KENTUCKY REGIONAL EXTENSION CENTER

Updates to the HIPAA Security Rule Delayed

Updates to the HIPAA Security Rule Delayed

The anticipated updates to the HIPAA Security Rule are delayed until July 2027

This decision is according to the Office of Information and Regulatory Affairs (reginfo.gov).

The proposed rule, introduced on January 6, 2025 through the Notice of Proposed Rulemaking (NPRM), HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information, was originally anticipated for final action in May 2026. If finalized, the proposal would represent the first major update to the HIPAA Security Rule since 2013 and would establish more prescriptive cybersecurity requirements for regulated entities.

The delay provides healthcare organizations additional time to prepare for potential new compliance obligations and strengthen cybersecurity programs.

Proposed Changes Outlined in the NPRM:

• Comprehensive and accurate technology asset inventory and network map showing where electronic protected health information (ePHI) is created, stored, processed, and transmitted
• New and expanded requirements for implementing encryption
• Multifactor authentication
• Network segmentation
• Anti-malware protection
• Annual penetration tests
• Vulnerability scans every 6 months
• Annual audits of Security Rule compliance
• Annual risk analyses
• Additional data backup and recovery controls and testing requirements
• Revised business associate agreements and annual written verification that business associates deploy certain technical safeguards
• Extensive documentation requirements
• Treat all implementation specifications as mandatory, eliminating the distinction between “required” and “addressable” implementation specifications

While the delay may offer some breathing room, it should not be viewed as a reason to pause security efforts.

Healthcare organizations should continue conducting annual Security Risk Assessments (SRAs), addressing identified vulnerabilities, strengthening technical safeguards, and maintaining compliance with the current HIPAA Security Rule requirements. Cyber threats continue to evolve, and proactive risk management remains essential for protecting (ePHI) and supporting patient care.

Have Questions?

Our trusted advisors at the Kentucky REC assist healthcare organizations with strengthening HIPAA Security compliance and cybersecurity readiness by offering specialized services to help organizations identify vulnerabilities, address compliance gaps, and prepare for future regulatory requirements.

Contact YOUR experts at Kentucky REC if you have any questions or need assistance with HIPAA security risk assessments, internal vulnerability network scanning, and project management support. We’re here to help: 859-323-3090.

Kentucky REC Annual Conference Oct 29: What Hospitals Need to Know for Medicare PI

Hybrid Event with Special Guest Speakers – In Person and Online

Oct. 29 2026, Lexington Kentucky, The Campbell House

Trudi Matthews

Connecting Care Through Interoperability: What Hospitals Need to Know for Medicare PI

Speaker: Kristina Stolitca,  Kentucky REC

Kentucky REC Hospital team lead Kristina Stolitca will provide an overview of the Medicare Promoting Interoperability (PI) Program for Eligible Hospitals and Critical Access Hospitals and explore how interoperability requirements continue to shape care delivery across the healthcare community. This session will review 2026 program requirements, including reporting periods, objectives, and measures, while highlighting key updates from the FY 2027 Inpatient Prospective Payment System (IPPS) Final Rule. Attendees will gain practical insight into evolving compliance expectations and the growing role of interoperability, public health reporting, and data exchange in supporting coordinated care and healthcare connectivity.

About Kristina Stolitca

Kristina Stolitca is a Health Information Technology Advisor at the Kentucky Regional Extension Center (KY REC), where she has served for 15 years. In this role, she supports hospitals across Kentucky participating in the Medicare Promoting Interoperability (PI) Program, providing expert guidance on regulatory compliance, EHR reporting, and program attestation. Kristina partners with hospital leaders and staff to assess performance, identify compliance gaps, and promote successful program participation. She develops tools and resources to help organizations navigate evolving CMS requirements, translating complex federal mandates into clear, actionable guidance. Her long-standing work at KY REC reflects a deep commitment to supporting Kentucky hospitals and advancing health information technology across the Commonwealth.

Questions? Contact us at Kentucky REC or call us at 859-323-3090.

Webinar August 27 – CMS Proposes Significant Reforms to The Quality Payment Program


Don’t Miss Our Aug 27 Webinar:

2027 CMS NOTICE OF PROPOSED RULE-MAKING: QPP and BEYOND

The Centers for Medicaid and Medicare Services (CMS) issued the notice for proposed rule-making for the 2027 Physician Fee Schedule and Quality Payment Program (QPP) on Tuesday, August 14th, 2026.

CMS is proposing transformational changes to several programs within this rule, including:

  • the sunset date for the MIPS track of the QPP
  • a further increase in available MIPS Value Pathways (MVPs)
  • significant APM incentive payment reforms
  • expansion of the Medicare Shared Savings Program
  • further clarification of the new Ambulatory Specialty Model
  • the introduction of core measures and other substantial changes to QPP performance categories

Stay in the know with the Kentucky REC – Register today and be prepared for 2027 and beyond!

2027 CMS NOTICE OF PROPOSED RULE-MAKING: QPP and BEYOND
THURSDAY AUG 27 12:00 – 1:00 PM ET

CMS encourages providers, healthcare organizations, vendors, and professional organizations to submit comments on the proposed rule.

How to comment:
The proposed rule includes directions for submitting comments within the 60-day comment period. CMS must receive comments by Monday, September 14, 2026.
When commenting, refer to file code: CMS-1848-P.
CMS does NOT accept FAX transmissions.

Use 1 of the 3 following ways to officially submit your comments:
• Electronically: www.regulations.gov
• Regular mail: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1848-P, P.O. Box 8016, Baltimore, MD 21244-8016.
• Express or overnight mail: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1848-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.

Contact YOUR experts at Kentucky REC with all your CMS QPP, MIPS/MVP, and APM Track questions. We’re here to help: 859-323-3090.

Kentucky REC Annual Conference Oct 29 – Keynote Speaker Cameron Mills

Kentucky REC 2026 Annual Conference logo with intertwining ribbons and text: Kentucky REC Presents - Connecting our Healthcare Community: Improving Quality, Enhancing Security and Promoting Interoperability - October 29 Lexington KY and Online
Kentucky REC 2026 Annual Conference logo with intertwining ribbons and text: Kentucky REC Presents - Connecting our Healthcare Community: Improving Quality, Enhancing Security and Promoting Interoperability - October 29 Lexington KY and Online

Hybrid Event with Special Guest Speakers – In Person and Online

Oct. 29 2026, Lexington Kentucky, The Campbell House

This year’s conference will feature timely sessions on quality initiatives, HIPAA and security updates, hospital promoting interoperability, AI in healthcare, and emerging topics shaping healthcare.

 

Keynote Speaker: CAMERON MILLS, LHC Group, CAMERON MILLS MINISTRIES

The Most Rarely Discussed Job in Health Care

Kentucky native Cameron Mills lived out a childhood dream by following in his father’s footsteps to play basketball at the University of Kentucky during one of the programs most successful eras. From 1994-1998, he helped lead the Wildcats to three NCAA Final Fours and three NCAA National Championship appearances. The team won two Championships, defeating Syracuse in 1996 and Utah in 1998.

Following his time at UK, Cameron founded Cameron Mills Ministries. He is a sought after speaker at conferences and events, sharing insights on the power of influence. His message focuses on everyday opportunities we have to impact others through actions, not just words.

At the same time, Cameron has also built a career in the health care industry. He has been with LHC Group since 2004, a national leader in home health and hospice services, which serves patients in 38 states. In 2019, he became Vice President and Chief Culture Officer. In this role, he encourages and supports frontline caregivers, individuals he considers heroes long before the Covid-19 pandemic brought them into the spotlight.

Cameron lives in Lexington, KY with his wife, Susan, and their son Alex. Susan is a children’s book author and illustrator. She is known for her series about a world of dinosaurs with special needs.

 

Keynote Speaker: CAMERON MILLS, LHC Group, CAMERON MILLS MINISTRIES

TEAMWORK – You can’t do it alone

Kentucky native Cameron Mills lived out a childhood dream by following in his father’s footsteps to play basketball at the University of Kentucky during one of the programs most successful eras. From 1994-1998, he helped lead the Wildcats to three NCAA Final Fours and three NCAA National Championship appearances. The team won two Championships, defeating Syracuse in 1996 and Utah in 1998.

Following his time at UK, Cameron founded Cameron Mills Ministries. He is a sought after speaker at conferences and events, sharing insights on the power of influence. His message focuses on everyday opportunities we have to impact others through actions, not just words.

At the same time, Cameron has also built a career in the health care industry. He has been with LHC Group since 2004, a national leader in home health and hospice services, which serves patients in 38 states. In 2019, he became Vice President and Chief Culture Officer. In this role, he encourages and supports frontline caregivers, individuals he considers heroes long before the Covid-19 pandemic brought them into the spotlight.

Cameron lives in Lexington, KY with his wife, Susan, and their son Alex. Susan is a children’s book author and illustrator. She is known for her series about a world of dinosaurs with special needs.

Save the Date! Kentucky REC Annual Conference Oct 29!

Kentucky REC 2026 Annual Conference logo with intertwining ribbons and text: Kentucky REC Presents - Connecting our Healthcare Community: Improving Quality, Enhancing Security and Promoting Interoperability - October 29 Lexington KY and Online

Details and Registration Coming Soon!

During our day together we’ll discuss Quality Initiatives, HIPAA, Artificial Intelligence, and more to ensure that clinicians, hospital and ambulatory administrators, and clinic staff are well prepared for the challenges of modern healthcare.

Lexington, Kentucky – Join Us in Person or Online

The New CMS Ambulatory Specialty Model: Is Your Practice Prepared?

CMS’s New Mandatory Ambulatory Specialty Model: Initial Participation List Announced

The Centers for Medicare & Medicaid Services (CMS) recently released the Initial Participation list for clinicians required to take part in the newly finalized Ambulatory Specialty Model (ASM) — a significant shift in how specialty care is delivered and reimbursed in Traditional Medicare.

Several Kentucky healthcare providers have been selected to participate in this MANDATORY model. Visit this link to determine if you are a required participant in the ASM

If you are a participant in this model, you have certain action items due by February 17th, 2026.

These impact registration and limit access to critical information through the ASM Participant Portal. Here is the ASM Participant Contact Information Form.
If you are a specialist managing patients with heart failure or low back pain, the time to understand your obligations is now.

Click this link to visit CMS’s Ambulatory Specialty Model website to learn more or contact your Kentucky REC advisor at 859-323-3090 to learn about our ASM operational and strategic support services.

What is the ASM?

The ASM is designed to improve the co-management of Traditional Medicare beneficiaries while driving down costs within defined clinical episodes. Unlike many prior payment models, this is an individual provider-level model. It places the responsibility for cost and quality directly on the MDs and DOs who manage high-cost chronic conditions.

Are You Required to Participate?

Participation is mandatory for providers who meet four specific criteria:
  1. Billing: You must bill claims under the Medicare Physician Fee Schedule
  2. Specialty Focus: You are identified by your TIN/NPI in one of two primary cohorts:
    • Heart Failure Cohort:Cardiology
    • Low Back Pain Cohort: Anesthesiology, Orthopedics, Orthopedic Surgery, Interventional Pain Management, Pain Management, Physical Medicine and Rehabilitation, and Neurosurgery
  3. Volume Threshold: You must meet a minimum of 20 episodes for your respective cohort
  4. Geography: You must be located in one of the CMS-identified mandatory geographic areas

Key Timeline and Risk Structure

The ASM is a long-term commitment to value-based care, requiring participants to navigate escalating financial stakes.

Duration: Five years, beginning January 1, 2027, and concluding December 31, 2031.
Escalating Risk: Participants will face a dual-sided risk profile starting at 9% and increasing to 12% over the life of the model.
The Bottom Line: The ASM represents a move toward granular accountability. Specialists are no longer on the sidelines of value-based care—they are now a vital part of it.

Questions about eligibility and practice impacts from this new MANDATORY payment model? Contact YOUR Experts at the Kentucky REC for all your ASM questions. Call us at 859-323-3090 or email us kyrec@uky.edu.