Federal items in the IHS change log, by the numbers: November 6, 2026 to November 12, 2026
IHS's change log recorded 13 federal items in 7 days: 12 from CMS, 1 from ONC. Each links to its source page, opened November 14, 2026.
From November 6, 2026 to November 12, 2026, the IHS change log recorded 13 federal items that map to an IHS service line: 12 from CMS, 1 from ONC. Every item below links to its source page, either an agency page or the Federal Register issue on govinfo.gov, and we opened each of those pages on November 14, 2026.
How the count was made
The change log is IHS's record of federal rules, notices, transmittals, survey memos, press releases and agency newsletter items, read from the agencies' sites and the Federal Register issues on govinfo.gov. Its automated daily run began on October 3, 2026. The log keeps only items that map to an IHS service line, so it holds a subset of what the agencies published. An item is counted once, on the date shown on the agency's page or Federal Register issue; log entries for the same page and title are merged. CMS sometimes runs one announcement as a press release and again as an MLN Connects newsletter item. When the newsletter item links to a press release that is in the log, the two are one announcement: it is counted once, on the press release date, and the newsletter item is left out. In this window, 1 newsletter item was left out that way. A single newsletter issue can carry several items, so the 13 items come from 12 distinct pages. Topic tags are IHS's, and one item can carry more than one tag, so the topic counts add up to more than 13.
By agency
- Centers for Medicare & Medicaid Services (CMS): 12 items
- Office of the National Coordinator for Health Information Technology (ONC): 1 item
By kind of document
- CMS transmittal: 4
- Federal Register document: 3
- MLN Connects newsletter item: 2
- Other agency page: 2
- Press release: 2
By topic (IHS tags)
- Medicaid programs: 5
- Dialysis and kidney care: 2
- Home health and home care: 2
- Rural health and health centers: 2
- Utilization management and prior authorization: 2
- Ambulatory and office-based surgery: 1
- Behavioral health: 1
- CMS accreditation and deeming: 1
- Fraud, abuse and compliance programs: 1
- Health IT and interoperability: 1
- Health plans and Medicare Advantage: 1
- Home and specialty infusion: 1
- Hospice and palliative care: 1
- Hospitals: 1
- Laboratories: 1
- Payment and care delivery models: 1
- Quality measurement and reporting: 1
Every item counted
- November 12, 2026, ONC, HHS: ONC and CMS Launch Industry Electronic Prior Authorization Testing Initiative. https://healthit.gov/news/onc-and-cms-launch-industry-electronic-prior-authorization-testing-initiative/ (page opened November 14, 2026)
- November 12, 2026, CMS: Inpatient Psychiatric Facilities Prospective Payment System: Submit Technical Expert Panel Nominations by November 30. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-november-12-2026 (page opened November 14, 2026)
- November 12, 2026, CMS: Implementation of System Changes for the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) for Calendar Year (CY) 2027 (Transmittal R13909CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13909cp (page opened November 14, 2026)
- November 12, 2026, CMS: Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2027 (Transmittal R14043BP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r14043bp (page opened November 14, 2026)
- November 12, 2026, CMS: Clinical Laboratory Improvement Amendments: Use Updated Application for Certification. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-november-12-2026 (page opened November 14, 2026)
- November 12, 2026, CMS: CMS Extends and Modifies Nationwide Freeze on New Medicare Hospice and Home Health Enrollment for Six Months to Combat Fraud. https://www.cms.gov/newsroom/press-releases/cms-extends-modifies-nationwide-freeze-new-medicare-hospice-home-health-enrollment-six-months-combat (page opened November 14, 2026)
- November 10, 2026, CMS: Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2027 (Transmittal R14031CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r14031cp (page opened November 14, 2026)
- November 10, 2026, CMS: Calendar Year (CY) 2027 Home Infusion Therapy (HIT) Services Payment Rates and Instructions for Retrieving the January 2027 HIT Services Payment Rates Through the CMS Mainframe Telecommunications System (Transmittal R14029CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r14029cp (page opened November 14, 2026)
- November 9, 2026, CMS: Trump Administration Announces $10 Billion in Second Year of Rural Health Transformation Awards to All 50 States. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-10-billion-second-year-rural-health-transformation-awards-all-50 (page opened November 14, 2026)
- November 9, 2026, CMS: Rural Health Transformation Program: Year 2 Awards. https://www.cms.gov/newsroom/fact-sheets/rural-health-transformation-program-year-2-awards (page opened November 14, 2026)
- November 9, 2026, CMS: Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (Final rule; FR Doc. 2026-22743). https://www.govinfo.gov/content/pkg/FR-2026-11-09/html/2026-22743.htm (page opened November 14, 2026)
- November 9, 2026, CMS: Medicare Drug Price Negotiation Program and Medicare Prescription Drug Benefit Program (Final rule; FR Doc. 2026-22792). https://www.govinfo.gov/content/pkg/FR-2026-11-09/html/2026-22792.htm (page opened November 14, 2026)
- November 6, 2026, CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots (Final rule with comment period; FR Doc. 2026-22739). https://www.govinfo.gov/content/pkg/FR-2026-11-06/html/2026-22739.htm (page opened November 14, 2026)
What this is not
This is a count of the items in the IHS change log, not of everything the agencies published, and not a judgment of what any item requires of a given organization. Read the agency's page for the text that applies. For the running list, see the IHS standards-change page at https://www.integralhs.com/insights/changes.