CMS Extends Transparency Rule Compliance Deadline

On Friday, Aug. 20, the Centers for Medicare and Medicaid Services (CMS) released an update to the tri-agency FAQs on the Price Transparency final rules and the No Surprises Act. Included in the FAQ document is an extension of the enforcement deadline for compliance from January 1, 2022 to July 1, 2022. In its response to stakeholders, CMS agreed that that compliance “is likely not possible by January 1, 2022”. The Departments will defer enforcement of the requirement to make public the machine-readable files for in-network rates and out-of-network allowed amounts and billed charges as well as its enforcement of the requirement that plans and issuers must provide an Advanced Explanation of Benefits.

Please contact Sr. Government Affairs Analyst Owen Urech for more information.