2019-16041: Medicare Program; CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Establishment of an Ambulance Data Collection System; Updates to the Quality Payment Program; Medicare Enrollment of Opioid Treatment Programs and Enhancements to Provider Enrollment Regulations Concerning Improper Prescribing and Patient Harm; and Amendments to Physician Self-Referral Law Advisory Opinion Regulations
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This major proposed rule addresses: Changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; Medicare Shared Savings Program quality reporting requirements; Medicaid Promoting Interoperability Program requirements for eligible professionals; the establishment of an ambulance data collection system; updates to the Quality Payment Program; Medicare enrollment of Opioid Treatment Programs and enhancements to provider enrollment regulations concerning improper prescribing and patient harm; and amendments to Physician Self-Referral Law advisory opinion regulations.
The agency’s own summary, as published.
What this changes
Amends 10 parts of the Code of Federal Regulations — the standing rules this notice rewrites.
- 42 CFR 403 Special Programs and Projects
- 42 CFR 410 Supplementary Medical Insurance (SMI) Benefits
- 42 CFR 414 Payment for Part B Medical and Other Health Services
- 42 CFR 415 Services Furnished by Physicians in Providers, Supervising Physicians in Teaching Settings, and Residents in Certain Settings
- 42 CFR 416 Ambulatory Surgical Services
- 42 CFR 418 Hospice Care
- 42 CFR 424 Conditions for Medicare Payment
- 42 CFR 425 Medicare Shared Savings Program
- 42 CFR 489 Provider Agreements and Supplier Approval
- 42 CFR 498 Appeals Procedures for Determinations That Affect Participation in the Medicare Program and for Determinations That Affect the Participation of ICFs/IID and Certain NFs in the Medicaid Program
Rulemaking docket
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