…LEMENTARY INFORMATION: Electronic Access Tables Available Only Through the Internet on the CMS Web Site Acronyms Table of Contents Regulation Text Addendum—Schedule of Standardized Amounts, Update Factors, and Rate-of-Increase Percentages Effective With Cost Reporting Periods Beg…

…ed Health Education Payments 3. Regulatory Changes Regarding the Calculation of Net Cost of NAH Education Programs ( 42 CFR 413.85(d)(2)(i) and (ii) ) H. Payment Adjustment for Certain Immunotherapy Cases (§§ 412.85 and 412.312) K. Hospital Readmissions Reduction Program Updates …

… SUPPLEMENTARY INFORMATION: Electronic Access Tables Available Through the Internet on the CMS Website Table of Contents Regulation Text Addendum—Schedule of Standardized Amounts, Update Factors, and Rate-of-Increase Percentages Effective With Cost Reporting Periods Beginning on …

… SUPPLEMENTARY INFORMATION: Electronic Access Tables Available Through the Internet on the CMS Website Table of Contents Regulation Text Addendum—Schedule of Standardized Amounts, Update Factors, and Rate-of-Increase Percentages Effective With Cost Reporting Periods Beginning on …

…ity b. Second Content Element: Accumulated Amounts c. Third Content Element: In-Network Rates Negotiated Rates Underlying Fee Schedule Rate Disclosing the Negotiated Rate and Underlying Fee Schedule Rate Prescription Drugs d. Fourth Content Element: Out-of-Network Allowed Amount …

…atterson, 410-786-0696, or Nora Simmons, (410-786-1981), for matters related to netting of payments under 45 CFR 156.1215 and administrative appeals under 45 CFR 156.1220 . Christina Whitefield, (301) 492-4172, for matters related to the MLR program. SUPPLEMENTARY INFORMATION: Fu…

…INFORMATION: Table of Contents Acronyms Addenda Available Only Through the Internet on the CMS Web Site CPT (Current Procedural Terminology) Copyright Notice I. Executive Summary A. Purpose 1. Summary of the Major Provisions 2. Summary of Costs and Benefits II. Provisions of the …

…on of Exchange Enrollment or Coverage (§ 155.430) 19. Establishment of Exchange Network Adequacy Standards (§ 155.1050) a. Network Adequacy Standards and Reviews Across Exchanges b. Proposals Related to State Exchange and SBE-FP Network Adequacy Standards and Reviews i. Quantitat…

…EMENTARY INFORMATION: Table of Contents Addenda Available Only Through the Internet on the CMS Website CPT (Current Procedural Terminology) Copyright Notice I. Executive Summary A. Purpose 1. Summary of the Major Provisions 2. Summary of Costs and Benefits B. Determination of Pra…

…on of Exchange Enrollment or Coverage (§ 155.430) 19. Establishment of Exchange Network Adequacy Standards (§ 155.1050) a. Network Adequacy Standards and Reviews Across Exchanges b. Proposals Related to State Exchange and SBE-FP Network Adequacy Standards and Reviews i. Quantitat…

…nsion of Hardship Exemption Eligibility (§ 155.605(d)(1)) 18. Amending Exchange Network Adequacy Standards (§ 155.1050) 19. Effective Essential Community Provider Review Program (§ 155.1051) 20. General Program Integrity and Oversight Requirements (§ 155.1200) 21. State Exchange …

…rticipation Standards (§ 156.200) 10. Standardized Plan Options (§ 156.201) 11. Network Adequacy (§ 156.230) a. Background of Network Adequacy Standards b. FFE Network Adequacy Reviews c. FFE Network Adequacy Standards Beginning With PY 2023 i. Network Adequacy Standards Applicab…

… or nearly identical to other comments. Addenda Available Only Through the internet on the CMS website: The PFS Addenda along with other supporting documents and tables referenced in this final rule are available on the CMS website at https://www.cms.gov/​Medicare/​Medicare-Fee-f…

…dels (APMs). SUPPLEMENTARY INFORMATION: Addenda Available Only Through the Internet on the CMS Website: The PFS Addenda along with other supporting documents and tables referenced in this final rule are available on the CMS website at https://www.cms.gov/​Medicare/​Medicare-Fee-f…