Regulatory Work

C-TAC and its Regulatory Taskforce works closely with our partners at the Centers for Medicare & Medicaid Services (CMS) to submit comments on proposed rules regarding those with advanced illness and potential regulatory initiatives. Please see our collection of submitted comments below.


Comments on CMS Proposed ESRD Rule

August 2021

View comments submitted by C-TAC in response to proposed rules out of the Centers for Medicare and Medicaid Services (CMS) regarding End Stage Renal Disease (ESRD) payment and programs in Medicare.

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Comments on CMS Proposed Home Health Rule

August 2021

View comments submitted by C-TAC in response to proposed rules out of the Centers for Medicare and Medicaid Services (CMS) regarding Home Health payment systems, models, and reporting requirements.

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Comments on CMS Proposed SNF Rule

June 2021

View comments submitted by C-TAC in response to proposed rules out of the Centers for Medicare and Medicaid Services (CMS) regarding skilled nursing facilities (SNF).

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Comments on Hospice Payment Rate Rule

May 2021

View comments submitted by C-TAC in response to proposed rules out of the Centers for Medicare and Medicaid Services (CMS) regarding hospice payment rates, waivers, and reporting programs. C-TAC expresses strong support for making permanent the hospice waivers granted during the COVID-19 pandemic, suggests alterations to parts of the rule related to reporting programs, and answer questions related to the interoperability in post-acute care.

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Comments on HIPAA Privacy Rule

View comments submitted by C-TAC in response to proposed modifications to the HIPAA Privacy Rule to support, and remove barriers to, coordinated care and individual engagement. C-TAC expressed strong support for multiple provisions in the rule, including steps that allow individuals to better access their health information and changes to facilitate value-based health care by modifying provisions that currently limit care coordination and case management communications. C-TAC did express concern that, while this rule allows more community organizations to access protected health information, it does not address the need for financial or capital investment for information management systems to facilitate doing so.

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Comments to the VA on Expanding the Authority of Professional Practice

View comments submitted by C-TAC in response to a final rule from the U.S. Department of Veterans Affairs (VA). The rule would allow health care professionals within the VA to practice consistent with their national scope and training regardless of state license, registration, certification, or other requirements that unduly interfere with their practice. C-TAC expressed strong support for this measure as a way to optimize the practice of every health care professional.

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Comments on Fourth Interim COVID-19 Rule

View comments submitted by C-TAC in response to the fourth interim COVID-19 rule released by CMS. C-TAC expressed support for the overall goal of the rule, which is to clarify policies that are intended to support COVID-19 vaccine reimbursement and distribution. However, C-TAC did share concerns about the provisions related to vaccine coverage limitations and encouraged CMS to continue to develop transparent, evidence-based strategies to promote COVID-19 acceptance and 2 equitable and effective vaccine delivery.

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Comments on Best Practices in Health Care in Response to the COVID–19 Pandemic

View comments submitted by C-TAC in response to a Request for Information issued by CMS regarding effective and innovative approaches to health care in response to the COVID-19 pandemic. C-TAC noted that there have been numerous efforts to leverage the telehealth flexibillities and waivers implemented during the public health emergency to support those with serious illness. C-TAC believes that with the appropriate telehealth policy changes such as allowing a patient’s home to serve as an eligible originating site and to continue to allow providers to use the advance care billing codes (99497 and 99498) for audio-only telehealth, such innovations could be scaled broadly and permanently.

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Comments on Landscape Analysis to Leverage Novel Technologies for Chronic Disease Management for Aging Underserved Populations

View comments submitted by C-TAC in response to a Request for Information issued by CMS regarding a landscape analysis to leverage novel technologies for chronic disease management for aging underserved populations. C-TAC agrees that technology could help improve access and quality of care for this group, we are also concerned that such technology needs to address systemic and structural inequities in health care for this population. C-TAC also strongly encouraged CMS to include family caregivers into the group to consider for technology access and management.

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Comments on Recommended Measure Set for Medicaid-Funded Home and Community-Based Services

View comments submitted by C-TAC in response to a Request for Information (RFI) released by CMS related to a recommended measure set for Medicaid-funded Home and Community-Based Services (HCBS). C-TAC expressed support for promoting the accessibility of and ensuring the quality of home and community-based services. We also support the inclusion of tested, validated measures and recommend prioritizing measures that are patient, or client-reported, and measure outcomes rather than just processes.

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Comments on Proposed CY 2021 Physician Fee Schedule

View comments submitted by C-TAC on a proposed CMS rule that would update physician fee schedule (PFS) payments for calendar year (CY) 2021, and C-TAC submitted comments this week in response. C-TAC was pleased that the agency included several proposals that would increase telehealth and scope of practice flexibilities. However, we were concerned about the redistributive effect of CMS’s budget-neutral proposed increases in the payment rates for office/outpatient evaluation and management (E/M) visits.

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