CMS Proposes New Rule on Publishing of Post Payment Rates - Will it Affect Your Practice?

The Center for Medicare and Medicaid Services (CMS) has issued a proposed regulation that, if finalized, would require state Medicaid/CHIP programs to post payment rates for all services on their webpage.

While the proposal does not explicitly mention Federally Qualified Health Centers (FQHCs), it appears to require the publication of FQHC-specific PPS rates. States would also be required to compare their payments to Medicare rates for the same services, and to establish maximum wait times for managed care patients to receive certain types of appointments.

See page 399 of the NPRM.