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Data / Federal rules / 2026-06604

Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements

The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on April 6, 2026. Comments closed on June 1, 2026.

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What the agency says

This proposed rule would update the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2027. This proposed rule also includes an analysis of Medicare non-hospice spending, including details regarding a hospice service and spending variation index (SSVI), and proposes to require that hospices provide the hospice election statement addendum to all Medicare beneficiaries at the time of hospice election. Additionally, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes requests for information on community palliative care services; the construction of a hospice specific wage index; and the overlap between hospice and medical aid in dying (MAID). Finally, this rule proposes changes to the Hospice Quality Reporting Program.

Key facts

Document number
2026-06604
Type
Proposed rule
Action
Proposed rule
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
April 6, 2026
Comments due
June 1, 2026
Dates
To be assured consideration, comments must be received at one of the addresses provided below by June 1, 2026.
Docket
CMS-1851-P
Regulation ID (RIN)
0938-AV78
Code of Federal Regulations
42 CFR 418
Topics
Health facilities; Hospice care; Medicare; Reporting and recordkeeping requirements
Pages
45

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Rules on health facilities · Rules on medicare · Rules on reporting and recordkeeping requirements · Published in April 2026

Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.