Below is a list of archived federal regulations with links to CHA’s corresponding actions, including summaries, comment letters, and DataSuite.
2020
Effective January 1, 2020
- CY 2020 Outpatient Prospective Payment System Final Rule
- CY 2020 Physician Fee Schedule Final Rule
- CY 2020 ESRD/DMEPOS Final Rule
- CY 2020 Home Health Prospective Payment System Final Rule
- Medicare Advantage & Part D Flexibility Final Rule
- CY 2020 Medicare Advantage Capitation Rates, Medicare Advantage and Part D Payment Policies and Final Call Letter
Effective February 24, 2020
- Inadmissibility on Public Charge Grounds Final Rule
- Court Decision
- Delay of Effective Date
- CHA Media Statement
- Comment Letter
- CHA Opinion Editorial
- Resources
- Reassuring Our Communities – A CHA Communications Toolkit
- Manatt Report: Medicaid Payments at Risk for Hospitals Under the Public Charge Proposed Rule
- Kaiser Family Foundation Side-by-Side Comparison
- Kaiser Family Foundation Issue Brief: Estimated Impacts of the Proposed Public Charge Rule on Immigrants and Medicaid
- National Health Law Program Issue Brief: DHS’ Proposed Rule: What may Change with Public Charge?
- Proposed Rule
Effective March 31, 2020
Effective May 8, 2020
Effective June 30, 2020
- CMS Interoperability and Patient Access Final Rule
- 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program Final Rule
Effective July 13, 2020
Effective August 14, 2020
Effective September 2, 2020
Effective October 1, 2020
- FFY 2021 Inpatient Prospective Payment System Final Rule
- FFY 2021 Long-term Care Hospital Prospective Payment System Final Rule
- FFY 2021 Inpatient Rehabilitation Facility Prospective Payment System Final Rule
- FFY 2021 Skilled-Nursing Facility Prospective Payment System Final Rule
- FFY 2021 Inpatient Psychiatric Facility Prospective Payment System Final Rule
- FFY 2021 Hospice Wage Index Final Rule
Effective November 2, 2020
- Additional Policy and Regulatory Revisions in Response to the COVID-19 PHE (CMS-9912-IFC) Interim Final Rule (fourth interim final rule on COVID policies)
Effective December 4, 2020
Effective December 14, 2020
Effective December 31, 2020
2019
Effective January 1, 2019
- CY 2019 OPPS/ASC PPS Final Rule
- CY 2019 PFS/QPP – MIPS and APMs Final Rule
- CY 2019 Home Health PPS Final Rule
- CY 2019 ESRD PPS/Changes to DMEPOS Competitive Bidding Program Final Rule
- Contract Year 2019 Revisions to Medicare Advantage, Medicare Part D Prescription Drug Program
- Patient Protection and Affordable Care Act – HHS Notice of Benefit and Payment Parameters for 2019
- Change in Effective Date for 340B Ceiling Price & Manufacturer Civil Monetary Penalties Final Rule
Effective February 14, 2019
Effective June 6, 2019
- Veterans Affairs Community Care Program Final Rule
- Veterans Affairs Access Standards/Urgent Care Final Rule
Effective July 8, 2019
Effective October 1, 2019
- FFY 2020 Inpatient Prospective Payment System (IPPS) Final Rule
- Final Rule Summary
- CHA AWI Litigation Page
- CHA Member Briefing on Finalized Area Wage Index Proposal Slide Deck & Recording (August 16)
- DataSuite Analysis
- CHA Comment Letter
- Member Letter Template on Proposed AWI Changes
- CHA Member Forum Slide Deck & Recording (June 11)
- Proposed Rule Summary
- CHA Area Wage Index Executive Briefing Slide Deck & Recording (May 14)
- Proposed Rule
- FFY 2020 Long-Term Care Hospital (LTCH) Prospective Payment System Final Rule
- FFY 2020 Skilled-Nursing Facility (SNF) Prospective Payment System Final Rule
- FFY 2020 Hospice Wage Index Final Rule
- FFY 2020 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Final Rule
- FFY 2020 Inpatient Psychiatric Facility (IPF) Prospective Payment System Final Rule
Effective November 25, 2019
Effective November 29, 2019
- Updates to CoPs for Infection Prevention, Antibiotic Stewardship (CMS-3295-F) Final Rule
- Revisions to Requirements for Discharge Planning Agencies (CMS-3317-F) Final Rule
- Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction Final Rule
2018
Effective January 1, 2018
- CY 2018 OPPS Final Rule
- CY 2018 Physician Fee Schedule Final Rule
- CY 2018 Home Health PPS Final Rule
- CY 2018 ESRD PPS Final Rule
- CY 2018 Quality Payment Program Final Rule – MIPS and APMs
- Cancellation of Episode Payment Model and Changes to CJR Final Rule
- CY 2018 Clinical Lab Fee Schedule Rates
Effective January 13, 2018
Effective January 20, 2018
Effective June 1, 2018
Effective June 29, 2018
Effective July 9, 2018
Effective August 20, 2018
Effective October 1, 2018
- FFY 2019 IPPS Final Rule
- FFY 2019 LTCH PPS Final Rule
- FFY 2019 IRF PPS Final Rule
- FFY 2019 SNF PPS Final Rule
- FFY 2019 IPF PPS Final Rule
- FFY 2019 Hospice Wage Index Final Rule
Effective October 2, 2018
2017
Effective January 1, 2017
- CY 2017 OPPS Final Rule and Interim Final Rule
- CHA Final Rule Summary
- CHA Final Rule Summary of Section 603 Provisions
- CHA Interim Final Rule Comment Letter
- Interim Final Rule Section 603 Implementation CHA Member Forum – Slides
- CHA Proposed Rule Summary
- CHA Proposed Rule Comment Letter
- First-Glance Proposed Rule Summary
- CHA Proposed Rule Member Forum Slides
- CHA Proposed Rule Member Forum Recording
- Proposed Rule Section 603 Implementation CHA Member Forum – Slides
- MACRA Physician Payment – MIPS and APMs
- CY 2017 Medicare Advantage and Part D Rate Notice
- CY 2017 HH PPS
- CY 2017 PFS
- CY 2017 ESRD PPS/DME
Effective January 6, 2017
Effective March 17, 2017
Effective March 20, 2017
- Updates to Medicare Claims Appeals Process
Effective May 20, 2017 (Implementation Jan. 1, 2018)
Effective June 2, 2017
- Medicaid DSH Treatment of Third Party Payments in DSH Calculations (CMS-2399-F)
Effective July 1, 2017
Effective October 1, 2017
- FFY 2018 IPPS Final Rule
- FFY 2018 LTCH PPS Final Rule
- FFY 2018 IRF PPS Final Rule
- FFY 2018 SNF PPS Final Rule
- FFY 2018 Inpatient Psychiatric Facility PPS Payment Update
- FFY 2018 Hospice Wage Index Final Rule
Implementation Date November 15, 2017
Implementation Date November 28, 2017
2016
Effective December 15, 2015
Stage 3 Meaningful Use and MU Realignment for 2015-2017
- CHA Final Rule Comments – Stage 3 MU
- CHA Proposed Rule Comments – Stage 3 MU
- HPA Proposed Rule Summary – Stage 3 MU
- CHA Proposed Rule Comment Letter – MU Realignment
- HPA Proposed Rule Summary – MU Realignment
- 2015 EHR Certification Criteria
Effective January 1, 2016
- CY 2016 Outpatient Prospective Payment System
- CY 2016 Home Health Prospective Payment System
- CY 2016 Physician Fee Schedule
- CY 2016 ESRD Prospective Payment System
- Updates to Medicare Shared Savings Plan for Accountable Care Organizations
Effective January 4, 2016
Effective February 29, 2016
Effective March 14, 2016
Effective April 1, 2016
- Comprehensive Care for Joint Replacement Model
- CJR Resource Page
- HPA Final Rule Summary
- CMS List of Participating Hospitals
- CHA Final Rule First-Glance Summary
- OIG Statement on Waivers in Connection with CJR Model
- CHA Proposed Rule Comments
- HPA Proposed Rule Summary
- CHA Proposed Rule Member Call Recording and Slides
- HLB White Paper on BPCI (September 2011)
- Medicaid Covered Outpatient Drugs
Effective May 8, 2016
Effective May 31, 2016
Effective July 5, 2016
Effective July 18, 2016
Effective August, 9 2016
Effective August 22, 2016
- Clinical Lab Payment Requirements under PAMA (Implementation Jan. 1, 2018)
Effective September 6, 2016
Effective October 1, 2016
- FFY 2017 IPPS Final Rule
- FFY 2017 LTCH PPS Final Rule
- FFY 2017 IRF PPS Final Rule
- FFY 2017 SNF PPS Final Rule
- FFY 2017 Hospice Wage Index Final Rule
- FFY 2017 IPF PPS Final Rate Update Notice
Effective October 3, 2016
Effective December 19, 2016
2015
December 29, 2014
Effective January 1, 2015
- CY 2015 OPPS Final Rule
- CY 2015 Physician Fee Schedule Final Rule
- CY 2015 Home Health PPS Final Rule
- CY 2015 ESRD PPS Final Rule
Effective June 1, 2015
Effective July 21, 2015
Effective October 1, 2015
- FY 2016 SNF PPS
- FY 2016 IPPS/LTCH PPS
- CHA Final Rule Summary – IPPS Provisions
- CHA Proposed Rule Comment Letter – IPPS Provisions
- CHA Proposed Rule Summary – IPPS Provisions
- Proposed Rule Member Call Slides and Recording – IPPS Quality Provisions
- Proposed Rule Member Call Slides and Recording – IPPS Payment Provisions
- CHA Final Rule Summary – LTCH Provisions
- CHA Proposed Rule Comment Letter – LTCH Provisions
- CHA Proposed Rule Summary – LTCH Provisions
- FY 2016 IRF PPS
- FY 2016 IPF PPS
- FY 2016 Hospice Wage Index
Effective October 29, 2015
2014
Effective January 1, 2014
- Medicaid Program Eligibility Changes under the Affordable Care Act Final Rule
- CY 2014 OPPS Final Rule
- CY 2014 Physician Fee Schedule Final Rule
- CY 2014 Home Health Prospective Payment System Final Rule
- CY 2014 ESRD PPS Final Rule
Compliance Date January 1, 2014
- Administrative Simplification: Adoption of Standards for Health Care Electronic Funds Transfers (EFTs) and Remittance Advice Interim Final Rule
- Administrative Simplification: Adoption of Operating Rule for Health Care Electronic Funds Transfers (EFTs) and Remittance Advice Interim Final Rule
Effective March 14, 2014
Effective March 27, 2014
- CMS Physicians’ Referrals to Health Care Entities With Which They Have Financial Relationships: Exception for Certain Electronic Health Records Arrangements Final Rule
- OIG Electronic Health Records Safe Harbor under the Anti-Kickback Statute Final Rule
Effective April 7, 2014
Effective July 11, 2014
Effective October 1, 2014
- FY 2015 IPPS and LTCH PPS Final Rule
- IPPS – Final Rule Summary
- IPPS – CHA Proposed Rule Comments
- IPPS – CHA Proposed Rule Summary
- IPPS – Proposed Rule Member Call Slides, Quality Provisions
- IPPS – Proposed Rule Member Call Slides, Payment Provisions
- IPPS – Detailed Descriptions of Proposed IQR Measures
- LTCH – CHA Proposed Rule Comments
- LTCH – CHA Proposed Rule Summary
- LTCH – Proposed Rule Member Call Slides
- FY 2015 IRF PPS Final Rule
- FY 2015 SNF PPS
- FY 2015 IPF PPS
- FY 2015 Hospice Wage Index
- Establishment of FQHC PPS
- Revisions to EHR Incentive Programs and HIT Certification for 2014
Effective November 5, 2014
2013
Effective January 1, 2013
- CY 2013 OPPS Final Rule
- CY 2013 Physician Fee Schedule Final Rule
- CY 2013 Home Health PPS Final Rule
- CY 2013 ESRD PPS and Bad Debt Reductions Final Rule
- Medicaid Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine Administration Final Rule
Effective March 26, 2013
April 9, 2013
Effective April 26, 2013
Effective April 30, 2013
- HHS Notice of Benefit and Payment Parameters for 2014 Final Rule
- HHS Notice of Benefit and Payment Parameters for 2014 Interim Final Rule
Effective May 10, 2013
Effective June 3, 2013
Effective October 1, 2013
- FY 2014 IPPS and LTCH PPS Final Rule
- CHA Final Rule Summary – IPPS Provisions
- CHA Final Rule Highlights – IPPS Provisions
- CHA Proposed Rule Comment Letter – IPPS Provisions
- CHA Proposed Rule Summary – IPPS Provisions
- CHA Proposed Rule First-Glance Summary – IPPS Provisions
- CHA Final Rule Summary – LTCH Provisions
- CHA Proposed Rule Comment Letter – LTCH Provisions
- CHA Proposed Rule Summary – LTCH Provisions
- CHA Proposed Rule Summary – Medicare DSH Provisions
- Part B Inpatient Billing in Hospitals (Finalized in FY2014 IPPS/LTCH PPS Final Rule)
- FY 2014 Hospice Wage Index Final Notice
- FY 2014 Inpatient Rehabilitation Facility Final Rule
- FY 2014 Skilled Nursing Facility PPS Final Rule
- FY 2014 Inpatient Psychiatric Facilities PPS Payment Update Notice
- 340B Orphan Drug Exclusion Final Rule
Effective November 18, 2013
Effective December 30, 2013
2012
Effective January 1, 2012
- Medicaid Recovery Audit Contractors (RAC) Program Final Rule
- Medicare Shared Savings Program: Accountable Care Organizations Final Rule
- HLB Final Rule White Paper
- SNR Denton Final Rule Summary
- CHA Final Rule First-Glance Summary
- CHA Proposed Rule Summary
- CHA Proposed Rule Comments
- FTC Final Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program
- IRS Final Notice 2011-20 Regarding the Participation of Tax-Exempt Organizations in ACOs
- Final Waivers in Connection With the Shared Savings Program
- CY 2012 Home Health PPS Final Rule
- CY 2012 OPPS Final Rule
- CY2012 Physician Fee Schedule Final Rule
- CY 2012 ESRD PPS Final Rule
- Availability of Medicare Data for Performance Measurement Final Rule
Effective January 1, 2012
Effective January 3, 2012
Effective February 2012
Effective April 16, 2012
Effective April 2012
- Review and Approval Process for Section 1115 Demonstration Final Rule
- State Innovation Waivers Final Rule
Effective May 22, 2012
Effective May 23, 2012
Effective May 29, 2012
Effective July 16, 2012
- Reform of Hospital and Critical Access Hospital Conditions of Participation Final Rule
- Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule
Effective August 2012
Effective October 1, 2012
- FY 2013 IPPS and LTCH Final Rule
- FY 2013 Hospice Wage Index Payment Update Notice
- FY 2013 IRF PPS Payment Update Notice
- FY 2013 SNF PPS Payment Update Notice
- FY 2013 IPF PPS Payment Update Notice
Effective October 4, 2012
Effective November 5, 2012
- Electronic Health Records Incentive Program Stage 2 Final Rule
- Adoption of a Standard for a Unique Health Plan Identifier and a Change to the Compliance Date for ICD–10–CM and ICD–10–PCS Final Rule
2011
Effective July 1, 2011
Effective July 5, 2011
Effective August 1, 2011
Effective October 1, 2011
Effective November 14, 2011
Other Regulatory Correspondence
- Comments on Proposed Changes to CMS 2552-10 Hospital and Health Care Complex Cost Report
- Comments on Proposed Changes to 1135 Waiver Request Process
- Medicaid Fiscal Accountability Regulation (withdrawn Jan. 19, 2021)
- Comments on Food and Drug Administration’s Revised Draft Guidance on Clinical Decision Support (CDS) Software
- Comments on DMEPOS Competitive Bidding Surveys
- Request for Information on the Future of Program Integrity
- Letter to MedPAC on Access to Durable Medical Equipment
- Request for Information: Reducing Administrative Burden To Put Patients Over Paperwork
- Draft Guidance on Co-location
- Draft Revised Ligature Risk Guidance
- OMB Request for Comment: Official Poverty Measure
- Proposed Changes to Overall Hospital Star Ratings Methodology (March 2019)
- Request for Information: Accrediting Organizations Conflict of Interest and Consulting Services (February 2019)
- Request for Information: Modifying HIPAA Rules To Improve Coordinated Care (February 2019)
- Letter to CMS Regarding Concerns with Using Worksheet S-10 Data (January 2019)
- Letter to ONC on Draft Strategy to Reduce Health IT and Electronic Health Record Burden (January 2019)
- Letter to CMS on IMPACT Act Beta Test Results (January 2019)
- Letter to FDA Drug Shortages Task Force (November 2018)
- FDA Notice of Proposed Rulemaking: Aggregate Production Quotas for Schedule I and II Controlled Substances (September 2018)
Comment Letter
- Request for Information: Anti-kickback Statute (August 2018)
- Request for Information: Impact of Stark Law (June 2018)
- Request for Information: HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs (May 2018)
- Request for Information on Direct Provider Contracting Models (May 2018)
- Letter to FCC on Funding for Rural Health Care Program (May 2018)
- Request for Information on Revisions to Clinical Laboratory Improvement Amendments (CLIA) Personnel Requirements (March 2018)
- National Quality Forum on Recommended Measures (January 2018)
- Request for Information on New Direction for CMMI (November 2017)
- Enhancements of the Overall Hospital Quality Star Ratings (September 2017)
- Advance Notice of Proposed Rule Making: Revisions to SNF PPS Case -Mix Methodology
- Establishment of Payment Provisions and Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom-Fabricated Orthotics
- Letter to HHS: Geographic Disparities in Access to Liver Transplantation (August 2016)
- OIG Provider Self-Disclosure Protocol (July 2012)
- Actuarial Value and Cost-sharing Reductions (February 2012)
- Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (February 2012)
- State Flexibility to Establish a Basic Health Plan Request for Information (October 2011)
- FDA Guidance on Insanitary Compounding (October 2016)
- CMS RFI Certification of eCQMs (January 2016)
- Data Metrics and Alternative Processes for Access to Care in the Medicaid Program Request for Information and Final Rule (October 2015)
- CMS RFI on MACRA Physician Payment Provisions (September 2015)
- HRSA 340b Omnibus Proposed Guidance (Final Guidance Withdrawn) (August 2015)
- OMHA RFI on Workload Backlog Pilot Programs (November 2014)
- CMMI RFI on Health Plan Innovation (October 2014)
- NOTICE ACT – MOON Notice (August 2016)
- Quality Rating System for Qualified Health Plans Notice (December 2013)
- Pre-Rule Making Comments Regarding Medicare DSH Provisions under the ACA (January 3013)
- Request for Information Regarding Health Care Quality for Exchanges (January 2013)
- Request for Information on Hospital Readiness to Electronically Report Quality Measures (January 2013)
- CMS and ONC Request for Information Regarding Interoperability and Electronic Health Information Exchange (March 2013)
- SEC Registration of Municipal Advisors (March 2011)
- Patient Notification of Right To Access State Survey Agencies and Medicare Beneficiary Notification of the Right To Access Quality Improvement Organizations (April 2011) (finalized in CY 2012 OPPS Final Rule)
- EPA Management Standards for Hazardous Waste Pharmaceuticals (December 2015)
- EPA Hazardous Waste Generator Improvements (December 2015)
- HIPAA Privacy Rule Accounting of Disclosures (August 2011)