Missouri DHSS Issues Emergency Waiver to Assist Missourians Impacted by Severe Weather

May 22, 2025

Missouri DHSS Issues Emergency Waiver to Assist Missourians Impacted by Severe Weather

The Missouri Department of Health and Senior Services (DHSS) has issued an emergency waiver to assist Missourians in need of critical prescription medications following the devastating tornadoes and sever weather that struck Missouri on May 16.

The action comes after Governor Mike Kehoe issued Executive Order 25-24 authorizing DHSS to temporarily waive or suspend any statutory or administrative rule under its purview to allow medical professionals to better assist those affected by storms.

The provisions of §195.010-195.100 and their attendant regulations and 195.060, RSMo, are partially waived to allow pharmacists to fill controlled substance prescriptions for patients in disaster-impacted areas without the presentation of a written prescription and if the pharmacist determines within his or her professional judgment that an extended supply is needed to avoid interruptions to patient care.

This will ensure that individuals whose prescriptions or prescription records were lost or destroyed, or whose original prescribing physician is unavailable, can continue to receive needed medications even if the pharmacy has not previously dispensed or refilled the prescription.

Click Here to View the Waiver

Policy Update: CMS Proposes Updates for FY 2026 Hospice Payment Rates, Comment by June 10

May 22, 2025

Policy Update: CMS Proposes Updates for FY 2026 Hospice Payment Rates, Comment by June 10

This week, the Centers for Medicare & Medicaid Services (CMS) updated the deadline for comments on their proposed rule for Medicare Hospice Payment Rates from June 30 to June 10.

Click Here to see the CMS Fact Sheet for the Fiscal Year (FY) 2026 Hospice Wage Index and Payment Rate Update Proposed Rule for a summary. When commenting, refer to file code CMS-1835-P.

Healthcare Award Nominations – Annual MOCAN Healthcare Professional and Student Awards, Deadline June 6

May 19, 2025

Healthcare Award Nominations – Annual MOCAN Healthcare Professional and Student Awards, Deadline June 6

Know a healthcare professional or healthcare student who promotes healthy eating and active living in their community?

Please nominate them for the MOCAN award for Excellence in Connecting Health to the Community. The winner in each category will be recognized and share their work at the annual MOCAN Summit.

Deadline for application and supporting materials is Friday, June 6, 2025.

Click Here to Learn More

Click Here to Nominate Healthcare Professional

Click Here to Nominate Healthcare Student

An Expanded Look at Recent State Developments in CCHP’s Telehealth Policy Finder

May 16, 2025

An Expanded Look at Recent State Developments in CCHP’s Telehealth Policy Finder

The Center for Connected Health Policy (CCHP) closely monitors federal telehealth developments through the Telehealth Policy Finder, which is updated year-round, as CCHP ensures that each state undergoes three rounds of comprehensive policy review annually.

Each fall, CCHP compiles a full snapshot of the telehealth policy landscape in their 50-State Summary Report, covering all 50 states, Washington, DC, Puerto Rico, and the U.S. Virgin Islands. This report includes:

  • Medicaid reimbursement status for live video,
  • Store-and-forward,
  • RPM, and
  • Audio-only services, as well as
  • State-level requirements related to patient consent, cross-state licensing, and private payer laws.

To view the most recent version, visit: Fall 2024 State Telehealth Laws and Reimbursement Policies Report.

July 2025 Public Reporting Preview Data Available

May 16, 2025

July 2025 Public Reporting Preview Data Available

The Centers for Medicare & Medicaid Services (CMS) created the Care Compare website to allow consumers to compare health care providers based on quality and other information and to make more informed choices when choosing a health care provider. Users of the site can compare providers in several categories of care settings.

Today through June 13, 2025, on the CMS Hospital Quality Reporting (HQR) page (https://hqr.cms.gov/hqrng/login), you can preview:

  • Your hospital,
  • Overall Hospital Quality Star Rating, or
  • Inpatient psychiatric facility’s quality data

This information will publicly appear in the July 2025 release on the Compare tool on Medicare.gov and the Provider Data Catalog at data.cms.gov/provider-data/. Medicare beneficiaries and the public can use these tools to view quality measure data for participating hospitals and facilities.

Questions about the information listed?

  • Submit questions to the Inpatient and Outpatient Healthcare Quality Systems Development and Program Support Contract Team via the QualityNet Question and Answer Tool or phone assistance:
    • For inpatient questions call (844) 472-4477 or (866) 800-8765 weekdays from 8 a.m. to 8 p.m. Eastern Time (ET).
    • For outpatient questions call (866) 800-8756 weekdays from 7 a.m. to 6 p.m. ET.

CMS Seeks Comments on the Medicare Promoting Interoperability Program – Comments Due by June 10

May 14, 2025

CMS Seeks Comments on the Medicare Promoting Interoperability Program – Comments Due by June 10

In the recently released Medicare Inpatient Prospective Payment System (IPPS) proposed rule, the Centers for Medicare & Medicaid Services (CMS) included several requests for information for the Promoting Interoperability Program, which requires hospitals and Critical Access Hospitals (CAHs) to submit data demonstrating meaningful use of certified electronic health record technology (CEHERT). Hospitals and CAHs that do not meet the requirements are subject to a downward payment adjustment. Some issues that CMS seeks public input on include:

  • Query of Prescription Drug Monitoring Program (PDMP) Measure – This measure requires eligible hospitals and CAHs to attest yes/no on whether they have integrated their state’s PDMP electronic database, which monitors the use of controlled substances, into their EHRs.
    • CMS seeks comments on whether this measure should be performance-based and measure the percent of electronic prescriptions for which the hospital queried the PDMP for prescription drug history.
    • They also seek comment on whether they should expand the types of drugs to which the Query of PDMP measure could apply.

Click Here to Learn More and Comment

  • Public Health and Clinical Exchange Data Objective Measure Scoring – Currently, eligible hospitals and CAHs must attest yes/no on whether they are exchanging data with six required measures in this category.
    • CMS seeks comments on whether they should change the scoring method to allow eligible hospitals and CAHs to earn up to 5 points for each measure, for a total of 30 points for the objective, but must earn at least 1 point for each measure to meet the requirement.
    • CMS also seeks comments on whether these measures should be performance based with a numerator and denominator.

Click Here to Learn More and Comment

  • Use of Modern Technologies to Ensure Data Quality – CMS wants to encourage and support eligible hospitals’ and CAHs’ use of modern technologies and standards to ensure data are usable, complete, accurate, timely, and consistent.
    • They seek feedback on what challenges hospitals and CAHs are experiencing with collecting high quality data,
    • What the primary barriers are, and
    • How CMS can partner with eligible hospitals, CAHs, industry, and Federal agencies to drive further improvements in the quality and usability of health information being exchanged.

Click Here to Learn More and Comment

FY2026 President’s Discretionary Budget Request

May 5, 2025

FY 2026 President’s Discretionary Budget Request

Last week, the Trump Administration unveiled their high level FY 2026 President’s Discretionary Budget request. Among these requests, the Trump administration proposes HHS receive $93.8 billion for FY26, a 26.2% decrease from the FY25 enacted level. Funding levels for the Federal Office of Rural Health Policy programs are not articulated, nor those for the Food and Drug Administration (FDA), Indian Health Service (HIS), Administration for Community Living (ACL), and Administration for Children and Families (ACF).

Other topline discretionary numbers include:

  • $7.2 billion for HRSA, a 19.4% decrease from FY 25
  • $3.0 billion in discretionary funding for CMS, an 18.3% decrease from FY 25
  • $5.6 billion in discretionary funding for CDC, a 38.9% decrease from FY 25
  • $240 million in discretionary funding for AHRQ, a 35% decrease from FY 25
  • $29.3 billion for NIH, a 38% decrease from FY 25
  • $6.2 billion for SAMHSA, a 14.3% decrease from FY 25

USDA is proposed to receive $22.3 billion for FY26, with an 18.3% cut to base discretionary funding, including a $721 million decrease to Rural Development Programs.

The Missouri Rural Health Association (MRHA) and the National Rural Health Association (NRHA) are monitoring the possible implications these requests will have on rural health. It is critical that Congress fully funds the rural health safety net and protects core rural programs against cuts in the FY 2026 appropriations process.

NRHA is urging Members of Congress to support our requests to improve rural health care access and affordability.

Click Here to see NRHA’s recent appropriations letter to congressional leadership.

NRHA encourages you to also utilize their advocacy campaigns and Urge Congress to Invest in Rural Health (FY 2026 Appropriations).

New Whitepaper: Thriving under pressure: An efficiency blueprint for mid-sized systems

May 5, 2025

New Whitepaper: Thriving under pressure: An efficiency blueprint for mid-sized systems

Mid-sized health systems are under extraordinary pressure. Tight margins, limited buying power and fierce competition for talent leave little room for error – especially as labor shortages and rising costs escalate. But some are turning these constraints into opportunities.

Eighteen months ago, Mary Lanning Healthcare struggled to manage finances and allocate resources efficiently. Since then, the rural system has transformed its budget process, reduced administrative burdens on staff and uncovered new growth opportunities. Their approach offers replicable strategies for leaders navigating similar pressures.

Readers will learn:

  • Enhancing financial transparency with technology to drive smarter decisions,
  • Strategies to control costs and unlock growth opportunities, and
  • Simplify HR operations to boost staff satisfaction.

Click Here to Download this Whitepaper

CMS Proposes Revision to FY 2026 Medicare Inpatient Prospective Payment System – Comment by June 10

May 1, 2025

CMS Proposes Revision to FY 2026 Medicare Inpatient Prospective Payment System – Comment by June 10

This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for

  • operating and capital-related costs of acute care hospitals;
  • make changes relating to Medicare graduate medical education (GME) for teaching hospitals;
  • update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs);
  • update and make changes to requirements for certain quality programs; and
  • make other policy-related changes.

To be assured consideration, comments must be received no later than 5 p.m. EDT on June 10, 2025.

In commenting, please refer to file code CMS-1833-P. Because of staff and resource limitations, comments cannot be accepted by facsimile transmission.

Comments, including mass comment submissions, must be submitted in one of the following ways:

  • Electronically – You may submit electronic comments on this regulation to: https://www.regulations.gov.
  • Regular Mail – You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1833-P, PO Box 8013, Baltimore, MD 21244-8013.
  • Be sure to allow sufficient time for mailed comments to be received before the close of the comment period.
  • Express or Overnight Mail – You may send written comments vi express or overnight mail to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1833-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850

Click Here to View CMS Fact Sheet on Proposed Rule

Click Here to Learn More

CMS Seeks Input to Streamline Medicare Regulations, Comment by June 10

April 29, 2025

CMS Seeks Input to Streamline Medicare Regulations, Comment by June 10

The Centers for Medicare & Medicaid Services (CMS) is issuing this Request for information (RFI) to solicit public feedback on potential changes to Medicare regulations with the goal of reducing the expenditures required to comply with Federal regulations.

Examples of questions they would like input on include:

  • Are there documentation or reporting requirements within the Medicare program that are overly complex or redundant?
  • How can Medicare better align its requirements with best practices and industry standards?
  • Are there existing regulatory requirements that could be waived, modified, or streamlined to reduce administrative burdens?

Healthcare providers, researchers, stakeholders, health and drug plans, and other members of the public should submit all comments in response to this RFI through the online submission form.

Comments must be submitted by 11:59 p.m. ET, June 10, 2025.

Responses to this RFI must be provided via on-line submission at the following website: https://www.cms.gov/files/document/unleashing-prosperity-through-deregulation-medicare-program-request-information.pdf

For assistance or technical problems related to this form, please send an email to: patientsoverpaperwork@cms.hhs.gov.

Click Here to Learn More about this RFI

Click Here to go to online submission form