What: On February 27, 2026, the Centers for Medicare & Medicaid Services (CMS) published a request for information (RFI) seeking feedback on potential regulatory changes that might be included in a potential upcoming CRUSH proposed rule, as well as other programmatic changes that could be implemented to make CMS more effective.
Why: CMS’s RFI solicits public input on the following:
- Existing statutory authorities improved to prevent bad actors from engaging in fraud, waste, and abuse.
- Modifications to provider enrollment (including revocation), medical review, investigation, audit, payment suspension, and other program integrity oversight policies.
- Alterations to existing requirements, policies, regulations, memoranda, administrative orders, sub-regulatory guidance documents, or policy statements that could promote payment accuracy and efficiency and protect the integrity of Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace.
- Changes in existing processes by CMS or its contractors to effectively deter fraud, waste and abuse.
- How can CMS improve its transparency about its oversight and enforcement activities?
- Whether CMS should establish regulatory requirements that allow MA organizations and Part D sponsors to implement payment suspensions.
Action: Comments are due to CMS on or before March 30, 2026.
REQUEST FOR INFORMATION:
Comprehensive Regulations to Uncover Suspicious Healthcare
CONTACT:
Will Purcell
EMAIL:
TOPIC(S):
Regulatory Alerts
Regulatory Alerts
Is your small business or entity being impacted by a proposed rule? If yes, write a comment letter to the proposing agency.