Rulemaking Schedule
General Schedule of Rulemaking for Medicare Payment Systems
As described earlier, CMS refines Medicare payment policy through annual rulemaking and responds to changes in clinical practice and industry operations. We include below the general timeframes for the annual rulemaking for the Medicare payment systems described in this section.
Fiscal Year (FY) Cycle: October 1 - September 30
- Inpatient Prospective Payment System/Long-term Care Hospital Prospective Payment System
| FY Rulemaking Phase | Approximate Timeframe |
|---|---|
|
Proposed rule development |
Fall/winter |
|
Proposed rule publication |
Late spring (around April) |
|
Comment period |
Late spring - early summer |
|
Final rule publication |
On or about August 1 |
|
Final rule effective date |
October 1 |
Calendar Year (CY) Cycle: January 1 – December 31
- Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System
- Physician Fee Schedule, including Part B Drugs and clinical diagnostic laboratory tests
- End-Stage Renal Disease Prospective Payment System
| CY Rulemaking Phase | Approximate Timeframe |
|---|---|
|
Proposed rule development |
Winter/spring |
|
Proposed rule publication |
Summer (June/July) |
|
Comment period |
Late summer - early fall |
|
Final rule publication |
On or about November 1 |
|
Final rule effective date |
January 1 |
DMEPOS rulemaking occurs as needed.
For more information, refer to CMS Rulemaking.
IMPORTANT: This information is only intended as a general summary and is not intended to grant rights or impose obligations nor is it intended to establish or change any substantive legal standards established under statutory or regulatory authority. This site contains references and links to certain statutes, regulations, and other policy materials, but it is not intended to be an all-inclusive listing or take the place of applicable statutory law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents.
Page Last Modified:
09/06/2023 04:51 PM