CMS TransmittalMulti-specialty

Federal Register Proposed Rule: Request for Information; Episode-Based Payment Model

FR-2023-15169

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2023-15169
Published
June 5, 2026
Effective date
See source document
MAC region
National

Summary

The proposed episode-based payment model aims to restructure reimbursement methodologies, which may significantly impact billing practices across various specialties. Stakeholders are encouraged to pr

Influential feedback needed on new payment model design.

Affected specialty

Multi-specialty alerts →

Source document

https://www.federalregister.gov/documents/2023/07/18/2023-15169/request-for-information-episode-based-payment-model

CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.

Related alerts

4

Federal Register Notice: Privacy Act of 1974; Matching Program

Policy FR-2026-13572 · Multi-specialty

High

CMS is establishing a new data matching program with the Department of Veterans Affairs (VA) to verify eligibility for insurance affordability programs under the ACA. This is an administrative Privacy

View alert

Federal Register Proposed Rule: 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

Policy FR-2026-13602 · Multi-specialty

High

CMS proposes CY 2027 Home Health PPS rate updates including recalibrated case-mix weights, updated functional impairment levels, comorbidity subgroups, and LUPA thresholds. The rule also proposes a te

View alert

Federal Register Notice: Agency Information Collection Activities: Submission for OMB Review; Comment Request

Policy FR-2026-13603 · Multi-specialty

High

CMS is publishing a Paperwork Reduction Act notice seeking public comment on a proposed information collection activity. This is an administrative notice with no direct changes to billing codes, reimb

View alert

Federal Register Notice: Agency Information Collection Activities: Submission for OMB Review; Comment Request

Policy FR-2026-13464 · Multi-specialty

High

CMS is publishing a Paperwork Reduction Act notice seeking public comment on a proposed information collection activity. This is an administrative notice with no direct changes to Medicare billing, re

View alert