Regulatory Updates

WEDI Issues Recommendations to CMS on QHP Directory Pilot. WEDI submitted its Member Position Advisory (MPA) report, done at the request of the Centers for Medicare & Medicaid Services (CMS), on the CMS Qualified Health Plan (QHP) Directory Pilot underway in Oklahoma. WEDI’s MPA process is designed to collect feedback from its members on critical…

CMS Awards Contract to Develop National Provider Directory. The Centers for Medicare & Medicaid Services (CMS) awarded a 5-year contract of nearly $78 million to H1 Insights, Inc. to provide professional information technology services supporting the development of a National Provider Directory (NPD). The contract scope of work for H1 Insight includes supporting two core…

CMS Announces Participants in GENEROUS Drug Payment Model. The Centers for Medicare & Medicaid Services (CMS) Innovation Center announced that all 50 states, the District of Columbia, and Puerto Rico have applied to participate in the GENErating cost Reductions fOr U.S. Medicaid (GENEROUS) Model. The model offers participants an initiative to provide discount pricing for…

WEDI Submits Comments on Digital Quality Measurement RFI. WEDI submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the “Fast Healthcare Interoperability Resources® (FHIR®)-Based Digital Quality Measurement in the Quality Payment Program and Other CMS Quality Programs – Request for Information” (RFI) in the 2027 Medicare Physician Fee Schedule proposed rule. WEDI…

OCR and ONC Release Updated Security Risk Assessment Tool. The Department of Health and Human Services Office for Civil Rights (OCR) and the Office of the National Coordinator of Health Information Technology (ONC) released version 3.7 of the Security Risk Assessment (SRA) Tool for small and medium physician practices. In addition, OCR and ONC will…

ONC Launches Cartos, a New Terminology Service. The Office of the National Coordinator for Health Information Technology (ONC) launched a new health information technology (IT) terminology service called Cartos. Cartos is a public, FHIR-enabled terminology service that helps implementers find, understand, and use terminology content connected to ONC regulations and the Standards Version Advancement Process.…

WEDI is re-activating its Strategic National Implementation Process (SNIP) Testing Task Group, originally deployed to assist the industry implement HIPAA Versions 4010 and 5010 HIPAA transactions. The Task Group is needed as the industry implements the Claims Attachments and Electronic Signature Final Rule, the Interoperability and Prior Authorization Final Rule, and the Version 8060 HIPAA…

BREAKING NEWS: CMS-0062 Proposals in the FY2027 CMS IPPS Final Rule The CMS FY 2027 Hospital Inpatient Prospective Payment System (IPPS) Final Rule, published in the Federal Register on August 4, 2026, finalized updated versions of data exchange standards that were proposed in CMS-0062.  The adopted standards support the interoperability of FHIR APIs for the ePA…

CMS Launches QualTech to Identify Innovative Technology Solutions. The Centers for Medicare & Medicaid Services (CMS), through the Center for Clinical Standards and Quality (CCSQ), launched QualTech, an industry initiative designed to identify innovative technology solutions aligned to quality-related priorities and advance better health outcomes. CMS is inviting organizations with technology solutions or capabilities aligned…

CMS Posts Materials from Listening Session on Advancing Adoption of X12 Version 008060. The Centers for Medicare & Medicaid Services (CMS) posted materials from the agency’s July 1 Listening Session on advancing the adoption of X12’s Version 008060 administrative transactions. WEDI and the six Designated Standards Maintenance Organizations (Dental Content Committee, Health Level 7, National…