PRA Listing | CMS
2025-07-14
Medicare Current Beneficiary Survey (MCBS)
2025-07-07
Clinical Laboratory Improvement Amendments (CLIA) Application Form (CMS -116) and Supporting Regulations
2025-07-03
National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection
2025-07-03
Medicare Enrollment Application - Registration for Eligible Ordering and Referring Physicians and Non-Physician Practitioners
2025-07-03
Medicare Participation Agreement for Physicians and Suppliers
2025-07-02
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
2025-07-02
Outcome and Assessment Information Set (OASIS-E2)
2025-07-02
CAHPS Home Health Care Survey
2025-07-02
Accreditation of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers
2025-07-01
Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations
2025-06-30
Drug Price Negotiation for Initial Price Applicability Year 2028 under Sections 11001 and 11002
2025-06-27
Marketplace Quality Standards
2025-06-27
Medicare Self-Referral Disclosure Protocol
2025-06-27
HIPAA Administrative Simplification Compliance Review Information Retrieval Forms
2025-06-25
Generic Clearance for Improving DASG’s APIs Customer Experience
2025-06-23
Medicare Advantage Model of Care Submission Requirements
2025-06-20
Medicare Part D Manufacturer Discount Program Agreement
2025-06-20
Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers
2025-06-20
Healthcare Fraud Prevention Partnership (HFPP) Data Sharing and Information Exchange
2025-06-17
Notice of Rescission of Coverage and Disclosure Requirements for Patient Protection under the Affordable Care Act
2025-06-13
Prepaid Health Plan Cost Report
2025-06-13
Medicaid Managed Care Rate Development Guide
2025-06-13
Medicaid 1915(l) State Plan Option to Provide Medical Assistance for Eligible Individuals Who Are Patients in Eligible Institutions for Mental Diseases
2025-06-13
Managed Care Plan (MCP) Medical Loss Ratio (MLR) Reporting Template
2025-06-12
Hospice Request for Certification in the Medicare Program
2025-06-12
CHIP State Plan Eligibility
2025-06-12
Medicare Authorization to Disclose Personal Health Information
2025-06-12
Minimum Essential Coverage
2025-06-11
Hospital and Hospital Health Care Complex Cost Report
2025-06-11
Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs)
2025-06-11
Medicare Fee-for-Service Prepayment Medical Review
2025-06-11
Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetic, Orthotics, and Supplies (DMEPOS)
2025-06-11
Administrative Simplification Compliance Review (CMS-10662)
2025-06-11
D-SNP Enrollee Advisory Committee
2025-06-04
Independent Renal Dialysis Facility Cost Report
2025-06-04
Medicare and Medicaid Programs: Conditions of Participation for Hospices
2025-06-04
13th SOW QIN-QIO and AIAN Advancing Healthcare Quality through Technology (AHQT) Readiness Assessment
2025-05-30
Service Level Data Collection for Initial Determinations and Appeals
2025-05-28
Use Agreement (DUA) Limited Data Set (LDS) Forms Research Identifiable Files (FIF) Forms ...
2025-05-28
Application for Part B Immunosuppressive Drug Coverage (Part B-ID)
2025-05-28
Medicare Part D E-Prescribing Tools in 42 CFR 423.128(d)(1) and 423.16
2025-05-21
Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(j)
2025-05-21
Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges
2025-05-21
Appointment of Representative
2025-05-21
Fiscal Soundness Reporting Requirements (FSRR)
2025-05-21
Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers.
2025-05-21
Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment
2025-05-15
Limitations on Provider Related Donations and Health Care Related Taxes, Medicaid
2025-05-14
Medicare Geographic Classification Review Board Procedures and Criteria
2025-05-13
Part C and Part D Medicare Prescription Payment Plan Model Documents
2025-05-13
Negotiation Program Drug Selection for Initial Price Applicability Year 2028 under Sections 11001 and 11002
2025-05-12
Hospice Information for Medicare Part D Plans (CMS-10538)
2025-05-12
Medicare Drug Coverage and Your Rights
2025-05-12
Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in
2025-04-30
Submission of Information for the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program: FY 2025 IPPS/LTCH PPS Proposed Rule
2025-04-30
Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the Collection of Data Related to the Patient Driven Payment Model and the Skilled Nursing Facility Quality Reporting Program (QRP)
2025-04-30
Quality Measures and Procedures for the Hospital Inpatient Quality Reporting Program for the FY 2026 IPPS Annual Payment Updates FY 2024 IPPS/LTCH PPS Proposed Rule
2025-04-30
Hospital Acquired Condition Reduction Program
2025-04-28
Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act
2025-04-28
Coverage of Certain Preventive Services Under the Affordable Care Act
2025-04-21
Notice of Research Exception under the Genetic Information Nondiscrimination Act
2025-04-21
Student Health Insurance Coverage
2025-04-21
Creditable Coverage Disclosure to CMS On-Line Form and Instructions
2025-04-21
Supporting Statement for Essential Community Provider Data Collection to Support QHP Certification
2025-04-21
Transparency in Coverage Reporting by Qualified Health Plan Issuers
2025-04-16
State Plan Amendment (SPA) Template for Section 1905(a)(29) of the Social Security Act Medication Assisted Treatment (MAT)
2025-04-01
Medicare Transaction Facilitator for 2026 and 2027 under Sections 11001 and 11002 of the Inflation Reduction Act (IRA)
2025-03-26
Certification Statement for Electronic File Interchange Organizations (EIFOs)
2025-03-21
Applicable Integrated Plan Coverage Decision Letter
2025-03-21
CMS Plan Benefit Package (PBP) and Formulary CY 2026 (CMS-R-262)
2025-03-21
Dual Eligible Special Needs Plan Contract with the State Medicaid Agency
2025-03-19
Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices
2025-03-19
Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies
2025-01-17
Medicare Coverage of Items and Services for Coverage with Evidence Development
2025-01-16
CAA of 2024, Section 206 Planning Grant Reporting
2025-01-16
State Plan Amendment (SPA) Template for Medicaid Clinic Benefit
2025-01-15
Supporting Statement for Agent/Broker Consent Information Collection
2025-01-15
Blueprint for Approval of State-based Health Insurance Exchanges
2025-01-14
Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID)
2025-01-14
Medicare Health Outcomes Survey
2025-01-03
Request for Termination of Medicare Premium Part A, Part B, or Part B Immunosuppressive Drug Coverage (Part B-ID) and Supporting Statute and Regulations
2024-12-26
Comprehensive Outpatient Rehabilitation Facility (CORF) Certification and Survey Forms
2024-12-25
End Stage Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations
2024-12-23
Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Request
2024-12-23
The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR
2024-12-20
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)
2024-12-17
Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services
2024-12-13
Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans
2024-12-13
PACE SPA Preprint
2024-12-11
Payment Collections Operations Contingency Plan: Enrollment and Payment Data Template
2024-12-10
List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs
2024-12-09
State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations
2024-12-09
Medicare Request for Employment Information
2024-12-09
Federally Qualified Health Center Cost Report
2024-12-09
The Community Mental Health Center Cost Report
2024-12-06
PACE Medicaid Capitation Rate Setting Guide
2024-12-03
Medicare Prescription Drug Benefit Program
2024-11-27
Medicaid Program; Medicare Savings Program Application and Eligibility Determinations
2024-11-26
Disclosure of Eligibility Criteria for Supplemental Benefits for the Chronically Ill (SSBCI)
2024-11-26
Medication Therapy Management Program – Standardized Format
2024-11-26
Medicaid Drug Use Review (DUR) Program
2024-11-20
Health Care Reform Insurance Web Portal
2024-11-18
3.1-M State Plan Amendment (SPA) Templates for Eligible Juveniles Who are Inmates of a Public Institution
2024-11-08
Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits
2024-11-08
The PACE Organization Application Process in 42 CFR Part 460
2024-11-06
Improper Payment Pre-Testing and Assessment (IPPTA) Data Request Form
2024-11-06
State Children's Health Insurance Program and Supporting Regulations
2024-11-05
Medicaid/CHIP School-Based Services (SBS) Grants
2024-11-01
Section 1115 Reentry Demonstration Initiative
2024-10-31
Financial Statement of Debtor
2024-10-30
Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act
2024-10-15
Medicare Enrollment Application – Clinics/Group Practices and Other Suppliers
2024-10-15
Medicare Change of Status Notice (MCSN)
2024-10-15
Retrospective Appeal Requests
2024-10-01
Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations
2024-09-26
Medicaid Managed Care and Supporting Regulations
2024-09-26
End Stage Renal Disease (ESRD) Annual Facility Survey Form
2024-09-24
Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards
2024-09-23
Retiree Drug Subsidy Payment Request and Instructions
2024-09-19
Annual Report on Section 1915(c) Home and Community-Based Services Waivers and Supporting Regulations
2024-09-19
Transformed – Medicaid Statistical Information System (T-MSIS)
2024-09-19
Organ Procurement Organization/Histocompatibility Laboratory Cost Report
2024-09-17
Notice of Denial of Medical Coverage (or Payment) (NDMCP)
2024-09-17
Notice of Denial of Medicare Prescription Drug Coverage
2024-09-10
The TVT Registry
2024-09-10
Medicare Program Procedures for Making National Coverage Determinations
2024-09-09
Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455
2024-09-09
Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act
2024-09-09
Hospice Facility Cost Report
2024-09-09
Nonquantitative Treatment Limitation Analyses and Compliance Under MHPAEA
2024-09-05
Home Health Change of Care Notice
2024-09-03
Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template
2024-09-03
Medicaid State Plan Base Plan Pages
2024-08-30
State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650)
2024-08-29
Application for Enrollment in Medicare Part A Internet Claim (iClaim) Application Screen Modernized Claims System and Consolidated Claim Experience Screens
2024-08-29
Home Office Cost Statement
2024-08-28
Supplemental to Form CMS-2552-10 Payment Adjustment for Establishing and Maintaining Access to Buffer Stock of Essential Medicines
2024-08-24
Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65
2024-08-21
On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57
2024-08-13
Critical Access Hospital (CAH) Conditions of Participation (CoPs) and Supporting Regulations
2024-08-10
Rural Health Clinic Cost Report
2024-08-07
Medicare Request for Retirement Benefit Information
2024-08-06
Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program
2024-07-31
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS)
2024-07-30
Quality Improvement Affinity Group Expression of Interest Form
2024-07-30
Generic Social Marketing & Consumer Testing Research
2024-07-24
Medicaid and Children’s Health Insurance Program Renewal Compliance Template
2024-07-22
Ambulatory Surgical Center Quality Reporting Program
2024-07-22
Hospital Outpatient Quality Reporting (OQR) Program
2024-07-22
Rural Emergency Hospital Quality Reporting (REHQR)
2024-07-19
Medicaid and Children’s Health Insurance Program Eligibility Processing Data Report
2024-07-16
New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System
2024-07-16
Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey
2024-07-09
Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C
2024-07-09
CAHPS Hospice Survey
2024-07-03
Medicare Enrollment Application for Institutional Providers
2024-07-02
Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rule II
2024-06-25
Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey
2024-06-14
Disclosure Requirement for the In-Office Ancillary Services Exception
2024-06-14
Establishment of Qualified Health Plans and American Health Benefit Exchanges
2024-06-10
The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS)
2024-06-03
Rebate Reduction Requests under Sections 11101 and 11102 of the Inflation Reduction Act
2024-06-03
Disclosure of State Rating Requirements
2024-05-29
Skilled Nursing Facility and Skilled Nursing Facility Complex Cost Report
2024-05-24
Medicare Part D Reporting Requirements
2024-05-24
Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System
2024-05-23
Cost-sharing Reduction Reconciliation
2024-05-21
Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204
2024-05-21
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections
2024-05-14
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals
2024-05-10
Patient Access through Application Programming Interfaces (API)
2024-05-10
Medicare EDI Enrollment Form and EDI Registration
2024-05-02
Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program
2024-05-02
Medicaid and Children’s Health Insurance (CHIP) Managed Care Payments and Related Information
2024-05-02
Payment Error Rate Measurement – State Medicaid and CHIP Eligibility
2024-05-02
National Implementation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey
2024-05-02
Distribution of GME Residency Positions Under Section 126 of the Consolidated Appropriations Act (CAA), 2021, and Section 4122 of the CAA, 2023
2024-04-25
Annual State Report on CMS Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements
2024-04-25
State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Web site and Hotline
2024-04-25
Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP
2024-04-16
Reform of Requirements for Long-Term Care Facilities
2024-04-15
Supporting Statement for Direct Enrollment Entities
2024-04-15
Information Collection Requirements for Non-Standardized Plan Option Limit Exceptions
2024-04-08
The Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Advantage Prescription Drug (MARx) system
2024-04-08
Identifying Medicaid Payment for Physician Administered Drugs
2024-04-08
Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet
2024-04-08
State Agency Contact Form (CMS-368) and Quarterly State Invoice (CMS-R-144)
2024-04-08
Generic Clearance: Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS)
2024-04-03
Inpatient Psychiatric Facility Quality Reporting Program
2024-03-28
Hospice Outcomes and Patient Evaluation (HOPE) for the Collection of Data Pertaining to the Hospice Quality Reporting Program
2024-03-28
Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR 4
2024-03-27
Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs
2024-03-25
Submissions of 1135 Waiver Request Automated Process
2024-03-18
Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations
2024-03-18
1915(c) Home and Community Based Services (HCBS) Waiver Application
2024-03-18
Improving Quality of Care and Outcomes Data for Pregnant Medicaid Beneficiaries and Newborn Infants through Linkage and Evaluation of Vital Records (VR) Birth Certificates (BC), Death Certificates (DC) and T-MSIS Analytic Files (TAF)
2024-03-13
Medicare and Medicaid Programs: Conditions for Coverage for Ambulatory Surgical Centers
2024-03-05
Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQAS) (CMS-304a)
2024-03-01
Indirect Medical Education and Direct Graduate Medical Education
2024-03-01
Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments
2024-02-29
Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams
2024-02-26
National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey
2024-02-21
Administrative Requirements for Section 6071 of the Deficit Reduction Act
2024-02-20
HEDIS® Data Collection for Medicare Advantage
2024-02-08
Advancing Interoperability and Improving Prior Authorization Processes
2024-01-18
Quality Bonus Payment Appeals
2024-01-11
Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request
2024-01-09
Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application
2024-01-09
Behavioral Health Clinic Quality Data Reporting
2024-01-09
Certified Community Behavioral Health Clinic (CCBHC) Cost Report
2023-12-22
ADA Dental Form
2023-12-08
Medicare Advantage and Prescription Drug Programs: Part C and Part D Explanation of Benefits
2023-12-01
Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting
2023-11-28
CLIA Budget Workload Reports
2023-11-24
CMS Health Equity Award – Call for Nominations
2023-11-22
Annual MLR and Rebate Calculation Report and MLR Rebate Notices
2023-11-16
Basic Health Program Supporting Regulations
2023-11-14
Implementation of Medicare Programs; - Medicare Promoting Interoperability Program
2023-10-31
Virtual Groups for Merit-Based Incentive Payment System (MIPS)
2023-10-30
Medicaid and Continuous Eligibility for Children
2023-10-27
Medicare Health Outcomes Survey Field Test
2023-10-27
State Data for the Medicare Modernization Act (MMA)
2023-10-17
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS)
2023-10-16
Survey of Retail Prices
2023-10-16
Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols
2023-10-04
Home and Community Based Services (HCBS) Incident Management Survey
2023-09-29
Health Insurance Benefit Agreement and Supporting Regulations
2023-09-27
Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children’s Health Insurance Program
2023-09-15
Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS)
2023-09-13
Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements
2023-09-12
Satisfaction of Nursing Homes, Hospitals, and Outpatient Clinicians Working with the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC)
2023-09-11
Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31
2023-09-08
Medicare Enrollment Application - Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers
2023-09-07
Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease
2023-08-23
Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request
2023-07-21
Home Health Agency Cost Report
2023-07-14
End Stage Renal Disease (ESRD) Death Notification Form
2023-07-13
Dispute Resolution for Discarded Drug Refunds
2023-07-11
Clinical Laboratory Improvement Amendments and ICRs contained in Supporting Regs
2023-07-11
Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory
2023-06-30
Data Collection for Quality Measures Using the End-Stage Renal Disease Quality Reporting System (EQRS)
2023-06-30
National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP)
2023-06-20
Medicaid Section 1115 Substance Use Disorder (SUD) Demonstrations: Federal Meta-Analysis Support
2023-06-13
Organ Procurement Organization Request for Designation as an OPO Under §1138 of the Social Security Act; and Health Insurance Benefits Agreement
2023-06-06
Medicare Uniform Institutional Provider Bill
2023-06-02
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration
2023-05-30
Value in Opioid Use Disorder Treatment Demonstration
2023-05-11
CMS HCPCS Modification to Code Set Form
2023-05-04
Medicaid Section 1115 Severe Mental Illness and Children with Serious Emotional Disturbance Demonstrations
2023-05-02
Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II
2023-05-01
Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS)
2023-05-01
LTCH CARE Data Set For the Collection of Data Pertaining to the Long-Term Care Hospital Quality Reporting Program
2023-04-28
Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool
2023-04-28
Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(a)(3) and 423.128(a)(3)
2023-04-28
Medicaid Drug Rebate Program Labeler Reporting Format
2023-04-26
Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010
2023-04-21
Collection Requirements for Compendia for Determination of Medically-accepted Indications for Off-label Uses of Drugs and Biologicals in an Anti-cancer Chemotherapeutic Regimen
2023-04-17
Elimination of Cost Sharing for Full Benefit Dual Eligible Individuals Receiving Home and Community-Based Services
2023-04-11
Emergency Ambulance Transports and Beneficiary Signature
2023-04-07
IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program
2023-04-04
CoreQ: Short Stay Discharge Survey
2023-04-04
Medicaid Managed Care and Supporting Regulations
2023-03-30
Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments
2023-03-27
Independent Diagnostic Testing Facilities (IDTFs) Site Investigation Form Revisions
2023-03-10
Rehabilitation Unit & Hospital Criteria Worksheet
2023-03-10
Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan
2023-03-10
Medicare Plan Performance Warning Information
2023-03-10
Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report
2023-02-10
COVID–19 Risk Corridor Reconciliation Reporting Template
2023-02-07
Generic Clearance for CMS and Medicare Administrative Contractor (MAC) Generic Customer Experience
2023-02-07
Medicare Advantage Appeals and Grievance Data Form
2023-02-07
Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations
2023-02-07
PACE State Plan Amendment Preprint
2023-02-03
Annual Notice of Chance and Evidence of Coverage For Applicable Integrated Plans in States that Require Integrated Materials
2023-01-27
Data Collection to Support CMS Burden Reduction and Health Informatics Efforts
2023-01-11
Third Party Payment of QHP Premiums and Additional Notices for QHP Issuers Data Collection
2023-01-10
Provider Network Coverage Data Collection
2022-12-20
End-stage Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience
2022-12-14
Medicare Advantage Program and Supporting Regulations
2022-11-25
Advance Beneficiary Notice of Noncoverage (ABN)
2022-11-25
Medicare Part C and Medicare Part D Enrollment Form Interviews
2022-11-17
Medical Necessity and Contract Amendments Under Mental Health Parity
2022-11-04
Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users
2022-11-04
Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103
2022-11-01
Connecting Kids to Coverage Outreach and Enrollment
2022-10-25
Hospital Wage Index Occupational Mix Survey
2022-10-21
Programs of All-Inclusive Care for the Elderly (PACE) and Supporting Regulations
2022-09-29
Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instructions
2022-09-29
Data Request and Attestation for PDP Sponsors
2022-09-23
Hospice Survey and Deficiencies Report Form and Supporting Regulations
2022-08-24
Medicare Outpatient Observation Notice
2022-08-24
Hospital Notices: IM/DND
2022-08-05
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms
2022-08-05
External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations
2022-08-05
Medicaid Managed Care Quality including Supporting Regulations
2022-07-15
Recognition of pass-through payment for additional (new) categories of devices under the Outpatient Prospective Payment System and Supporting Regulations
2022-05-05
Good Cause Processes
2022-04-13
Electronic Visit Verification Compliance Survey
2022-04-06
Medicare Coverage of Items and Services in FDA Investigational Device Exemption Clinical Studies-Revision of Medicare Coverage (CMS-1600-F)
2022-03-29
Expressions of interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group
2022-03-29
Coverage of Routine Patient Cost for Items & Services in Qualifying Clinical Trials
2022-02-24
Medicaid Section 1115 Substance Use Disorder (SUD) Demonstration: Monitoring Reports Documents and Templates
2022-02-22
Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) for Individuals Under Age 21 and Supporting Regulations
2022-02-22
Income and Eligibility Verification System
2022-02-22
Generic Clearance for the Heath Care Payment Learning and Action Network
2022-02-22
Patient-Reported Indicator Survey (PaRIS)
2022-02-22
SUPPORT Act Section 1003 Demonstration Evaluation
2022-02-16
End Stage Renal Disease Application and Survey and Certification Report
2022-02-04
Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test
2022-01-07
Medicaid Accountability – Nursing Facility, Outpatient Hospital and Inpatient Hospital Upper Payment Limits
2022-01-07
Medicaid Accountability – Upper Payment Limits for Clinics, Physician Services, ICF/IID, PRTFs, and IMDs
2022-01-07
Supplemental Payment Reporting under the Consolidated Appropriations Act, 2021
2022-01-07
ARP 1135 State Plan Amendment
2022-01-06
Medical Loss Ratio (MLR) Report for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)
2022-01-06
Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(h)(1)(iii) and 423.128(d)(1)(iii)
2022-01-05
Children?s Health Insurance Program Managed Care and Supporting Regulations
2021-12-27
QIC Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to Conduct Formal Discussions and Re-openings with Suppliers Appeals to Conduct Formal Discussions and Re-openings With Suppliers
2021-10-22
Statement of Deficiencies and Plan of Correction
2021-10-14
The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment
2021-09-28
Generic Beneficiary & Family Centered-Care Quality Improvement Organization (BFCC-QIO) Data Collection Research
2021-09-16
Agent and Broker Disclosure and Reporting Requirements
2021-09-16
Reporting Requirements Regarding Air Ambulance Services
2021-07-30
Expressions of Interest in the Infant Well-Child Visit Affinity Group
2021-07-29
Medicare Beneficiary Experiences with Care Survey (MBECS) System
2021-07-23
FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal
2021-05-20
Reporting Requirements for Additional Funding for Medicaid HCBS During the COVID–19 Emergency
2021-05-17
Reporting Requirements for State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services During the COVID–19 Emergency
2021-03-19
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions
2021-02-01
Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration
2019-08-15
Medicaid and CHIP Program (MACPro)
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