Proposed Rule would Expand 35% Reduction Process July 24, 2019 by Jerri Lynn Ward, J.D. The Centers for Medicare & Medicaid Services, in a proposed rule posted Tuesday, said it wants to create a “constructive” waiver process that streamlines how facilities qualify for a 35% reduction in survey-linked civil monetary penalties. Mcknight’s Share this:Tweet Click to share on Reddit (Opens in new window) Reddit Click to email a link to a friend (Opens in new window) Email Like this:Like Loading...