Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Part 512 [CMS-5544-F] RIN 0938-AV65 ( printed page 32788) AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: Final rule. SUMMARY: This final rule will update and revise the Increasing Organ Transplant Access (IOTA) Model for Performance Year (PY) 2. This final rule also includes a technical correction to the regulatory text. DATES: These regulations are effective on July 1, 2026. FOR FURTHER INFORMATION CONTACT: CMMItransplant@cms.hhs.gov , for questions related to the Increasing Organ Transplant Access Model. Thomas Duvall, (410) 786-8887, for questions related to the Increasing Organ Transplant Access Model. Christina McCormick, (410) 786-4012, for questions related to the Increasing Organ Transplant Access Model. SUPPLEMENTARY INFORMATION: I. Background and Executive Summary A. Model Overview and Background The Increasing Organ Transplant Access (IOTA) Model is a 6-year mandatory alternative payment model tested by the CMS Innovation Center under section 1115A of the Social Security Act (the Act) that began on July 1, 2025, and will end on June 30, 2031. The model appeared in the December 4, 2024 Federal Register ( 89 FR 96280 ) titled “Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model” (hereinafter referred to as the 2024 Final Rule), and this final …