CMS Again Asks Public for Paperwork Feedback
Published Date: 6/10/2026
Notice
Summary
The Centers for Medicare & Medicaid Services (CMS) wants your feedback on their plan to collect some information from the public. This is a routine step to make sure the questions they ask are useful and not too much work. If you have thoughts, you’ve got until July 10, 2026, to share them—helping keep things clear and easy for everyone!
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Physician Certification Required for SNF Payment
If you have Medicare Part A and need post-hospital skilled nursing facility (SNF) care, a physician or other authorized practitioner must certify and periodically recertify that you require an SNF level of care. That certification and recertification is a condition for Medicare Part A payment for posthospital SNF services (described under section 1814(a) of the Social Security Act).
Paperwork Burden on Providers for SNF Certifications
CMS is seeking OMB approval to continue collecting physician certifications/recertifications (Form CMS-R-5, OMB control number 0938-0454). The notice reports 3,882,413 respondents/responses and a total annual burden of 480,957 hours for this collection.
Personalized for You
How does this regulation affect your finances?
Personalize government policy and PRIA will tell you what this federal register document means for your household, plus every other regulation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Key Dates
Department and Agencies
Related Federal Register Documents
2026-20281, Global Benchmark for Efficient Drug Pricing (GLOBE) Model
Starting November 30, 2026, Medicare will use the new GLOBE Model to help lower the cost of certain drugs for people on Original Medicare. This model changes how drug price increases are calculated, aiming to save money for both patients and the Medicare program without cutting care quality. If you’re on Medicare Part B, expect smarter drug pricing that helps keep your healthcare affordable.
2026-20131, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program; Correction
This correction fixes some technical mistakes in the Medicare payment rules for inpatient rehab facilities starting October 1, 2026. It mainly affects hospitals and rehab centers by clarifying how wage data and payments are calculated, ensuring fairer payment rates for fiscal year 2027. No big changes in money, but it keeps everything accurate and on track.
2026-19959, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027; Correction
This correction fixes some technical mistakes in Medicare payment rules for skilled nursing facilities starting October 1, 2026. It mainly affects how hospital data is used to calculate payments, making sure no current hospitals are wrongly excluded. These tweaks help keep Medicare payments fair and accurate for providers and patients.
2026-20067, Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements; Correction
This correction fixes some technical mistakes in the FY 2027 hospice payment and wage index rules that were first published in August 2026. It mainly affects hospice providers by updating how their payments are calculated, making sure the numbers are accurate starting October 1, 2026. These changes help ensure hospices get the right payment amounts based on the latest hospital wage data.
2026-19946, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; Other Policy Changes; and Adoption of Updated Versions of Certain Health Information Technology Standards; Correction
This update fixes some typos and technical mistakes in the Medicare payment rules for hospitals starting October 1, 2026. It affects hospitals getting paid for patient care, making sure the payment system and quality programs run smoothly. These corrections help hospitals get the right payments and follow updated health tech standards without delays or confusion.
2026-15686, Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
This final rule updates the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2027. This final rule also includes an analysis of Medicare non-hospice spending, including details regarding a hospice service and spending variation index, and finalizes the requirement that hospices provide the hospice election statement addendum to all Medicare beneficiaries at the time of hospice election. Additionally, this rule finalizes conforming changes to discharge from hospice care regulations and changes to the face-to-face encounter regulations. This final rule also includes a summary of comments received on our requests for information regarding community- based palliative care; the construction of a hospice specific wage index; and the overlap between hospice and medical aid in dying laws. Finally, this rule finalizes changes to the Hospice Quality Reporting Program.
Previous / Next Documents
Previous: 2026-11642, Holtec Decommissioning International, LLC; Oyster Creek Nuclear Generating Station; Environmental Assessment and Finding of No Significant Impact
Holtec Decommissioning International is getting the green light to safely close and clean up the Oyster Creek Nuclear Plant in New Jersey. The Nuclear Regulatory Commission says this plan won’t harm the environment and sets clear rules for any future changes. This means the site can be safely used by everyone again, with no big surprises on timing or costs.
Next: 2026-11644, Notice of Request for Revision to and Extension of Approval of an Information Collection; Importation of Table Eggs From Regions Where Newcastle Disease or Highly Pathogenic Avian Influenza Is Considered to Exist and Exportation of Poultry and Hatching Eggs
The USDA is updating and extending the paperwork rules for importing table eggs from places with bird diseases like Newcastle disease and avian flu, and for exporting poultry and hatching eggs from the U.S. This affects farmers, egg importers, and exporters who’ll need to follow the revised info collection. Comments on these changes are open until August 10, 2026, with no new fees announced.