OPO Encyclopedia

CMS Proposes Revisions to OPO Conditions for Coverage

CMS has published a proposed rule to revise the Conditions for Coverage (CfC) for OPOs, aimed at clarifying procedural questions and enabling OPOs to make better-informed decisions for higher performance. This is the most significant regulatory update since the 2020 Final Rule that introduced outcome-based metrics. OPOs should review and submit comments — the revisions will directly impact recertification criteria and performance measurement.