Rules › CMS-2026-1916

Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

Proposed rule from the Health and Human Services Department, Centers for Medicare & Medicaid Services (docket CMS-2026-1916). 202 comment letters from companies and organizations are listed below.

Agency
Health and Human Services Department, Centers for Medicare & Medicaid Services
Docket
CMS-2026-1916
Published
2026-05-22
Comments due
2026-07-21
Status
Comment period closed July 21, 2026 · no final rule found yet
Total public comments
6,344
Letters listed here
202

Federal Register notice ↗ · Docket on Regulations.gov ↗

Who commented, by industry

Healthcare 182 Advocacy & Nonprofits 9 Government & Tribes 5 Insurance 3 Pharma & Medical Devices 1 Law, Accounting & Consulting 1 Education 1

Who commented

Tualatin Valley Fire and Rescue Government or tribe Government & Tribes

filed 2026-07-28

Blount Memorial Hospital Hospital or health provider Healthcare

filed 2026-07-28

Tualatin Valley Fire and Rescue Government or tribe Government & Tribes

filed 2026-07-28

Covenant Health Morristown-Hamblen Hospital or health provider Healthcare

filed as “Covenant Health - Morristown Hamblen” · filed 2026-07-28

Mile High Behavioral Healthcare Hospital or health provider Healthcare

filed 2026-07-28

BAYADA Home Health Care Hospital or health provider Healthcare

filed 2026-07-28

Texas Council Trade or professional group Healthcare

filed 2026-07-28

Prisma Health - South Carolina Hospital or health provider Healthcare

filed 2026-07-28

NorthStar Paramedic Services Inc. Company Healthcare

filed 2026-07-28

Lonesome Pine Hospital Hospital or health provider Healthcare

filed 2026-07-28

Health System Alliance of Arizona Trade or professional group Healthcare

filed 2026-07-28

Dickenson Community Hospital Hospital or health provider Healthcare

filed 2026-07-28

Phoenix Children's Hospital or health provider Healthcare

filed 2026-07-28

Memorial Healthcare Hospital or health provider Healthcare

filed 2026-07-28

Americans for Prosperity (AFP) Nonprofit or advocacy group Advocacy & Nonprofits

filed as “Americans for Prosperity” · filed 2026-07-28

Colorado Behavioral Healthcare Council Trade or professional group Healthcare

filed 2026-07-28

District Hospital Leadership Forum Trade or professional group Healthcare

filed 2026-07-28

Carilion Clinic Hospital or health provider Healthcare

filed 2026-07-28

Medicaid & Medicare Advantage Products Association of Puerto Rico (MMAPA) Trade or professional group Insurance

filed 2026-07-28

La Rabida Children's Hospital Hospital or health provider Healthcare

filed 2026-07-28

Hawkins County Memorial Hospital Hospital or health provider Healthcare

filed 2026-07-28

Akron Children's Hospital Hospital or health provider Healthcare

filed 2026-07-28

Teaching Hospitals of Texas Hospital or health provider Healthcare

filed 2026-07-28

Covenant Health Hospital or health provider Healthcare

filed 2026-07-28

University of Missouri Health Care (MU Health Care) Hospital or health provider Healthcare

filed 2026-07-28

Carilion Clinic Hospital or health provider Healthcare

filed 2026-07-28

Children's Hospital Association of Texas Trade or professional group Healthcare

filed 2026-07-28

911 Ambulance Provider’s Medi-Cal Alliance Trade or professional group Healthcare

filed 2026-07-28

American Hospital Association (AHA) Trade or professional group Healthcare

filed as “American Hospital Association” · filed 2026-07-28

West Virginia Rural Health Association Trade or professional group Healthcare

filed 2026-07-28

Southwest Health System Hospital or health provider Healthcare

filed 2026-07-28

Center for Civil Justice Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-28

AMGA Trade or professional group Healthcare

filed 2026-07-28

America's Physician Groups Trade or professional group Healthcare

filed 2026-07-28

Franklin Woods Community Hospital Hospital or health provider Healthcare

filed 2026-07-28

Texas Health Resources Hospital or health provider Healthcare

filed 2026-07-28

Johnson County Community Hospital Hospital or health provider Healthcare

filed 2026-07-28

Hancock County Hospital Hospital or health provider Healthcare

filed 2026-07-28

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-28

Lee County Community Hospital Hospital or health provider Healthcare

filed 2026-07-28

Children's Hospital Colorado Hospital or health provider Healthcare

filed 2026-07-28

National Association of Chain Drug Stores and National Community Pharmacists Association Trade or professional group Pharma & Medical Devices

filed 2026-07-28

Driscoll Children's Hospital Hospital or health provider Healthcare

filed 2026-07-28

Covenant Health Fort Loudoun Hospital or health provider Healthcare

filed 2026-07-28

Pafford Emergency Medical Services, Inc. Company Healthcare

filed 2026-07-28

Parkwest Medical Center Hospital or health provider Healthcare

filed 2026-07-28

Covenant Health Hospital or health provider Healthcare

filed 2026-07-28

Texas Children's Hospital Hospital or health provider Healthcare

filed 2026-07-28

Partnership to Protect Coverage Nonprofit or advocacy group Healthcare

filed 2026-07-28

MultiCare Health System Hospital or health provider Healthcare

filed 2026-07-28

Lonesome Pine Hospital Hospital or health provider Healthcare

filed 2026-07-28

SummitStone Health Partners Hospital or health provider Healthcare

filed 2026-07-28

The Hospital and Healthsystem Association of Pennsylvania Coalition or joint letter Healthcare

filed 2026-07-28

Ascension Hospital or health provider Healthcare

filed 2026-07-28

American Holistic Nurses Credentialing Corporation Company Healthcare

filed 2026-07-28

American Holistic Nurses Association Trade or professional group Healthcare

filed 2026-07-28

Delaware Healthcare Association Trade or professional group Healthcare

filed 2026-07-28

Ann & Robert H. Lurie Children's Hospital of Chicago Hospital or health provider Healthcare

filed 2026-07-28

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-28

American Academy of Pediatrics Trade or professional group Healthcare

filed 2026-07-28

Muscular Dystrophy Association Trade or professional group Healthcare

filed 2026-07-28

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-28

Georgia Hospital Association Trade or professional group Healthcare

filed 2026-07-28

Hendry Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-28

Hendrick Health Hospital or health provider Healthcare

filed 2026-07-28

The Wright Centers for Community Health and Graduate Medical Education Hospital or health provider Healthcare

filed 2026-07-28

Ohio Hospital Association Trade or professional group Healthcare

filed 2026-07-28

Lee County Community Hospital Hospital or health provider Healthcare

filed 2026-07-28

California Consortium of Addiction Programs and Professionals (CCAPP) Trade or professional group Healthcare

filed 2026-07-28

Diversus Health Hospital or health provider Healthcare

filed 2026-07-28

Covenant Health Morristown-Hamblen Hospital or health provider Healthcare

filed 2026-07-28

Norton Community Hospital Hospital or health provider Healthcare

filed 2026-07-28

Carilion Clinic Hospital or health provider Healthcare

filed 2026-07-28

Pennsylvania Health Care Association Trade or professional group Healthcare

filed 2026-07-24

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Nemours Children's Health Hospital or health provider Healthcare

filed 2026-07-24

CAYA Collaborative Care, Inc. Company Healthcare

filed 2026-07-24

Iowa Community Action Association Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

Mary Washington Healthcare Hospital or health provider Healthcare

filed 2026-07-24

Valley Health System Hospital or health provider Healthcare

filed 2026-07-24

UC Health Hospital or health provider Healthcare

filed 2026-07-24

Carilion Rockbridge Community Hospital Hospital or health provider Healthcare

filed 2026-07-24

Hawai'i-American Nurses Association Trade or professional group Healthcare

filed 2026-07-24

Imagine Pediatrics Hospital or health provider Healthcare

filed 2026-07-24

Pafford Medical Services of Mississippi Hospital or health provider Healthcare

filed 2026-07-24

Woods System of Care Hospital or health provider Healthcare

filed 2026-07-24

National PACE Association Trade or professional group Healthcare

filed 2026-07-24

Southern Tier Independence Center Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

Pafford EMS of Oklahoma Hospital or health provider Healthcare

filed 2026-07-24

Paragon Health Institute Trade or professional group Healthcare

filed 2026-07-24

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Paragon Behavioral Health Connections Hospital or health provider Healthcare

filed 2026-07-24

Covenant Health Hospital or health provider Healthcare

filed 2026-07-24

Corewell Health Hospital or health provider Healthcare

filed 2026-07-24

National Alliance for Care at Home Trade or professional group Healthcare

filed 2026-07-24

Healthcare Association of New York State Trade or professional group Healthcare

filed 2026-07-24

Academy of International Mobile Healthcare Integration Trade or professional group Healthcare

filed 2026-07-24

Nicklaus Children's Health System Hospital or health provider Healthcare

filed 2026-07-24

Augusta Health Hospital or health provider Healthcare

filed 2026-07-24

American Podiatric Medical Association Trade or professional group Healthcare

filed 2026-07-24

Texas Association of Behavioral Health Systems Trade or professional group Healthcare

filed 2026-07-24

Medical University of South Carolina University or school Healthcare

filed 2026-07-24

WellPower Hospital or health provider Healthcare

filed 2026-07-24

Southern Paramedic Service, Inc. Company Healthcare

filed 2026-07-24

Indigenous Women Rising Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

Michigan Medicine Hospital or health provider Healthcare

filed 2026-07-24

Pafford Medical Services of Arkansas Hospital or health provider Healthcare

filed 2026-07-24

Balentine Ambulance Service Inc. Company Healthcare

filed 2026-07-24

PA AAP Company Healthcare

filed 2026-07-24

UVA Health Hospital or health provider Healthcare

filed 2026-07-24

Bradley Medical Center Hospital or health provider Healthcare

filed 2026-07-24

National Council for Mental Wellbeing Trade or professional group Healthcare

filed 2026-07-24

LeadingAge Trade or professional group Healthcare

filed 2026-07-24

Iowa Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Totally Kids Rehabilitation Hospital Hospital or health provider Healthcare

filed 2026-07-24

Cape Cod Healthcare Inc. Hospital or health provider Healthcare

filed 2026-07-24

Idaho Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Beecher Fire Protection District Government or tribe Government & Tribes

filed 2026-07-24

CHRISTUS Health Hospital or health provider Healthcare

filed 2026-07-24

Ability Network of Delaware Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

Cumberland Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Tennova North Knoxville Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Logan Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Augusta Health Hospital or health provider Healthcare

filed 2026-07-24

Baptist Memorial Health Care Hospital or health provider Healthcare

filed 2026-07-24

Cumberland Medical Center Covenant Health Hospital or health provider Healthcare

filed 2026-07-24

Methodist LeBonheur Healthcare Hospital or health provider Healthcare

filed 2026-07-24

California Children's Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Disability Rights Pennsylvania Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

BJC Health Hospital or health provider Healthcare

filed 2026-07-24

Indiana Council of Community Mental Health Centers Trade or professional group Healthcare

filed 2026-07-24

Pennsylvania Pediatric Dental Coalition Trade or professional group Healthcare

filed 2026-07-24

Arkansas Ambulance Association Trade or professional group Healthcare

filed 2026-07-24

Parkwest Medical Center Hospital or health provider Healthcare

filed 2026-07-24

University Hospitals Rainbow Babies & Children's Hospital or health provider Healthcare

filed 2026-07-24

Erlanger Hospital or health provider Healthcare

filed 2026-07-24

American Academy of Actuaries Trade or professional group Insurance

filed as “The American Academy of Actuaries” · filed 2026-07-24

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed as “FORT SANDERS REGIONAL MEDICAL CENTER” · filed 2026-07-24

Bluebird Kids Health Hospital or health provider Healthcare

filed 2026-07-24

Powers Health and Fransican Alliance, Inc Coalition or joint letter Healthcare

filed 2026-07-24

Florida Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Henry Ford Health Hospital or health provider Healthcare

filed 2026-07-24

Safety Net Hospital Alliance of Florida Trade or professional group Healthcare

filed 2026-07-24

Children's National Hospital or health provider Healthcare

filed 2026-07-24

Kettering Health Hospital or health provider Healthcare

filed 2026-07-24

Sinai Health System (d/b/a Sinai Chicago) Hospital or health provider Healthcare

filed 2026-07-24

Florida Behavioral Health Association Trade or professional group Healthcare

filed 2026-07-24

Children's Nebraska Hospital or health provider Healthcare

filed 2026-07-24

Competitive Enterprise Institute Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

Private Essential Access Community Hospitals Trade or professional group Healthcare

filed 2026-07-24

Centurion Health Systems, Inc dba Mercy Regional of Oklahoma Hospital or health provider Healthcare

filed 2026-07-24

University of Pennsylvania Health System Hospital or health provider Healthcare

filed 2026-07-24

National Association of Medicaid Directors Government or tribe Government & Tribes

filed 2026-07-24

New Hampshire Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Wellstar Health System Hospital or health provider Healthcare

filed 2026-07-24

Families USA Nonprofit or advocacy group Healthcare

filed 2026-07-24

Kansas Hospital Association Trade or professional group Healthcare

filed 2026-07-24

New York State Council for Community Behavioral Healthcare Trade or professional group Healthcare

filed 2026-07-24

Mt. Graham Regional Medical Center Hospital or health provider Healthcare

filed as “Mt. Graham Regional Medical Center, Inc.” · filed 2026-07-24

Ballad Health Hospital or health provider Healthcare

filed 2026-07-24

America's Essential Hospitals Hospital or health provider Healthcare

filed 2026-07-24

West TN Healthcare Hospital or health provider Healthcare

filed 2026-07-24

Virtua Health Hospital or health provider Healthcare

filed 2026-07-24

District of Columbia Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Baker Donelson Company Law, Accounting & Consulting

filed 2026-07-24

American Pharmacists Association Trade or professional group Healthcare

filed 2026-07-24

Emory University University or school Education

filed 2026-07-24

CommonSpirit Health Hospital or health provider Healthcare

filed 2026-07-24

Massachusetts Call/Volunteer Firefighters Association, Inc. (MCVFA) Trade or professional group Government & Tribes

filed 2026-07-24

Colorado Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Summit BHC Hospital or health provider Healthcare

filed 2026-07-24

CICIP Coalition Trade or professional group Healthcare

filed 2026-07-24

Fort Sanders Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Vizient Company Healthcare

filed 2026-07-24

Cumberland Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Delta Dental Plans Association Trade or professional group Insurance

filed 2026-07-24

National Association of Accountable Care Organizations Trade or professional group Healthcare

filed 2026-07-24

The Hospital Association of Rhode Island Trade or professional group Healthcare

filed 2026-07-24

Federation of American Hospitals Trade or professional group Healthcare

filed 2026-07-24

National Association for Behavioral Healthcare Trade or professional group Healthcare

filed 2026-07-24

Cumberland Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Covenant Health LeConte Hospital or health provider Healthcare

filed 2026-07-24

Methodist Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Mt. Graham Regional Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Alabama Hospital Association Trade or professional group Healthcare

filed 2026-07-24

Tennova Turkey Creek Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Policy Matters Ohio Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-07-24

Covenant Health Hospital or health provider Healthcare

filed 2026-07-24

California Primary Care Association Trade or professional group Healthcare

filed 2026-07-24

Alliance of Safety-Net Hospitals Trade or professional group Healthcare

filed 2026-07-24

UT Medical Hospital or health provider Healthcare

filed 2026-07-24

Oklahoma Ambulance Alliance Trade or professional group Healthcare

filed 2026-07-24

Ohio Children's Hospital Association Trade or professional group Healthcare

filed 2026-07-24

MedExpress Ambulance Service, Inc Company Healthcare

filed 2026-07-24

Children's of Alabama, UAB Health System, and USA Health Coalition or joint letter Healthcare

filed 2026-07-24

Chelan County Public Hospital District No 1 dba Cascade Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Covenant Health Roane Hospital or health provider Healthcare

filed 2026-07-24

Safety Net Association of Pennsylvania (SNAP) Trade or professional group Healthcare

filed 2026-07-24

Woman's Hospital Hospital or health provider Healthcare

filed 2026-07-24

Cumberland Medical Center Hospital or health provider Healthcare

filed 2026-07-24

Partnership for Medicaid Nonprofit or advocacy group Healthcare

filed 2026-07-24

National Alliance on Mental Illness (NAMI)- Iowa Trade or professional group Healthcare

filed 2026-07-24