CMS Pauses Medicare Enrollment for Home Health and Hospice Providers
CMS has temporarily halted provider enrollment into Medicare for home health and hospice agencies. The pause affects new providers seeking to enter the Medicare program, though the agency has not specified the duration or rationale for the suspension. This action comes amid ongoing scrutiny of home health and hospice fraud and abuse. The enrollment freeze does not appear to affect existing providers but may impact Medicaid managed care organizations that rely on Medicare-certified home health and hospice agencies for dually eligible members.
Medicaid MCOs serving dually eligible members may face network adequacy challenges if the enrollment pause reduces the supply of Medicare-certified home health and hospice providers available for their networks.
LTSS · Managed Care
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