October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

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Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction

Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital (CAH) Changes To Promote Innovation, Flexibility, and Improvement in Patient Care

Final

Proposed rule published September 20, 2018. Comments closed November 19, 2018. Final rule published September 30, 2019, effective November 29, 2019.

Docket
CMS-3346
RIN
0938-AT23
Documents
2 documents, September 20, 2018 to September 30, 2019
Amends
42 CFR parts 403, 416, 418, 441, 460, 482, 483, 484, 485, 486, 488, 491, 494

Documents

Oldest first

  1. September 20, 2018

    Comments closed

    Proposed rule, CMS-3346-P, 83 FR 47686, 77 pages

    Comments closed November 19, 2018. 618 comments posted on Regulations.gov as of October 9, 2026.

    CMS's summary

    “This proposed rule would reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. This proposed rule would increase the ability of health care professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from furnishing high quality patient care.”

    Dates

    “To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on November 19, 2018.”
  2. September 30, 2019

    Final rule

    Final rule, CMS-3346-F, CMS-3334-F, CMS-3295-F, 84 FR 51732, 103 pages

    Effective November 29, 2019.

    CMS's summary

    “This final rule reforms Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. This final rule also increases the ability of health care professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from furnishing high quality patient care. Additionally, this rule updates fire safety standards for Medicare and Medicaid participating End-Stage Renal Disease (ESRD) facilities by adopting the 2012 edition of the Life Safety Code and the 2012 edition of the Health Care Facilities Code. Finally, this final rule updates the requirements that hospitals and Critical Access Hospitals (CAHs) must meet to participate in the Medicare and Medicaid programs. These requirements are intended to conform to current standards of practice and support improvements in quality of care, reduce barriers to care, and reduce some issues that may exacerbate workforce shortage concerns.”

    Dates

    “Effective date: These regulations are effective on November 29, 2019. The incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of November 29, 2019.”

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