission of false or misleading information, and under § 424.535(a) we can impose a reenrollment bar of up to"},{"title":"Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee Amount for Calendar Year 2024","type":"Notice","abstract":"This notice announces a $709.00 calendar year (CY) 2024 application fee for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. This fee is required with any enrollment application submitted on or after January 1, 2024 and on or before December 31, 2024.","document_number":"2023-24607","html_url":"https://www.federalregister.gov/documents/2023/11/07/2023-24607/medicare-medicaid-and-childrens-health-insurance-programs-provider-enrollment-application-fee-amount","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-11-07/pdf/2023-24607.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-24607.pdf?1699278444","publication_date":"2023-11-07","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":"Application Fees, Temporary <span class=\"match\">Enrollment</span> Moratoria, Payment Suspensions and Compliance Plans for <span class=\"match\">Providers</span> and Suppliers.” This rule finalized, among other things, provisions related to the submission of application fees as part of the Medicare, Medicaid, and CHIP <span class=\"match\">provider</span> <span class=\"match\">enrollment</span> processes. As provided in section 1866(j)(2)(C)(i) of the Social Security Act (the Act) and in 42 CFR 424.514, “institutional <span class=\"match\">providers</span>” that are initially enrolling in the Medicare or Medicaid programs or CHIP, revalidating their <span class=\"match\">enrollment</span>, or adding a new Medicare practice"},{"title":"Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers' and Suppliers' Disclosure of Private Equity Companies and Real Estate Investment Trusts","type":"Rule","abstract":"This final rule will implement portions of section 6101 of the Patient Protection and Affordable Care Act (Affordable Care Act), which require the disclosure of certain ownership, managerial, and other information regarding Medicare skilled nursing facilities (SNFs) and Medicaid nursing facilities. It will also finalize definitions of private equity company and real estate investment trust for Medicare provider enrollment purposes.","document_number":"2023-25408","html_url":"https://www.federalregister.gov/documents/2023/11/17/2023-25408/medicare-and-medicaid-programs-disclosures-of-ownership-and-additional-disclosable-parties","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-11-17/pdf/2023-25408.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-25408.pdf?1700056085","publication_date":"2023-11-17","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":"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":"specific authority regarding the <span class=\"match\">enrollment</span> process for <span class=\"match\">providers</span> and suppliers. \n • Sections 1102 and 1871 of the Act provide general authority for the Secretary to prescribe regulations for the efficient administration of the Medicare program. \n C. Overview of <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> \n 1. Medicare \n Section 1866(j)(1)(A) of the Act requires the Secretary to establish a process for the <span class=\"match\">enrollment</span> of <span class=\"match\">providers</span> and suppliers into the Medicare program. The overarching purpose of the <span class=\"match\">enrollment</span> process is to confirm that <span class=\"match\">providers</span> and suppliers seeking to bill"},{"title":"Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January Through March 2025","type":"Notice","abstract":"This quarterly notice lists Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published in the 3-month period, relating to the Medicare and Medicaid programs and other programs administered by CMS.","document_number":"2025-08753","html_url":"https://www.federalregister.gov/documents/2025/05/16/2025-08753/medicare-and-medicaid-programs-quarterly-listing-of-program-issuances-january-through-march-2025","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-05-16/pdf/2025-08753.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-08753.pdf?1747313119","publication_date":"2025-05-16","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"},{"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":"\n \n 13062 \n Sixteenth General Update to <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> Instructions in Chapter 10 of CMS Publication 100-08. \n \n \n 13080 \n Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. \n \n \n 13085 \n Update to <span class=\"match\">Provider</span> <span class=\"match\">Enrollment</span> Appeals and Rebuttals Processing Instructions and Model Letters. \n \n \n 13139 \n Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. \n \n \n \n \n Medicare Contractor Beneficiary and <span class=\"match\">Provider</span> Communications (CMS-Pub. 100-09) \n \n \n \n"}]}